Services

We’re not your traditional employee benefits consulting firm. Rather than simply “shopping” carriers and showing up once a year for open enrollment, we stay invested in your business throughout the year. Our goal is to be a trusted partner that actively supports your growth. By working closely with you, we ensure your benefits strategy adapts to your ever-evolving needs.

5 Pillars of Employee Benefits (BenX Version)

Pillar 1: Benefits Consulting/Advising

  • Every workforce is unique, and so are their benefits needs. We work closely with you to design a benefits package that is not only competitive but also tailored to your specific employee demographics. Based on your situation, we can implement and consult on a variety of benefits: health, dental, vision, mental health, wellness, disability, life insurance, and other voluntary benefits that resonate with your employees. We aim to create a package that helps you attract and retain top talent while staying within budget.

  • Selecting the right insurance carriers/vendors is an important decision for any organization. We conduct a thorough evaluation of multiple carriers, considering factors such as coverage options, pricing, and reputation. Our analysis includes a detailed comparison of the carriers' network of providers, the flexibility of plan designs, and the overall value they offer to your employees. We aim to find a carrier that not only meets your budgetary needs but also aligns with your company’s values and the specific needs of your workforce.

  • For companies looking to gain more control over their healthcare expenses, we explore self-funded insurance options. We help you assess the financial risks and benefits, including pooling options (like a captive or consortium), stop-loss insurance options, and compliance with regulatory requirements. Our team ensures you understand the pros/cons, potential cost savings, the necessary administrative requirements, and how self-funding can be tailored to your specific situation.

  • Level-funded plans offer a hybrid between fully insured and self-funded plans, providing more predictable costs while retaining some of the advantages of self-funding. Our analysis includes reviewing how these plans can help you avoid large premium increases, and we provide guidance on selecting a plan that offers the balance of risk and reward that best suits your organization. We also handle the implementation process, ensuring that all aspects of the plan are well-understood by your team.

  • Professional Employer Organizations (PEOs) offer small to mid-sized businesses access to robust benefits by pooling employees from multiple companies. We help you assess if a PEO is right for your organization by comparing costs, services, and benefits against your current or other potential solutions.

    The Individual Coverage Health Reimbursement Arrangement (ICHRA) allows employers to reimburse employees for individual health insurance premiums and medical expenses. We guide you through ICHRA implementation, ensuring it aligns with your benefits strategy.

    Reference-Based Pricing (RBP) is a cost-control strategy that sets a maximum limit on what an employer will pay for certain medical services, based on a reference price rather than traditional insurance rates. We assist in designing and implementing RBP models that can significantly reduce healthcare costs while ensuring employees have access to quality care. We also provide support in educating employees and managing any potential balance-billing issues with providers.

Pillar 2: Proactive Process

  • We schedule a dedicated pre-renewal meeting four months before the renewal date. In this meeting, we review the client’s current benefits, discuss the organization's goals/objectives, and strategize on optimizing their benefits package. This proactive approach provides ample time for informed decision-making and smooth implementation.

  • We collaborate with each client to develop a personalized open enrollment timeline that ensures a smooth experience. This timeline ensures that all key milestones are met, from initial planning to open enrollment meetings to final employee enrollment.

  • We design tailored benefit guides for each client, providing clear and concise information about their specific benefit offerings. These guides are user-friendly and serve as a valuable resource for employees during open enrollment and throughout the year.

  • To better understand employee needs and preferences, we provide clients with customizable employee benefit survey templates. These surveys gather feedback that can be used to enhance the benefits program, ensuring it meets the workforce's needs.

  • We offer a benefit contribution calculator to help employers understand their contributions to benefits like health insurance. This tool empowers employers to make informed decisions based on their financial situation.

Pillar 3: Service

  • We are committed to responding to all client inquiries within 24 hours or less. This ensures that any issues or questions are addressed promptly, reflecting our dedication to exceptional client service.

  • We offer flexible open enrollment meetings in both virtual and in-person formats, accommodating the diverse needs of our clients and their employees. This ensures that everyone has access to the necessary information and support during the enrollment period.

  • We provide personalized, one-on-one meetings with employees to discuss their benefits, answer any questions, and guide them through the enrollment process. This individual attention helps employees feel confident and informed about their benefit choices.

  • We offer comprehensive training sessions for clients on the Employee Navigator system. These sessions empower clients to efficiently manage their benefits programs, ensuring they can fully utilize the platform's capabilities.

  • We provide targeted training for clients on using carrier portals, ensuring they are proficient in accessing and managing their benefits information. This training helps clients navigate the portals with ease and efficiency.

  • To ensure accuracy and prevent billing issues, we conduct a thorough carrier billing audit for clients 30 days after renewal. This audit helps identify and resolve any discrepancies, confirming that clients' bills are accurate and error-free.

Pillar 4: Technology

  • We offer a custom-built Employee Navigator system free of charge to our clients. This system simplifies benefits management, enrollment, and communication, making it easier for clients to manage their employee benefits programs.

  • We specialize in creating custom integrations between the Employee Navigator system and various carriers, vendors, and payroll systems. This comprehensive approach ensures seamless data flow and reduces administrative burdens for clients, regardless of company size.

  • We create tailored educational videos to help employees better understand their benefits. These videos deliver clear and engaging explanations, making the open enrollment process more approachable and less daunting for employees.

Pillar 5: Compliance

We proactively manage compliance to minimize risks and ensure peace of mind.

  • We conduct a thorough annual compliance audit for each client to review their benefits programs and ensure they meet all legal requirements. This audit identifies any potential issues, allowing clients to address them before they become problems.

  • We simplify compliance by helping clients implement essential documents like Section 125 plans, wrap documents, 1094/1095 reporting, and Form 5500 reporting. Our support ensures everything is accurate, compliant, and up-to-date, so clients can focus on their business with confidence.