Insights

A level-funded plan is a type of self-insured health plan. An employer makes a monthly payment to cover costs of claims payments, administration and stop-loss insurance. Level-funded health plans often cost less when compared to fully insured health plans. The level of risk assumption is shared by both the employer and the insurance carrier, and the employer is protected by stop-loss insurance — making this type of insurance more affordable for small- and mid-sized employers.

Making Employee Benefits Better: The Power of PAI's Partnership with First Stop Health Since 2019, the increased need for virtual care options has become more evident than ever. Employers are searching for ways to limit healthcare spending while still providing quality benefits for their employees. Now, PAI’s partnership with First Stop Health, a leader in telemedicine, is transforming the way employees access healthcare, leading to improved health outcomes and better cost containment.

Compassion and transparency—both are undervalued by many TPAs in the health insurance industry. But PAI has a comprehensive, easy-to-follow claims review process. A Compassionate Approach At PAI, each member of our team believes in creating a claims

In today’s fast-paced world, it can be difficult to take time to prioritize your health. However, understanding and working to prevent common diseases such as breast cancer is crucial to your overall well-being. Breast cancer affects nearly a quarter-million people in the United States yearly, and although deaths from the disease have lessened as treatments improved, breast cancer remains the second leading cause of cancer death among women. The commonality of breast cancer warrants attention, as do preventive measures combined with education on identifying common risk factors.

Pharmacy spending represents a growing and significant portion of healthcare costs. That is why our preferred partner, OptumRx, provides services that help your members realize improved care, lower costs and a better overall experience.

Are you curious about self-funding but don’t know where to start? It can be daunting to think of taking the plunge into a new way of funding your health plan. A crucial step is finding the right TPA that you can trust to handle the ins and outs of

Scientists already know how genes interact with trillions of human cells to differentiate and form the essential building blocks of the human body and are now turning them into clinical treatments and cures. These genetic and cellular treatments are

What is DPC? Direct primary care (DPC) is hassle-free, high-quality primary care. It aims to treat the whole patient, rather than simply their symptoms. It’s proactive, in that its goal is whole-person health and well-being. This model is intended to

Planned Administrators, Inc. has been a subsidiary of South Carolina’s largest health insurance carrier since 1984. This ownership gives us the stability, support and knowledge of large carrier operations. Using this power, Our carrier administration

Building off our model of providing flexible solutions with top-level service, PAI’s broad portfolio has included administration of programs for national carriers since 1984. We provide an array of administrative services including major medical and