Initial program audit of contracts, enrollment, price structure

Ongoing plan review for performance, network discount analysis

Complex data analysis and implementation of alternative funding arrangements

Education in all aspects of health care funding options

Ongoing data reporting, claim analysis, risk profiling

Annual benchmarking and predictive modeling reporting

Annual benefits package review, marketing and analysis, ongoing renewal and financial projections, as appropriate

Continual claims support, explanation of benefits, assistance to employees for all benefits questions

Individualized Health Risk Assessments

Wellness Plan Development

On-site clinical operation

On-site health screenings and coaching

Licensed in multiple states

HIPAA compliance training and policy/document development

Help with ERISA Compliance Disclosure Requirements, such as Summary Annual Reports, Summary of Material Modifications, Women’s Health Cancer Rights Act, DRO, QDRO, and QMSCO

FMLA training with management and supervisors, if size warrants

FMLA liaison to review requests, as size warrants

Medicare Secondary Payor Regulations and Compliance

Schedule A tracking

COBRA education and coordination with vendor

Employee satisfaction surveys, benefits statements

Benefits web site development

On-site enrollment and benefits fairs, as appropriate

“New Hire” on-site enrollment or orientation

E-mail updates of industry changes or carrier plan changes

Updates of legislative changes

Develop wellness programs and “health fairs”

Exploit “free” community services available (flu shots, etc.)

Custom employee education pieces

Custom ID or info cards

Customized newsletters to employees

Home mailings, as appropriate

Bilingual support, translation and enrollment