Services

We prove our value every day with the following comprehensive range of services:

  • Deliver latest information on Health Care Reform.
  • Provide guidance on requirements and notices.
  • Summarize key compliance deadlines and delays.
  • Email special alerts when requirements change.
  • Provide annual checklist for each year’s requirements.
  • Research and analyze client’s group benefits needs and physician networks.
  • Review current plans and level of satisfaction.
  • Determine key person’s objectives.
  • Collect census.
  • Survey the marketplace for appropriate plans and carriers.
  • Analyze available carriers and plans.
  • Check that key person’s physicians are in proposed network.
  • Present plan alternatives that meet client’s benefits and budgetary needs.
  • Prepare presentation.
  • Explain plan differences.
  • Define eligibility.
  • Explain requirements for group coverage.
  • Identify acceptable waivers.
  • Review participation requirements.
  • Prepare master application, supporting documents and employee enrollment.
  • Group application, which defines the terms of the plan.
  • Install the plan upon acceptance by the carrier.
  • Eligibility documents supplied by group and included with the application.
  • Enrollments completed by each employee, defining the employee’s status and named dependents.
  • Educate employees about their plan.
  • Support employee benefits and HR needs.
  • Be available to respond to questions regarding the plan, claims and eligibility.
  • Keep clients ahead of the curve by notifying them of changes to the law regarding issues that will directly impact their businesses.
  • Provide HR and benefits monthly newsletter and online HR library.
  • Provide customer support throughout the plan year such as enrollment changes, claims and insurance I.D. cards.
  • Provide support when COBRA issues come up (or mini-COBRA needs, depending on your state).
  • Help with open enrollment issues.
  • Provide support at open enrollment time, including explaining choices and assisting enrollment.
  • Provide documentation (such as SPDs) when needed.
  • Arrange to provide the documents at inception and for changes to the plan.
  • Facilitate renewal and eligibility verification.
  • Provide explanation of renewal.
  • Design plan alternatives in line with budget and priorities.