SERVICES
Services include the following:
INITIAL SETUP:- Collect Employer Benefit Information
- Setup COBRA Software and Modify Notices
- Initial Communication to Existing COBRA Members
- Setup Direct Billing with Insurance Carriers, if available
MONTHLY SERVICES:
- Submit Premiums to Insurance Carriers or to Employer
NOTIFICATION SERVICES:
- General COBRA Notice to New Hires, Newly Covered Members
- Misc. HIPAA Provisional Notices to Newly Covered Members
- Initial "Special Enrollment" HIPAA Notice to New Hires
- COBRA Election Notices
- HIPAA Certificates of Creditable Coverage (at loss of coverage and end of COBRA period)
- Notification to Health Plans and Confirmation Notification to Employer (i.e., termination requests, reinstatement requests)
- Multiple Qualifying Event Notices as Required
COBRA PARTICIPANT SERVICES:
- Generate Premium Coupons for New COBRA Members
- Tracking of Election Timelines
- Collection of Monthly Premiums
- Customer Service for COBRA Members
- Conversion Notices for COBRA Members Six Months Prior to End of COBRA
- Open Enrollment Communication to COBRA Members
- Miscellaneous Communication (i.e. NSF checks, partial payments, credit balances)
- Generate Billing Statement as Needed
- Termination Letters/HIPAA Certificate of Creditable Coverage to COBRA Members and Communication to Insurance Carriers when COBRA Coverage is cancelled
FMLA Services Offered (Groups with 50+ employees)
Process Family Medical Leave requests, which include the following:
- Evaluate all requests for leave to determine eligibility
- Mail response form, along with Health Provider Certification form
- Track receipt of documents
- Track amount of leave time
- Collect employee benefit contributions, if any, and forward to employer on a weekly, bi-weekly basis, etc. (depending on payroll frequency)
- Mail status update forms, and track until employee returns to work or employment is terminated
- Develop employer policy in English and Spanish