WHO WE ARE
Welcome to
the Pool
The Pool makes available the right healthcare insurance at the right cost for public-service employees in Michigan. Members are at the heart of every decision we make as we design plans to give flexibility and choice.
WHERE WE’VE COME FROM
Transforming healthcare since 2005
The Pool was initially formed by eight West Michigan school districts looking to reduce their health insurance costs. Since then, the Pool has expanded to include 99 organizations, covering more than 25,000 lives.
Why the Pool?
Local ownership
Members work to meet their employees’ needs.
Affordable and clear costs
The Pool’s average annual increase is 4.4%.
Shared risk
Keeping claims and premium fluctuation down.
Wide variety of plans
Varying deductible, copays, and out‑of‑pocket structures.
The Pool has been everything I could want for my family and for our district employees. As a user who has personally experienced the need for major medical coverage, the Pool was there whenever I needed assistance. As an employer, the transparency, the data provided, overall cost, and plan options have been exceptional. The Pool continues to provide us with opportunities to assist our employees and to better understand our health care related organizational needs. Our goal is to provide excellent health care options while keeping dollars in our employees’ pockets. The Pool continues to deliver on both of these.
Mr. Kelly Powers – Muskegon ISD
Who’s in the Pool?
99
Member Organizations in the pool
76
School Districts
19
Municipal Groups
4
Community Colleges
How we operate
The Pool is a member-focused organization, and our members are at the heart of every decision we make.
Plan designs
- Self-funded medical and prescription drug coverage
- Single, two-person, and family rates
- Basic life, long-term disability, and vision insurance coverage
- Utilize Blue Cross Blue Shield of Michigan or Priority Health
Underwriting
- Initial funding rate is based on plan design, geographic area, census data, and prior experience
- Risk is spread across the membership at renewal
Financial arrangements
- Stop loss insurance purchased to protect the Pool from catastrophic claims
- Members are not responsible for individual claims
- Transparency through clear reporting
Transparency
Each member’s rates reflect all aspects of the Pool’s operating costs, including claims, administration, consultation, stop loss protection, and all State and Federal taxes/fees.
Run by members, for members
