No two companies are exactly alike, which means their benefits packages should not be either. Prescott Pailet Benefits prides itself on creating tailored solutions for each client, helping them save money, solve problems and make the best decisions for their specific situation. With a healthcare industry that is constantly transforming, PPB keeps a finger firmly on the pulse of these changes and how they impact your company and advise accordingly.
Our scope of services is broad and will be tailored to meet the specific needs of our clients. They include:
STRATEGIC PLANNING
- Identify goals, challenges, and strategies relevant to business operations
- Develop strategies to meet established objectives
- Provide periodic progress updates in accordance with established timeline
- Marketplace overview
- Discuss satisfaction with current vendors and carriers
- Explore alternative funding methodologies
- Evaluate/review current employee benefits package
- Review employee/employer cost sharing arrangement
- Review total plan costs
RENEWAL ANALYSIS
- Review claims experience, demographics, and employee contributions strategies
- Negotiate renewals with respective vendors and carriers
- Analyze and validate vendors and carriers renewal terms
- Coordinate all related plan design and financial requests to vendors and carriers
- Provide renewal alternatives with employee and strategy cost impact
- Communicate decisions to all vendors and carriers
- Presentation to senior management or board of directors as requested
VENDOR & CARRIER MARKETING & IMPLEMENTATION
- Develop strategy to identify goals
- Determine vendors and carriers selection criteria
- Analyze marketplace and vendors and carriers options as requested
- Prepare and distribute request-for-proposals to competitive vendors and carriers
- Evaluate vendors and carriers proposals
- Negotiate financial and contractual terms and funding arrangements
- Facilitate decision-making process
- Review vendors and carriers contracts
- Communicate decisions to all vendors and carriers
- Facilitate implementation meetings
- Assist in the completion and delivery of implementation paperwork
- Coordinate delivery of employee communication & enrollment materials
- Attend or present at employee communication meetings
CUSTOMIZE AND DELIVER A STRONG COMMUNICATION/EDUCATION STRATEGY
- Develop employee communication & education strategy using a variety of approaches including
- Group meetings
- One-on-one benefit counseling
- Employee Benefit Website
- Brainshark™
- Webinars
- Prepare a customized employee benefit guide
- Education meetings quarterly, if needed
- Total compensation statements
CLAIMS ANALYTICS AND MANAGEMENT
Access to a variety of data mining tools enabling us to benchmark your health and RX claims data against national norms, identify and analyze cost and utilization problem areas, model potential plan design changes for impact and develop targeted solutions for saving money on your health plan
- Complete review of claims and network utilization
- Monitor high cost claimants
HUMAN RESOURCES, LEGAL & COMPLIANCE ASSISTANCE
- Outsourced COBRA and State Continuation administration to ensure compliance
- Provide access to our HR Resource Center – an online resource center for all of your HR and benefit needs
- Employment and Benefit Law alerts provided periodically
- Conduct periodic webinars and seminars on HR and benefits hot topics
- Access to a team of dedicated employment and benefit attorneys
- Mercer Know How - website providing HR related news, alerts, webcasts and a Compliance Calendar to help cleint stay compliant with benefit and related regulations
- Compliance Dashboard combines an interactive web technology and legal research to help ensure employer compliance with health plan laws and mandates. It is customized for each employer’s demographics and send email alerts/reminders with a link to a summary of the law and step-by step instructions on what they must do to comply.
- HR Coach offers unlimited calls and emails to a professional HR Coach who provides valuable advice, consulting and support.
DAY-TO-DAY ADMINISTRATION & MANAGEMENT
- Health Advocate offers employees confidential assistance with difficult claim issues
- PPB EligibilityAssist was designed to help clients with the day to day administration of benefits eligibility
- Assist with contract and policy review
- Provider network issue resolution
- Assist with billing, enrollment, and eligibility issues
- Assist in daily administration of policy changes, service issues and/or questions
ADDITIONAL SERVICES AVAILABLE
- Signature ready Form 5500 filings for health & welfare plans benefit plans
- Section 125 administration services
- FSA and HRA administration
- Payroll services
- Online enrollment services
- Customized wellness programs
- International benefits consultation
- Single Source 1 - full outsourcing of benefits, HR and payroll
- Claim Audits
- Industry leading benchmarking data