Kaiser Permanente

Self-Funded Large Group

Self-funding is an attractive option for employers with more than 150 employees who want to customize a plan and gain more control over their health care costs. Only with Kaiser Permanente do your clients have access to a recognized high-performing health system in addition to providers throughout our service area, the Northwest, and nationally.

Self-funded clients want solutions to current health care cost drivers. By choosing Kaiser Permanente as their ASO, they’ll benefit from a comprehensive strategy for achieving healthier employee behaviors, better health outcomes, higher productivity, and lower overall costs.

  • Performance-Based Health Plans

    HMO and PPO customizable plans incorporate value-based benefit design plus access to high-performing providers to drive better health outcomes and lower costs. Employees are engaged and incented to pursue healthy behaviors and make smarter health care choices.

    
  • High-Performing Providers

    Many physician practices are aspiring to meet the criteria for a high-performing health system set by the American Medical Group Association. Kaiser Permanente medical offices already does. That's why our plans are designed to steer employees to use our medical offices, and other high-performing providers.

  • Comprehensive Population Health Management

    Instead of managing multiple vendors, your self-funded clients can get what they need from Kaiser Permanente—including care management services for chronic and complex health conditions, a cutting-edge wellness program, and advanced self-service capability for employees online. Even better, at Kaiser Permanente medical offices these services are integrated with employees' medical care and records for a seamless experience.

    See Population Health Management.

  • Performance Guarantees

    We handle more than a million calls a year at our call centers in Spokane and Tukwila—with staff consistently meeting or exceeding service targets. We're so confident we can deliver on our service promises that we'll put a percentage of our fees at risk.

    
  • Reporting and Consultation

    While the extent of services varies based on group size, all groups benefit from wellness program support, expert advice on health care reform and benefit design, updates on new products, and population-based reports that include data about care, not just claims. Our objective: Your clients have the information to design an effective action plan that promotes better health and lower costs.

    
  • Stop Loss Coverage

    Stop loss coverage protects your clients against large, unexpected, and even catastrophic claims. For most employers, stop loss plays an essential part of their plan, and Kaiser Permanente requires stop loss coverage for self-funded groups with 150–250 employees. We have established preferred relationships with HM Life Insurance Company and Companion Life Insurance Company to help your clients better manage their organization's medical costs. In addition to Kaiser Permanente's preferred stop loss carriers, we have been approved as a self-funded administrator by a variety of other well-known carriers.