|
Consolidated Billing
Administration Installation
and Set-Up
|
Service |
Standard |
Optional |
|
Provide installation
set-up materials
to plan sponsor,
including electronic
forms for collecting
information
about all group
health & welfare
plans and rates,
and current
billing reports
identifying
all employees,
spouses, and
dependents enrolled
in the plans
(if desired,
individual divisions,
employee locations,
employee classifications,
etc. can be
tracked and
reported separately)
|
|
 |
Annual Services
|
Service |
Standard |
Optional |
|
Update ARC system
to reflect all
open enrollment
coverage changes,
utilizing information
provided by
the employer,
and change billing
rates to reflect
all group health
& welfare rate
changes |
 |
|
|
Mail health
& welfare plan
open enrollment
benefit materials
to eligible
employees
|
|
 |
|
Collect health
& welfare plan
open enrollment
benefit materials
from employees
or the employer
and send the
forms/ enrollment
information
to the carriers
and to the employer
(the employer
report can include
payroll deduction
amounts, if
desired)
|
|
 |
Ongoing Administration
Services
|
Service |
Standard |
Optional |
|
Receive notification
of new employee
enrollments,
terminations,
and other status
changes from
the employer
|
 |
|
|
Update the ARC
system to reflect
all day-to-day
coverage changes,
utilizing information
provided by
the employer,
and maintain
a current and
accurate database
of all group
health & welfare
enrollment information
|
 |
|
|
Utilizing the
carrier bills
for each month,
bill and receive
from the employer
the exact amount
required by
the carrier
billings, and
disburse the
appropriate
payments to
each carrier
|
 |
|
|
Conduct an independent,
monthly reconciliation
process: calculate
the appropriate
premium billing
amounts, by
line of coverage
(using the current
enrollment information
in the ARC database),
and compare
the ARC billing
amounts to the
carrier billings
|
 |
|
|
Track all appropriate
carrier bill
adjustments
and communicate
with carriers
to ensure that
all adjustments
are properly
reflected
|
 |
|
|
Provide detailed
monthly reports
to the employer
to identify
enrolled employees,
differences
between ARC
and carrier
bills, and a
summary of carrier
bills |
 |
|
|
Provide toll-free
customer service
to the employer
and carriers |
 |
|
|
Upon notification
of the eligibility
of employees,
mail health
& welfare plan
enrollment benefit
materials to
such eligible
employees
|
|
 |
|
Collect health
& welfare plan
enrollment benefit
materials/ election
forms from employees
or the employer
and send the
forms/ enrollment
information
to the carriers
and to the employer
(the employer
report can include
payroll deduction
amounts, if
desired)
|
|
 |
 |