EXECUTIVE SUMMARY

The larger employer typically has a need to outsource Direct Billing functions. Direct billing, simply put, is invoicing individuals for their benefit premiums on a periodic basis. Individuals who may need to be direct billed include:

• Retirees
• Domestic Partners
• Surviving Spouses
• Severance Plan participants
• Individuals on a leave of absence

OVERVIEW

Notifications

• Announcement of new administrator (for current continuants)
• New Plan Notification
• Plan Termination Notification
• Rate Change Notification
• Termination Notices

Administrative Processing

• Rate change processing
• Address or dependent changes
• Coordinate with COBRA when applicable
• Optional HR functions (life conversion, death claim, etc.)

Premium Processing

• Monthly Premium Invoicing
• Collection of Premium
• Verification of Funds
• Premium distribution to employer

Terminations

• Termination due to late, partial or nonpayment
• Termination due to coverage period expiration

Reporting and Eligibility

• Address and dependent changes
• Plan changes
• Current status of continuants
• Termination reports
• Premium distribution reporting

Call Center and Customer Service

• Toll free 24-hour interactive voice response to continuant status inquiry
• Toll free customer service available from 8:30 am to 5:30 pm EST Monday - Friday
• Call recording of all customer service calls

Documentation

• Announcement of new administrator (for current continuants)
• New Plan Notification