| Our Experience in Employer Healthcare is unmatched by anyone in our industry. Our organization is controlled by three principals with a global understanding of Healthcare issues. A former Senior Vice President for a 10 Billion Dollar Health Insurer, a former Vice President in charge of Claims administration for over 4 million lives and a attorney with a Healthcare Subrogation/ Claims administration practice with over 5 million dollars in revenue annually. Together with our knowledgeable staff, we provide key insights to assist our clients
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| | By reducing the number of dependents in your plan you will instantly reduce your costs. Not only for future Healthcare claims but for Dental, Vision and other benefits, Some employers have even been able to obtain refunds when it is determined that Participants were enrolled when they were not supposed to be. Accurate and timely Eligibility determinations are critical to management of your costs. For example we are aware of employers paying for years for deceased retirees or Medicare eligible spouses.
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| | As Plan fiduciaries employers are responsible to maintain the integrity of their Health Care Plans, Plan fiduciaries can be personally responsible under ERISA for wasted Plan assets. There is an obligation under ERISA to carry out the terms of the Plan document , failure to adhere to Plan terms through misadministration can result in personal liability.
Under Sarbanes /Oxley there are now federal regulations which mandate control of healthcare costs. Our Eligibility Audit tools will insure your compliance
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