The Benefit Group believes that providing excellent service to our clients requires much more than simply paying claims. We firmly believe in building relationships with each of our clients. This allows us to tune in on the needs of individual clients so we can help control costs while providing a comprehensive employee benefit package to each of them.
Not only can we custom tailor your benefit package, we can custom design your administrative package as well! You decide whether you would like The Benefit Group to administer the complete benefit package, or just a few select services.
Services offered in the administrative package include:
AWAC
AWAC.MD - Our Cost Containment and Dread Disease Management Program delivers the Best of Both Worlds: Unprecedented Savings and Improved Care Using AWAC Technology.
Access to Many 'A' Rated Reinsurance Markets
We believe in working with competitive, reputable reinsurance markets. This is why we review financial backing and contracts carefully before working with any new carriers. We believe it is our job to take care of potential problems before they happen. We currently work with many A.M. Best rated 'A' or better reinsurance carriers.
Plan Document Preparation
Our in-house legal staff will prepare your plan document and assist you in making decisions in regard to plan design and legal issues.
Claims Administration
Each group will have an assigned claim representative. This person has a backup team of four persons in the event that your representative should be unavailable. We provide claims administration services for medical, dental, vision, prescription drug cards, weekly income, long-term disability and life.
Enrollment & Eligibility Online
With recent changes in Federal Law, the government process and determination of an individuals eligibility is growing more complicated. This department can assist with the enrollment process and eligibility questions.
COBRA Administration Online
The Benefit Group offers complete COBRA administration services as an option for our clients.
HIPAA Administration Online
If you choose, The Benefit Group can issue Creditable Coverage Certificates as mandated by the Health Insurance Portability & Accountability Act of 1998.
Comprehensive Reporting Package
Here is another service we offer that can be tailored to suit your wants and needs.
Customer Response Team
Our philosophy to providing good service is being proactive. Your Customer Response Representative will make regular service calls to ensure that TBG is providing the quality service we take pride in.
Comprehensive Renewal Process
With the constant changes in the market and within the insurance industry, we believe in marketing your package each year. This allows you to see where the market is and to compare it with your renewal offer, ensuring that you will have a fair and competitive renewal.
Dedicated Provider Relations Line
Providers call in on a dedicated provider line to keep our toll-free lines free for your calls.
Flexible Benefit Administration Online
We offer Cafeteria Plans with your choice of
- Checks cut weekly
or
- Checks cut monthly
Prescription Drug Cards
We have online eligibility access with our preferred drug card vendors, enabling our clients instant prescription services.
Wide Variety of PPO Networks
We believe that managed care is an effective cost containment feature for any benefit plan. We have access to many local and national networks allowing us to provide networks almost anywhere in the continental United States.
Utilization Review
Our precertification is done by HealthCheck, a licensee of National Health Services, a nationwide URAC accredited cost containment company.