For a compliance or HR consultation call today
We believe in making the Open Enrollment (OE) process fun. We want to encourage your staff to enroll and engage in their health. So, whether it’s handing out goodies at your Open Enrollment meeting(s), creating and implementing contests to incentivize employee engagement or designing a wellness program to encourage healthy living throughout the year, we think the meeting itself is the perfect time for you communicate the value of your benefits and to get the goodwill you deserve for the money that you spend on benefits.
Our in-house actuaries use our proprietary software to review clients’ demographics, regional cost of care by insurance carrier, and claims. Our parity tool analyzes the premium and the relative value of the plans being offered to ensure that a decrease in plan design is met with the appropriate decrease in cost With this tool, we are able to show the best value overall, which is not necessarily the cheapest. Beyond renewal actuarial services, we can provide access to INBR reporting for self-funded client at no cost as requested.
At Open Enrollment, our team will give your employees their contact information to be the first line of defense in dealing with insurance carriers. Our presence at open enrollment, at wellness events and in our online system encourages employees to contact our staff about claims issues, benefit confusion and general questions. Our Benefits Success Experts have been very successful at negotiating claims with both providers and insurers, with countless examples of mis-billed claims that have been resolved. We are on call daily for your employees’ needs and we encourage them to contact us directly if they have questions about plan designs, claims, wellness initiatives and service offerings.
We will look at your claims and make targeted plan design recommendations based on utilization. For example, last year, with one client, we found 42% of ER over-utilization. By moving this to a higher copay and educating employees on alternatives like telemedicine and urgent care, we were able to bring the excess utilization down.
We design and print custom benefit guides to help your employees navigate your offerings. We create powerpoint presentations as needed. We coordinate with carriers for additional printed resources. We update and maintain our online portal for your preferences. We do all of this at no additional cost. See example guides from past years.
Negotiating with insurance carriers isn't always a cup of tea. Let us help you navigate renewal negotiations.
After each open enrollment, our benefits success team uses our proprietary technology to complete an audit of every bill to ensure open enrollment changes were processed correctly. We are also willing to do an audit on request at anytime for clients. For some clients, we have also partnered with services that complete this on a monthly basis to ensure continued accuracy.
From initial COBRA Set-up & implementation to employee notifications to premium collection, we'll support you in your COBRA administration with free software that will make the process easier.
As a Volk Insurance Benefit client, you will have access to a benefits administration at no cost. Our team will help make Open Enrollment as simple as possible by updating your offered plans and by supporting you in managing the enrollment process for your group. We also support you with staff that can manage the addition, termination and updates of employees
Your benefits success team is well versed in different wellness plan options and will do a formal wellness plan RFP to determine the best options for your group. We are dedicated to helping employees to healthy in unique ways. We have created onsite/ near site clinics, managed numerous health fairs, and created fun and meaningful events including benefits hikes, bike rides and community service. We have also scheduled seminars to help with financial wellness and stress management. We have experience working with carriers to find low cost solutions that help employers with productivity, absenteeism, and workplace culture.
We have created near site direct primary care practices for clients in the Boulder area ( though we are able to expand to any location) through our direct primary care practice, Foundation Health. With direct primary care, employees face no barriers to getting the care they need through flexible scheduling, longer provider face time with an average visit of one hour and no copays, coinsurance or deductibles at the direct primary care practice. With out barriers, employees are able to treat issues early, turning potentially large and life threatening claims that spiraled out of control because of inadequate access to simple procedures, quick surgeries or lifestyle changes that have lifelong impact.
The Consolidated Appropriations Act requires employers who sponsor health plans to report certain information regarding prescription drug benefits to the Secretary of Health and Human Services. If you’re a self-funded employer, the FH Insurance team can help you navigate these complicated requirements. This reporting requirement is intended to increase transparency in prescription drug pricing and to provide data to support negotiations between health plans and pharmaceutical manufacturers.
We'll help you navigate the complexities of benefits compliance from PCORI, ACA, ERISA, and more.
We'll help you manage the administration of your company-sponsored HSA plans and HRA plans.
At Volk Insurance Benefits, we understand the importance of making sure your company is FMLA compliant. We offer FMLA Compliance support to help you track and comply with federal laws.
Concerned about making sure that you're fully compliant? We'll prepare your POP & WRAP Documents for you.
The FAMLI (Family and Medical Leave Insurance) Act in Colorado is a piece of legislation aimed at providing paid family and medical leave to employees in the state.
We provide custom reporting for self-funded clients so you can understand claims risk and make informed decisions prior to renewal. We will identify high cost claims and create expected renewals based on the reporting and claims.