Benefit Consulting and Design

• Understanding company’s business model

• Learn the specific needs of your business

• Provide employer options

• Communicate options in a user friendly way

• Provide a non-partisan perspective of each carrier

Carrier Negotiations

• Act as an advocate for the employer and employees at all times

• Help resolve difficult issues such as claims, filing appeals, audit of bills, referrals, etc.

• Understand rate increases and leverage relationship for possible premium relief.

• Assist terminated employees with COBRA and alternative individual options.

Dedicated Account Manager

• One Account Manager assigned as point of contact for each group.

• Account Manager guarantees to return your call within 24 hours or less.

• Personal & confidential follow up on all claim issues.

• Enrollment meeting held by Account Manager for personal introduction to employees and staff.

• Assist with administration training.

• Provide HR with binder including company’s carrier specific information (i.e. forms, how to documents, contact information).

Open Enrollment & Education

• Responsible for communicating policy changes to employer and employee.

• Provide updates on legislation and health care issues

• Provide company specific plan summaries, rates and account manager contact information in easy to read format.

• Account Manager processes all plan changes and follows up confirmation with employer.

• Update HR resource binder (i.e. forms, how to documents, contact information).

New Hire Enrollment Kits

• Provides carrier educational material and pertinent forms.

• Provides how to guides for internet access, doctor finder, plan details.

• Education on preventative care and added value benefits.

Termination Processing and COBRA

• Assist with employee termination and COBRA.

• Provide resources for additional individual options to employee.

• Provide HR support on COBRA regulations.

• Introduce outsourced COBRA administration where needed.