 |
Group Health Benefits |
The McCart Group is able to provide a full array of employee benefits broker/consulting services, actuarial services, claims data analytics, plan administration, legislative compliance assistance and custom communication services.
Our benefit advisors provide the most up-to-date information available on products, carriers, vendors, funding alternatives and compliance requirements. Our group health benefits expertise includes: Medical Plans (self-funded and fully insured), Consumer Driven Health Plans, and HSA / HRA Plan Management. Acting as your advocate in the marketplace, we eliminate your need to hire or maintain an in-house benefits staff.
We specialize in evaluating, negotiating with, and recommending insurers and providers to our clients, and we employ rigorous selection criteria and performance objectives when considering vendor alternatives.
Five key areas of service include:
- Benefits Advisory Services
- Health Benefits Benchmarking and Data Analysis
- Marketing and Communication Services
- Consumer-Driven Health Plans (HSAs, HRAs), and
- Education and Compliance Services
Benefits Advisory Services
Employee benefits are the second largest expense, behind payroll, for most of our clients. The McCart Group specializes in helping clients to strategically manage this significant area. Employees have certain employer-sponsored benefit expectations which can vary by industry, geography, and employment status. These expectations must be considered to make sure you can attract and retain appropriate human capital to your organization.
Understanding your culture and benefits strategy is key to helping and advising you during the development of an effective employee benefits program. McCart will work with you to help you develop strategic goals for your benefit plans.
- Plan Design / Implementation
- Plan Document Compliance Support
- Onsite Open Enrollment Meetings and Support
- Open Enrollment Guide
- Vendor Selection / Management of Transition
- Claims Analysis on all Lines of Coverage
- Comprehensive National Benchmarking Data
- Health Management and Wellness
Client Support
- Employee Service Call Documentation, Resolution and Reporting
- Open Enrollment Online Support via HRIS Network or the Processing of Paper Enrollment Forms
- 5500 Forms Support & Preparation for Signature
- Section 125 Support & Oversight
- Provide Standard and Analytical Reporting to Meet Ad-Hoc Reporting Requirements
- Plan Document Compliance Support
- Employee Communication
- Problem Claim Resolution
- Documentation of issues and inquiries within the McCart account management system
- Employee advocate/escalation point of contact with insurance providers for eligibility, ID card generation, enrollment, and claim status issues
- Design and implementation of employee feedback tools such as online employee opinion surveys
- Health Advocacy support and online tools for employees and their families
Financial Services
- Due Diligence / Performance Benchmarking
- Development of Procurement / Selection Criteria
- Write & Issue RFPs (Medical, Life, AD&D, Optional Life, Disability, Dental, Vision, FSA, EAP)
- Read & Score RFP Responses as needed
- Network Disruption Analysis
- Present Findings / Recommendations
- Negotiate Fee & Insurer Services Agreement
- Employee Contribution Strategy
Health Benefits Benchmarking and Data Analysis
Benchmarking Services
Once we help our clients establish the goal of their benefits program, we believe review of objective benchmarking data is the best approach to developing appropriate plan design(s). Through our relationship with the nation's most well respected actuarial firm, McCart has exclusive Georgia access to the largest mid-market (50-5,000 employee firms) benefits survey in the U.S. This survey covers over 100 employers in the Atlanta area and over 5,000 nationwide. Results can be analyzed by industry, geography, and firm size. Our clients find this tool very helpful to establish and monitor plan designs consistent with their goals.
Data Analysis Services
McCart has extensive experience in evaluating cost trend and renewals for organizations of all sizes. Working closely with our actuarial analysts, we can ensure that our clients receive the most fair, accurate and cost-effective renewal. The types of analysis provided include:
BCT Report (Budgeting, Contribution & Trend Report)
The Budgeting, Contribution & Trend Report provides an actuarial forecast of costs in the coming year leading to budget rates and employee contributions. The BCT Report shows the relative value of plans and coverage tiers to ensure your plan rates equitably reflect the differences in cost.
Financial Monitoring Report
The Financial Monitoring Report (FMR) provides the answers a benefits manager needs to facilitate communications with participants, accounting and finance. The FMR brings together claims experience, benefits paid, expenses, and gross and net costs, to name just a few items, in one financial report.
IBNR Reserve (Incurred But Not Reported Reserve Calculation)
The IBNR Reserve calculation uses actuarial projection techniques to estimate incurred claims and determine how much you should be holding in reserves to avoid IRS and DOL compliance issues.
Renewal Evaluation
The Renewal Evaluation is the final step in the renewal process and is conducted after receiving renewals from the insurance carriers. We update and review the calculations completed in the Renewal Projection with various items, such as additional claims experience and plan design changes. In addition, we help with the negotiation and contracting process.
The PPACA Employer Impact Report
This report assists our clients in understanding the impact of Health Care Reform as it relates to their employer-sponsored health benefit plan.
Marketing and Communication Services
At The McCart Group, we feel that a strong part of our value-added service is our ability to provide thorough communications support for our clients, both for the employer and their employees.
Employer Communication
We provide regular email communication on new legislation and compliance requirements, best practices and trends, and industry education. We regularly sponsor events providing valuable information about current topics that present everyday business challenges. Our complimentary seminars and webinars focus on the issues influencing the most critical risk management and benefit plan decisions.
- Legislative / Compliance Updates
- Resource Library
- Newsletters
- Seminars
- Customized Online Surveys
- Broker-Client Communication Web Portal
- Employee Communication
With strategic planning and thorough understanding of our clients’ employee communication objectives, we assist in the design of custom communication materials that will help employees understand their plans and the issues influencing their benefits decisions. Employees need to be able to understand their benefits well in order to be wise consumers and understand the value of the “hidden paycheck.”
- Benefits Education
- Wellness Education
- Health Advocacy Support and Online Tools
Consumer-Driven Health Plans (HSAs, HRAs)
McCart has extensive experience in providing assistance and guidance to employers with Consumer Directed Health Plans (CDHPs). We believe that this type of plan can provide value and help control group health plan costs in many cases, but not all. We conduct a thorough analysis of your data and ensure that we understand your benefits philosophy and culture before making any recommendations about plan or funding changes. We utilize several proprietary tools to analyze your data before suggesting changes. We prepare an actuarial projection of your future cost savings based on plan change options.
The McCart Group helps its clients adhere to the legislative guidance with regard to recouping mistaken HSA contributions, debit card restrictions, paying Medicare Part D premiums and COBRA, “mini-med” plans, and state trust law application.
Education and Compliance Services
Education
The McCart Group regularly sponsors informative events to help keep you informed about current topics that present everyday challenges for your business. We provide seminars, webinars, workshops, and continuing education classes that will help you better understand the issues influencing your benefit plan decisions.
- Online HR/Benefits Research Resources
- Annual Benchmarking Survey & Seminar
- Seminars on HR and Benefits Topic(s)
- Webinars on Healthcare Reform & other timely issues
Compliance
Extensive Compliance Resource Team
To better serve our clients during this era of health care reform and the ensuing legislative compliance requirements, The McCart Group partners with a full service compliance consulting firm serving employers and the insurance industry. This dedicated compliance resource better equips us to keep our clients up to date on constantly changing rules and translate complicated laws and regulations into the information you need to know about HIPAA, COBRA, Section 125, Health Insurance Reform, ERISA, and more.
Legislative Updates
The McCart Group provides clients with Compliance Matters publications that summarize recent federal legislative developments in insurance and employee benefits. These informative documents are researched and written in an easy-to-read manner by an experienced benefits attorney. |
|
Download the McCart Employer Services Flyer
|