SIMPLIFIED Health Plans for Groups of 25 to 150

Are you tired of being asked to complete medical questionnaires or provide claims experience that is increasingly difficult to get from insurance companies in order to get a competitive quote?

We Have a Solution!

SIMPLIFIED gives you a choice of Level Funding with Reference Based Pricing. With Level Funding and Reference Based Pricing, your plan members will enjoy a choice of customizable plan designs and outstanding customer service from Diversified Group – all while limiting what your plan will pay for covered healthcare expenses.

Level Funding Offers a Fixed Monthly Budget

 Administrative costs, stop loss and claims, all in one fixed monthly payment
 Stop loss protects against catastrophic specific and aggregate claims
 If claims are below estimated funding at year end, the plan retains 100% of the savings

Reference Based Pricing Delivers True Cost Transparency

 RBP or Cost Plus Pricing is the perfect addition to a Level Funded Plan
 Health plans base payment schedules on Medicare, the most widely accepted index
 Transparent Pharmacy Benefit Manager (PBM) options

It’s Easy to Request a Quote

Simply send us a member level census and the current rates. Firm rates are available 60 days out.

SELF-FUNDED PLANS

Self-insured health benefit plans offer greater flexibility and an opportunity for savings.

FIGHTING PHARMACIDE

Specialty drugs represent a growing percentage of total drug spending. Pharmasense fights these escalating costs.

HEALTHCARE UNCENSORED

We address questions that are going unasked or unanswered and discuss the trends and issues having the most impact on employee benefits.