Sharply rising health care costs and the system's growing complexity are forcing many U.S. employers to take a hard look at how they deliver health care to employees. More and more, they're outsourcing health and welfare administrationcontrolling costs, enabling movement toward consumer-driven health care, and freeing staff to focus on HR programs that drive growth.
We're the leader in outsourced health and welfare delivery, handling the administration of health care for more than 7 million employees and retirees. From designing the very first flex plan to pioneering today's cutting-edge, consumer-driven health plans, we have a long track record of innovation and industry firsts.
Comprehensive Services Our basic health and welfare administration services include:
- Full enrollment support including annual enrollment, new hires, and life eventswith enrollment supported via the Internet or Customer Service
- Robust decision-support tools including health plan comparison charts, provider search, and cost estimators
- Eligibility reporting to carriers
- Complete reporting packageenrollments, census information, premiums, and more
- Integrated communications support
Hewitt also offers several additional services to provide you with flexibility to design an outsourcing solution that best meets your needs:
- Spending Account administrationAdministration services for flexible spending accounts (FSAs), health reimbursement arrangements (HRAs), health savings accounts (HSAs), retiree health care accounts, transportation, tuition reimbursement, adoption assistance, wellness incentive programs, and other types of accounts.
- COBRA administrationIdentify qualifying events, produce COBRA notices, enroll qualified beneficiaries, track COBRA coverage periods, bill qualified beneficiaries, and terminate coverage for nonpayment.
- Direct Billings and PaymentsHewitt handles the billing and collection of premium payments for retirees, COBRA enrollees, and other people not actively on the payroll.
- AdvocacyAdvocates assist people with resolving access to care, claims, and other issues.
- Claim and Appeal servicesA team of specialists provides client support for benefit claims and appeals.
- Dependent eligibility auditHewitt audits existing dependents and/or verifies eligibility for dependents being added to coverage. Each dependent management strategy is tailored for a client's unique situation and objectives and considers plan design, communication, target populations, appeals, and ongoing administrative procedures.
- Carrier premium paymentsHewitt authorizes fund transfers from client accounts to health and welfare carriers.
- Health plan eligibility servicesHewitt quickly transmits accurate eligibility and premium information from your organization to the insurance carriers you use, helping you save millions of dollars while improving service to employees and retirees.
Many clients also realize additional synergies via our health care consulting services.
Change-Enabling Technology The robust platform powering our outsourced health and welfare administration enables innovative health care strategies, promotes employee self-management, and facilitates third-party interactions.
As health care becomes more complicated, it's important to ensure that employees can access the best information. Our online toolsfrom health plan comparison charts to health care cost estimatorsensure that employees get the right information to make the best and most cost-effective health care decisions.
And, since health care is a highly personal decision, we concentrate on providing high-touch solutions where participants need them most.
Please contact us to learn how our outsourcing solutions can put you in control of your benefit programs.
Resolve participant access to care or claim disputes with employer-provided health plans.
An unbiased and consistent review of retirement-related claims is required by U.S. law.
Employees' dependents drive up to 70 percent of a company's health care costs.
Eliminate the hassle of collecting premiums for benefit coverage.
All employee benefit plans with more than 100 participants must submit a financial statement and audit report along with the annual Form 5500or face penalties that easily run $100,000 or more for each plan. Compiling the information needed is highly technical, specialized, and extremely time consuming.
Most organizations that offer employee retirement and welfare benefit plans are required to file a Form 5500 each yeara time-consuming, highly specialized task that internal HR staff often lacks the time or expertise to complete. And penalties can be steep$1,100 each day a filing is late.
Are you paying the right premiums to the right health plans for the right people? Accurate transmission of eligibility and premium information to all your insurance carriers saves money while simultaneously improving service to employees and retirees.
Qualified Medical Child Support Orders (QMCSOs) and National Medical Support Notices (NMSNs) are ERISA-governed court orders that require a company to enroll an employee's eligible child(ren) in group health coverage.
Employees who participate in flexible spending accounts and other tax-favored account programs can save time and money.
|
|
Watch our informative videos about two of our Health & Welfare Total Benefit Administration offerings.
|
|