Benefits Administration System

  • An advanced technology solution to easily and accurately administer employee benefits
  • Employee Self Services Portal
  • Any size groups, cloud-based availability 24/7/365
  • SaaS Platform feeds benefits information directly to the carriers reducing data errors
  • Full Implementation and project coordination
  • Over 50 standard reports and custom report writer
  • Three-way audit and reconciliation
  • Connectivity with most payroll providers
 

 

Employee Communications & Fulfillment Services

  • On-site Enrollment
  • Customized Employees Communications Documents
  • Enrollment and fulfillment kits
  • Benefit Confirmation Statements
  • Dependent verification information material
 

 

 

Cobra Administration

  • Initial Notification
  • EDI Electronic Carrier and Payroll file interface
  • Employee Communications
  • Transaction Processing of eligibility and enrollment
  • Billing and Collection
  • Premium Payment Processing
  • HIPAA Compliance
 

 

Premium Billing and invoicing

  • One bill
  • Self-billing (subjects to insurance carrier)
  • Bill Reconciliation
  • Payment processing
 

 

 

Employee Call Center Services (Year Round)

  • Dedicated 800 Numbers
  • Telephone Voice-Stamped enrollments
  • Employee advocate with insurance carrier
  • Technology how to inquiry
  • Call center representatives working to resolve
    • Eligibility-plan and coverage inquiry
    • Enrollment- Open and perpetual
    • Life Events
    • Claim Assistance
    • Dependent Verification Inquiry
 

 

 

ACA Reporting and Administration (Fee Applies)

  • ACA Profile and Management
  • Annual Reporting
  • ACA eligibility management
  • Regulator Management
  • ACA IRS Filing