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MECFlex™

A self-funded MEC plan that combines ACA compliance with pay-as-incurred claims and a flat $59 monthly administrative fee across all coverage tiers.

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MECFlex™ by Memberly

Self-Funded Minimum Essential Coverage with a Flat $59 Administrative Fee

MECFlex™ provides employers with a flexible, self-funded approach to Minimum Essential Coverage (MEC) while maintaining greater control over benefit design and healthcare costs. Unlike traditional fully insured MEC plans with fixed premiums and limited flexibility, MECFlex™ allows employers to customize their benefit structure while paying a flat administrative fee of just $59 per enrolled employee per month.

The $59 Flat Administrative Fee Is the Key to Lower Costs

One of the biggest advantages of MECFlex™ is its flat $59 monthly administrative fee, regardless of the enrollment tier. Whether an employee enrolls in Employee, Employee + Spouse, Employee + Child(ren), or Family coverage, the administrative fee remains exactly the same.

Instead of paying higher premiums for family coverage, employers simply pay the actual eligible claims incurred by covered members. This creates a more predictable and transparent funding model.

Modular design

Build coverage from preventive-only up to richer benefit layers.

Cost transparency

Self-funded visibility into claims utilization and spend.

Scales with you

Adjust benefits as workforce and budget evolve.

MEC Flex logo

Why MECFlex™ Costs Less

MECFlex™ is designed to produce savings through several key factors:

  • Low flat administrative fee of $59 per enrolled employee.
  • No hospital or surgical coverage, eliminating the largest source of healthcare claims.
  • Historically low utilization of MEC plans, as many members use little or no covered services.
  • Pay only for actual eligible claims, rather than paying fixed premiums regardless of utilization.
  • Start with preventive-only coverage and enhance benefits over time as your budget and workforce needs evolve.

Because MEC plans generally experience low utilization and exclude expensive hospital and surgical claims, many employers realize substantial savings compared to traditional health plans.

Flexible Benefits That Grow With Your Business

MECFlex™ can be designed to include only ACA-required preventive care or expanded to provide additional benefits such as:

Physician office visits
Urgent care
Diagnostic testing
Laboratory services
Prescription drug benefits
Other selected outpatient services

Employers have the flexibility to create a benefit package that balances employee value with budget objectives.

Complete Transparency and Control

Unlike traditional insured plans, MECFlex™ gives employers visibility into plan performance, claims activity, and benefit utilization. As your workforce changes, benefits can be adjusted to better align with your organization's healthcare strategy while maintaining predictable administrative costs.

MECFlex™ — FAQs

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Plan Disclosure: MEC Flex™ is a self-funded Minimum Essential Coverage plan under which the employer funds eligible claims as they are incurred. It is not comprehensive major medical insurance and is not designed to cover hospitalization or major medical expenses. Benefits may be customized within applicable plan and regulatory requirements. Employer costs may vary based on actual claims and enrollment. In the event of any discrepancy, the official plan documents shall govern.