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FAQ
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What are the
advantages of Self-Funding?
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Elimination of most premium
tax. In most
states, there is no premium tax for self-funded claim fund;
thus, an immediate savings equal to the amount of the
premium tax (approximately 2% to 3%) is realized.
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Lower cost of operation.
Employers frequently
find that administrative costs for self-funded program
through a professional Third Party Administrator (TPA) are
lower than those being charged by their previous insurance
carrier.
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Carrier profit margin and risk
charge eliminated.
The profit margin and risk charge of an insurance carrier
are eliminated for the bulk of the plan.
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Effective claim processing.
The TPA’s success depends upon providing accurate,
controlled claim processing for each employer.
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Cost and utilization controls.
The TPA may offer a second surgical opinion program, an
outpatient surgical program, a hospital bill audit program,
a large case management program, access to a preferred
provider network (PPO) and other programs through a variety
of sources, rather than the employer being able to use only
the insurance company’s in-house program.
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Cash flow benefit.
The employer’s cash flow is improved when money formerly
held by the insurance carrier in the form of various
reserves, such as for unreported claims and pending claims,
is freed for use by the employer.
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Return on investment for
reserves. Interest
on reserves established by the employer remains under the
employer’s control.
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Control of plan design.
The self-funded employer has flexibility in the original
plan design. The employer may also redesign the plan to
eliminate plan abuses if they are discovered.
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Mandatory benefits avoided.
State regulations
mandating costly benefits are avoided because self-funded
programs are subject to ERISA.
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Administration tailored to the
employer’s needs.
The employer usually has a choice of third-party
administrators, each of whom is interested in providing the
employer with flexible services to meet the employer’s
needs.
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Risk management effectiveness
through Stop Loss insurance.
The employer may choose the amount of risk to retain and the
amount to be covered by stop loss coverage. An insurance
company sets pooling levels allowing little flexibility.
Q. Where do I submit premium
payments?
a. Contact
BP Inc. directly for remittance instructions
Q. How do I submit claims for
reimbursement?
a. Claims
are sent either electronically to
bpiclaims@bpire.com
or to:
BP Inc.
Attention: Claims
6160 Summit Drive, Suite 345
Brooklyn Center, MN 55430
Please refer to
our Claim
Filing Instructions. |