Customized Self-Funded Plans and Administration for Any Employer Group

Consider Prominence for a self-funded health plan tailored specifically to any group. We partner with the employer and their broker consultants to customize plan options that best serve employers and their members.

Our team of dedicated experts will develop a platform of customized benefit designs, medical management services, open enrollment tools, reporting capabilities, out-of-area network solutions and specialized claims processing.

The maximum cost of a self-funded plan is the sum of:

  1. Actual claims less Stop Loss insurance reimbursements
  2. Stop Loss premiums (also known as excess insurance)
  3. Administrative expenses and other service fees

Cost Savings

  • Real-time medical dollar reporting
  • Out-of-area network negotiations
  • Advanced clinical claims editing
  • Third-party liability recovery/subrogation
  • Risk-sharing with guaranteed protection through competitive reinsurance

Full-Service Third-Party Administrator Core Services

  • Dedicated Account Management team
  • Customized plan design and administration
  • Personalized customer service
  • Integrated medical management
  • Robust analytic reporting
  • PBM access
  • Consumer-directed programs – FSA/HRA
Administrative Services Website

Contact Us

Contact the Prominence Sales Team to find a fit that works for your group. Call 888-840-9080 or email us at [email protected].

For Providers

Customized Self-Funded Plans and Administration for Any Employer Group

Consider Prominence for a self-funded health plan tailored specifically to any group. We partner with the employer and their broker consultants to customize plan options that best serve employers and their members.

Our team of dedicated experts will develop a platform of customized benefit designs, medical management services, open enrollment tools, reporting capabilities, out-of-area network solutions and specialized claims processing.

The maximum cost of a self-funded plan is the sum of:

  1. Actual claims less Stop Loss insurance reimbursements
  2. Stop Loss premiums (also known as excess insurance)
  3. Administrative expenses and other service fees

Cost Savings

  • Real-time medical dollar reporting
  • Out-of-area network negotiations
  • Advanced clinical claims editing
  • Third-party liability recovery/subrogation
  • Risk-sharing with guaranteed protection through competitive reinsurance

Full-Service Third-Party Administrator Core Services

  • Dedicated Account Management team
  • Customized plan design and administration
  • Personalized customer service
  • Integrated medical management
  • Robust analytic reporting
  • PBM access
  • Consumer-directed programs – FSA/HRA

Contact Us

Contact the Prominence Sales Team to find a fit that works for your group. Call 888-840-9080 or email us at [email protected].

CDS Group Health Website