Third Party Administrator (TPA)/ASO Provider
PPO Network(s)
Precertification/Large Case Management
Prescription Drug Manager (PBM)
Insurance and/or Reinsurance Carrier
Spending Account Vendor(s) – HSA/HRA/FSA
Wellness/Health Risk Management
Analysis
Recommendations
Evaluate Readiness for Change
Assessment
Recommendations
Assessment
Recommendations
Assessment
Recommendations
Assist in Determining Necessity of Appropriate Reports
Provide reports
Analysis of Data
New Business
Renewal
Bid Requests
Review Bids
Negotiate Rates
Recommendations
Minimum of Semi-Annual
Collect / Review Data
Educate Employees
Provide Aggregate Data to Employee and Organization
Program(s) Evaluation and Implementation
Recommendations
Evaluate and Substantiate Current Carrier Offer
Bid Requests
Review Bids
Negotiate Rates
Recommendations
Enrollments
Plan Overviews
Q & A
Group/Individual Sessions
Proper use of spending accounts
Healthcare Overview
Overview of Client’s Plan Benefits
Plan Cost Saving Recommendations
COBRA / HIPAA /FMLA/ADA/FMLA
FSA / HSA / HRA
ERISA/ACA
Other Related Federal and State Laws, Rules, and Regulations