Selection and evaluation of benefits administration technology providers covering enrollment, eligibility management, COBRA, direct billing, account-based plans (FSA, HSA, lifestyle), ACA reporting and compliance, reporting and analytics, and the employee experience across web, mobile, and service center channels.
Competitive evaluation and selection of U.S. and global brokers and consultants for strategic, financial, and program management of employee health, life, voluntary, and well-being benefits, including communications strategy and employee communications support.
Evaluation and selection of active and retiree private exchange platforms, including individual coverage HRAs and Medicare supplement marketplace options.
Stand-alone search and benchmarking of pharmacy consultant services to ensure proper financial management and independence of this high-cost area.
Assessment of your current H&W broker or consultant’s service delivery, strategic value, market leverage, and fee competitiveness.
Compensation and fee arrangements benchmarked against market to ensure alignment with scope and the value of services delivered, with full transparency on all provider revenue sources.
Review of H&W provider agreements for scope gaps, fee transparency, performance guarantees, and termination provisions.
Support during platform transitions and major upgrades to ensure providers deliver on proposed value and configure systems in alignment with leading market practices.
Assessment of ongoing administration quality, error rates, compliance, and participant satisfaction.
What plan sponsors most often ask us as they evaluate this discipline.