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Benefit Plan Consultation and Design
Assistance with Federal Laws
- Standard 5500 Form Schedule A
- Non-standard 5500 forms
- Summary Annual Reports
- ERISA
COBRA/HIPAA Compliance
Quarterly Plan Performance Reports
- Claims History
- Network Utilization
- Medical Management
- Other Reports as Requested
Employee Communications
- Open Enrollment Presentations
- Enrollment Forms
- Employee Information Pieces
Plan Implementation and Management
- Assign personal account manager to each employer group
- Develop strategy to reduce employer and employee healthcare costs
- Review managed care alternatives
- Develop plan design proposals
- Negotiate stop-loss insurance options
- Benchmark against industry trends
- Issue personalized ID cards
Claim Management and Escalation
- Efficient, accurate claim processing and payment
- Analyze large claims
- Review executive claims
- Conduct claims audits
- Benchmark against industry standards
Customer Service
- In-house call center
- 24/7 online customer service submission
Business Partner Alignment
- Life
- Vision
- Dental
- Flex
- HSA
- COBRA
- STD/LTD
Conduct Employee Benefit Surveys
Access to Industry Experts
- Medical
- Psychiatric
- HSA
- Underwriting/Actuarial
- Pharmacy
Consolidated Consumer Statement (HealthEZ)
- Online statements, benefit summaries, EOBs
- Flexible payment options, including Flex, HSA, HRA
Provider Network
- Timely payments to providers
- Discount levels rated “best in class” by independent survey
- Discounts passed on to employer groups
- Over 24,000 directly-contracted providers in MN, ND, SD
- National network relationships for nationwide coverage
- Fully credentialed providers
Medical Management
- Pre-admission notification
- Prior authorization
- Utilization Review
- Case Management
- Disease Management
- High-Risk Maternity Management
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