Benefit Administration



How Benefit Adminstration Works for You



Administration

Maintain Database on all Employees
  • Process additions, terminations and changes
  • Update carriers on eligibility issues
  • Maintain benefit file on each employee
  • Reports provided to employer as requested
HIPAA
  • Provide Certificate of Creditable Coverage upon employee termination (if not provided by insurance carriers)
Billing
  • Receive monthly carrier statements
  • Allocate costs between units, if necessary
  • Reconcile based on covered lives
  • Submit to employer for payment
  • Remit premiums with documentation to carriers
Communications
  • Create custom enrollment form, if necessary
  • Create customized Benefit Guide
  • Provide annual Benefit Statements, if requested
  • Distribute summary annual report and Summary Plan Descriptions, if appropriate

COBRA

  • Initial notices mailed as required
  • Qualifying event notices sent upon notification, with Proof of Mailing
  • Collect premiums from participants
  • Notify carriers of COBRA election
  • Reimburse employer for COBRA premiums
  • Track COBRA eligibility

FSA

Administer Flexible Spending Accounts
  • Issue reimbursements based on IRS guidelines
  • Receive applications and coordinate deductions with payroll
  • Provide sample enrollment forms and Plan Documents
  • Maintain eligibility records and track account balances