Self-Funded Plan Management
Why
Self Funding?
In
a word, control.
Self
funding places the employer in control of its health benefit plan.
The flexibility to customize health benefits in response to employees’
needs is becoming more and more important as a major tool for recruiting
and retaining the best staff.
Self-funding
places the employer in control of claims information.
Regular, frequent availability of claims data gives employers a better
understanding of expenditure trends, enabling better management of  health
benefits to maximum employee advantage within the limits of the
employer’s resources.
Self-funding
places the employer in control of risk exposure and stop loss costs:
Employers determine how much risk they want to assume by selecting stop
loss deductibles reflecting their financial goals and capabilities. If
an employer wants to set aside reserves, ERISA allows plans to establish
claim reserves held in an interest-bearing bank trust or a 501(c) (9)
trust. Employers may place up to three months of expenses into such an
account, generating additional investment income.
A
relationship with Gateway provides:
-
Dedicated Account and Service Representatives (on site meetings with
employees)
- Administration
of FSA, HRA, COBRA, HIPAA, Dental, Short Term Disability
- One
Enrollment Card / Medical, Dental, Drug
- Quality
Management Reporting
- Online
Enrollment and Administration
- Drug
Vendor — multiple pharmacy benefit arrangements available
- TXEN
System — Computer Sciences Corp.
- Advanced
technological expertise
- Employee
and Employer can review claims online
- 60%
electronic claims / 100% accuracy guarantee
- Dedicated
Claims Examiner
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