association health plan

Helping clients with strategies, not just quotes

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

Managing the costs of employee benefits while still providing robust resources for your employees can be a challenge. If your insurance agent just gives you a few quotes to compare, you might not be getting the best plans for your team.

Recently, my team and I met with a health care clinic that offers benefits for employees and has been struggling with rising premiums. Their agent had been showing them health insurance quotes, but not looking at strategies to reduce costs. We were able to find an option for them that saved almost $20,000 without reducing benefits for their employees. By using unique funding options, we were able to reduce overall premium costs without increasing costs for employees.

As the Wisconsin Medical Society’s insurance agency, WisMed Assure is a niche insurer specializing in insurance for health care professionals. Our team understands cybersecurity needs for health businesses, medical professional liability coverage and exactly how a disability insurance policy needs to be written for a physician. And we have unique contracts available only to our clients.

To illustrate the power of the niche programs we have built for WisMed clients and members, we recently worked with a small healthcare practice that received a group disability quote from another agent with a 4% reduction in renewal pricing. That may have looked good on the surface, but with the same top insurance carrier, due to WisMed Assure’s volume and relationship, we were able to offer a 5% decrease with a 3-year rate lock. The savings to this client in working with WisMed Assure was substantial.

When you work with us, you’re not alone in the insurance process. We’re hands on and help you with:

  • Open enrollment materials
  • Benefits booklets
  • Claims and payment issues
  • Help you use your money more wisely

Don’t deal with the average agent, talk to a professional dedicated to physicians. Please email me at chris.noffke@wismedassure.org or call 608.442.3734.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Innovation and improvements 

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

June marked my eighteenth year in the insurance industry; my entire career has been focused on employee benefits and helping clients save money and improve employee confidence in benefits. When I was asked to join the WisMed Assure team, I was given the chance to be innovative and truly build something the way I felt it should be and that’s exactly what my team and I are doing!

When I was hired in 2016, I was asked to help strengthen our employee benefits programs and services. At that time, we did not offer many services, nor did we provide a lot of in-depth consulting regarding health insurance. Now we have launched a new pooled Dental insurance plan with Delta Dental of Wisconsin, a pooled disability plan, an association health plan with WPS and The Alliance and added a dozen new services and assessments. We continue to add services and programs to provide the best coverage for our clients.

I am very excited to announce our next innovation. WisMed Assure will be adding a second Association Health Plan eligible for all health care companies in the Madison/Dane County area. Our new Association Health Plan will offer Group Health Cooperative (GHC) of South-Central Wisconsin as the insurance carrier, providing access to GHC clinics and all the UW Health clinics in Dane County plus UW hospital. This benefit offering will be available starting on September 1, 2023. We are proud to have an additional plan option that will better serve our clients in Dane County and surrounding areas.

This option provides HMO rates to our members and those of the health care community. If you’ve ever thought, “We’re a low utilizing group, we don’t really use our health care,” this is a great opportunity to explore. These plans are medically underwritten and can provide a glimpse into your company’s utilization.

If you would like to see how our rates look, please email me at chris.noffke@wismedassure.org or call 608.442.3734. Wishing you the best of your remaining summer!

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Rising health insurance premiums

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

Health insurance premiums are constantly on the rise. According to the Centers for Medicare & Medicaid Services, “U.S. health care spending grew 2.7 percent in 2021, reaching $4.3 trillion or $12,914 per person.” Everyone from employees to employers are feeling the squeeze of high-cost premiums. As rising premiums keep employers frustrated, benefits-users are also enduring less and less being paid by insurance. Business owners are having to make decisions like sacrificing benefits to save money on premiums to afford higher wages. Many employers are asking if they should self-fund. 

Having a really big company with lots of the employees covered by the health plan means these employers have more money being paid into the premium pools – the basic rule of large numbers. In Wisconsin, any group with more than 50 employees is considered a large group and is not qualified for the Affordable Care Act marketplace plans. While companies with as few employees as 50 may qualify for a self-funded benefit, it could also be a liability that causes a business bankruptcy. An employer can hedge their premium dollars against only having a few high-cost health care claims per year. These same strategies don’t work for smaller companies, because they may not have many employees enrolled in the health plan (especially if the employer contributions are too low) which means they have even fewer premium dollars to cover when their work family does have a high-cost claimant(s).

For example, if a smaller group (50 employees for this scenario) has a high-cost claimant who costs $50,000 a year, that means a lot of your collected premiums are needed just to cover this one claimant. Assuming an average employee premium of $1,000 a month per employee (averaging employee and family), your employer premiums are $50,000 a month ($600,000 a year). That means one employee used one-twelfth of your premium funds.

In our example we have only covered $50,000 in claims and we still have 49 remaining insureds who may each spend the $12,914 average. The math, 49 persons at $12,000 means $588,000 potential you may have to pay. This is not yet taking into account that there are multiple people in your employee’s families who may have claims.

It is not just claims you pay for when you are self-funded, you are also responsible to pay for a selected insurance company or third party administer (TPA) to process your groups’ claims, your use of a network for discounts, a pharmacy benefit manager, stop loss insurance, Patient-Centered Outcomes Research Institute (PCORI), terminal liabilities, aggregate accommodations and other administrative costs just to name a few.  This all may not make sense yet or it might sound like another language. Just let me know and we can talk. Give me a call at 608.442.3734. While true self-funding may not be the best answer for your company, utilizing strategies, other funding arrangements and even our association health plan may be a solution.

Lower Health Insurance Costs with Strategy and Unique Offerings

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

In 1946 the Wisconsin Medical Society established WPS to help physicians and residents pay for the costs of health care. Seventy years later I had the chance to help create another opportunity for health care professionals, the Wisconsin Medical Society Welfare Benefit Trust (WMSWBT) or the Association Health Plan (AHP). This year I was able to negotiate with our carrier partner, WPS, to lower our rates for all new groups. This has shown significant cost reductions for groups by decreasing their premium rates (up to 40% for some areas).

One Milwaukee-area group enrolled with the rates seen here:

An example of rates for the Marathon County area:

If you haven’t spoken with us about all the services, strategies and benefits available to you through the Wisconsin Medical Society’s insurance agency, reach out today. Even if your current health plan is in the middle of its cycle, we can still find savings for you and your employees (employees can even get deductible credits for health care dollars spent).

Let me give you a no obligation quote today – we can give you a preliminary rate within 2 days of receiving your census. You’ll see that we offer great rates, unique services and are the only agency that exclusively serves the health care community. Let’s schedule a time to talk.

Happy Spring!