WellthCareContact

Blog — Page 2

Insights on preventive care, employee benefits, and the Health-to-Wealth™ revolution.

2,236 posts · explore all topics →

Why the 85 Percent Rule Rewards Higher Claims

Every employer wants lower claims. The medical loss ratio does not reward a carrier for delivering them. The medical loss ratio (MLR) rule requires a large...

August 16, 2026Danny Mason

DPC Sponsorship and the Claims Data Blind Spot

Direct primary care sounds like a clean deal. The employer pays a monthly fee per employee. The clinic offers same-day visits with no copay. Nobody thinks...

August 15, 2026Danny Mason

Stop Loss Underwriting Is Plan Design

Your stop loss underwriter knows which employees will drive next year's renewal before your benefits committee does. The renewal packet is where...

August 15, 2026Danny Mason

The Pre-Claim Health Plan Audit Checklist

Most health plan audits stop at the claim. Employers and their third-party administrators pull paid claims, check eligibility against the payroll file, hunt...

August 15, 2026Danny Mason

TPA Selection: The Data and Exit Test

A third-party administrator holds something more valuable than its call center scripts or its network discounts. It holds your plan's memory. Who enrolled,...

August 15, 2026Danny Mason

This isn't insurance as usual.

Get Your Eligibility Results

30-minute call • Personalized Pension & Store projections

• No disruption to your current plan