Benefit Consulting
A Focus on Enhancing and Containment
Now more than ever companies are faced with tremendous pressure to control healthcare costs, effectively communicate the features of their plan, and remain compliant with legislative and regulatory requirements. All of this must be accomplished while offering a well rounded benefit program. In most circumstances companies are already limited in human resource departments and burdened by administrative activities that distract their focus from strategic planning for company objectives and employee morale.
Our team focuses on enhancing your employee benefit programs while providing effective cost containment, allowing your company to recruit, retain and strengthen employer-employee relationships. In order to provide the best solutions we approach each carrier with information essential to the quoting process, all gathered from our Benefit Mapping Process. This proven model gets it right the first time, avoiding delays, inadequate delivery and possible loss of production due to poorly scheduled enrollment meetings. You achieve bottom line savings and we deliver solutions designed to promote employee productivity.
We Assess, Model, Evaluate and Execute the Plan
Communication is essential to successfully selecting the best product, containing costs and ensuring the richness of benefits. This is why we have developed a proprietary benefit mapping technique with integrated online services to give you and your employee’s interactive access through online functions at your convenience, 24 hours a day, seven days a week. Online technology integration service allows users to access imaged copies of their policies and to explore additional resources to strengthen communications and education.
Employee Benefits
Small Group
Small groups generally consist of firms with 2-50 employees, although some states allow self-employed people - - so called “groups of one” – to purchase in the small group market. Operating under state law, fully insured coverage is subject to state benefit mandates.
Small group coverage is offered on a guaranteed issue basis - - that is, medical underwriting is not used to determine whether a small firm will be offered coverage. Small group premiums are determined by state rating rules, which set the degree of required “rate compression” based on the demographic and actuarial characteristics of the group, as well as actual or predicted health status.
Premiums are fully adjusted for non-health related demographic factors such as age and health status or claims experience. Thus, while the health status of a firm’s employees or dependents cannot be used to determine whether coverage is issued, it can be used to set rates in most states, at least to a degree.
Large Group
Large Groups are typically those with more than 50 eligible employees, although the number may vary depending on state law. Large group health insurance contracts, unlike small group health insurance contracts, do not have to be offered on a guaranteed-issue basis; so a health insurance company reserves the right to reject an entire large employer group based on its claims history or COBRA participants.
Large group health insurance is medically underwritten at the time of purchase, with rates based on employee participation and prior claims experience. The health insurance company bases annual premium changes for large employer groups primarily on the claims experience of the group in the past years, as well as any overall increases in the cost of providing health insurance coverage.
Site Content
What You Gain Immediately
- Benefit Mapping operating system
- Human Resource and benefit technology
- Certified Healthcare Consultant
- Utilization and Management Analysis
- Account Liaison and online benefit (powered by: I-Tech)
- 5500 Preparation (IRS Form 5500 for Welfare and Retirement benefit plans)
- Wellness Programs and Health Fairs
- Employee Assistance Programs
- Flexible Benefit Accounts
- COBRA/FMLA administration
- Cafeteria Plan
- Consumer directed plans, including Health Saving Account (HSA) Administration
- Legislative Updates
- Convenient Communication with insurance professionals and learning centers: written, oral, tutorial, video and direct contact with your Insurance Professionals
- Employee comprehension and appreciation enhancement
- Technology required to administer benefit plans throughout the year
Coverage Include:
- Medical
- Dental
- Disability
- Vision
- Life/AD&D Insurance
- Long Term Care Insurance (LTC)
- Voluntary benefit plans
Personal Insurance - Life, Health and Disability
Individual Health and Disability Insurance
Individual Health and Disability Insurance
Individual Health and Disability Insurance
We combine experience and specialized knowledge of the personal lines/individual insurance market to bring you the best products, dedicated personal service, and unmatched account management.
Life Insurance
Individual Health and Disability Insurance
Individual Health and Disability Insurance
It is important for all of us to protect our family should a life event occur. Life Insurance is one of the least enjoyable subjects to think about, but one of the most important in protecting your family and your estate.