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UnitedHealthcare Level Funded Settings API – Overview

1. Purpose​

The Level Funded Settings service helps authorized partners access key business rules and configuration details that govern level-funded insurance offerings. Instead of searching through multiple documents, users can request a specific category of settings (e.g., wellness benefits, enrollment limits) and receive the applicable rules for a given state. This enables a quick, accurate understanding of how products are administered across different geographies.

2. Who Can Use This Service​

This service is useful for:

  • Brokers, agents, and external aggregators working with level-funded products
  • Partner onboarding teams creating training materials or checklists
  • Product managers and strategists analyzing rule differences across states
  • Sales and marketing teams referencing plan administration in non-technical materials

It’s designed to support both technical and non-technical roles involved in selling, supporting, or planning level-funded offerings.

3. What Information is Available​

The service provides high-level, easy-to-understand categories:

  • Configuration categories: Topics like wellness benefits, stop-loss arrangements, rate guarantees, enrollment limits, participation guidelines, eligibility criteria, and document requirements
  • State-specific rules: Results are tailored to the state requested, reflecting local variations
  • Simple selection: Users choose a category by name (e.g., “stop-loss rules”) rather than technical keys
  • Plain-language feedback: Clear messages indicate whether the requested information was found

4. Benefits of This Service​

  • Centralized access: Quickly retrieve relevant rules without piecing together multiple sources
  • Consistent terminology: Everyone uses the same categories and language across channels
  • Real-time accuracy: Information reflects the latest internal system updates
  • Versatile use cases: Supports quoting, onboarding, planning, and training

5. Example Uses​

  • A broker preparing for a client meeting requests wellness and enrollment rules for the client’s state.
  • A partner team creates a sales playbook listing of required information per state, based on available settings.
  • A strategist compares stop-loss provisions across states to identify trends or gaps.
  • A training slide explains how to retrieve state-specific rules using a simple category name and location.

6. Important Notes​

  • This overview omits technical details such as authentication, data formats, and error codes.
  • Access to the service requires a formal partnership and onboarding process.
  • Rule categories and descriptions may evolve over time; treat summaries as current snapshots.
  • The settings and identifiers are proprietary and confidential.
  • If a request cannot be fulfilled (e.g., invalid category or state), the system provides clear, human-readable feedback.