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Flexible Spending Accounts "Cafeteria Plans" offer a large menu of benefit options to employees Flexible Spending Accounts (FSAs), commonly referred to as “Section 125” plans or “Cafeteria” plans, were developed as part of Internal Revenue Code Section 125 to provide employees with tax relief for their un-reimbursed medical and dependent day-care costs. FSAs enable employees to utilize pre-tax dollars and save Federal, FICA, and, in most cases, state taxes when paying for eligible expenses not covered by traditional insurance plans. Although FSAs have been available for many years, the emergence of consumer-driven healthcare and increased employee cost-sharing has made them an integral benefits solution that provides substantial tax savings to both employers and employees. There are three types of Flexible Spending Accounts: 1.Medical Reimbursement Accounts: Accounts used to pay for eligible un-reimbursed medical expenses such as co-pays, deductibles, dental, vision, prescription, over-the-counter drugs, and more. 2.Dependent Day-Care Reimbursement Accounts: Accounts used to pay for the daily care of an eligible child or adult dependent as defined by the IRS; 3.Commuter Reimbursement Accounts: Accounts used to pay for eligible transportation and parking expenses. To further enhance the benefits of implementing FSAs, AmeriFlex offers the AmeriFlex Convenience Card® MasterCard®. This single-platform debit card allows for the automatic electronic transfer of pre-tax dollars from an FSA when paying for qualified expenses. Most importantly, the AmeriFlex Convenience Card® can accommodate and administer all three accounts on the same card without an incremental fee. For more information regarding Flexible Spending Accounts, please review the documents and links to the left or contact AmeriFlex's Marketing Department at 888-868-3539, ext. 112 or [email protected].

Lighthouse1 is not just a product, it's a promise. Flexible Spending Accounts (FSAs) Flexible Spending Accounts (FSA) - is one of a number of tax-advantaged financial accounts that can be set up through a cafeteria plan of an employer in the United States. An FSA allows an employee to set aside a portion of his or her earnings to pay for qualified expenses as established in the cafeteria plan, most commonly for medical expenses but often for dependent care or other expenses. Money deducted from an employee's pay into an FSA is not subject to payroll taxes, resulting in a substantial payroll tax savings.

By simple definition - a submission is a request to a carrier, wholesaler or provider to underwrite and bind a policy. In other words, it is a detailed request for a quote and subsequent binding. Our Submission Dashboard is, accordingly to many commercial lines agents that use the tool regularly... "the most powerful submission management tool ..." ...the first and only service of its kind - a best-in-class interactive tool that allows you to submit, track your submissions, re-submit and rate your submissions experience and the provider responses, all in one place, and secure (encrypted). Don't think you could benefit from this great tool? Think again! Your client is up for renewal, but the current carrier will not renew. Your client wants better rates or will take their business elsewhere. You have a prospect that will switch their AOR/BOR if you can quickly show value. You have a book of business - multiple clients in a niche business (school cafeteria insurance, for example). Shop your book - get better rates and service.

Whether for small groups or large groups, self-insurance is often a reasonable alternative to a fully-insured employee benefit program. To be successful, plan administrators need an efficient, easy-to-use system, providing timely plan data and quantitative analyses to make quality decisions. The state-of-the-art software solutions from Apex Data Systems deliver this level of quality and support to Third Party Administrators, Associations, Self-Administering Employers, and other entities challenged with handling the full administration and claims responsibilities of a self-funded trust. No matter how small the organization, to have a strong plan requires a strong system that offers flexibility, accuracy, and full functionality. While also available modularly, the complete systems from Apex Data Systems encompass both administration and claims features delivering a total solution for both professional plan administrators and self-administered groups. Administration Capabilities Apex Data Systems' approach to administration of self-funded programs is not a "watered-down" version, but rather a complete software solution. It includes all the features, if needed, to handle the details of plan design, underwriting, rating, enrollment, billing, cash receipts, posting, delinquency tracking, agent commission processing, renewals, financial reporting, and more. Functionality of special interest to self-funded plan administrators and self-administered groups includes: Ability to support multiple plans and cafeteria selection of benefits at the employee and dependent level. Ability to define contributory and non-contributory programs. User-definable plans carrying unique data fields regarding funding vehicle, reinsurance carrier, policy number, plan year period, certificate issue flags, and other elements that allow these records to define self-insured, reinsured, and fully-insured products. Ability to self-fund by product type or plan code while other coverages are fully-insured, and to have any number of insurance carriers underwrite different contracts, to support the various products offered under an employee benefit program. Consolidated billing on a single invoice for health or other self-funded contributions, specific and aggregate premiums, and life insurance or other fully-insured plan premiums. Administration fee billing combined with or separate from contributions toward a claim fund. Summary Plan Descriptions with ID cards carrying data critical to benefit verification. Census data, enrollment information, and the ability for user defined data mining via ad-hoc query. Analysis reporting of contributions, premiums, financial figures and data for 5500's. Claims Capabilities Available as a part of the consolidated system, or as a standalone module with full eligibility maintenance, the Apex Data Systems claims adjudication system documents claims activities, protects against excessive claims payments, and supports faster and more accurate claims services designed to meet the users' needs. Highlighted features include: Capture of underlying and overlaying plans of benefits for liability of trust versus re-insurer. Monthly reports to manage the plan by line of coverage and employee utilization. Plan design flexibility to match previously insured benefits or suit the user's unique needs. Claims lag reports which detail the time between treatment, the dates claim materials were first received and last received, and the date the claim was paid. User defined maximum number of services, maximum benefits, daily allowances, co-pays, coinsurance levels, deductibles and other parameters by type of service or benefit code. Provisions for preferred and exclusive provider organizations. User-defined cause codes (three-digit alphanumeric field) that let you classify claims activity in a meaningful way, and report on all your claims experience. Complete pending and correspondence support. Seamless, real-time integration with our administration system so the current eligibility status of each insured is recognized immediately as changes are made. Capture of claims information regarding specific and aggregate stop-loss provisions. Automatic alerts when the claim reaches user defined reinsurance reporting point and the actual reinsurance attachment point. Claim check issuance with provider batch payment feature and check reconciliation. Worksheet history for submission to reinsurance carriers. Full claims analysis reports including incurred and paid claims, lag studies, reinsurance reporting, and catastrophic losses by incurred, incurred and paid and paid dates. Standard and ad-hoc reporting is available to support cash flow analysis and monitor reserves.

Whether for small groups or large groups, self-insurance is often a reasonable alternative to a fully-insured employee benefit program. To be successful, plan administrators need an efficient, easy-to-use system, providing timely plan data and quantitative analyses to make quality decisions. The state-of-the-art software solutions from Apex Data Systems deliver this level of quality and support to Third Party Administrators, Associations, Self-Administering Employers, and other entities challenged with handling the full administration and claims responsibilities of a self-funded trust. No matter how small the organization, to have a strong plan requires a strong system that offers flexibility, accuracy, and full functionality. While also available modularly, the complete systems from Apex Data Systems encompass both administration and claims features delivering a total solution for both professional plan administrators and self-administered groups. Administration Capabilities Apex Data Systems' approach to administration of self-funded programs is not a "watered-down" version, but rather a complete software solution. It includes all the features, if needed, to handle the details of plan design, underwriting, rating, enrollment, billing, cash receipts, posting, delinquency tracking, agent commission processing, renewals, financial reporting, and more. Functionality of special interest to self-funded plan administrators and self-administered groups includes: Ability to support multiple plans and cafeteria selection of benefits at the employee and dependent level. Ability to define contributory and non-contributory programs. User-definable plans carrying unique data fields regarding funding vehicle, reinsurance carrier, policy number, plan year period, certificate issue flags, and other elements that allow these records to define self-insured, reinsured, and fully-insured products. Ability to self-fund by product type or plan code while other coverages are fully-insured, and to have any number of insurance carriers underwrite different contracts, to support the various products offered under an employee benefit program. Consolidated billing on a single invoice for health or other self-funded contributions, specific and aggregate premiums, and life insurance or other fully-insured plan premiums. Administration fee billing combined with or separate from contributions toward a claim fund. Summary Plan Descriptions with ID cards carrying data critical to benefit verification. Census data, enrollment information, and the ability for user defined data mining via ad-hoc query. Analysis reporting of contributions, premiums, financial figures and data for 5500's. Claims Capabilities Available as a part of the consolidated system, or as a standalone module with full eligibility maintenance, the Apex Data Systems claims adjudication system documents claims activities, protects against excessive claims payments, and supports faster and more accurate claims services designed to meet the users' needs. Highlighted features include: Capture of underlying and overlaying plans of benefits for liability of trust versus re-insurer. Monthly reports to manage the plan by line of coverage and employee utilization. Plan design flexibility to match previously insured benefits or suit the user's unique needs. Claims lag reports which detail the time between treatment, the dates claim materials were first received and last received, and the date the claim was paid. User defined maximum number of services, maximum benefits, daily allowances, co-pays, coinsurance levels, deductibles and other parameters by type of service or benefit code. Provisions for preferred and exclusive provider organizations. User-defined cause codes (three-digit alphanumeric field) that let you classify claims activity in a meaningful way, and report on all your claims experience. Complete pending and correspondence support. Seamless, real-time integration with our administration system so the current eligibility status of each insured is recognized immediately as changes are made. Capture of claims information regarding specific and aggregate stop-loss provisions. Automatic alerts when the claim reaches user defined reinsurance reporting point and the actual reinsurance attachment point. Claim check issuance with provider batch payment feature and check reconciliation. Worksheet history for submission to reinsurance carriers. Full claims analysis reports including incurred and paid claims, lag studies, reinsurance reporting, and catastrophic losses by incurred, incurred and paid and paid dates. Standard and ad-hoc reporting is available to support cash flow analysis and monitor reserves.

...rants Fast Food Restaurants Cafeterias Institutional Food Services Cat...

...tion (school buses), athletics, cafeterias, maintenance, and custodial service...

IPMG's Employee Benefits Insurance Services division is a full-service third-party administrator (TPA) specializing in self-funded employee benefits plans. Our mission is simple: to deliver cost-effective solutions that protect your client’s bottom line without compromising the quality of care or service. As an agent or broker working with self-funded employers, you know how critical it is to partner with a TPA that brings real value. At IPMG, we combine deep industry knowledge, in-house expertise, and innovative cost containment strategies to help you deliver measurable results to your clients. Our focus is not only on managing claims efficiently but also on maintaining high participant satisfaction throughout the process. Ideal Accounts and Appetite We work with agents and brokers who serve mid-sized to large employers looking to self-fund their group health and ancillary benefits. Ideal accounts include companies seeking greater control over plan design and cost savings through strategic claims management and proactive health services. Examples of strong-fit clients include: A manufacturing firm in Illinois with 150 employees interested in reducing rising group health insurance premiums through a self-funded model. A multi-location Missouri-based employer seeking a TPA with in-house nurse case management and COBRA administration. Coverage Highlights and Advantages IPMG’s Employee Benefits Insurance Services division delivers comprehensive administrative solutions, including: Medical and Dental Claims Administration Vision Claims Administration Excess/Stop Loss Insurance Placement COBRA Administration Utilization Review and Nurse Case Management Cafeteria 125 Flex Plans Health Management Services Customized reporting and analytics Our integrated approach ensures that every claim is handled with a focus on cost containment and participant satisfaction. We bring clarity to complex benefit structures and help employers manage risk more effectively. Underwriting Notes and Minimum Premiums Our solutions are tailored to fit the unique needs of self-funded employers. While minimum premium requirements may vary based on the size and complexity of the group, we offer flexible plan designs and administrative models. Contact us to discuss specific account opportunities and underwriting considerations. Territories and Availability This program is currently available in Illinois and Missouri. We are actively supporting agents and brokers in these states with dedicated regional expertise and responsive service. Why Work With IPMG? As a trusted Program Administrator, IPMG brings more than just administrative services—we deliver strategic partnership. Our experienced in-house team supports your efforts with: Proven cost containment strategies Efficient claims processing and reporting Comprehensive suite of employee benefits services Personalized support for agents and their clients Whether you're working with a client transitioning to self-funding or looking to enhance their current TPA services, IPMG is ready to help you deliver results. Frequently Asked Questions What types of accounts are a good fit for this program?This program is ideal for mid-sized to large employers in Illinois and Missouri who are interested in self-funded employee benefits solutions. What services are included in the employee benefits program?Services include medical, dental, and vision claims administration, stop-loss placement, COBRA administration, utilization review, nurse case management, and more. Can IPMG help place stop-loss coverage?Yes, IPMG provides excess/stop-loss insurance placement as part of our comprehensive TPA services. Is there a minimum group size to qualify?Minimum group size requirements can vary depending on plan design and underwriting considerations. Contact us to discuss specific cases. Which states is this program available in?This program is currently available in Illinois and Missouri. Need help placing an account? Connect with a market specialist.