Consulting

Understand your groups risk and find the most efficient way to manage that cost.

  • Plan design and contribution analysis with claims and utilization review

  • Strategic Planning: RFP Management, Benchmarking, Transparency Tools, Predictive Modeling and Claims Analysis

  • Experienced with all funding arrangements, benefit captives, reference based pricing, direct payor contracts and Pharmacy Benefit Manager contract evaluation and RFP management for competitive bidding.

Compliance

Keep compliant in an ever-changing regulatory environment.

  • Compliance and Regulatory Guidance for HIPAA, ACA, IRS, and DOL

  • Signature ready 5500’s, Wrap Documents, SPD’s and Required Notices distribution and tracking

  • Client specific Health Care Reform analysis and ACA tracking

  • COBRA and State Continuation Administration

Engagement & Education

How you present and communicate your benefits matters.  Make sure your employees see the value of your employee benefits, and know how to use them.

  • Effective and engaging communication strategies tailored to meet the needs of your group

  • Customized employee benefit materials in English and Spanish powered by BayEdge Media Group

  • Interactive Benefit Guides by FlipSnack and digital postcards to launch open enrollments

  • Multi-Channel approach: group meetings, one on one enrollments, self service web based, telephonic enrollments, and text messaging campaigns

Sample:

Advocacy & Administration

Navigate the Healthcare Maze and learn how to get things done more efficiently.

  • Complete benefit administration and onboarding with EASE enterprise platform

  • ThinkHR by Mineral platform access with HR Hotline and Learning Management System

  • Process elections/terminations, coordination of carrier feeds, and COBRA Administration

  • Bill Reconciliation and Carrier Management

  • SCA Fringe Benefit Tracking and Administration

Ready to talk?