Employee Benefits Consulting
We offer basic health and welfare components services in Colorado:
- Needs analysis and strategy development
- Vendor negotiation and management
- Vendor search, analysis and selection
- Ongoing day to day service support
- Monthly review and quarterly reporting
- Compliance support
- Access to research and information services client website
- Communication support
- Miscellaneous services
Needs Analysis and Strategic Development
Ultimately, your human resources strategy must support your long-term business plan. Consultative Healthcare assists you by identifying objectives, creating critical paths to reach these objectives, and developing methods to measure performance. Whether your strategy is to promote the concept of “total compensation” or to offer a traditional benefits program, CHC(Consultative HealthCare) can help ensure the plans you sponsor support your strategy to the fullest.
We will assist you with a comprehensive analysis of your group insurance program and develop a strategy to meet your particular needs and circumstances. We will interview your personnel/employees to develop a complete understanding of company structure, growth goals, budget and basic plan development. Our discussions will include funding methods and risk tolerance.
The design, structure and delivery of your benefits are only the first steps in developing an employee benefits program. We also will assist you in determining the most effective methods for administering your health and welfare benefits.
Vendor Negotiation and Management
A well-planned implementation process is essential to the success of your benefits program. When we engage in the process of negotiating your vendor contracts, we will state specifically what is required for your situation and we will identify various responsibilities. Perhaps the most important deliverable is the negotiation of all service agreements.
Implementation also involves:
- Coordinating your vendors for enrollment meetings
- Training administrative staff on the plans
- Reviewing formal contracts, plan documents and summary plan descriptions
- Assisting with the development of ongoing administrative procedure
Plan management services include, but are not limited to:
- Objective setting
- Financial forecasting
- Ongoing strategic planning
- Utilization analysis and reporting
- Plan design
Assisting with complicated claims and vendor relationship issues is also included. As one of the most innovative brokerage and consulting firms in the country, we have established strong relationships with most insurance carriers. This provides us the clout to address your concerns in a timely, effective and aggressive manner.
Moreover, you can count on Consultative Healthcare to provide timely, personable service. Consultative Healthcare is one of the most innovative agencies, which allows us the freedom to provide the personal care you deserve that matches or exceeds that of our competitors.
Vendor Search, Analysis and Selection
The Consultative Healthcare will prepare a detailed data request and checklist for your Company and your vendors including:
- Census information
- Detailed claims information
- Premium rates and history
- Rate renewals
- Contract and descriptions of funding arrangements
- Benefit summaries and recent changes
We will work with you and your business needs to identify the specific benefits lines (e.g. medical, dental, STD, FSA, etc.) and appropriate insurance carriers to be included in the proposal process. Concurrently, we will prepare the detailed request for proposal (RFP) addressing each line of coverage including the delivery system, plan management, medical management, quality of care, claims administration, member services and satisfaction, performance standards and references. Following your review and approval, the RFP will be sent to the selected vendors with a specific response deadline.
Our proposal service entails a consistent approach taking every detail into consideration. Multi-site employers receive a work product that is consistent over the entire geographic area.
We will use our experience and expertise when reviewing each vendors’ proposal which includes analysis and strategic development. Consultative Healthcare extensive database of healthcare organizations details financial, quality, management and member satisfaction results. Our consultants have access to this information and will use it to determine the best matches for your goals. We can also use this data to set the terms and benchmarks for performance goals and risk contracts.
Pricing, quality, access and service are critical elements in the selection process. We can help ensure that the plans support your strategy in terms of design, funding arrangements, administration and delivery of benefits.
Ongoing Day-to-Day Service Support
Supported by an organizational flextime policy, many of our consultants begin and end their days outside of traditional office hours based on the service needs of their clients, thereby expanding consulting service availability. Think of CHC as an extension of your human resources and benefits staff; providing consulting advice, researching ideas, answering questions and concerns, acting as a liaison between you and your health and welfare plan administrators and helping resolve difficult employee issues.
In the best-run HR organizations, problems will occur. When urgent situations arise, you want to be sure that you are aligned with a consulting firm whose people are working right beside you with the same sense of urgency for problem resolution that you have. You also want to know that your consultants have the resources as well as the desire to help solve your problem.
We have a specialized e-mail structure whereby our consultants can instantly query the entire CHC “brain trust” for advice, contacts, experience sharing, informal surveying of what other employers are doing, etc. This is an extremely effective tool for getting quick answers in a tight time frame.
Consultative Healthcare team has a close working relationship and will be knowledgeable about your business and your specific human resources issues. We will work together to anticipate your needs through periodic team conference calls and by sharing information and our work product in an effort to identify, address and diffuse your issues before they become problems.
Periodic Review and Reporting
CHC captures and monitors claim experience data for early identification of any unexpected activity in your business claims patterns. CHC will provide cost projections and reforecast on a periodic basis. As part of the experience-reporting package, we will show a comparative analysis of the actual costs and the projected costs.
Comparing projected costs to your actual realized plan experience provides a good understanding of how your programs are performing financially, thereby eliminating unexpected results.
Communication Support
Employee communication is an important component of your benefits program. A carefully designed communication program can help you meet employee needs while furthering your organization’s business objectives. Consultative Healthcare can offer your organization’s programs greater visibility and value to employees. We will review your communication needs and develop a strategy using the most effective messages and methods.
Some of the most pressing communications issues may include:
- Strategy and brand development
- Open enrollment and ongoing communications support
- Predictive Modeling
- Benchmarking
Strategy and Brand Development
CHC will review your current communication vehicles and provide an evaluation. Next, we will come together for a strategic planning meeting.
At this meeting we will determine:
- Communication objectives and measurements
- Audiences
- Messages
- Best media options
- Timelines
- Roles and responsibilities
Just like our health and welfare consultants, We approach each client’s communication needs strategically. This ensures you receive the products and services that will make the greatest positive impact.
Open Enrollment and Ongoing Communications Support
We will work with you to develop, implement and measure an effective open enrollment communication campaign. Once we know your key issues, key messages and audiences, we will craft a communication strategy to help your staff understand and appreciate their benefits. As part of the strategy, CHC can produce communication vehicles in a variety of media including Web, print and multimedia.
Predictive Modeling
Predictive modeling is a statistical methodology that uses historical information to predict future behavior. We can present historical information to identify cost drivers and recommend actions to help change behavior of covered individuals to improve quality of care and cost reductions.
Benchmarking
Benchmarking is an effective tool to help identify areas of improvements or strengths, basic market trends and like-industry information such as benefits offered, employer contribution levels, and eligibility periods.
Empowering Employers to Make Informed Decisions: Consultative Healthcare is a full-service agency in Colorado.
What does this mean to you? It means our agency can handle all lines of coverage. We can assist you with your needs.
