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Northwell Direct & Association Health Plans

Many employers want access to a leading hospital system combined with a national PPO network and opportunities for significant healthcare savings.

Developing these arrangements and securing stop-loss protection can be challenging. Memberly provides access to established programs so brokers can offer differentiated health plans without building their own infrastructure.

Qualifying groups may be placed into existing programs with enrollment opportunities available on approximately 30 days' notice, subject to underwriting and program requirements.

Level-Funded & Self-Funded Programs

Our curated LevelMax™ and LevelFlex™ programs offer financial transparency, flexibility, and cost control.

Our proprietary financial modeling platform integrates stop-loss premiums, claims funding, administrative expenses, and other fixed costs so every dollar can be accounted for.

We support programs ranging from small employer groups to organizations covering thousands of lives.

TPA & Program Financial Review

Is it time to look under the hood?

Don't settle for proposals that fail to properly account for your client's funding or allocate excessive dollars to fixed costs with insufficient claims funding.

We evaluate TPA expenses, stop-loss structures, claims funding, aggregate factors, and overall plan economics.

Properly designed programs may achieve fixed costs approaching 10% in certain circumstances, with more funding available for claims or potential surplus returns, depending on program terms.

Stop-Loss Integration

Stop-loss is one of the most complex and important components of self-funded health plan design.

Mistakes in sourcing, underwriting, financial modeling, and contract integration can eliminate expected savings.

Memberly helps brokers evaluate specific and aggregate stop-loss, integrate coverage with TPA operations, model financial exposure, and implement cost-containment strategies.

Our approach emphasizes financial transparency and efficient program design.

Employer Compliance Programs

Many Applicable Large Employers face complex ACA compliance requirements, particularly when few or no employees enroll in coverage.

Our ALE Guard™ programs provide solutions designed to support qualifying coverage offers, enrollment administration, and applicable Form 1095-C reporting.

Memberly supplies the program infrastructure and specialized support while brokers continue managing their employer clients.

MEC Health Plans

From basic preventive-care coverage to customized employer solutions, Memberly provides access to fully insured and self-funded MEC programs.

Our MEC Max™ and MEC Flex™ programs offer flexibility for employers seeking affordable coverage options and solutions aligned with their ACA compliance objectives.

We help brokers identify suitable programs based on workforce size, budget, participation, and employer requirements.