Employer Benefits Full Services Provided
Quoting, Implementation, Compliance & Top Customer Service
Are you looking for health coverage for your group, but also want a high level of expertise, and more than just a spreadsheet?
We can assist you in all phases of quoting, for either self-insured or fully-insured plans. And not just quoting, but full implementation, compliance and the best customer service on the market.
Want to Know More About Advanced Benefit Consulting?
Watch This Informative Video To Learn More About Us!
Employer Benefits Summary – Health & Welfare Plans
What We Offer
Professional Plan Design &
Health Insurance Marketing
-
- Benefits strategies
- Bid specifications and RFP preparation
- Annual market analysis for fully-insured and self-funded employers
- Comprehensive health benefit and voluntary proposals
- Alternate funding mechanisms and analysis
- Aggressive negotiations on your behalf for competitive new and renewal proposals
- Network analysis
- Self-Funded Education, marketing of stop loss, and ongoing implementation and service
- Comparison of PPO/EPO and Reference Based Pricing (RBP) options
- Self-funded TPA or ASO comparisons and analysis
- RBP vendor comparisons and analysis
Implementation & Communications
to Employees
-
- Complete Open Enrollment Assistance
- In-person and/or virtual open enrollment presentations
- Professional video creation, customized for each employer
- Preparation of all materials for your intranet, your payroll platform or use of our website for open enrollment, as well as new hire materials
- Summary of Benefits & Coverage (SBC) coordination or preparation for self-funded groups
- Benefit Fairs (indoor and outdoor) for clients
- Open Enrollment and New Hire Packet creation, electronic or paper, throughout the year or on-demand
- HR assistance with enrollment form auditing and scrubbing prior to submission
Ancillary Benefits
-
- Health Savings Accounts
- Section 125 Plans, POP and FSA
- Dental, Vision, Life plans
- Voluntary plans
- Employee Assistance Programs (EAP)
- Short-term and Long-Term Disability Plans
- Key-Man coverages
- Wellness programs
- Pre-paid legal programs
Compliance Assistance
-
- ERISA, ACA, HIPAA Privacy & Security, Section 125, FFCRA, CARES Act, CAA and more
- ERISA and Benefits attorney on retainer to assist with compliance issues when necessary
- ACA reporting and tracking assistance with Ease
- IRS 226-J Letter assistance and resolution
- Human Resources assistance
- Frequent Client Webinars and Seminars on Compliance Topics
- No-Cost HIPAA Implementation assistance and training for groups over 100 employees covered under health benefits
- National and California HIPAA Privacy & Security Consultants and Trainers
- IT and HITECH Security assistance optional from our Technology Team
- Plan Document and Summary Plan Description creation for self-funded clients
- ERISA Wrap-Around PD and SPD for fully insured clients
- Regular legislative and regulatory compliance updates
Employer and Employee Education
-
- Webinars and seminars throughout the year
- Employer Privacy Work Group HIPAA privacy & security training
- Employee HIPAA privacy & security training
- Employer and employee cost containment, RX usage and proper usage
- Educational videos for Employees for multiple topics, including (self-funded PPO/EPO/RBP*):
-
- Defining Common Health Plan Terms & Acronyms
- Lab, Diagnostic & Advanced Imaging
- Understanding the Type of Plan You Have
- Using Telehealth
- How to Find a Doctor or Provider that Accepts Your Plan*
- What to Do if You Receive a Balance Bill*
-