Self-Funded Plan Administration
  Claim Administration
  Premium and Eligibility Administration
  Customer Service
  Information Reporting
  Preferred Provider Network Arrangements
  Employee Communications
Utilization Management
Disease Management
Flexible Benefits Administration
COBRA and HIPAA Administration
Dental Plan Marketing and Administration
Vision Plan Marketing and Administration

Premium and Eligibility Administration > Services > Home

Premium and Eligibility Administration
 
We perform the premium administration for our employer and insurance company clients. This includes billing, collecting, accounting and premium remittance. Monthly billing statements and eligibility listings can be maintained on a location or departmental basis to support our clients' reporting needs.

We support a variety of banking arrangements. Some clients prefer to maintain a zero balance claims account to maximize the flexibility of their cash management. Others prefer to make a monthly contribution of employer funds to a claims account.

Enrollment of all covered individuals and dependents is maintained within the system by our group administration staff. Individual and group billing statements can be itemized for each line of coverage. Our system tracks any change in coverage type and interfaces with claim processing. Some of our clients mail or fax eligibility changes to us for processing. Others utilize the Employer Portal of our web site to send us eligibility changes. Still others prefer to maintain their own eligibility. For these clients, we provide secure system access via the Internet.