Employee Benefits Consulting
To remain customer intimate in today’s business environment requires an employer meet the changing and diverse needs of its workforce to ensure retention of its key employees. We know that developing a long-term employee benefits strategy is a priority for organizations.
To remain customer intimate in today’s business environment requires an employer meet the changing and diverse needs of its workforce to ensure retention of its key employees. We know that developing a long-term employee benefits strategy is a priority for organizations. We understand the goal is to provide a stronger and more comprehensive total rewards offering for your employees, while making it easier for your HR Team and employees to be consumers of your health plans. Exude is ideally suited to help you achieve this goal. We work differently than our competition – we operate through a lens of “Organization Health” to precisely determine how best to support your organization’s goals and objectives, bring our expertise to bear, and together develop innovative solutions that result in the achievement of your mission. Simply put, we “think bigger” than just how best to consult and advise you on employee benefits plans.
With Exude’s Employee Benefits Services, first we listen, then we customize. As your health insurance broker, we take the time upfront to understand your goals, challenges, and culture before designing a custom multi-year employee benefits strategy that will attract and retain the talent you need. Our Benefits Consultants use Exude’s strategic framework to guide us through the entire process to ensure your health plan works for you and aligns with your people and business strategy.
Our Employee Benefit Consulting Services
At Exude, we believe your benefits (and total rewards) strategy should be an extension of your overall organizational objectives. Through Exude’s hands-on-approach to benefits consulting, personalized customer service and the utilization of technology and healthcare analytics, Exude will provide you with a multi-year strategic benefits strategy and design that will bring innovative approaches and ideas, reduce costs, minimize administrative burdens and support your business objectives.
24/7/365 EMPLOYEE ADVOCACY
All of your employees will have access to a dedicated Client Care Specialist to support them with their benefit needs. More than just an advocate, they know your plans inside out, and will exhaust themselves making certain your employees have an amazing experience with their healthcare plan. For emergency questions that arise outside of normal business hours of 9-5pm our team of dedicated service professional are on-call to support your employees with their benefit emergencies.
Some of the most common ways your Client Care Specialist will help include:
- Verification of Coverage: Stuck at your doctor or pharmacy? Your Client Care Specialist can easily verify your coverage and help get you on your way.
- Benefit Questions: Confused about what procedures or medications are covered under your plan? Give us a call and we’ll lay it out for you.
- Claims Issues: Receive a surprise medical or dental bill? Don’t pay and let your Client Care Specialist research it first.
- Ordering new insurance identification cards
- Processing full-time student verification with insurance carriers (for dependent children over the age limit)
- Change of address
- Change of primary care physician/dentist
Our approach to managing risk for your organization is strategic and proactive rather than reactive. We do not feel that it is an effective ‘strategy’ to live from year to year simply lowering your healthcare spend through carrier negotiations and shifting costs. Our benefits consultants will help your organization to develop a long-term strategy from the moment we engage with you. Through this strategy we will use tools such as claims and financial analysis, utilization reporting, and actuarial modeling to help us make informed decisions. We spend the time evaluating how to best allocate the dollars you have. Using our expertise, we will guide you through the process of creating an ongoing employee benefits strategy that attracts, retains and engages your best talent.
Our underwriting team scours the market to ensure you have the most competitive healthcare plans and offerings. We continually monitor your plan performance to provide recommendations and use our market expertise to validate pricing and negotiate fair program fees.
We have full knowledge of carrier plan designs, underwriting requirements, and strong carrier relationships. In addition to strategizing, marketing, and negotiating clients current benefit packages, our underwriting team provides data analytics to our clients to help them make the best decisions regarding their benefit packages.
Using our proprietary analytical tool, we can anticipate your renewals and provide clarity on the drivers of cost increases. By analyzing your plan utilization as it compares to our benchmarks we are able to recommend market competitive benefits plan designs and programs that fit your needs.
Since going beyond the norm is our everyday M.O., we are excited to exceed our clients’ expectations. It starts with customized open enrollment materials to assure your employees of the caliber of your benefits plan. And everything’s done in the language of your company culture, so your employees feel comfort in the level of care, and confidence in the plans you selected. As your employee benefits broker, work with you to craft and deliver a story that communicates the value of your healthcare plans to foster trust and commitment from your employees.
Exude’s in-house certified compliance expert supports the research, education and adherence on compliance related requirements for our clients. Our compliance expert keeps our staff and our clients ahead of the curve on new and upcoming
legislation, the Affordable Care Act, COBRA, HIPAA, and ERISA.
Alternate Funding Solutions
Employers are looking for more creative ways to help mitigate cost as significant renewal increases are on the rise. We work with our clients to address the different funding mechanisms available in today’s market and are committed to building ongoing innovative solutions to impact their bottom line. Below are examples of some of the type of funding arrangements we have implemented and recommended for our clients.
In fact when we take clients to alternative funding arrangement we save them an average of 21% on their premium in the first year.
SELF-FUNDED INSURANCE PLANS
A self-funded group health plan is one in which the employer eliminates obligations to a health plan provider by assuming the financial risk for providing health care benefits directly to its employees. In this arrangement the employer has the most control and greatest access to data. However, your organization needs to open to taking on more risk and have positive cash flow in order to pay for the claims as they come in. Read more about the Pros and Cons of Self-funding here.
A few key questions to consider when thinking about self-funding or alternative funding:
- What are the organization’s goals?
Immediate cost savings, turnkey administration, long term cost control?
- What is the strategy behind the approach being considered?
Independence, cooperative purchasing power, risk sharing?
- What are the intricacies involved with the funding solution?
- Variability in monthly payments, protection for catastrophic claims, fiduciary responsibilities, applicable state mandates?
- What are the organization’s goals?
A Captive program is a Self-Funded plan with the protection of other similar or non-similar companies that buy-in to the Captive together. A captive is an independent insurance company created and owned by at least one non-insurance company that assumes the employee benefit risks. Participating in a Captive allows members to benefits from partially owning an insurance company. In this arrangement, plan designs are completely customizable and employers have freedom of choice for Network and Pharmacy Benefit Manager. There is a possibility that fixed costs may be more expensive. However, potential to receive 100% of surplus along with dividends is attractive. Employers might choose to form a captive as an alternative to traditional insurance in order to better control costs and manage the risks associated with providing employee benefits.
A consortium program is a Self-Funded plan with the protection of Stop Loss Purchasing power. Employers will have the protection to be rated along with hundreds of other companies under the same Stop Loss carrier and therefore receive Stop Loss discounted rates. This benefits program gives middle market employers (50-1000 employees) collective purchasing power that drives down costs and spreads risk, allowing them to design a long-term cost-effective benefits plan that’s self funded with limited risk. Exude’s clients have exclusive access through Exude’s Solution Builder program.
REFERENCE BASED PRICING
Reference Based Pricing (RBP) is a cost containment strategy that allows employers to set a pricing cap on what they will pay for certain medical services. Compared to traditional funding arrangements, this model can result in total claims savings between 15-30% depending on your area. Employers are able to save significantly on claims because they are essentially telling the healthcare system that they will not pay more than what the Medicare price dictates for certain services. Learn more about Reference Based Pricing here.
There is a rise in popularity in Level-funding plans within in the 51-99 market segment. Level-funded arrangements enable employers to benefit from the regular and predictable cost of a fully insured plan with the flexibility of a Self-insured plan and without the uncertainty of fluctuating claims costs. These plans are emerging as a great compromise between fully and self-insured plans as a way to minimize risk with cost predictability.
Level-Funding provides all the same advantages of self-insurance, including greater flexibility than a fully insured plan, so employers can tailor plans to their specific health care needs. Unlike fully-insured plans within the 51-99 market segment, Level-Funded plans allow employers to gain reporting on claims utilization that otherwise is not provided by the carriers within this market segment.
Did you know employee benefits impacts these other areas?
Employee Engagement Assessment
Total rewards is more than money and benefits. Its’ work life balance and culture which are contributors to engagement. Our employee engagement survey will help your organization improve not only engagement, but retention and revenue as well.
Learn More About Employee Engagement
How you structure your benefit plans can drive employee well-being and overall organizational health. Ultimately creating a thriving workplace with healthier, happier, engaged, and higher performing employees.
Learn More About Well-Being
Property & Casualty
As you change your funding arrangements you have new liabilities and considerations on Property & Casualty. Our team knows the in’s and out’s to ensure your entire business is protected.
Learn More About Property & Casualty
Strategy Culture Alignment Assessment
Our assessment helps organizations design a purposefully driven culture that aligns with your strategy creates an environment of high trust, resulting in better performance and business outcomes.
Learn More About Strategy & Culture Alignment
See How We’ve Helped Organizations Like Yours
Managing Employee Benefit Costs
While most organizations were cutting employee benefit plans, Exude was able to add new benefit plan enhancements while delivering a 0% medical renewal increase.
Using Healthcare Insights to Manage Workers Comp
Reduced RX/Medical utilization by 15% and workers compensation by 10%
Integrating Wellness with your Employee Benefits Strategy
Saved 20% on employee benefit costs in year one
Working Together For You
We help our clients in achieve their optimal organizational health by ensuring their business strategy, culture, and benefits strategy are aligned. Our team includes individuals in their respective fields – however, the power of our deliverable is not in our great individual expertise, but rather when we work together as one.
Interested in learning more about employee benefit offerings?