Fiduciary Benefits Advisors - A Guaranteed Solution

Your Strategic Fiduciary Health Plan Advisors

Over 2,500,000 Million Health Plans Are Out Of Compliance

Shift Your Risks and Liabilities to Us – Your Peace of Mind is our Duty.

We Remove the Conflicts of Interest & Compliance Pitfalls of Your Employee Benefits Program

Done-for-You Benefits Services

With Guaranteed Results

Compliance Review & Remediation

Conflicts of Interest Discovery
Benchmarking of Provider Fees
Rectify Prohibited Transactions
Review Service Agreements and Contracts
Recommend Contract Amendments
Gag Clause Assessments & Reporting
Continuity of Plan Documents and Federal Fillings.
Fiduciary Committee Training

Fiduciary & Compliance Guide

Document Discovery, Monthly Updates and Quarterly Reports - Ongoing Support and Services

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Health Plan

Improvement

Compliance Review & Remediation
Benchmark Service Providers' Contract and Compensation
Strategic Plan Improvement Playbook
Advanced Claims Analytics
Clinical Monitoring and Oversight
Multi-Channel Communications
Effective Participant Communication
RFP Development

Plan Sponsor Specialist

Resource Gathering, Bi-Weekly engagements, Monthly Updates and Quarterly Reports - Ongoing

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Fractional

Benefits Manager

Direct Negotiation on Plan Sponsor’s Behalf
Third-Party Service Provider Management & RFP Execution
Plan Cost Management, Data Analysis & Reporting
Employee Communication & Benefits Education Programs
Doctoral Evaluation of Past and Prospective Claims
Regulatory Compliance, Fiduciary Committee & Policy Development

Health Plan Co-Fiduciary

Weekly Support, Monthly Projects, and Quarterly Plan Management Reviews and Action Items

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Actuarial Services

Renewal Analysis:
Medical, Pharmacy, & Stop Loss Coverage
IBNR and Claim Fluctuation Reserves
Financial Planning:
Budgeting, Forecasting, and Claims Analysis
Premium Rate Setting:
Coverage Tier Strategies and COBRA Rates
Plan Design and Coverage Cost Benefit Analysis

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Discovery Calla guaranteed solution

The Comprehensive Solution to Managing your Health Plan

Fractional Benefits Manager

Co-Fiduciary Governance

& ERISA Attorney Support

Establish a fiduciary framework ensuring compliance with regulatory standards and best practices in health plan management. Contract audits, transparent reporting, and adherence to you fiduciary duties.

Health Plan

Design and Oversight

Review, develop and improve employee benefits programs, administer claims review, resolve disputes, maintain policy documents, and oversee full plan management.

Claims & Data

Action Plan

Implement advanced actuarial claims analytics and predictive cost management, conduct regular data claims audits, and develop strategic plan improvements based on claims data trends to optimize performance.

Support for Human Resources Director

Assist in Recruiting and talent acquisition, Supporting training and Development programs, resolving complex employee disputes, HR technology implementation, & managing organizational change.

Health Plan Purchasing & Insurance Consulting

Simplifying the purchasing process by eliminating conflicts of interest and allowing employers to contract directly with health plans. Reducing redundancies, increasing efficiencies, and providing plan transparency.

Our Service Fee ROI Guarantee

Experience our promise of excellence, a crystal-clear approach that uncovers significant cost-saving opportunities, eradicates compliance issues, and ensures a seamlessly aligned Service Level Agreement.