ASO and Stop-Loss Insurance

Self-Funding Options

Groups with 101 to 299 enrolled employees:

  • ASO with stop loss insurance – for employer groups who want more control over their monthly cash flow management – with competitive administrative fees.

For large groups with 300 or more eligible employees:

  • Administrative services only (ASO) arrangement
  • ASO with stop-loss insurance1
  • Shared advantage

Blue Shield offers higher levels of choice, control and improved cash flow with the following options.

ASO with Stop-Loss Insurance

Our ASO and stop-loss insurance arrangements combine services that give you the power to control costs, manage risks and respond to utilization trends. These plans empower members to achieve their health and wellness goals and provide:

  • Competitive contracts and rates with one of the largest PPO provider networks in California. Your healthcare costs are reduced while your employees enjoy broad access to care and services.

  • Enrollment and eligibility assistance to help implement plans with minimal disruption and hassle.

  • Claims and customer service with accurate claims adjudication and responsive support to participants, all backed by robust technology.

  • Reporting and strategic services that help project claim costs, track trends, minimize liability and find opportunities for benefit plan and service efficiencies.

  • Medically appropriate, cost-effective health care for complex conditions, giving you the best value for your healthcare dollar.

  • Dedicated teams that deliver a full range of everyday services and expert account management.

  • Pharmacy management that combines cost-cutting with comprehensive customer service.

Contact your broker to find out which self-funding options work best for your business.

1 Stop-loss coverage is underwritten by Blue Shield of California Life & Health Insurance Company.

return to top