Making the World a Better Place to Work

 
Health Plan Eligibility Services

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.

Managing eligibility and premium data among various health plans is time-consuming and tedious for HR. Inaccuracies can be costly—in terms of dollars spent and negative impact on employee satisfaction with benefit programs.

Hewitt's Health Plan Eligibility Services help improve quality and lower costs of health and welfare plan administration by transmitting eligibility and premium information directly from your benefits center to your carriers. Whether or not Hewitt handles your full health and welfare administration, our Health Plan Eligibility Services will improve administrative efficiencies, optimize employee access to benefits, and identify and eliminate health care dollars paid for ineligible participants and dependents. 

Hewitt's Health Plan Eligibility Services can help:

  • Enhance benefit staff productivity
  • Reduce overpayments to health plans
  • Minimize annual enrollment fallout
  • Ensure accurate and timely participant health plan status
  • Provide detailed eligibility and premium data reporting
  • Make monthly premium payments directly to carriers
  • Simplify health plan redesign

Hewitt's Health Plan Eligibility Services team includes more than 200 experts in data transmission, programming, carrier and health plan eligibility management, benefit financial data, and health services consulting. Our partnerships with more than 500 health plans help generate ongoing process improvements, higher quality service, and significant savings for you—an average of 30 percent return on investment in the first year due to eliminating health care plan "leakage."

Hewitt is recognized as the industry leader in health and welfare eligibility and premium administration. To learn more about Hewitt's Health Plan Eligibility Services and how your company can benefit, contact your local Hewitt consultant or e-mail peoplesolutions@hewitt.com.

 
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