Cooperative Smart Plan

Level-Funded Employee Benefits Insurance

...

Coming Soon 2025!

What is a Level-Funded Plan?

Our hybrid solution combines the best aspects of fully insured and self-funded plans, offering the flexibility and cost-effectiveness you need. By incorporating stop-loss coverage, we minimize financial risk, so you have peace of mind. Plus, our transparent approach ensures you see exactly how your healthcare dollars are spent. With the potential for refunds, if claims are below expectations, your investment goes further. And with full administrative support from the Cooperative, you have a dedicated partner managing the details, allowing you to focus on what matters most.

How Does Level-Funding Work?

Level-funded plans have a set, or level, monthly cost throughout the year that consists of three categories:
Administration + Stop-loss coverage + Maximum claims prefunding = Fixed monthly cost

After the end of the year, if your total claims, costs and expenses are less than your contribution for the year, you may be eligible to receive a refund. However, if the total claims, costs, and expenses are more than your contribution, the Cooperative covers the shortfall. The greater financial predictability and lower dollar threshold make level-funding a great option for your business. 

Fully Insured vs Level-Funded Savings

  • Fully Insured = Nonrefundable Premium.
  • Level-Funded = Opportunity for savings if claims are below the projected level.

Total Costs

  • Level-Funded Plan = The level premium per month that the employer pays.

Advantages of Choosing Us

  • The Cooperative will handle all administrative matters associated with a level-funded health plan. This includes employee enrollment, claims management, and reporting.

Own Your Health Plan. Start a Quote Today!


Enter security code:
 Security code

Build the perfect plan that will keep your employees healthy and productive.

Get Started Today


Get More with Cooperative Smart Plan.

When you choose a level-funded plan with the Cooperative, your employees will take
advantage of additional benefits, giving them added savings and convenience.

Premier HMO Network

Access over 150 major in-network providers, including leading primary care physicians, specialists, hospitals, and more than 57,000 pharmacies nationwide.

Health Management Programs

The goal of case management is to make sure you
are getting the care that you need to be as healthy as
possible. Your case manager will work with you and
your providers to understand your health goals and
help coordinate services to reach these goals.

Pharmacy Benefit Management

Around-the-clock personalized care and support,
offering more than just medication delivery.
Get expert counseling, available anytime, day
or night.

Telehealth Services

Your employees can connect with doctors 24/7
via phone or video—whether at home, work, or
while traveling—giving them immediate access
to care.