For Self-funded Employers

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As a self-funded employer, it’s essential that you have a good picture of your employees’ healthcare needs and usage. We offer reporting and consultation services to help you administer your health plan with ease.

Account Reporting – As costs rise, detailed healthcare information is even more critical. Our expanded reporting capabilities provide detailed healthcare information online, whenever you need it. The new Interactive Account Profile will show you exactly how your health benefits are being used by employees. Information provided includes:

• Demographics

• Costs

• Utilization

• High-cost member analysis

• Loss ratios

New Online Bills - We listened to your suggestions and redesigned our client bills. They are now available online and as a PDF download, and provide a better view of your health plan. The bills now include:

Enrollment information, including group numbers and sub-group numbers. Health plan names and number of contracts are listed for each subgroup, as well as subscribers.

Expenditure information provides a clear view of employees’ participation in the plan and better illustrates how healthcare dollars are being spent. 

Claims Processing System – We’re implementing a new claims adjudication system. This new system will increase our efficiency and accuracy and will allow us to create and administer solutions that effectively meet the needs of your business.

Consultation and Guidance
Your account executive will continue to provide you with consultation and guidance regarding your company’s healthcare. We want to ensure that the health plan and services you’ve selected are the right fit for your business.