|
|
Services
As part of our commitment to our clients, we will provide superior service. We will assist the HR department and advise employees with any benefit issues they may have. Don't worry about the details — we'll take care of them for you.
Customer Service
- Toll Free National Phone Number
- 24-hour Communication Access
- Enrollment & Termination Administration Assistance
- Claim Adjudication Investigation
- Coordination of Benefits Administration Assistance
- Physician and Hospital Follow-Up Assistance
- Attorney and Credit Bureau Resolutions
- Subrogation Issue Resolution
- Basic Guidance with compassionate and caring Customer Service Representatives
- Written confirmation of resolutions (including check number, amount of payment, discounts applied [if any], deductible applied [if any], coinsurance applied [if any], and ineligible charge explanations [if any])
- 24-hour, 7 days a week home and cellular phone contact numbers for "Key Employees" and/or emergency situations; and
- Provider Directory and/or Computer Inquiry Assistance
Administrative and Marketing
- Market Accounts for Cost Comparison and Plan Options
- Monthly Cost Analysis Reports
- Quarterly Meetings with Administrative Personnel to Review Utilization and Marketing Trends
- Coordinate with ancillary Dental, Disability, Life and Workers' Compensation Carriers
- Provide State and National updates on legislative guidelines
- Direct Assistance and/or Instruction of Administration with HRA, HAS, and FSA Plans; and
- Direct Link to Carriers and Benefit Plans with Limited Outsourcing
Health Insurance Portability and Accountability Act (HIPAA) Administration
- Request and Obtain Certificates of Credible Coverage
- Provide and track Personal Health Information (PHI) Release Documents
- Explain HIPAA Guidelines when Contacted by Members
- Provide Sample Privacy Notice and Instruction to Employer and Employees; and
- Provide Updates or Clarification as Regulations Change
COBRA Administration
- Submit and Track Terminations and COBRA Elections
- Send Updated Information to COBRA Participants as Plan Changes Occur
- FMLA Integration Review
- Issue COBRA Sample Forms
- Provide Updates on Legislative Guidelines and Regulations; and
- Assist in Calculating COBRA Rates
Enrollments and Terminations
- Submit, Track and Confirm to the Employer and/or Employee
- Provide Initial Enrollment Meetings and Reasonable Follow Up Meetings
- Provide All Necessary Enrollment, Change, and Student Status, & Termination Forms; and
- Provide Customized Employee Enrollment Packets
|
|
