Benefits Consulting

Our Orlando benefits experts are equipped to provide you with the best health and wellness solutions that are right for your business. You will receive a thorough analysis of where your benefits program stands today and the potential for what your program may achieve. You’ll get a complete solution package that includes an analysis of your objectives, strategic alternatives, and a comprehensive implementation plan.

Orlando Benefits solutions we offer:

INSURANCE PLAN STRATEGIC PLANNING

  • Determine client’s short and long term benefit goals and objectives
  • Perform plan analysis and consult on plan design, carriers/vendors, funding methodologies, networks, contributions, cost containment initiatives, wellness and population management considerations, etc.
  • Establish a schedule and conduct ongoing periodic benefit plan reviews

INSURANCE PLAN REVIEW AND ANALYSIS

  • Manage carriers/vendors to ensure that information is provided as requested within prescribed timeframes
  • Aggregate data and information from carriers, plan administrators, and third party vendors
  • Provide consolidated and summarized reporting

CLAIMS REPORTING AND ANALYSIS

  • Claims paid
  • Large claim and shock claim information
  • Plan and network utilization
  • Mid-year renewal projections and year-end analysis
  • Review of carrier/vendor reports detailing actual performance against predetermined performance guarantee levels
  • Financial reporting with plan cost monitoring against budget
  • Detailed plan modeling to gauge impact of proposed plan changes
  • Analysis of specific questions regarding plan utilization
  • Analysis of alternative funding arrangements
  • Perform review and analysis of claims activity and network utilization using a proprietary CSG insurance modeling application

PRE-RENEWAL AND RENEWAL ANALYSIS

  • Perform pre-renewal analysis which includes renewal projections/calculations performed by CSG’s internal underwriting team, any preliminary carrier renewals/negotiations and analysis of summary reports/data
  • Consult and advise on the choice of plan design, carriers/vendors, funding methodologies, networks, contributions, cost containment initiatives, and reimbursement account offerings (FSA, HSA, HRA, etc.)
  • Assess voluntary product offerings
  • Perform plan design benchmark review
  • Perform renewal analysis and evaluation of information received from incumbent and prospective carriers/vendors

OPEN ENROLLMENT

  • Coordinate open enrollment meetings with carriers/vendor representation

POST RENEWAL ADMINISTRATION

  • Coordinate and verify that carrier/vendor related responsibilities are executed accordingly, including:
  • Generate ID cards
  • Deliver benefits summaries/handbooks
  • Create contracts and/or amendments
  • Conduct post-renewal meeting with Client to ensure that all expectations were met
  • Develop a Strategic Business Plan which includes tasks/timeframes for next plan year

WELLNESS PLAN

  • Develop long term strategic wellness strategy
  • Provide Best Practices direction and guidance
  • Integrate Wellness Strategies with Long Term Benefit Design & Planning
  • Assist with vendor analysis, negotiations and selection
  • Provide tools/technology to obtain employee
  • Provide ongoing Regulatory Guidance regarding Health & Wellness Programs

COMPLIANCE

  • Plan document review
  • ERISA reporting requirements
  • HIPAA Privacy Regulations
  • Federal and State Mandate review
  • Summary of material modifications
  • Form 5500 filings
  • Review of HIPAA policies and provide training for appropriate personnel
  • Prepare plan documents, summary plan descriptions (SPDs), amendments and summaries of material modification (SMM)
  • Provide compliance updates that are pertinent to benefits management
  • Inform of all legislative updates/changes via E-Alerts, Webinars, etc.