Capabilities

We help you find the right balance of products and services to meet the needs of your organization as well as your employees through any combination of our products and services:

Dependent Eligibility Audits The purpose of a dependent eligibility audit is to identify dependents that should no longer be covered. Examples include children that have met maximum age or student status, divorced spouses, or children impacted by changes in custody arrangements. The advantage to an employer in performing an audit is reduced exposure to greater health care costs. Estimates are that 5 to 15 percent of covered dependents are not actually eligible.  The average cost of a dependent on a typical health plan is $3,000 per year.  Do the math!

In addition federal regulation (ERISA) stipulates that plan benefits are only to be paid out on behalf of eligible plan members.  

Comprehensive Administration Services
By utilizing the capabilities of our in-house Third Party Administration services, larger clients are able to truly develop a benefit program that is truly unique to them. Claim adjudication for Medical, Dental, Vision, Rx, Disability, Health Reimbursement Accounts and Flexible Spending Accounts are available.

Regulatory Updates
Through our experienced Risk Management Professionals and our intimate knowledge of current regulatory issues, we are able to address ERISA and other government regulations as they relate to employee benefit plans.

Day2Day Wellness™ - Health Management Programs
A comprehensive suite of Wellness and Health Promotion products and Services.

SelectRisk™ A truly unique hybrid program for smaller employers looking to save money without necessarily going through the hassle of changing insurance carriers.