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Case Study 1

Prospect A 50 employee municipal group in a self-funded pool.
Issue The existing benefits plan, which had not been reviewed in a number of years, had several issues; including a limited physicians’ network, difficult claims processing and specific requirements of the employees’ union which were not being met.
Objective To find a cost-effective plan with a fully-insured carrier that offered an extensive network of physicians, prompt claims payment and satisfied the union contract requirements.
Result Negotiated a fully-insured plan with a prominent, nationwide carrier, resulting in an annual savings exceeding $150,000 and a dramatic improvement in employee satisfaction.

Case Study 2

Prospect Professional office looking to restructure a weak 401k plan.
Issue Contributions to the 401k plan had been dwindling due to lack of understanding and attention. And therefore, restricting the amount highly-compensated individuals could contribute to the plan.
Objective To increase contributions by all employees to their 401k plan.
Result Switched to a highly-respected nationwide 401k provider that specialized in the new comparability laws and formulas. We set up employee meetings on a frequent basis to educate them on the 401k plan and to present various investment options to help them achieve their personal financial objectives. The highly-compensated individuals were able to increase their maximum allowable contribution from 10k per year to 40k per year. The 401k plan is now thriving.

Case Study 3

Prospect Manufacturer frustrated with their renewal increases.
Issue The employer was either switching companies or reducing benefits every year in an effort to minimize renewal increases. This was a very time-consuming process resulting in employee confusion about their benefits and dissatisfaction in reduction in benefits.
Objective To find a plan for the long term with stable increases. It was also important to increase employee understanding and satisfaction of their benefits.
Result Switched to a carrier that specializes in Consumer Driven Health Plans. A plan was implemented four years ago. The client has experienced stable increases. Customer service has been unrivaled by any other carrier. Employees and their spouses have been educated on the benefits of their plan. Most employees have accumulated money in their Personal Medical Fund. Thus, their plan has become richer over the years with the accumulation of savings. Employee satisfaction has increased. Only minor adjustments have been required at renewal, saving the administrator from the time-consuming hassle of shopping other carriers and the underwriting process.
 
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