1. Paradigm Health Plans® is the nation’s leader in
the delivery of value-based health plans and health
management solutions. We are not an insurance
company; instead, we passionately build benefits that
result in a better life for our Members, Employers and
Employees. Our strong commitment to the total well-
being of our Members is evident in all that we provide to
empower Employers to create healthier
workplace populations.
Self-funded and level-funded Employers can project
their costs accurately and reinvest plan savings in their
workforce without compromising benefits.
Paradigm Health Plans believes that in order for health
plans to work for Employers and their Employees’
families, Plan coverage must provide adequate financial
protection without sacrificing access to
high-quality care.
WHY PARADIGM
HEALTH PLANS®
?
Our approach to accessible
and affordable health coverage
helps create the culture of
health and organizational
well-being that many employers
are looking for.
Partner with Paradigm Health
Plans today.
888.303.0034
www.paradigmhealthplans.org
sales@paradigmhealthplans.org
rfp@paradigmhealthplans.org

2. INNOVATIVE HEALTH MANAGEMENT SOLUTIONS: LIFESTYLE-FOR-LIFE®
• On-site health screening program with biometric lab testing of up to 38 panels
• Provides early detection of hard-to-treat diseases, resulting in savings of 9.8% from the Employer Claims
Attachment Point
• Ongoing outreach to “at-risk” Plan Participants
• Plan Clinical support to help Employers drive participation and results in our Health Management Programs
• Dedicated Program Managers to tailor clinical programs
• Coordination of care in Disease Management Programs for moderate and at-risk participants
PROJECT YOUR COSTS ACCURATELY
• Paradigm Health Plans Exclusive: Max Rate Cap on Increase for 3 renewal cycles1
• Level Funding: After 12 monthly payments, Clients owe nothing more!
• 100% of unspent claims surplus is returned to the Client
• Easy Fund: Alternative to a Difference Card
• Savings Partners: Lower Cost. Higher Savings!
• Renewal rates are on average 3.5% in comparison to industry average of 11-15%
• Specific and Aggregate Reinsurance
• Fixed-Cost Funding, Claim Funding and Expecting Funding
• Organ Transplant and Liability Coverage
• Comprehensive EPO/PPO Health Plans (Inspire & Acclaim Plans)
• 30 FTE and Above
• Wage Parity/Living Wage Plans
• Supplemental for Living Wage
• Minimum Value (MV)
• Minimum Essential Coverage (Achieve Plans)
FLEXIBLE PLAN DESIGNS
1 Three-year rate maximum rate cap when there is a minimum of 75% participation of groups’ plan members in Lifestyle-for-Life® program
MEMBER ADVANTAGE PROGRAMSM
(MAP)
• Map the Gap in Members’ expectations about their healthcare coverage
• Unparalleled containment of Member out-of-pocket costs through reduction or elimination of
co-payments and deductibles
• Provides transparency of in-network provider cost and quality options
• Dedicated advocates can assist with complex billing issues
• Assists all Members with the Pharmacy Mail-Order Program
NATIONAL NETWORK ACCESS
• Paradigm Health Plans utilizes major PPO national networks with thousands of high-quality access points
comprised of physicians, specialists, hospitals and ancillary facilities nationally
• Multiple Provider networks can be used by the same Employer to guarantee all Employees have provider
access, regardless of their geographic location
• Low client disruption and seamless transition during benefit changes
www.paradigmhealthplans.org
Call 888.303.0034 or email: sales@paradigmhealthplans.org
Submit RFP request to RFP@paradigmhealthplans.org