Our Software Solution:

EMS (Eligibility Management Solution)

Our EMS system is a flexible human resource platform designed to handle benefit and HR related information. Some of the features include:

• New hire processing
• Payroll integration
• Eligibility maintenance
• Employee self service
• Administration
• Online enrollment
• Electronic reporting and Exchange capabilities
  

Benefit Administration Outsourcing:

Group Associates provides comprehensive benefit administration services. The following are a few of the many services we currently provide:
 
Administrative Services

• Process and distribute HIPAA notices (new hire, add/drop dependent, etc.)
• Call center operation
• Answer questions regarding benefits and eligibility
• Assist during enrollment period
• Escalate claim issues with carriers
• Call log and recording
• Verify IRS qualifying events
• Track leave of absence events and manage according to company policy
• Audit elections and approve changes per plan/company guidelines
• Audit dependent changes and approve per company guidelines

Eligibility Maintenance

• Create eligibility groups based on company’s employees classifications
• Assign employees to appropriate eligibility group
• Calculate eligibility date based on corporate rules
• Enroll employees in coverage based on eligibility group

Enrollment Services

• Full open enrollment services and/or year round services
• Create enrollment packets and distribute to employees
• Collect employee elections via the web, telephone, or paper
• Review election changes and audit elections against eligibility rules
• Distribute confirmation forms
• Electronically transmit elections to appropriate carriers
• Maintain audit trail of activity -including elections, issues, and resolutions

COBRA Services

• Send out HIPAA notices
• Bill individuals on COBRA
• Collect premium and remit to carriers

...AND MUCH MORE!