MoTek helps employers evaluate plan design, funding options, employee needs, and long-term costs—providing clear guidance and practical benefits strategies built around each organization.
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Optimize Coverage, Maximize Savings
Health insurance carriers assume all risks for healthcare costs and keep the access premiums. Members pay premiums, co-pay, deductible, and out-of-pocket maximums. Employers have no risk beyond premiums.
Predictable monthly costs work like traditional fully funded plans. Lower monthly costs are based on your specific employee population and health. The plan can be customized beyond carrier constraints and network. The employer will receive a certain percentage back annually for any unused premiums in the claims account. Employees will receive better career discounts at the medical facilities.
With a self-funded health plan, the employer assumes more responsibility for employee healthcare costs instead of paying a fixed premium to an insurance carrier. Claims are typically paid as they occur, with stop-loss coverage used to help protect the employer from large or unexpected claims.
Self-funded plans can provide greater flexibility in plan design, access to claims data, and the potential to reduce unnecessary insurance costs. Employers may also have more control over networks, benefits, and cost-management strategies.
Health insurance coverage that meets the individual shared responsibility requirement, also known as the individual mandate. MEC health benefits meet the federal coverage to avoid tax penalties for a group not offering employer-sponsored health benefits. MECs offer lower premium costs than comprehensive health insurance plans, making them an attractive option for small businesses.
Employers can use pre-tax dollars to design HRA benefits programs and reimburse employees, offering an employer health spending arrangement and benefits through employer-funded arrangements
Tax-advantaged savings accounts available with qualifying high-deductible health plans (HDHPs). Employers and employees may contribute, and eligible medical expenses can be paid tax-free.
An account that allows employees to set aside pre-tax dollars for eligible healthcare expenses.
This vital for handling prescription drug benefits in self-funded group plans, from coverage to specialty medications.
Manage health benefits on behalf of the employer, from processing claims and administering plan operations.
This is designed to cater to the employer and employee's needs to become stronger partners, providing direct support and guidance.
Fully Funded | Self Funded
Don't let the burden of healthcare cloud your vision for a precise solution. We are here to help.
