Plan Sponsor Screws Plan Members

By Bill Rusteberg

I just ran the numbers on a 2,500 life school district and you may be surprised by the results.

They are self-insured with a BUCA. They employ an Agent of Record who they see once or twice a year. The BUCA TPA provides a full time service rep. to take care of everyday needs of plan members.

If they terminate their agent and go direct they will save enough in brokerage commissions to provide all employees and family members:

  • Free primary care visits
  • Free specialty care visits
  • Free 24/7 virtual primary care (plus urgent care)
  • Free prescription drugs covering 90% of the average needs of members

Is the plan sponsor acting in the best interests of plan members? You decide.