Employee Benefits

Our Consulting & Service Model is Built on Five Key Strategic Foundations to Support You.

Budget Management

Our team is committed to helping your organization get as much value from your benefit plans as possible. Our consultants, brokers & administrators have one simple focus … CREAT VALUE FOR OUR CLIENTS.  Our “Health First” approach helps clients simplify the complexities of employee benefits.

We deliver Predictability & “Budget ability” to health costs inside the medical benefit programs. We do this by employing solutions which are supported by our proprietary information management platform.

 

We’ve developed innovative benefit solutions, financial transparency tools, claims management processes, a comprehensive service model & a team approach to help you manage your benefit programs. Our team brings their knowledge, experience and dedication to each client experience allowing you to focus on your business. Our clients have realized exceptional results by employing our strategies backed up by our High Performance Tools. Our average client health plan increase is less than 3% per year compared to an industry average trending 8-12%. This proprietary approach of connecting innovative technology with focused health management is an industry leading strategy allowing our clients to effectively manage their health plan budget.

Benefit Administration Technology

Helping you manage the day to day administration of your benefit plans is critical to your success. In order to support clients through this process, we use the following technology solutions:

  • Online Benefits Enrollment for Employees
  • Customized Online Benefits Administration & Reporting
  • Customized HRIS & Ability to Integrate with Payroll Vendors
  • Employee Confirmation Statements
    FSA / HSA / HRA / PTO / COBRA

Compliance Support

The ACA (Affordable Care Act) is complex … we are experienced in ACA compliance and   monitor changes in the law. We help clients measure & track the following:

  • Plan Quality Testing-Identify Potential Problems Resulting in Penalties
  • Plan Financial Affordability Testing-Identify Problems Resulting in Penalties
  • Part-Time Worker Analysis-Identify Financial Risk of Additional Insureds
  • “Unqualified” Waiver Analysis-Identify Financial Risk of Additional Insureds

Our Client tools to navigate the complex world of Compliance include:

  • Unlimited Access to Your Consultant & Support Team for All Your Compliance Questions
  • Online Subscription Tools that are Available to You 24/ 7
  • Testing & Compliance Support
  • Form 5500 Preparation
  • Required Benefit Notices

HR Support

We deliver a wide variety of tools for our HR partners. From online salary benchmarking to FSA tracking, HealthFirst has the experience & capabilities to become an Extension of Your HR Department … at no cost to your business. We offer these services as part of our “Value Add” as your Benefits Consultant.

We assess your needs and then recommend, implement, and train you on the right technology to handle your benefits administration. Our client engagement team is versed in all major benefits administration technologies and platforms and the unique requirements that lead to a seamless integration.

  • Workflow assessment
  • Technology Demonstrations
  • Integration Planning
  • Project Management
  • Training
  • Measurements

Why go it alone. For those looking to outsource part or all of their administration, we are able to handle it. We use our people, our technology, and our unique processes to remove the burden from you, allowing you to focus on your core initiatives.

  • Annual and new hire enrollments
  • Eligibility requests
  • Life event changes
  • Disability claims
  • Terminated employee processing
  • Employee inquiries and claims issues
  • Premium billing, tracking, reporting and more

Monthly Reporting

We provide Monthly Plan Data to help clients manage their benefit programs. Quarterly evaluations of 25 different reports reveal key elements of the program to assure continued alignment with your objectives.

REPORTING CAPABILITIES:

  • Trending Analyses of both Medical and Rx costs
  • Pooling Reports
  • Large Claim Analysis including diagnosis and cost/savings impact
  • Network Effectiveness by calculating Access and Savings
  • Customer Service Benchmarks
  • Prospective Analytic Reports that Predict Future Plan Costs
  • Industry Benchmarking for Benefit Design, Cost and Employee Contributions