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Leverage your franchise health insurance buying power with Memberly

Big Savings
for Small Groups

Working with Memberly, franchise networks can harness their health insurance buying power one franchisee at a time. 

Health insurance carriers and networks vary from state-to-state making it difficult to build a cohesive healthcare program for franchise systems. While most products and services can be competitively sourced for a franchise network, this has not been the case with health insurance. This is where Memberly steps in. Instead of missing out on the buying power, support, and perks of group sourcing, Memberly creates a centralized health insurance program that services franchise networks on a national scale so every franchisee derives the benefits of a large group. 

Allstate Group Health Insurance

Allstate
National Partnership

By combining buying power of franchise networks on a national scale, Memberly and Allstate are making health insurance more affordable for franchisees. Allstate group health plans can lower rates by as much as 40% while maintaining or improving benefits. Franchisees can leverage the national healthcare buying power of Allstate to offer an affordable health plan that attracts and retain employees.   

Get Your Money Back
Every Year

Most health insurance carriers keep your money even when they don’t pay claims. Why not have a plan that pays some or all of your unused claims funds back? With Allstate and Memberly, franchisees can get back 50 to 100% of the unused claims funds from their health plan every year. This is known as a self-funded plan and Memberly is making them available to franchisees throughout the US. 

 

No Worries
Your Plan is Level-Funded

Level-funding is the most popular type of self-funded health plan. Employers pay a flat amount every month regardless of claims making budgeting worry free. There’s no need to contribute more as stop-loss insurance protects against claims above the contributed amount. The plan is managed by a third party administrator, so there’s no extra work involved.  

Additional Savings and Support

For Threshold Brands, Memberly provides additional savings on Allstate health plans through our flat fee structure. Traditional brokers charge as much as 15% in commission on health insurance. These added fees can make health insurance unaffordable for businesses and their employees. Memberly caps its compensation at $10/mo. per employee on every plan tier, making health insurance more affordable for everyone – franchisees, employees, and their families. The rate of savings increases with every tier helping families save as much as several hundred dollars a month.

 

In addition to our flat fee structure, Memberly, has established an internal team at Allstate to support Threshold Brands franchisees. This includes dedicated service personnel, preferred rates, and value-added benefits unique to Threshold Brands. 

Allstate Health Plan Options

Allstate
Advantage Plan

The Allstate Advantage Plan offers a PPO and network-only design with access to top-rated national networks like Cigna PPO, Cigna OAP, Aetna Signature Administrators, and local networks. Depending on the plan selection, franchisees can offer more than one network or plan design to their employees.

Allstate
Core Value Plan

The Allstate Core Value plan uses reference-based pricing, meaning it determines benefits based on a multiple of the Medicare reimbursement rate (or other derived equivalent), regardless of the billed amount. This can reduce the amount paid for members’ claims — which saves money for both the franchisee and employees.

Plan Design
Franchise Perks

Plans have an individual deductible of $500 to $8,550 (2x for family). Coinsurance is 0% to 50%. Individual Out-of-Pocket Maximum is $1,000 to $8,550 (2x for family). Allstate plans offer MeMd virtual care and Talk Therapy. Franchisees also receive Allstate’s Vitality Program which pays $25/mo. to each employee for completing health activities. 

ICHRA: Reimburse vs. Buying a Health Plan

ICHRA allows franchisees to offer employees a monthly allowance on a tax-free basis to buy health insurance. Franchisees have the ability to define unique reimbursement amounts for different classes of employees such as FT, PT, and seasonal creating an incentive program for all employees. This can be helpful for franchises with a large part-time workforce. Since ICHRA can be used to reimburse Medicare premiums, it’s also a strategy for incentivizing retirees. Memberly has established a partnership with an ICHRA administrator to service Threshold Brands franchisees. This centralized approach gives franchisees a head start as the plan documentation and design will be similar throughout the franchise system. 

ICHRA: Individual Coverage Health Reimbursement Arrangement

ICHRA Support Plan Options

$5.95/mo.
Per Employee
Direct Plan

Memberly has your ICHRA administrator ready to set-up your plan and manage monthly reimbursement. The Direct Plan includes:


Custom Account Design

Documents & Notices

Affordability Calculator

Daily Claims Adjudication

Employer Portal & Reporting

Member Portal & Mobile App

ACH, Check, & Debit Card

Mobile Wallet Reimbursement

Pharmacy Discounts


Document Fee: $250/yr

Monthly Minimum: $50

$14.95/mo.
Per Employee
Preferred Plan

Start your ICHRA plan with more support and features. In addition to the services included in the Direct Plan, franchisees will receive:

 

Individual Plan Shopping/Quoting Tools

Flexible Enrollment

Onboarding Support

Post Enrollment Support

Fully Integrated ICHRA Account

Integrated Insurance  

 

Document Fee: $250/yr

Monthly Minimum: $50

$20.95/mo.
Per Employee Concierge Plan

You can start off with the concierge plan and scale back at any time. The concierge plan provides the highest level of support and features including:

 

Provider Search Support

Procedure Preparation 

Assistance

Appointment Scheduling

Billing Review & Negotiation

Cost Transparency

RxCare Consultations

 

Document Fee: $250/yr

Monthly Minimum: $50

Are You Overpaying for MEC?

Employee
MEC Plan
$35/mo.

Franchise networks can have an administrated MEC program, as opposed to buying pre-packaged plans that add extra costs. Simply pay $30/mo. per employee to our partnered plan administrator for a basic plan and budget $5/mo. for claims. This brings the total estimated cost to $35/mo.

ES or EC
MEC Plan
$40/mo.

Most MEC plans increase in price when a spouse or child is added. This is not the case with Memberly as the administrative cost is held at $30/mo. For a spouse or child, budget $10/mo. for claims bringing the total estimated cost to $40/mo.

Family
MEC Plan
$45/mo.

Family MEC plans are expensive, often exceeding $100/mo. Working with Memberly, the administrative cost is held at $30/mo. For a family, budget an additional $15/mo. for claims bringing the total estimated cost to $45/mo. 

MEC Plans:
Go Direct and Save

At the other end of every MEC plan is an administrator. In between are layers of fees that may not be necessary. With Memberly, franchisees can have an administrated MEC plan, as opposed to buying a more costly pre-packaged plan. This provides franchisees with the flexibility to offer a MEC plan that meets their objectives and budget. Benefits can be added to create enhanced MEC plans designed to each franchisee’s unique needs. There are no set up fees, and you can start at any time.  Franchisees work directly with the administrator to pay monthly premiums and manage their plan. There’s no cost to review your MEC options and potential savings. 

Tell us about your Franchise

By providing information about your franchise we can start developing a strategy that fits your objectives. Your options may vary based on the state where your franchise is located and number of employees. You’re also welcome to call or email us.

Why work with Memberly?