About

Our Third Party
Administration Services

As a professional services firm,  we design, build, and implement cost-effective employee benefit plans. These in turn increase employee benefits, reduce the cost for employers, streamline operations, and administrative functions that increase the efficiency of Fiscal and Human Resources Departments.

You can see us as the quarterback of your system and the single-source solution to your employee benefits design and administration. We can coordinate all the service vendors involved in your employee benefits and ensure that effective employer/employee benefit strategies are implemented between ERISA compliance, Benefit Insurance Carriers, Bank Accounts, COBRA Administrators, Claims Administrators and Brokers, and more.

We provide more than just Third-Party Administrative services. We operationalize all service providers from beginning to end with a single-source solutions for your Human Resources and Fiscal Departments.

What We Offer

Consolidated billing across vendors – One Invoice, One Stop

  • Health plan services
  • Dental Plans
  • Vision
  • Life
  • Ancillary Products

Bank Trust Funds & Vendor Reconciliations

  • Open Client Trust Accounts
  • Monthly Reconciliation of Trust Accounts with Claims
  • Insurance / TPA monthly eligibility reconciliation
  • Eligibility verification for employees

Benefit design

  • Benefits tailored to needs of employees rather than using off-the-shelf benefit designs
  • Prescription drug formulary design potentially in collaboration with a pharmacy benefits management (PBM) firm
  • Benefit bundling (e.g. medical benefits with dental or disability benefits)
  • Doctor & hospital network
  • Pharmacy network

ERISA Plan Documents

  • Third Party Administrators Plan
  • Administrative Service Organizations (ASO;s)
  • Insurance / TPA monthly eligibility reconciliation
  • COBRA Providers

Processing of medical claims

  • Claims processing according to applicable regulation
  • Identification of billing mistakes from healthcare providers

Stop loss coverage

  • Negotiating stop-loss coverage for self-insured plans
  • Determination of the “attachment point” for stop-loss coverage in consultation with a credentialed health plan actuary

Many more

  • Plan record keeping
  • State and federal plan filings
  • Health plan compliance

Have any questions?

Don't hesitate to contact us at any time.