Account Management

 BenefitAbility, takes a hands-on approach to account management. Every employer is assigned an Account Management Team to handle every aspect of their business. Each team consists of experts in underwriting, claim and problem resolution, financial analysis, HR compliance and account management.

In addition to being available on a daily basis for claim and eligibility issues, the Account Management Team will meet with their client on a monthly/quarterly basis to discuss on-going utilization, billing and service issues and planning and renewal preparation.

Your BenefitAbility team becomes a direct extension of your Human Resources Department. We share your vision and partner with you in every aspect of health and welfare planning and preparation. 

 We provide assistance in gathering the necessary information from your carriers to provide you the data in preparation for the filing of your Schedule A’s and 5500. 

 We will assist you in the review and finalization of the carrier provided Summary Plan Descriptions. In the event the carrier only provides a Certificate of Coverage, we are happy to assist in the drafting of a Summary Plan Description. 

 Legislative updates are provided on federal and state laws. Many of these are provided as informational updates and also as a language to be added to plan documents and/or summary plan descriptions. 

 We provide periodic updates to our clients of pending or recently enacted legislation. As an example, we held a web based teleconference with our clients on HIPAA and have hired one of the industry experts on healthcare reform to assist our clients in understanding the upcoming legislative and operational changes. 

 Our employee benefit communication process is one of the best in the industry. This process is extremely crucial for both the employer and employee as it assures complete and accurate communication of the entire health and welfare benefits program to each employee.

We believe the best way to reach each employee is through a customized communication plan that may include any or all of the following; one-on-one enrollment, internet based web enrollment, as well as traditional group meetings. Our team will work with your HR Department to determine the best method for your company at initial implementation and renewal.

We then structure a plan to keep the communication going to your valued employees throughout the year, while simplifying the eligibility and billing process for the HR and payroll department. We want to take this time consuming process out of your hands and into ours 

The training we offer to our clients to keep them up to date on changing regulations is as follows:

• HIPAA Compliance
• Section 125 Events Training
• FMLA Compliance
• ERISA
• RFP design and analysis
• Dedicated account management team to handle claims, customer service & eligibility issues
• Open enrollment coordination, assistance & materials
• One on One enrollment Meetings
• Online Billing & Administration
• Customized Administrative Manual
• Quarterly Client Meetings
• Semi-Annual Strategy Meetings
• Legislative Training & Compliance
• Monthly newsletter & email updates
• Additional Options:
  • Personalized Benefit Statements
  • Patient Advocacy
  • Customized Wellness Programs
  • Employee Assistance Programs (EAP)