Our Services

What we Do Best

 

Review.  Analyze.  Research.  Benchmarking.  Offer Alternatives.  Technology Integration.  Carrier Selection.  Employee communication. Implementation.  Ongoing Support.

Specialties

  • $200-$500 savings per medical plan member via expert employee education on federal and state government programs
  • Ancillary & Worksite benefits
  • 15%-20% annual dividend to HR/Benefits department
  • Executive Benefits
  • MERP+Fully Insured medical plans
  • Claim transparency and risk sharing
  • Reference based pricing

$200-$500 Savings/medical plan member

Utilizing experts in federal and state government programs who guide employees through the complicated process of working with Healthcare.gov, COBRA, Social Security, Disability, Medicaid, Medicare, Veterans Administration, and Tribal Council Services. 

Ancillary & Worksite Benefits

Employers benefit from semi-annual to annual deep dive financial reviews on ancillary plans.  No more waiting for brokers to only present the plan results 30-60 days prior to renewal to pressure renewal acceptance.   

15%-20% annual dividend to HR/Benefits

Employers with existing worksite benefit plans, and those considering adding these plans, can maximize benefits paid to employees, reduce broker commissions, and gain full claims and expense transparency.  In the process, employers also qualify for annual dividends that must be used to enhance benefits and/or be added to the employer’s benefit’s budget.

Executive Benefits

Employer paid disability and life insurance plans many times do not provide “full coverage” for the earnings of their executives.  Especially if the plans are limited to base earnings or too low of a benefit maximum.  

MERP+Fully insured medical

By structuring a fully insured plan correctly with a MERP, employers are able to lower premiums, decrease employee out of pocket costs and provide first dollar benefits

claim transparency and risk sharing

Many small to mid-size employers have benefited from transitioning from fully insured medical plans to level funded or self-insured plans that provide full transparency in claims along with the financial incentives of risk sharing.

Reference based pricing

Traditional health plans pay providers based on negotiated rates, which are often inflated and inconsistent. Employers and employees have little insight into what they’re paying for — and why. Reference-based pricing (RBP) takes a smarter approach: it ties reimbursements to a transparent benchmark — usually Medicare rates — plus a fair margin. This means payments are based on real data, not arbitrary charges.

Process

Research & Analysis

Our work begins by reviewing your existing plan designs and financial experience.  Are they meeting your goals or are they missing the mark?

Market check

Most plans (and brokers) should be benchmarked and placed out to bid every 3-4 years.  

Execute & Monitor

If changes are determined necessary, they must be accurately implemented, tracked for efficiency and reported on for stakeholders regularly.

Partners