Lifestyle Health Plans Banner

How It Works

We know the difficulties that employers face in finding the balance in health benefits and costs. Lifestyle Health provides you with the opportunity to design the plan that’s right for you. Through our insurance carrier partnerships, Lifestyle Health provides the flexibility in benefit design that employers are looking for. Based upon employer size, we can offer a fully funded health benefit program that maximizes the benefits to employees, while implementing cost saving opportunities for employers to stabilize benefit costs without reducing benefits.

We believe that employers are tired, frustrated and disenchanted with the options available to them today. Lifestyle Health provides innovative, flexible plan designs, with the protection of our insurance partnerships, to provide a unique, refreshing approach to healthcare benefits. Lifestyle Health Plan designs allow for an employer to forego the need for future state exchange hassles and work directly with their broker and benefit administrator to design and manage the best benefit program for them.

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A Better Alternative for Your Group Benefits

Lifestyle Health Plans provides a great alternative to traditional, fully insured group health plans.  If you are currently covered by a fully insured plan, your monthly premiums are locked in. Even if you are healthy and have no claims, you pay your premiums and the insurance company keeps any savings. Lifestyle Health provides you with the ability to receive a portion of your health benefit dollars back if your claims are below targeted claim levels. No matter how much your claims are in any plan year, you will also never pay more than the monthly cost quoted to you.

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What is a Fully Funded Plan?

Lifestyle Health Plans is a group health benefits solution built on an ERISA fully funded platform and designed from an insurance perspective that differs from traditional self-funded plans. The plan is ‘fully funded’ meaning that by design, any risk to the sponsoring employer has been removed beyond the 12 months of premium paid. By blending a specific and aggregate custom stop loss insurance coverage, participating employers are able to gain the flexibility they desire without taking on the risk associated with traditional self-funding. Innovative and responsive, the fully funded platform design is changing benefits for many a partnering employer.

How it Works

The monthly group health premium paid to Lifestyle Health Plans for your group is comprised of three separate components:

How it works Health Plan Pie Chart

Your maximum annual claims, including claims run-off liability, are predetermined and you pay 1/12 of this cost each month for the 12 months of your plan year. After you have paid this amount, there are no other charges for the claims fund. Once all claims have been paid for the plan year, each employer is eligible to receive back any unused dollars in the claims fund.

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Advantages of ERISA Group Benefits

Lifestyle Health Plans are governed primarily by federal ERISA laws. ERISA plans differ from state benefit mandates, which result in lower costs and expenses for sponsoring employers. From an employee perspective, the features of an ERISA plan, as described in the Summary Plan Description (SPD), will be similar to the benefits they are familiar with in a fully insured plan, with co-pay, deductible, and pharmacy benefit options present. Each employee will be provided with a SPD detailing these benefits as they enroll in the Lifestyle Health program.

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Employers  PEO/Associations  Brokers

1.

Select Your Plans

Select plans that meet your company's needs.

  • 16 Standard Plans
  • MEC, MVP and Buy Up
  • Dental and Vision Plans

2.

Be Healthy

Personalize program and activities for your group.

  • Assess Health Risks
  • Personalized Program of Healthy Actions

3.

Get Rewarded

Enjoy a lower deductible, reward perks, the works!

  • Deductible Credits
  • Credit Match Program
  • Bonus Buck Incentives