Customer Service

We set ourselves apart from our competitors by providing daily services for our employers and their employees.  Some of which are as follows:

• Negotiate contract with carrier upon renewal i.e., rate negotiations and benefit design

• Provide enrollment packets

• Produce Summary Plan Description (SPD) on behalf of the employer
  

• Process employee enrollments, terminations, dependent changes

• Check claim status with client's insurance carrier

• Write letters of appeal to insurance carrier

• Provide ACA reporting module for large groups

• Provide Human Resource support
  

• Assist with referrals from primary care physician to specialists

• Process address changes
  

• Order ID cards, brochures and provider directories

• Reconcile premium billing statements on behalf of the employer

• Conduct employee meetings, explain benefits, plan guidelines and the value of the benefit package

• Provide on-site customer service representative to answer any questions.  This service is provided quarterly, semi-annually or at the request of the employer.