Working Together

  • Strategy

    • Develop strategic plan to align with business goals and objectives 

    • Determine long and short-term plan goals and tracking measures

    • Healthcare Reform/Compliance assessment

    • Benefits Technology needs assessment

    • Supplemental Benefits needs assessment

    • Savings optimization tactics

    • Provide benchmarking data/trend analysis

  • Consulting

    • Easily accessible dedicated team of seasoned industry experts

    • ACA, compliance and regulatory guidance year-round

    • Benefits & HR guidance year-round

    • Monitor and advise on goals and objectives

    • Access to portfolio of resources/partners

    • Benefits Technology advice/support

    • Communicate new to market plan enhancement opportunities

  • Account Management (all lines of coverage)

    • Carrier/vendor liaison

    • Carrier/vendor management

    • Dedicated Support Team to help resolve issues and answer questions

    • Assist with new hire enrollments, changes, terminations

    • Claims advocacy and dispute resolution

    • Bill reconciliation

  • Implementation

    • Assist in preparation and processing of carrier applications

    • Review forms, carrier contracts, plan summaries, SBCs and plan documents

    • Coordinate administrative considerations (billing, reporting, banking, etc.)

    • Obtain ID numbers and approval letters

    • Coordinate/assist with online enrollment technology

  • Open Enrollment Support

    • Conduct enrollment and educational meetings(virtual or in person when allowable)

    • Prepare customized employee communications

    • Create custom branded Benefit Overview Guide(interactive and print formats)

    • Carrier enrollment material preparation(electronic and/or shipped)

    • Assist with online enrollment technology implementation(if needed)

  • Renewal

    • Mid-year and pre-renewal claims utilization review

    • Examine trends to provide insight on plan performance

    • Provide strategic actions directed at improving the quality and affordability of the plan

    • Detailed marketing analysis (all lines of coverage)

    • Savings and affordability modeling Carrier/Vendor due diligence (performance, financial ratings, market review, rate guarantees, etc.)

    • Negotiate most favorable outcomes with vendor/carriers

  • Financial Well Being

    • Review/monitor rates for maximum savings

    • Plan contribution analysis and modeling

    • Plan design review and analysis

    • Provide alternate funding strategies (if available and requested)

    • Full-transparency on all commissions/proposals

  • Compliance Guidance and Support

    • Direct access to leading vendors and experts that specialize in Benefits & HR compliance

    • ERISA compliance (Plan Documents, Summary Plan Descriptions, POP/WRAP documents, Form 5500, required notices, record-keeping)

    • COBRA compliance (communications, forms, record-keeping)

    • ACA compliance (reporting requirements, required notices, affordability modeling)

    • Employee Handbook Creation

    • HIPPA Privacy & Security

    • Access to Zywave which delivers a high-impact customer experience with centralized tools and content to solve each groups unique pain points. Whether you need help with HR, compliance, employee training or another need, Zywave’s Client Cloud has the resources to deliver exceptional customer service year-round

    • Access to top-ranked employee benefits law firm for legal questions/concerns