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Self-Funded Plan Administration

Self-funding gives employers the freedom to design benefit plans that meet the unique coverage needs of their group as well as their financial goals.

The flexibility of a self-funded plan allows for more easily integrated cost-containment measures. A self funded plan also provides advantages from a cash flow standpoint in that it uses a pay-as-you-go approach.

HealthSmart Benefit Solutions provides complete self-funded plan administration including:

  • Administration of medical, dental, vision, and disability claims
  • ERISA compliance and 5500 filing
  • COBRA and HIPAA administration
  • Regional and National PPO network access
  • Utilization Management
  • Large Case Management
  • Plan Design Management
  • Disease State Management
  • Wellness and Prevention
  • Data reporting and analysis
  • Subrogation recovery services
  • Underwriting and reinsurance services

Many of these programs are included in the basic cost of programs administered by HealthSmart Benefit Solutions including Subrogation Recovery. Most administrators outsource subrogation to specialty companies that take as much as 40% of recovered funds. HealthSmart Benefit Solutions manages subrogation internally and returns 100% of recoveries to its clients. In 2004 this amounted to a collective savings of over $2 million.

For more information on how a self-funded plan might benefit your organization, call Robert Viall, Vice President of Sales & Marketing, at (330) 867-8443, or submit your inquiry through our "Request Information" option on this site.

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