Transcript of "UGP Chrysler Brochure from Ancira Chrysler Jeep Dodge"
YOUR DAIMLERCHRYSLER PARTNER
Welcome to United Group Programs, Inc.
Your Complete Employee Benefits Solution
Providing Old-Fashioned Customer Service The Way It Should Be.
United Group Programs, Inc.
Florida ● Georgia ● Pennsylvania
2500 North Military Trail, Suite 450
Boca Raton, FL 33431
Toll Free: (800) 842-8770
United Group Programs is Your Unique,
Single Source Benefits Provider
United Group Programs was founded in 1968 with
one major goal in mind. Simplify the administration
of health benefits for Employers and Employees.
With over 4,300 corporate clients worldwide and
thirty-seven years of experience, UGP has grown into
an organization that serves clients in every state in
the nation as well as internationally. Additionally, we
have five corporate offices where our Employees
have become a team devoted to providing customer
service that is second to none.
Our goal is to provide tools, training and motivation
to create a unified team who have the desire,
attitude, integrity, confidence and sincere
commitment to provide a partnership internally within
our organization and externally with our clients in
order to exceed their expectations. We provide
service with heart, and take responsibility and
ownership to seize every opportunity to make our
clients feel they have not only been served but also
We will be pleased to offer you a cost-free analysis of
Because of these principles and the efforts of our your current plan in comparison with the personalized
Employees, United Group Programs, Inc. has options we offer. Our experience gives us the added
become one of the most prominent third party confidence of steadfast relationships with insurers
administrators in the nation. We possess the and reinsurers, which leads to remarkable savings for
expertise, experience, resources, and commitment Employers. UGP offers a host of options from fully
required for superior health benefits administration. insured and self-funded medical and dental plans to
group life and disability insurance. Through the use
of National and Regional PPO networks, United
Group Programs, Inc. can offer Employers the plan of
Our specialization is in providing Employers with very choice that fits with their needs and values. We also
successful alternatives to control the increasingly specialize in executive benefit packages. In addition
high cost of providing healthcare benefits to to Third Party Administration Services, UGP provides
Employees. UGP’s Third Party Administration COBRA, Cafeteria Section 125 plans and HIPAA
services are tailored in design to a particular services to assist Employers and human resource
Employer’s benefit needs and implemented with departments. The result is a comprehensive
old-fashioned personal customer service and proven benefits package that is cost effective and
administration techniques. stress-free.
Your Complete Employee Benefits Solution 2
Our Goal is Customer Satisfaction
Performance Guarantee Consistency and Reliability
When you choose United Group Programs, Inc. for Using a detailed proposal developed with the client,
your Employee benefits needs, you can be assured our specialists manage the implementation
that we will provide you with outstanding service and of the benefit program from start to finish. Our
unmatched performance. We aim to build long-term representatives are qualified, accessible and
relationships by keeping our promises and earning your accommodating. Our staff consists of Employee
trust. Many of our first clients 37 years ago are still our benefit consultants for self-funded plans and mini
clients today. medical plans, in-house counsel, in-house Certified
Public Accountant, and a registered nurse. You can
count on our specialists to know what needs to be
done and how to do it efficiently.
24 Hour Claims Processing Policy
Our efficiency begins with our 24-hour claim
processing. Our staff proactively solves claims
problems immediately and effectively, with as little
client or human resources involvement as possible.
For example, a claims processor may contact the
provider directly if a statement of account, rather than
a bill, is received, saving time for the human
Reinsurer Negotiation Policy
Creating Memorable First Impressions UGP's approach is not to “shop” the Employee
benefits reinsurance as others do. Our approach is to
At United Group Programs, Inc., we realize that making negotiate with qualified and stable “A” rated
a change in your insurance plan seems to be a difficult Reinsurers with professionalism. With our 37 years of
decision to make. However, difficult decisions must be experience we are able to negotiate the most
made for your company to run efficiently and prosper. advantageous Aggregate and Specific Stop Loss
For this reason we offer a cost-free analysis of your Reinsurance contracts for our clients, providing us
current benefit plan versus those alternatives offered by with an advantage over our competition.
UGP. This analysis consists of benefit plan design
review, viability of self-funding, and a review of
disability and life insurance policies for adverse
limitations and appropriateness. When Employers
select a program through UGP, we take that decision
very seriously. As such, we want our new clients to
experience a smooth and comfortable transition.
Therefore, we offer reliable and consistent consultation
with Employers’ Human Resource and Risk
Your Complete Employee Benefits Solution 3
Our Proactive Organization
Internal Organization Our in-house Registered Nurse is available in her
capacity for our clients when needed.
As a Third Party Administrator, we are proactive. While
we are free to meet for consultation at any given time,
we request informal meetings each quarter, allowing
discussion of secular trends in the industry, claims
experience (including actual and potential shock
losses), proposed changes in legislation, the
interpretation of Employee benefits legislation, and
possible utilization abuse. At the conclusion of the
meeting, we will discuss the client’s alternatives,
renewal options, as well as important Human Resource
and Risk Management issues.
Integrated Claims Administration
UGP provides an integrated claims system to
streamline administration of multiple benefit programs
in a managed care environment. Our clients enjoy
enhanced data integrity and the most efficient claims
operations available. We have built in the flexibility and
adaptability we need to handle unique client
requirements. Our commitment to service excellence
Benefit Plan Design and Review
creates timely and accurate claims administrative
Whether your plan is fully insured or self-funded the
services for our clients.
design of your plan is crucial in affecting your costs.
United Group Programs, Inc. provides a review of
Strategy and Legal Review your current benefit plan to determine whether your
plan has excess and unnecessary benefits that
Upon request, our in-house counsel will work jointly
increase the cost of your plan, or limitations on
with client’s corporate counsel at no additional cost for
benefits that negatively affect the Employees and
services within the scope of his profession. Our
executives. Studies have found by offering certain
counsel will guide your company through HIPAA
benefits the Employer’s cost for health insurance
privacy issues and guidelines and advise you as to the
goes up, while those specific benefits in no way
appropriate course of action.
assist in the health of the Employee or provide a true
benefit. Due to significant increases in the cost of
Financial Reliability healthcare, the implementation of Plan Design
changes now, allows Employers to save on
Our in-house Certified Public Accountant will work healthcare costs for years to come.
jointly with our clients to address all tax law and related
issues promptly and professionally at no additional cost We at UGP are pleased to offer you a cost-free
for services within the scope of his profession. The analysis of your current plan in comparison with the
billing support staff is trained to work with each client’s personalized options we offer. Our experience gives
specific accounting practices and bookkeeping needs us the added confidence of steadfast relationships
to facilitate the production of easy to read monthly with insurers and reinsurers, which leads to
statements, to troubleshoot any problems if they occur. remarkable savings for Employers.
Your Complete Employee Benefits Solution 4
At the same time, we take the burden of keeping up
Free the Human Resource Department with new tax and legal legislation off of the Employer.
Our in-house counsel and Certified Public Accountant
The human resource department for any Employer are up to date on all issues that may affect your
should be focused on core business competencies and company’s Employee benefits programs and we make
company strategies, not on minor administrative issues. changes where needed to assure compliance with the
United Group Programs Call Center provides a full
range of services and benefits to Employers. UGP has
the experience, management and staff to handle routine
Employee inquiries freeing Human Resources to focus
Whether a small or medium sized business with payroll
on more important issues.
processing needs, UGP has an affordable and
Our Toll Free Call Center provides a centralized access comprehensive payroll solution for each Employer’s
point to resolve all Employee issues. UGP’s Call Center specific needs. UGP simplifies your payroll process.
can also be utilized for enrollment and re-enrollment.
At UGP, we directly contact the health care provider,
requesting the itemized bill by fax in order to process
the claim immediately. In this way, the claims examiner
Asking all the right questions proactively intercedes to insure prompt servicing of the
Our case management is an integrated process that claim. The Employee is not confused and no time is
assesses, plans, implements, coordinates, monitors, taken from the workday to resolve this problem.
and evaluates options and services to meet an Therefore there are no dunning notices and no phone
individual's health needs. UGP communicates with calls. The plan runs smoothly for all involved,
healthcare providers and utilizes all available resources particularly for Human Resources.
to promote a quality yet cost-effective outcome. When
approved by the client, UGP's case management
program targets individual members with catastrophic Coordinated Billing & Carrier Invoicing -
diagnosis and/or high cost procedures. Our case One List Bill for Multiple Products
management team "steers" members through the
complex medical considerations to maximize the UGP’s services allow Employers to display invoices
member’s health. from multiple carriers into one consolidated report/bill.
Our billing reports can show the Employer the cost of
Getting all the right answers benefits for an entire organization or broken out by
location or subdivision.
Normally, when an insurance company or Third Party
Administrator (TPA) receives a claim from an Employee By utilizing UGP’s administration services, Employers
that consists of only a statement or “balance due”, or in reduce the time wasted in manual reconciliation
some other way incomplete, the insurance company or of multiple invoices from multiple insurance carriers.
TPA, would return the bill to the Employee with This immediately reduces administrative costs and
instructions that the Employee obtain the itemized bill eliminates the human resource department’s
from the service provider. A confused Employee often involvement in reconciling bills.
brings this problem to their supervisor, who then
Among multiple carriers offering health, dental, and
involves the Human Resources Department.
other voluntary and non-voluntary Employee benefits,
UGP not only coordinates billing, but also eligibility,
enrollment, and termination.
Unique Administration Services
Unlike most Third Party Administrators, United Group
Programs, Inc. offers a host of extra administration Coordinated billing allows Employers to receive
services to make your company more efficient and to monthly a single invoice from UGP and to make a
reduce your overall administration costs. single payment to UGP for all of the
Employers’ insurance policies.
Your Complete Employee Benefits Solution 5
We strive for 100% accuracy. Our audit procedures,
training programs and system controls are designed United Group Programs, Inc. maintains a toll-free
to accomplish this objective. Mandatory pre-payment telephone number for the convenience of clients, plan
audits are conducted for claims that exceed participants and healthcare providers. During normal
designated dollar amounts. business hours (9:00 am to 5:00 pm EST),
the participant may speak directly with the person
Our system also reprices In-Network claims in responsible for managing the day-to-day
accordance with the negotiated fee schedules and administrative activities of the plan. Most inquiries
contracts. Non-Network claims are subject to the are answered accurately and immediately. There is
usual and customary fee data. When appropriate, convenient voicemail or e-mail for after-hours
charges are negotiated to obtain maximum savings inquiries.
for both clients and their employees.
United Group Programs, Inc. is proud that our claims Reporting our Success
turn-around time is among the fastest in the
industry. Our system permits adjudication of many
claims within 24 hours. Electronic and paper clean Accounting & Financial Reporting
claims that are identified for review by the built-in
controls are processed within 3 business days. At UGP, our accounting and financial reporting systems
interface with all other administrative systems, such as
Our quick turn-around policy results in a number of eligibility, claims, payables, and collections. This
desirable effects: integrated system allows us the flexibility to individually
define and maintain accounting procedures and
• Employees perceive their health plan as a controls to meet the distinct needs of each client.
true benefit. Thus, morale remains high.
• The need for calls by Employees and
Custom Client Reporting
providers to check claim status is greatly
reduced. Timely and meaningful information is critical. UGP
furnishes certain standard reports to each client
• Prevention of harassment of Employees by monthly, quarterly, and/or annually, and clients may
providers demanding payment. choose from numerous other reports. Our self-funded
clients can choose to receive up to seventeen reports
Benefit checks along with detailed, easy to ranging from a monthly enrollment census or claims
understand, explanations of benefit forms are issued detail history report to a network discount report
to the covered Employee and/or provider, accurately showing the discounts saved in-network for all claims
and efficiently. processed.
Stop-Loss Claims Reporting
UGP maintains an experienced and dedicated Stop
Loss Department that monitors potential stop-loss
claims and files all appropriate claims with the
reinsurance carriers on behalf of clients. The efficiency
of claims submission and follow-up to assure quick
reimbursement results in a favorable financial impact to
Your Complete Employee Benefits Solution 6
A-Rated Management & Negotiation Disease Management
People are living longer lives than ever before. This is
Utilization Management not because there is less disease in the world. With
today’s science and technology, people are able to
United Group Programs, Inc. works with Utilization
live with otherwise deadly diseases for many years to
Review and Case Management programs to assure
come. For an Employer, this has only been financially
quality patient care delivered in a cost-effective
possible through high-cost insurance. Now, as part of
manner. Our integrated database and software
the Case Management Program developed by UGP,
systems allow our claims examiners, auditors and
health care costs can be decreased through proper
stop loss department to share information on a
UGP first provides all members access to information
Case Management to educate themselves about their disease, thereby
providing the necessary tools for the members
80% of the health care costs come from 10% of the
to manage their own conditions. By providing
population. Unpredictable catastrophes and poorly
information about diseases such as asthma, diabetes,
controlled serious diseases are a very large source
congestive heart failure and hepatitis C, for example,
of these costs. At UGP, Case management
members may proactively manage their condition and
opportunities are quickly identified and aggressively
episodes in a quality manner.
pursued, by focusing on members with serious or
The nurse case manager works closely with
UGP has designed its programs to encourage
members, family, and physician to assess the
in-network care. However, out-of-network care
member's health care needs and to coordinate
will occur throughout the plan year. In order to save
services. Our case management team works to
our client healthcare dollars on care accessed
determine quality and cost-effective treatments of
out-of-network, UGP proactively negotiates the claim.
services by identification of alternative treatment
UGP has developed a proprietary database for this
plans, price negotiation, or both.
purpose. In situations where a member accesses
As an essential component for effective case care out-of-network, UGP will negotiate discounts for
management, case managers maintain a positive, physician and facility claims.
professional relationship with healthcare providers to
assure the patient's healthcare needs are met.
The goal is to assist the member to reach their
optimal level of wellness through high quality,
cost-effective care, while reducing potential claim and
minimizing the current claims impact and overall
Prescription Drug Management
UGP is a national leader in prescription drug
management. We offer our clients the strongest and
most aggressive prescription drug discounts and
networks across the nation.
Your Complete Employee Benefits Solution 7
Making Life Easier & More Efficient
Eligibility & Enrollment Services United Group Programs, Inc. can readily provide
guidance and is prepared to assist the Employer in the
Employee enrollment plays a critical role in the success preparation of these changes. We will also distribute
of any voluntary benefits program. the appropriate communication to Employees in the
form of booklet inserts or payroll stuffers.
Participant enrollment, coverage termination, and other
changes to eligibility information are made using the
unique enrollment systems process by United Group Auditing & Subrogation
Programs, Inc. This information may also be submitted
electronically or via fax. Upon receipt, all information is UGP takes seriously the accuracy of its performance
reviewed for plan compliance and immediately entered on every case. Each claim is audited for errors or
into UGP's eligibility database. inconsistencies during the first month of the plan.
Thereafter, ongoing audits are performed based upon a
UGP provides the following services: random sample of claims. Additionally, all high dollar
claims (over $5,000) are audited and approved before
One-on-one enrollment being released for payment.
Quite often, bills presented for payment contain
Group enrollment charges that are inconsistent with a patient’s condition,
or they contain duplicate charges. Our staff is trained
Enrollment by Phone
to look for these “errors” and to challenge the health
Internet Web Enrollment care provider regarding suspect charges. We are often
able to reduce hospital bills by up to 25%, resulting in
Outbound Call Enrollment an overall reduced claims experience for the Employer.
We also will subrogate claims as needed to protect
Employers’ or Employees’ interests. Reduction in
claims experience is paramount to the long-term goal of
Case Setup and Management reducing health care costs and in preventing industry
Payroll Stuffers and Communication Materials
Eliminate Cookie-Cutter Benefits
Professional Enrollment Counselors As a premier national Third Party Administrator (TPA),
United Group Programs, Inc. understands the need
Employer Enrollment Reports for flexibility and creativity in Employee benefits
programs. Reducing costs, therefore, requires
We specialize in enrollment customer service that something other than a “one size fits all” approach
includes communication and education services before to obtaining quality care at affordable prices. We
and after enrollment. These areas are quite often evaluate every situation, create a plan design specific
overlooked. Through our proprietary and innovative to Employer’s needs, and provide unmatchable
system, we are able to communicate to Employees customer service to members, while assuring
exactly how a particular benefit will impact upon them compliance with all applicable regulations and laws.
and their families.
Amendments & Modification ID Cards
From time to time, you may wish to modify your Plan United Group Programs, Inc. provides a custom ID card
Document for benefit or eligibility changes. There for plan participants designed to assure that the
may also be times when the Employer Plan Document healthcare providers receive the complete and current
will need to be amended or modified to comply with information needed for quick and effective patient
legislative changes. processing.
Your Complete Employee Benefits Solution 8
Self Funded Health Plans, Dental, &
Short Term Disability Plans Advantages of Self-Funding
Self-Funding is a successful alternative for Employers The advantages of self-funding are numerous!
to control rising healthcare costs. While flexibility in
making key decisions on benefits, administration and Flexibility in Benefits
funding, is attractive to most Employers, limiting Most importantly, the Employer is able to develop the
liability can be problematic. Partial Self Funding / Self flexibility it desires in making key decisions on
Insurance with Stop Loss Coverage is an attractive benefits, administration and funding. Decisions as to
alternative for cost conscious Employers in choosing what will be covered and what will not become easy,
an Employee benefits plan. allowing the Employer to exclude certain
vaccinations, drugs, behavioral diseases such as
The goal of every insurance company in a fully obesity or alcoholism, or infertility. The key here is
insured program is to make the most profit. This the ability to tailor the plan to meet the specific needs
profit can reach up to 60%. Under a fully insured and budget of the Employer.
plan, the Employer pays a fixed premium regardless
of the amount of claims paid by the insurance carrier. Flexibility in Carriers
Annual rates are often increased based upon the
industry standard, otherwise known as “trend”, and Another major advantage to self-funding is the
not based upon the Employer’s claims experience. flexibility in choosing a reinsurance carrier. Unlike
fully insured plans, a shift from one carrier to another
In a self-funded or partially self-funded program, does not affect the choice in doctors, impose waiting
everything provided in a conventionally fully insured periods, or require the issuance of new I.D. Cards
program is duplicated in the partial self-funded plan. and booklets.
All services provided by the insurance company in a
fully insured plan are provided in the self-funded or Multiple Locations
partially self-funded program. The only difference is
that the Employer retains the funds used to pay Also, for Employers with multiple locations, the same
benefit claims. plan may be offered to everyone in every location with
no administrative difficulty. By Self-Funding, an
Employer can utilize one national network or multiple
local PPO networks with the same benefit plans.
Self-Funding provides the unique ability to class out
the executives to provide 100% of all of their benefits
where named executives and their families pay no
co-pays, deductibles or coinsurance. Employers
therefore can afford to provide ultimate benefit
protection for executive personnel at a much lower
How Does Self-Funding Work? cost. This is important in creating Employee longevity
in a competitive job market.
The Employer purchases reinsurance for protection,
and pays a small fraction of the conventional premium The bottom line is that Self-Funding saves costs. In a
to the reinsurance carrier. The remainder of the good claims year, the best scenario would be that
conventional funds (claim funds) is held by the profit formerly enjoyed by the insurance carrier under
Employer who then invests them, segregates them if a fully insured plan, now is enjoyed by the Employer
desired, or uses them for general business purposes who can choose to put it back into the company. But
until they are needed for the funding of claims. even in a bad claims year, maximum liability is in
When claims do not materialize, the Employer keeps place to protect the Employer.
the balance of the unused claim funds, hence making
a profit. In this way, the payment of claims is directly
correlated to the premiums paid and the Employer
keeps the profit instead of the insurance carrier.
Your Complete Employee Benefits Solution 9
Stand Alone Prescription Drug Consumer Driven Health Plans
Consumer Driven Health Plans (CDHPs) are an
One popular means of reducing group health increasingly important alternative to the current
insurance premiums is to eliminate prescription drug way of providing medical health insurance. Under
plans, leaving Employees footing the bill for elevated traditional health care programs, Employers are faced
drug costs and financially unable to do so. There are with double-digit annual cost increases with no
alternatives. relief expected in the foreseeable future. Employers
cannot absorb the rising costs alone and in turn
UGP offers several Prescription Drug Carve-Out have begun reducing benefits and raising Employee
options for Employers who need to reduce their group contributions. UGP specializes in providing
health premium by offering reduced Rx benefits. By Employers with very successful alternatives to control
replacing the current prescription drug plan with a the increasingly high cost of providing healthcare
Generic-Only Plan, Employers can save up to 20% on benefits to their Employees.
their health insurance premiums. Sometimes using a
Stand-Alone Plan is all that is needed to cut costs.
Multiple Options & Custom Design:
• $5 Generic/$30 Preferred Brand Drug
• $5 Generic Only Rx Card
• $10/$20/$40 Copay Discount Rx card
• Discount Generic/Brand Rx Card.
Fully Insured Group Health,
Disability & Life
United Group Programs offers a host of fully insured
The effectiveness of consumer-driven plans is
Preferred Provider Programs, Point of Service and
controlling costs which rests on the ability and
Health Maintenance Organization options. Many of
willingness of Employees to manager their medical
these programs may be adapted to different regions
care costs. The solution is contingent on raising the
and areas of the country. UGP also offers a host of
awareness of Employees to the actual cost of
Short and Long Term Disability options, along with
healthcare. Employers who attempt to cut costs by
many coverages of Life insurance, such as Term Life
lengthening probationary periods, raising deductibles
Whole Life, and Optional Life.
or co-pays or severing benefits altogether are only
offering short-term fixes. The majority of Employees
Dental Plans have no perception how much a doctor’s office visit
actually costs. If the co-pay is only $20, the
UGP provides a single source solution for your dental employee will use the service as frequently as he or
insurance needs. We offer a nationwide network of she sees fit, with the end result of increased utilization
fully insured and self funded options to make your and increasing the cost of the employer’s plan.
dental plan a success.
By educating employees about the correlation
DHMO * Preferred Provider Organization (PPO) * between utilization and costs, they become partners
Indemnity Plan * Fee for Service Plans * in the solution and are more accepting of benefit
Voluntary Dental Plans – Direct Assignment/ changes and increased employee contributions.
Your Complete Employee Benefits Solution 10
Gap Plans Worksite – Payroll Deducted Policies
Gap Plans help pay for employees’ out of pocket Today’s workforce is made of a diverse population
expenses for Hospital and Outpatient services. They with each employee having his or her own individual
fill the “gap” caused by higher deductible or higher needs and circumstances. By offering Employee paid
coinsurance plans. Gap Plans are an excellent tool Voluntary benefits, Employers allow Employees to
for employers who have or are going to implement purchase coverage in addition to what the Employer
higher deductibles and coinsurance. The Gap plan may or may not offer based on that Employee’s
picks up the difference caused by the new plan needs. At no cost to the Employer, these Voluntary
design and can significantly save the employer Payroll deducted policies have a value added benefit
money on their health plan. for Employees.
Voluntary policies available are:
•Disability •AD&D Policies
•Term Life •Accident Plans
•Critical Illness •Hospital Indemnity
•Cancer Protection •Gap Plans
Mini Medical Plans - Limited Health
For example, Employees may wish to purchase life
Benefit Plans (Guarantee Issue) insurance or disability insurance in addition to what
the Employer offers to suit their individual needs. Or
No Pre-Ex Clause $49.99/month an Employer may not offer benefits to Employees,
and by offering Employee paid voluntary plans,
Health Plans for the American Worker, Part Time Employers allow Employees to get policies not
Workers, & Independent Contractors: otherwise attainable.
UGP offers fully insured and self funded “ mini
Your One Source Solution for Worksite Payroll
medical plans” which offer health insurance benefits
to Employees starting at under $50 a month. Deducted Policies “Voluntary Plans”
These plans are guarantee issue, with no pre-existing UGP provides the Employer with a one-source
conditions clauses or evidence of insurability. All solution for all of his worksite solutions. UGP offers a
Employees are accepted regardless of health unique in-house solution found nowhere else in the
conditions and are eligible for benefits. With limited, marketplace: In-house enrollment firm, In-House TPA
capped benefits the monthly premium is substantially for billing and a In-House TPA directly contracted with
reduced. Worksite Carriers. Employers & Employee benefits
consultants can have one source for customer
Benefits offered are: service, enrollment, and billing for all their worksite
products. They no longer need to outsource their
•Doctor’s Office Visits •Skilled Nursing worksite products to multiple parties (enrollment firms,
•ER Visits •Substance Abuse billing entities, and insurance carriers) who then have
to coordinate amongst themselves. They now have a
•Accident Coverage •Mental Illness
Single Source Solution!
•Daily Hospital Indemnity Benefits •Life Insurance
•Intensive Care Benefits
Also included are national medical, dental, and vision
Monthly premium can be paid solely by the Employee
or the Employer can contribute.
Your Complete Employee Benefits Solution 11
We take a unique approach to our cafeteria
administration in that we perform the discrimination
tests monthly, even though IRS rules require that they
be run only once per year. Therefore, if any of our
clients fail the test, we can move immediately to bring
the account into compliance before the annual testing
UGP is customer service oriented; we have
established an excellent rapport with our clients’
Employees and we work closely with them when
issues arise, from questions about what is covered in
their Flexible Spending Account, to easing the burden
on human resources. Reimbursement checks can be
issued based on the Employer’s desire to
accommodate their Employees’ needs.
Flexible Account Administration- Flex Debit Cards
Section 125 Cafeteria Plans
Also known as Section 125 plans of the IRS Code,
Flexible Spending Accounts (FSAs) offer tax With a Flexible Spending Account Debit card, your
advantages to both Employers and Employees. Employees can enjoy the convenience of paying for
These plans offer Employers a way to save taxes on office visit co-pays, new glasses, prescriptions, and
their group benefit plans and offer Employees a way other eligible expenses with a Debit Card that is
to save taxes on money spent out-of-pocket for linked directly to their FSA account. Using the debit
dependent care and medical expenses. card, no paperwork is necessary to file a
Money allocated to a Section 125 Plan is subtracted
from the Employee’s taxable income and held in a
dedicated account. Employees benefit by using the Section 132 Transportation Accounts
pre-tax income to pay eligible medical and dependent
care expenses. In reducing the Employees’ taxable Section 132 of the Internal Revenue Code allows
income base in this way, Employer-paid Social salary reduction and reimbursement for qualified
Security (FICA) and Unemployment taxes are parking, transit passes, and costs associated
reduced by approximately eight cents on the dollar. with commuter highway vehicles for transportation
These savings can offset the cost of administrating from an Employee’s residence to his place of
the FSA program. Health care cost sharing becomes employment. United Group Programs offers Section
less painful for the Employer and Employees. It also 132 transportation accounts that allow money to be
improves morale by reducing Employee taxes, subtracted from the Employee’s taxable income to be
enhances your organization's image and attracts new held in a dedicated account. Employees benefit by
Employees. using their pre-tax income to pay for any eligible
UGP offers both medical reimbursement and
dependent care FSA programs, along with premium Transportation accounts operate much like FSAs in a
only plans (POPs). way that health care cost sharing becomes less
painful for everyone involved.
Administration services can be interfaced with the
medical and dental plans to allow for automatic filing
and payment of eligible spending account allocations
upon processing of the group benefit plans.
Your Complete Employee Benefits Solution 12
Health Savings Account (HSA) –
Plus Debit Card
A HSA is a health savings account that has certain
tax advantages to Employees and their families
covered under a high deductible plan. Like the FSA,
an HSA provides that an Employer may subtract a
certain amount of an Employee’s taxable income to
deposit into a dedicated account. The difference is
that these plans are only applicable for Employees
under current health plans that have a deductible
between $1,000 and $2,600 annually for individuals
and $2,000 and $5,150 for a family. The maximum
amount that may put away is $2,000 a year.
Distributions for qualified medical expenses are tax
free, and an HSA account can earn interest tax-free
and funds in the HSA may be eventually rolled over
into a 401(k). The HSA is owned by the Employee Debit MasterCard
and is portable. Unlike a Cafeteria account there is
no “use it or lose it” provision and funds can be rolled For Cafeteria Plans, HSAs & Payroll
over year to year. Employers who choose a health
care plan with high deductibles to decrease costs The UGP debit card is an excellent and attractive
may lessen the hardship on the Employee by benefit for both Employees and Employers. The debit
instituting HSA accounts. At the same time, because card is used to pay for qualified medical expenses
of high deductibles, Employees experience the true such as prescription drugs and copays at doctors’
cost of healthcare and start becoming cost conscious offices and hospitals for both Cafeteria Flexible
health consumers. benefit plans and for Health Savings Accounts. It can
also be used as a payroll debit card where
Employees payroll is deposited into the card for
Employees that may not have bank accounts or who
cannot wait for paychecks to clear.
The card increases Employee participation in Flexible
Spending Accounts (FSAs), because this increased
Employee contribution and participation means more
FICA tax savings for Employers and more take home
pay for Employees. The card reduces the need to file
claim forms and since it can eliminate the need to pay
cash for eligible expenses, it makes the plan much
more attractive and easier to use for Employees.
Employers love it because the debit card drives FICA
tax savings by increasing Flex account participation
and contributions needed to manage the qualifying
events, track and manage changes to coverage,
provide ongoing communication, and ensure
Your Complete Employee Benefits Solution 13
HIPAA administration requires specialized knowledge
of how governmental requirements relate to individual
plans. Special notice requirements concerning
pre-existing conditions, exclusion periods, rights
regarding prior credible coverage and certificates,
along with the necessary calculations can be an area
of great confusion. United Group Programs, Inc. is
able to eliminate this confusion and assure
compliance with HIPAA provisions. We prepare the
Smooth Sailing Benefits Administration necessary notifications, and work with eligible
participants to gather prior coverage information. We
COBRA & HIPAA Administration verify all information received, calculate periods of
credible coverage and pre-existing exclusion periods,
COBRA Administration then track those periods within our eligibility and
claims adjudication systems.
United Group Programs, Inc. offers complete
administration of your COBRA requirements. UGP This added service provides assurance of HIPAA
will perform the following COBRA administration compliance without the associated confusion and
functions: time-consuming administrative tasks.
• Receive COBRA elections from eligible
participants and process application forms Compliance can be risky business
• Track coverage periods as dictated by law and
maintain proper documentation of COBRA activity As a national Third Party Administrator, we
understand that one small mistake could spell
• Provide expert advice on COBRA related issues
disaster. Every single detail — from initial notifications
• Collect participant payment to retention of proof — must be handled correctly the
• Answer inquiries from qualified beneficiaries first time, every time. UGP employs a staff dedicated
• Handle monthly reporting to assuring that your plan remains in compliance with
all applicable laws and regulations. There are
COBRA administration is both complex and time numerous regulations that apply to group health
consuming. By allowing UGP to administer your plans, and these legal requirements change
COBRA coverage, Employers are assured of frequently. Our in-house counsel keeps abreast of
adherence to the ever-changing regulations the new legislation and court decisions that may
governing it. Like all of our programs, our unique affect your plan and the administration thereof.
system design provides for the integration of claims
management and COBRA eligibility. Employers are UGP will consult with you to develop plan language to
relieved of the liability and the burden of staying on meet both your criteria and legal requirements. Our
top of changing legislation. UGP will handle all experienced staff, using our unique system, can
member notifications. design and prepare your plan document and
summary plan description to meet your requirements
Full-Service Administration – Because we manage and to assure legal compliance.
a large number of clients in our system, we are able
to spread the fixed costs to achieve economies of
scale that an Employer could not. Employers avoid
the expense of the staff and technology associated
with administration of COBRA.
Your Complete Employee Benefits Solution 14
Association - Affinity Benefit Programs No More Referrals
UGP provides “open access” to its Preferred
Providers that represents an extensive spectrum of
care including all medical specialties. With the belief
that referrals only cost clients more, Employees can
avoid the visit to the primary care physician merely for
the purpose of obtaining a referral. This saves the
Employee’s costs for the visit, time away from work,
and reduces claims liability. Our knowledgeable
customer service staff is available to provide
information on the specialists appropriate for the
UGP tailors to the Association’s unique organizational Employee’s condition.
UGP's National PPO Networks address our clients’
healthcare needs through a flexible and innovative
approach. Our networks are the best for your
UGP specializes in the design, administration and Employees, while offering discounts up to 37% and
marketing of custom private label insurance programs more nationally.
for Associations and their members.
Branding and private labeled services for association Primary Networks:
benefits is one of the key elements to maintaining and
expanding overall member participation. It will also • Over 550,000 providers and more than 2,000
increase the association's image by enabling them to hospitals
offer a total benefits program that is "exclusive" to
their organization and only available to their • Centers of Excellence
• Online customized PPO Network directories
Our PPO Networks
• Over 600,000 providers and more than 4,000
A key to our success, United Group Programs, Inc. hospitals
offers choice, flexibility, quality and ease of access
with its established relationships with the largest PPO • Online provider locations through our website.
Networks in the country as well as strong local and
regional PPOs. In today's Employee benefits
environment, Employers are often faced with a
trade-off between providing comprehensive benefits For Agents & Consultants:
packages to their Employees and controlling costs by
limiting or eliminating excellent provider networks. Employers turn to their Employee benefits consultants
UGP’s network discounts enable Employers to for guidance in their benefit and administrative
enhance their existing benefit package by offering solutions. UGP provides a winning formula for
significant healthcare savings without limiting choices Employee benefits consultants:
Excellent Customer Service & Quality Product Choices =
Opportunity to Grow Their Business and to Retain It.
Your Complete Employee Benefits Solution 15
UGP Overcomes Common Employer
Misconceptions UGP’s Customer Service
At UGP, we understand that making a change in Customer Service “the way it should be.”
Employee benefits plans seems like a difficult
decision and that implementation will be arduous. UGP has one customer service philosophy. To excel
Knowing this, we specialize in overcoming these in customer service and provide the most responsive
perceived obstacles. and personalized service for Employers.
Here are some common misconceptions: Clients are assigned a dedicated account team that is
cross-trained on the Employer’s plans, so that the
“We do not have enough payroll slots to offer Employer always has someone to call for immediate
other voluntary or non-voluntary products.” answers and solutions.
By offering a consolidated bill, UGP can combine
different products and provide the Employer with one
list bill with one payroll deduction for Employees for
“We cannot offer more insurance products to my
Employees nor are we willing to switch insurance
carriers because we don’t have the support staff
to take on additional work and the stress of a
Choosing United Group Programs services will
immediately release the client’s staff from
administrative burdens they previously had with other
products or carriers. UGP provides a seamless Worldwide Insurance & Financial Specialists
solution with the support staff to assist and take over Florida Georgia Pennsylvania
some of human resource duties, so that human National Headquarters
resources can focus on what’s most important – United Group Programs
Increasing the Bottom Line. 2500 North Military Trail, Suite 450
Boca Raton, FL 33431
(800) 842-8770 x 2922
Your Complete Employee Benefits Solution 16