COBRA/HIPAA ADMINISTRATOR
COMPARISON
OF SERVICE AND FEES
Other
Services Furnished
COBRA Plus Administrator
|
**Initial in-house training session
for personnel responsible for COBRA/HIPAA Compliance |
Yes |
|
|
Procedures manual for COBRA/HIPAA furnished to in-house personnel |
Yes |
|
|
Initial Notifications by first class mail with Proof of Mailing to all qualifying insured as of Plan take-over date (COBRA/HIPAA) |
Yes |
|
|
Initial Notifications sent by first class mail with proof of mailing to all qualifying insured’s after Plan take-over |
Yes |
|
|
** Web site for communicating
Qualifying Events for in-house personnel |
Yes |
|
|
**”Reason for Change” forms
furnished to in-house personnel to avoid Employer liability for “deemed
notifications” by Employees (i.e., changes of beneficiary, change of
residence, etc.) |
Yes |
|
|
Qualifying Event notification sent by first class mail with Proof of Mailing Certificate to all Qualified Beneficiaries |
Yes |
|
|
HIPAA Certificate of Creditable Coverage sent with Qualifying Event Notification and Second Certificate sent following termination of COBRA |
Yes |
|
|
Update Notifications by first class mail sent to covered Employees, COBRA participants, and/or Qualified Beneficiaries as may be required by amendments to the regulations or changes to covered benefit plans |
Yes |
|
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Service Contract |
Yes |
|
|
Fee Guarantee for two years |
Yes |
|
|
Fee Guarantee for three years |
Negotiable |
|
|
**Initial COBRA Audit at Plan
Takeover |
Yes |
|
|
**Annual COBRA Audit |
Available |
|
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Provide New Hire, Qualifying Event and Reason for Change forms to be used by the Employer |
Yes |
|
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Establishment of all covered Benefit Plans on COBRA Plus system |
Yes |
|
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Notifying the Employer of known changes or updates relating to compliance with the act |
Yes |
|
|
**Open Enrollment/New Plan
materials sent to current COBRA participants |
Yes |
|
|
Notifying the Employer of any discrepancies or conditions it discovers during the course of its operations, which may require action by the Employer |
Yes |
|
|
** Billing, tracking, premium
collection and remittance to the Employer of COBRA Premiums |
Yes |
|
|
Maintain computer and/or physical records of all notices sent. Qualifying Event Notices will be recorded on ledger books approved by the U.S. Postal Service |
Yes |
|
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Termination Notification upon non-payment of premium or end of COBRA term. COBRA Plus will maintain a database of qualifying beneficiaries to whom notifications have been sent. Data will include all pertinent information reported to the Employer |
Yes |
|
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Provide Employer with confirmation of all notifications sent. Confirmation reports include reason for notice, qualifying event, qualifying date, notifications date, and the deadline for any response by the qualifying beneficiary |
Yes |
|
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Annual Fees all inclusive; (i.e., no other supplemental fees charged during the Plan Year) based upon current participants |
Yes Quoted on a per plan basis |
|
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Are Employees sold or required to buy insurance products |
No |
|
**Often overlooked by company and administrator