Actuarial Consulting for Self-Insured Employee Health Benefits

ServicesActuarial ConsultingSelf-Insured Employee Health Benefits

ACTUARIAL CONSULTING SOLUTIONS YOU AND YOUR STAFF CAN FEEL GOOD ABOUT.

As health care costs rise, self-insuring your employee health benefits can be more cost effective for your company and provide better coverage for your employees. Let us help you design a custom benefits program that reduces your costs and helps align your company with the changing regulatory requirements that affect self-insurance.

Managing costs and regulatory compliance can get tricky, so our actuarial experts help you make sense of the factors that influence important decisions. We advise your organization on what coverage and limits to self-insure, the funding and reserves you need and how to contain costs over time. By helping you clearly see the big picture, we design and implement self-insured employee health benefits packages that make sense for you and your employees.

SELF-ENSURED EMPLOYEE HEALTH SERVICES TO COVER ALL YOUR NEEDS

BENEFIT STRATEGY & PROGRAM DESIGN

Attractive employee benefits meet affordable costs. We calculate the financial impact of benefit design scenarios including varying deductibles, coinsurance levels, co-payments, out-of-pocket maximums and employee contribution levels which assists your company in developing the right balance between benefit costs and employee out-of-pocket expenses.

CLAIM COST PROJECTIONS & FUNDING ANALYSIS

Future claims costs projections performed by actuaries with deep industry expertise. We provide you with an accurate funding requirement for your health benefit claim and administration costs for each new plan year and we will help you analyze employee contributions to ensure fairness and compliance with the ACA.

IBNR VALUATIONS

Our experienced consultants use generally accepted actuarial methods to evaluate necessary reserve levels for health benefit claims incurred but not reported. We let you know the amount you need to set aside in order that your organization is adequately covered.

ACTUARIALLY CERTIFIED COBRA RATE CALCULATIONS

Using reasonable actuarial estimates of future costs, we calculate COBRA premium rates “in good faith compliance and a reasonable interpretation of COBRA.”

STOP-LOSS REINSURANCE IMPACT

By estimating the financial impact of various levels of stop-loss reinsurance on your self-insured medical benefits, we help you clearly evaluate your options and determine the correct amount of risk acceptable to your company.

VENDOR SELECTION & MANAGEMENT

We provide end-to-end healthcare vendor selection services and roll-out, including proposal evaluation, contract and service level negotiations, enrollment material review, eligibility guidelines and performance evaluations.

LEARN MORE ABOUT OUR CONSULTANTS

Our team includes 35+ consulting actuaries and over 100 other insurance industry experts whose skills set ranges from database design to process improvement to product design to compliance. Our team’s lengthy experience, deep industry expertise and clear communication enable us to quickly and efficiently solve your toughest insurance challenge.

Dee Dee Mays, FCAS, MAAA

James A. Vallee, FSA, MAAA

Alexander Brill, ASA, MAAA

Jennifer Choe, ASA, MAAA

MEET THE TEAM

DEEPEN YOUR KNOWLEDGE

Actuarial Consulting For Self-Insured Employee Health Benefits

Continually increasing health care costs have recently led many corporations of varying size to consider self-insuring their employee benefits. While self-insurance provides many benefits to employers, including reduced costs, better cash flow management and the ability to create a custom designed benefit plan, it also introduces many unique challenges.

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