Conduct a comprehensive
review of all products including:
- Medical
- Life
- Dental
- Long Term Disability
- Short Term Disability
- Vision
- Flex Spending
- Gap
Our review can consider continuation, alteration or termination of plans according to whether they could continue to bring value to your company, your employees and their families.
Tools would include:
- Employee Questionnaires and Surveys
- Plan Design Modeling Tool
- Benchmark Reports for Comparisons
- Claims Analysis and Review
Renewal services
- Conduct a complete underwriting review of the renewal for accuracy or rates, claims, eligibility and plan specifications.
- Complete a claims analysis to identify and isolate problematic areas including cost comparison of specific procedures against local and national benchmarks.
- Plan design modeling
- Mid year renewal review for budgeting and cost controls
- Carrier review and evaluation
Open Enrollment
- Complete Open Enrollment Support and Administration Using Employee Navigator
- Conduct Employee Meetings
- Produce Comprehensive Employee Communication Guide
- Provide Instant Employee Confirmation Statements Including Product Selection and Payroll Deduction Amounts
- Enrollment Communication Campaign
- Collection, Review and Submission of Enrollment Materials to Carriers
- Complete New Hire Enrollment Administration
- Timely Terminations with All Carriers for Billing Accuracy
Employee Communication
Open Enrollment- Open Enrollment Campaign (Videos and Posters, etc.)
- Employee Navigator Introduction and User Guide Meetings
- Provides Secure Repository of All Employee Records and Elections
- Benefit Education Meetings Prior to Enrollment
- Instant Open Enrollment Confirmation Statements
- Employee Newsletters
- Benefit Education Meetings Throughout Year
- Total Compensation Statements
Legislative Compliance
- Health Care Reform
- Updates to the latest Legislative Changes
- Section 6055 and 6056 Reporting
- Cadillac Tax Calculator
- Creation and Distribution of Required Employee Reporting
- Summary Plan Description Review
- COBRA Administration Review
- HIPAA Compliance Review
- Section 125 Review, Education and Enrollment
- Medicare Part D Letters
Developing and Implementing a Wellness Plan
Year 1- Identify Internal Champion
- Build and Develop Wellness Team (All Departments Represented)
- Budget for and Conduct Biometric Screenings
- Conduct One Wellness Challenge
- Biometric Screenings
- Conduct Quarterly Challenges
- Develop Incentive Budget and Rewards
- Repeat Year 2
- Implementation of Cost Differential on Health Plan
Blue Cross Blue Shield
United Healthcare
Cigna
UNUM
