Managing the Financial Aspects of Self-Funded Medical

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As a business owner, managing the financial aspects of a self-funded medical insurance plan is crucial to ensure the sustainability and success of the program. Here are some key considerations to keep in mind:


Monitoring Claims and Utilization

One of the essential aspects of managing a self-funded medical insurance plan is monitoring the claims and utilization patterns. This allows businesses to identify any potential cost drivers and take appropriate measures to control expenses. Regularly reviewing claims data can help pinpoint areas of high utilization and explore potential solutions, such as implementing wellness programs or negotiating discounted rates with providers.


Implementing Cost Control Measures

To ensure the financial stability of a self-funded medical insurance plan, businesses need to implement cost control measures. This includes negotiating favorable rates with healthcare providers, implementing wellness programs to promote employee health and reduce healthcare expenses, and encouraging the use of cost-effective healthcare services, such as telemedicine.

Here's a table summarizing the main points:

Financial Aspect

Considerations

Monitoring Claims

Regularly review claims data

 

Identify areas of high utilization

 

Explore potential solutions

Cost Control Measures

Disease Management

 

Direct Contracting

 

Rebates from Rx program

 

Predictive Modeling

It's important for business owners to proactively manage the financial aspects of a self-funded medical insurance plan to control costs and ensure the long-term sustainability of the program. With careful monitoring and the implementation of cost control measures, businesses can provide quality healthcare coverage to their employees while maintaining financial stability.

Practice Leader(s)

Max Jong

Captive Practice Leader, Managing Director

Max Jong

Max Jong

Captive Practice Leader, Managing Director

Max Jong is the Captive Practice Leader and Managing Director at Risk Management Advisors, an alternative risk and captive management firm.  Max began his career at Northwestern Mutual in 1994 after graduating from UCLA.  Over 12 years, he built a successful financial services practice while heading up an office overseeing 50 professionals in Los Angeles and Irvine, California.  The office was perennially one of the top producing organizations in the Northwestern Mutual system.

Max joined his partners at Risk Management Advisors in 2007 as he began to work with more sophisticated mid-market business owners.  RMA specializes in the design, formation and management of captive insurance companies.  There’s also an emphasis on self-funded group benefits as well as other creative alternative risk management strategies.  The firm assists businessowners in better managing their risks without jeopardizing their balance sheet.   In 2019, he headed up a merger with Risk Strategies, a Top 10 private national specialty insurance brokerage and consulting firm.  Since then, he was appointed as the Captive Practice Leader to oversee the growth and development of the organization.

For 5 years, Max served as an Independent Director for Fiat Lux Risk and Insurance Company, one of the largest and most sophisticated captive insurance companies.  Fiat Lux was established by The University of California Regents to better manage the broad risks of the University of California system.

Max has also been a life-long supporter of Big Brothers Big Sisters of Greater Los Angeles.  He initially volunteered to be a mentor in 1995 and is currently mentoring his second "Little".  Max was asked to join the Board of Directors in 2000 and eventually serving as their Board Chair.  After 20+ years as an active board member, he continues to support the organization by serving as a Trustee.

He is married to Alice and they’re raising two young children, Hunter and Hayden. Max and Alice are happily married despite her irreparable mistake of having gone to USC.  He loves to travel, loves to golf and a hopeful Lakers fan.

Mike DiMayo
Mike DiMayo

ACI, CFP, CLU, ChFC
Managing Director- Oxford Risk Management Group

Jarid Beck
Managing Director
Jarid Beck

Jarid Beck

Managing Director

Jarid Beck is a Managing Director at Risk Management Advisors. He is a career specialist in the design, implementation, and management of alternative risk management (ARM) strategies including self-insured plans and captive insurance companies. Jarid has a diverse insurance background which allows him to deliver technical insurance solutions to clients in a wide variety of industries including construction, real estate, staffing, manufacturing, trucking, and finance.

Jarid was awarded the Associate of Captive Insurance (ACI) designation from the International Center for Captive Insurance Education (ICCIE) along with the Construction Risk Insurance Specialist (CRIS) designation from the International Risk Management Institute (IRMI). He is a noted authority on the use of self-insurance and captives as a tool for companies to reduce the cost of providing group medical benefits.

Jarid graduated from the University of California, Riverside with a degree in Business Administration.

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