• Medical Plan Administration
• Dental Plan Administration
• Consumer-Driven Health Plan Administration
• Prescription Drug Plan Management via one of our preferred Pharmacy Benefit Managers (PBMs)
• Short Term and Long Term Disability Management
• Vision Plan Administration
• Complete COBRA and HIPAA Administration
• Section 125 Flexible Spending Account (FSA) Administration
• Comprehensive plan design and consultation, including drafting of Master Plan Document, Summary Plan Description, and supporting plan administration materials
• Preparation of all necessary governmental reporting, such as Forms 5500 and 1099
• Electronic reporting and analysis on a monthly, quarterly, and/or annual basis
• Web-based electronic enrollment, claims and EOB look-up capability for members
• Performance guarantees

Member Services

• Toll-free Customer Service line for participants and clients
• Sophisticated On-Line capability to enroll, review claim status, request forms, access provider network, and download plan reporting
• Automated next day e-mail notification to members of claim activity
• BMS DirectPay direct deposit benefit payment system
• An available 24/7 toll-free Nurse Line
• Automated fax-based system which enables providers to obtain member specific benefit claims information 24/7/365

Insurance and Reinsurance services

• Obtain competitively priced specific and aggregate reinsurance from one of over a dozen top-rated reinsurance carriers and MGUs
• Provide all lines of True Group (employer paid) and Voluntary (employee paid) insurance coverage, such as Term Life, Accidental Death and Dismemberment (AD&D), Whole Life, Universal Life, fully insured Short and Long Term Disability, Vision, and Long Term Care
• Provide other ancillary products such as Pre-Paid Legal Services and discount auto and homeowners policies.

Health Management and Health Promotion Services via BMS CareConnex™

• Large Case Management
• Disease Management
• Pre-certification, concurrent hospitalization review, and discharge planning
• Selection and/or evaluation of PPO, PHO, and EPO using GeoAccess and disruption reporting
• Pre-natal program for evaluation and management of moderate/high risk pregnancies