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Part One: Getting Started
Part Two: Getting Covered
Reference Guide
Benefits, Providers, and Costs
Coverage Types
Eligibility and Enrollment
Purchasing Coverage
Laws and Rights
Other Resources
Helpful Tools
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Reference Guide
Benefits, Providers, and Costs
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Related Topics
Brokers
Costs of Group Coverage

Paperwork and Plan Administration

Sponsoring group medical coverage requires paperwork. While these tasks usually aren't too burdensome, the time and money you'll need to spend managing your plan is a cost that you need to weigh along with the cash costs. Keep in mind that brokers often provide many of these services.

Paperwork and employee relations management comes into play:
  • At the beginning when you introduce the health plan to employees.
  • Once a year for annual enrollment.
  • With ongoing maintenance, including:
    • Adding/deleting employees and family members.
    • Making premium payments.
    • Dealing with problems (billing, eligibility, claims).
    • Collecting contributions and managing the payroll to accurately reflect employee contributions.
    • Managing the paperwork for new and terminating employees.
When working with a broker, be sure to discuss with them what administrative duties they'll assume, and which will remain your responsibility.
Other documents in the Benefits, Providers, and Costs section:

Benefits
Benefits of Providing Coverage
Choice of Providers
Co-insurance
Copayments
Costs of Group Coverage
Cost-Sharing
Coverage Scope
Deductibles
Managed Care
Paperwork and Plan Administration
Pre-Existing Conditions
Premiums

 

 
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