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

 

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

 

Provide New Hire, Qualifying Event and Reason for Change forms to be used by the Employer

Yes

 

Establishment of all covered Benefit Plans on COBRA Plus system

Yes

 

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

 

 

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

 

 

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

 

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

 

Are Employees sold or required to buy insurance products

No

 

**Often overlooked by company and administrator