Health & Welfare: Total Benefit                 

                     Administration
 

 

Deliver health care benefits efficiently and accurately
 

Sharply rising health care costs and the system's growing complexity are forcing many U.S. & Indian employers to take a hard look at how they deliver health care to employees. More and more, they're outsourcing health and welfare administration—controlling costs, enabling movement toward consumer-driven health care, and freeing staff to focus on HR programs that drive growth.

We're the leader in outsourced health and welfare delivery, handling the administration of health care for more than 7 million employees and retirees. From designing the very first flex plan to pioneering today's cutting-edge, consumer-driven health plans, we have a long track record of innovation and industry firsts.

Comprehensive Services
Our basic health and welfare administration services include:

• Full enrollment support including annual enrollment, new hires, and life events—with enrollment supported via the Internet or Customer Service

• Robust decision-support tools including health plan comparison charts, provider search, and cost estimators 

• Eligibility reporting to carriers

• Complete reporting package—enrollments, census information, premiums, and more 

• Integrated communications support
   

welfare also offers several additional services to provide you with flexibility to design an outsourcing solution that best meets your needs:

• Spending Account administration—Administration services for flexible spending accounts (FSAs), health reimbursement arrangements (HRAs), health savings accounts (HSAs), retiree health care accounts, transportation, tuition reimbursement, adoption assistance, wellness incentive programs, and other types of accounts.

• COBRA administration—Identify qualifying events, produce COBRA notices, enroll qualified beneficiaries, track COBRA coverage periods, bill qualified beneficiaries, and terminate coverage for nonpayment.

• Direct Billings and Payments—Hewitt handles the billing and collection of premium payments for retirees, COBRA enrollees, and other people not actively on the payroll.

• Advocacy—Advocates assist people with resolving access to care, claims, and other issues. 

• Claim and Appeal services—A team of specialists provides client support for benefit claims and appeals. 

• Dependent eligibility audit—Hewitt audits existing dependents and/or verifies eligibility for dependents being added to coverage. Each dependent management strategy is tailored for a client's unique situation and objectives and considers plan design, communication, target populations, appeals, and ongoing administrative procedures.

• Carrier premium payments—Hewitt authorizes fund transfers from client accounts to health and welfare carriers.

• Health plan eligibility services—Hewitt quickly transmits accurate eligibility and premium information from your organization to the insurance carriers you use, helping you save millions of dollars while improving service to employees and retirees.

Many clients also realize additional synergies via our health care consulting services.

Change-Enabling Technology
The robust platform powering our outsourced health and welfare administration enables innovative health care strategies, promotes employee self-management, and facilitates third-party interactions.

As health care becomes more complicated, it's important to ensure that employees can access the best information. Our online tools—from health plan comparison charts to health care cost estimators—ensure that employees get the right information to make the best and most cost-effective health care decisions.

And, since health care is a highly personal decision, we concentrate on providing high-touch solutions where participants need them most. The Mongan Method

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