Benefit Design & Strategies, LLC works with many satisfied Vermont-based employers with more than 50 full-time permanent employees*.  Your company can also benefit from talking to us.

 

For these large employer groups, renewal rates and quotes of other carriers or Third Party Administrators managing partially self-insured plans are determined in large part by the claims experience of your employees and their family members.  As a result, Benefit Design encourages the implementation of cost-effective measures integrated with your medical plan including:

 

      ►Wellness programs,

      ►Utilization of preventive services on a regular basis,

      ►24-hour nurse call centers,

      ►Smoking cessation support services,

      ►Incentives for employees to complete Health Risk Assessment surveys, and

      ►Incentives for encouraging positive lifestyle changes.

 

Offering these valuable preventive services to your plan participants will help avoid or stabilize most chronic conditions and the accompanying high claims responsible for much of the spiraling cost of health insurance. We can also suggest several cost-saving approaches to the prescription drug component of your medical plan to ensure that less expensive generic drugs (when available and equivalent in effectiveness) are prescribed by physicians and purchased by consumers and to encourage patients to take their prescribed medications. Benefit Design can give you the tools to determine your company’s own destiny when it comes to containing health care expenditures.

 

Whether fully-insured or self-funded options are to be explored, Benefit Design & Strategies will take the time to explain the risks and rewards of each alternative, ascertain the funding approaches you are most comfortable with, and obtain competitive quotes from several venders. We then produce a detailed and informative report that will summarize the medical coverages and bottom-line projected costs for each health plan being illustrated and recommend the top two or three options. Our clients regularly tell us our report format makes for an efficient decision-making process.  

 

All carriers, and Third Party Administrators and the reinsurance markets will require basic information for Benefit Design to secure accurate quotes.  A minimum lead-time of at least two months prior to your group’s anniversary date is recommended to ensure ample time to assemble the RFP, receive quotes from carriers/TPA’s, prepare the Benefit Design proposal, have you select the best plan for your group, and impliment and enroll participants in that selected coverage.

 

Once the medical plan(s) has been installed, Benefit Design is there to answer benefit questions of the benefit manager and employees (if such direct contact by employees is encouraged by your company) and  issues related to claims billing or enrollment. If you have selected a plan in which claims information is readily available, we recommend regular meetings to review your plan’s utilization and make adjustments to the plan design as necessary.