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...26;Compelling customized provider network options and discounts •National Provider Networks •Executive summary rep...6;Fully insured exclusive transplant network •Transplant and renal dialysis networks •Bilingual customer...

...26;Compelling customized provider network options and discounts •National Provider Networks •Executive summary rep...6;Fully insured exclusive transplant network •Transplant and renal dialysis networks •Bilingual customer...

...n, claims payment and management, network access, indemnity plans and stop los...

...n, claims payment and management, network access, indemnity plans and stop los...

...solution SAMPLE I: $500.00 in network deductibles - 80/20 co-insurance $...

...t for the development of provider networks, fee schedules, discounts, benefit ...arrangements. Automatic load of network provider lists and schedules or f...

COBRA Administration and How AmeriFlex's Mongoose® Solution can help... COBRA requirements are much more complicated than many employers realize. They can expose employers to costly penalties and liabilities. Furthermore, based on new regulations, ERISA now expressly allows for personal liability to be imposed on the plan administrator for violations of COBRA notification requirements. When delegating the COBRA notice duty to an independent third-party administrator (TPA), it is important to be sure that the TPA has advanced systems and processes in place to handle these government-imposed responsibilities. Hiring a COBRA administration partner relieves your company of burdensome tracking, notification, and billing processes. AmeriFlex’s system delivers a fast, highly automated, easy-to-use, cost-effective method for administration and compliance of many of your COBRA obligations. Our COBRA administration procedures and practices provide fair and equal treatment for all COBRA qualified beneficiaries. We also provide compliance advice for employers for difficult COBRA determinations that are certain to arise with qualified beneficiaries. Simply put, by selecting AmeriFlex’s Mongoose® as your COBRA partner, once you provide us with the information, we will handle virtually all of the unique COBRA “back office” needs. For more information regarding AmeriFlex's Mongoose® program, please review the documents and links to the left or contact AmeriFlex's Marketing Department at 888-868-3539, ext. 112 or [email protected].

Aegis offers HSA's for all types of clients: Brokers/Agents, Groups, Individuals and Health Plans. Our easy on-line enrollment portals provide the access needed to enroll and manage HSA accounts or choose our paper method. You choose! The newest choice in consumer-directed healthcare, HSAs can help you save money by giving you more control over healthcare expenses. Aegis provides the best HSA programs available; always fresh and current! View and learn more about our HSA products (4.5mb). Aegis HSA programs include everything you'll need: Free Visa® debit card for convenient withdrawals. Free Banking Online with Bill Pay Online Monthly Account statements listing contributions, withdrawals, and interest earned IRS information reports, for use in preparing your personal tax return (Form 1040) Toll-free banking assistance Toll-free telephone resource for tax-related questions. Unlimited debit card transactions with no transaction fees

...5% commission! Claim administrators, insured, their accountants, brok...rs Independent Third Party Administrators Group Trusts State...

Vision Insurance Administration Capabilities All of the key features of our administration system, for the performance of rating, enrollment, billing, cash receipts, posting, delinquency tracking, agent commission calculations, financial reporting, and more, are also available for the support of vision and prescription drug programs, whether sold as individual, group, or voluntary contracts. Functionality that may be of special value in handling vision and prescription drug policies include: User-definable plans carrying unique data regarding underwriting carrier, policy number, plan year period, certificate issue flags, and other elements which allow these coverages to be handled as a mainstay, or as ancillary to a primary product line. Ability to have any number of insurance carriers underwrite different policies, to support various geographic areas or other parameters, and to bill on a consolidated invoice. Flexibility in rating by product using rate tables or composite premiums. Rate tables allow for geographic loads, rating by number of children, and other routines. Ability to self-fund by product type or plan code while other coverages are fully-insured. Certificate issue with ID cards carrying data such as dependent age limit, deductible amount, benefit expiration date, (as opposed to a termination date,) and other information valuable for benefit verification. Carrier and group numbers that automatically feed to interface files for transfer of eligibility to a third-party. Claims Capabilities Our vision and prescription drug claims system provides additional features especially designed to increase accuracy and efficiency including: User defined maximum number of services, maximum benefits, daily allowances, co-pays, coinsurance levels, deductibles and other parameters by type of service, Capture of codes to distinguish eye exams and rechecks including the number of months during which services are valid. Provisions for dual- and triple-option PPO/EPO capabilities, giving you complete flexibility to link benefits to a preferred or exc lusive provider, and increase or reduce both benefit allowances and plan provisions based on point-of-service. The flexibility to combine benefits and deductibles under a common accumulator with medical plans, or to distinguish these services as a separate plan. 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. Seamless, real-time integration with our administration system so the current eligibility status of each insured is recognized immediately as changes are made.