· Research and analyze client?s groups benefits needs and physician networks.
. Review current plans and level of satisfaction.
. Determine key person?s objectives.
. Collect census.
· Survey the marketplace for appropriate plans and carriers.
. Analyze the available carriers and plans.
. Check that key person?s physicians are in proposed network.
· Present plan alternatives that meet client?s benefits and budgetary needs.
. Prepare presentation.
. Explain plan differences.
· Define eligibility.
. Explain the requirements for group coverage.
. Acceptable waivers.
. Participation requirements.
· Prepare master application, supporting documents and employee enrollment.
. Group Application which defines the terms of the plan.
. Eligibility documents supplied by group and included with the application.
. Employee enrollments completed by employees.
· Educate employees about their plan.
. Install the plan upon acceptance by the carrier.
· Support your client?s employee benefits and HR needs.
. Be available to respond to questions regarding the plan, claims and eligibility.
. Keep clients ahead of the curve by notifying them of changes in laws issues
· Help with open enrollment issues.
. Provide support at open enrollment time with explaining choices
· Provide documentation such as SPDS when needed.
. Arrange to provide the documents at inception and for changes in the plan.
· Facilitate renewal and eligibility verification.
. Provide explanation of renewal
. Design plan alternatives in line with budget and priorities.