Full Benefits Audit

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  • ERISA education has been ignored in the insurance industry. It is a missing topic on Department of insurance insurance exams. Health care reform has made ERISA solutions more attractive that fully insured plans, in or out of exchanges.
  • We provide an introduction to ERISA, enough information for brokers to learn so that they can confidently create, sell and service this type of employer solution. There are several aspects of PPACA that do not apply to ERISA contracts. Benefit design flexibility has always been the number 1 attraction to ERISA solutions. All of the cost containment products, wellness, health care shopping tools that reduce health care claims, are for the most part kept by the employer. The latest ERISA contracts identify and limit risk making ERISA contracts risk acceptable for the smallest of groups – down to 5 lives.
  • PPACA/MLR is not applicable to ERISA contracts so your commissions are retained, in fact you can create your own commission rate. After you’ve learned the ERISA basics and you sell an employer, we have a guide that takes your client through the transition from fully insured to fully funded self-insured. All of the groups we quote through our vendors for you, include the advanced cost containment incentivized system. This solution reduces health care spending 26% on the average. Other cost containment and health care supply chain products, the highest performing in the market are availble by your choice or your clients choice. All savings from reduced spending are retained by your employer client.
  • All insurance plans have at least one element of self-insurance. Deductibles, co-insurance are 2 examples of self-insurance. Plan participants cover this element of self-insurance. Many employers offer an HRA. These are self-insured by the employer. The self-insured plans we construct simply look like a large deductible HRA plan design. A 2 tier deductible if you will. In our contracts, there is a maximum dollar amount that the employer will pay for all aggregated claims. Total risk is identified and then insured.
  • Our ERISA Academy is comprehensive and is delivered with our ReInvent your Benefit’s agency business/marketing plan. ERISA product training to create and present proposals; 4 hours of our on-line webinar assistance helping you present and sell to a prospect, training on 12 cost containment/reduction products; creating a benefits business plan for your clients, licensing and credentialing for all of the products. For a complete list go to our Group Agent Resources web site and review products.
  • Please view our other presentations, specifically “Re-Inventing; Reform Proof your Benefits Agency and call me when you want to work with a knowledgeable and experienced professional. Start getting paid from the savings you create. Your clients can pay commissions or fees for services or % of savings. It’s your choice, our clients Pay only for performance and we share in cost reductions.
  • WE deliver everything you need, from A – Z to transition into self insured ERISA insurance contracts. Survive and thrive in the ERA of Health care reform. Contact us today to get started, we only work with one agency per market.
  • Full Benefits Audit

    1. 1. EMPLOYER STRATEGIES BROKER SERVICES VENDORS & TPAs Lifestyle Risk Calculator Population Health Management AFFORDABLE BENEFITS CONSULTING SERVICES Replace Open Enrollment Paper Docs with our CD Rom! Retirement Health to Wealth 100% ENGAGEMENT EDUCATION WORKERS COMP RISK Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    2. 2. Use the Full Benefits Audit as a Marketing Strategy! Identify Employer Risk Create Diverse Multiple Streams of Income LEVERAGE YOURSELF! Scott Hettesheimer Suite 1002 513-661-7581 Scott@GroupBenfitsExperts.com
    3. 3. Full Benefits Audit The Full Benefits Audit provides the fact finding appointment outline for the broker to follow to collect the pertinent information on employee and employer benefits. From group insurance to voluntary benefits to discriminatory individual employer coverage; it’s all in here. A Full Benefits Audit is a great marketing tool. Creating a DOL Reform Compliant Audit Manual differentiates your business. There are similarities to COBRA Audits, where a compliance manual is required. Obama care is planning to fund provisions of PPACA with employer fines; approximately $10 Billion over 10 years. A prepared employer has better outcomes than the unsuspecting. Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    4. 4. Services Include:  Essentials of a DOL HealthCare Reform Audit (Manual)  Full Benefits Audit, Data Collection  PPACA Employer Rules & Penalties  Summary of Benefits and Coverage  HIPAA Breach Notification  Health Care Reform – Next Steps  Dependent Audit  HRA Compliance  Sick Pay Plans  Employer Benefits  LTC For Business Owners  Disability Buy Out for Business Owners  Group LTC  Key Person Disability  Business Succession  Cross Purchase Buy Sell  Asset Recovery  Executive Bonus  Fixed Annuities-Advantages Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    5. 5. Creating DOL Compliance Manuals Brokers need to understand the audit process and take action today to audit proof their clients. Creating a DOL HealthCare Reform Audit Manual for your client is the best defense. Understand we make every effort to provide the compliance process an employer should have on hand; no formal DOL Audit Manual has been created or offered. The Audit process begins with a request for documents followed by an interview. Having a compliance manual on hand is an advantage for your employer. Everything listed by the DOL has been addressed; including all of the compliance actions the employer has taken since the inception of the 2010 law. Creating DOL Compliance Manuals can become a marketing strategy and revenue stream. Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    6. 6. Full Benefits Audit From Beginning to End, We Guide You Through The Fact Finding Process. Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    7. 7. Full Benefits Audit Conducting a Full Benefits Audit includes everything Brokers need to design Employer and Employee Benefits Order Your Full Benefits Audit Training $350 per Broker (click here) Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    8. 8. EMPLOYERS BROKERS WELLNESS TPAs Replace Open Enrollment Paper Docs with our CD Rom! Population Health Management AFFORDABLE BENEFITS Retirement Health to Wealth 100% ENGAGEMENT EDUCATION WORKERS COMP RISK Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    9. 9. Contact: Advanced Benefit Design Institute, LLC 3254 Montana Ave., Suite 1003 Cincinnati, Ohio 45211 513-661-7581 scott@GroupBenefitsExperts.com http://www.AdvancedBenefitDesignInstitute.com Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581

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