Benefit Implementation Services
The employee benefits programs we administer are unique from an administrative
perspective. As a result, the implementation process is critical part because
this is a period of time when all of the details such as payroll
frequency, payroll schedule, number of payroll cycles, effective date of
coverage, methods of direct payments, and COBRA rules related to missed premium
must all be determined prior to the effective date of the program. Upon
notification of a sale, an Implementation Manager is assigned to the new case
installation project and is responsible for:
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Serving as the single point of contact throughout the implementation process
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Developing a customized Implementation Plan and timeline
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Conducting Implementation kickoff meeting and ongoing weekly status calls
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Monitoring the status of all tasks and milestones on the Timeline
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Ensuring that all target dates are met
Enrollment Services
Web Enrollment Services: a customized website that
employees can access to information about their benefit choices, enroll in the
benefit programs and print a statement that confirms all of their entries.Web
Enrollment can be combined and integrated with Telephonic Enrollment services.
Telephonic Enrollment Services: this option is
provided through an inbound and outbound Enrollment Call Center. Enrollment
Specialists are available Monday through Friday from 7:00 a.m. to 7:00 p.m.
Central Time to answer employees’ questions and assist them in the enrollment
process. Licensed (Group 1) Enrollment Specialists are also available during
these hours to help answer more detailed coverage questions and assist
employees with their elections. Employees will receive a confirmation statement
in the mail if they enroll.
Paper Enrollment Services: customized enrollment forms
that outline the benefit options and cost of benefits are mailed (to employees’
homes) along with an enrollment brochure.
Client Services
Account Managers offer a single point of contact who can answer client’s
questions and provide assistance with all aspects of our client’s employee
benefit plan.
Employee Benefits Assistance
A toll-free customer service help line is provided for employees to use when
they have questions regarding their benefits. This help line is available
Monday through Friday from 7:00 a.m. to 7:00 p.m. central time. Trained
Customer Services Representatives can assist employees with their questions
concerning:
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Changing life status
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Resolving a claim payment issue
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Inquiring about employee account balances
Eligibility Services
Services include processing of enrollment data (new hires, termination and
changes); monthly transmission of eligibility data to the benefit providers in
a HIPAA compliant EDI format. Services also include transmission of payroll
deduction file to the employer in a format that will work with their payroll
system. We have application development expertise available and, therefore, we
can accommodate most custom requirements.
Policy Issuance Services
These services include providing employees with all of their post enrollment
collateral materials which include: Certificate of Insurance, Schedule of
Benefits, ID cards, detailed information about how to access their benefits and
information regarding who to contact for benefit assistance and/or questions.
Premium Billing & Reconcillation Services
There are a wide variety of billing methods available and all are designed to
lessen your administrative burden.The individuals who work in this department
understand the importance of being proactive so that your premium payments can
be reconciled in a timely and efficient manner.
COBRA Notification, Billing and Collection Services
Services include the mailing (via confirmed mail) of all required COBRA Notices,
billing and collection services, and providing notices of termination of COBRA
coverage.
Member Services
Customer Service Representatives are available to offer assistance to members
and providers; to verify eligibility, direct payments, and COBRA coverage; to
verify information regarding benefits; to check status of claims; and, to
assist with questions regarding benefits and policy provisions. Bilingual
Customer Service Representatives are also available. This team is dedicated to
providing high quality customer service because they understand that if your
employees have a positive experience when they call with questions regarding
their benefits, the processing of their claims or even just to find out the
status of a claim, then your employees will have a greater overall satisfaction
with their benefits program. Our representatives do not have any quotas for
call volume or restrictions on the maximum amount of time per call. They are
trained to spend whatever amount of time it may take to assist the members and
to help them gain a better understanding of their benefits program. Customer
Service representatives are available 365 days per year.
Claims Processing and Payment Services
Timely and accurate processing of claims is extremely important to your
employees’ satisfaction with their benefits program. This department meets and
exceeds very high processing and financial accuracy standards. The Boon Group
fully complies with the HIPAA privacy and security rules and is HIPAA EDI
compliant.