Employers of 500 employees or more have different needs—and different headaches. At Apex Benefits, we have experience working with large employee groups and controlling the greater costs associated with them. Apex Benefits uses a systematic approach to create the employee benefit plan that best fits the needs of mid-size to large companies through:
1. Discovery and Assessment
Being well informed about your group claims activity and overall plan expenditures are critical to projecting and planning for the future. With advanced technology and industry expertise, Apex Benefits will take volumes of claims data, drill it down to provide insight and then use this knowledge to negotiate the best plan available. We review your current arrangements and determine how to best present your plan to the marketplace, seeking the highest quality, cost-effective outcome. This labor intensive process includes evaluating the need for plan enhancements, analyzing group trends, gathering claims history and pursuing details of catastrophic claimants on your behalf. We retain the services of a Medical Director, BS RN, to obtain and understand the catastrophic medical conditions within your group. This ensures your employees' privacy and HIPAA compliance while providing us needed insight to negotiate aggressively and communicate facts to underwriters. We reevaluate all plans at least annually or as often as necessary for your particular situation to ensure that your plan is always working its best for you.
2. Strategic Planning
Taking the time to understand the difference between “needs” and “nice to haves” and then determining your objectives is critical to developing the most effective employee benefits program for your company's situation.
3. Client Advocacy
We present your group program to the underwriting carriers in a professional, concise format that yields the most positive response from the marketplace. Apex Benefits is an independent firm that works with a multitude of vendors. That means we have an exceptional range of options from which to customize a plan that will meet your needs. With decades of experience in group benefits and our carefully cultivated industry relationships, we use our knowledge and expertise to negotiate the best terms available. In addition to marketing and negotiations, Apex Benefits provides intervention for claims adjudication or assistance with employee appeals and requires accountability of carriers.
4. Actuarial Experience
Having actuarial experience on staff means we can have a deeper understanding of and appropriate rating of your membership. Actuarial experience sets Apex Benefits apart. We understand the basis of underwriting and can help to assign appropriate risk to the health factors of a group and can analyze claims to determine the true financial impact of plan design changes for forecasting and for risk assignment.
5. Communication and Education
The employee-benefits environment is constantly changing. Apex Benefits helps you and your employees make sense of evolving legislation, new products, and trends in the industry. Clear, consistent communications helps everyone—employer and employees alike—make better health care decisions.
Apex Benefits will guide you through the process of understanding and explaining benefits to their employees. From easy-to-read benefit summaries and plan communications to managing employee meetings and fielding benefit questions throughout the plan year, we create a communications campaign that incorporates your company’s culture and communication style. We provide our client’s employees the tools and knowledge that is necessary for them to become active partners in managing health care costs through consumerism.
6. Proactive Service Platform
Our sharper focus on data-based solutions has resulted in a proactive service platform that anticipates solutions and empowers clients to make positive changes to benefits that impact the bottom line. Fueled by a competitive spirit and a desire to deliver more-than-expected results, Apex Benefits insists on ongoing communication-- with carriers to complete the contract and support you through installation and renewal and with our client (preferably once a month or during quarterly reviews) to discuss claim trends and administrative concerns.
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