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Client Services
MedCost offers clients the following services:
- Complete Plan enrollment and implementation services
- Preparation of
ERISA -compliant written materials, including Administrative Services Agreement, Plan Document, and Summary Plan Description (SPD)
The Employment Retirement Income Security Act of 1974 (ERISA) is a federal statute enacted to protect the interests of employee benefit plan participants and their beneficiaries. It requires disclosure of financial information concerning the Plan to employees and establishes standards of conduct for those involved with the Plan’s administration.ERISA (x) - Preparation of personalized identification cards
- Employee communication meetings
- Preparation of
ERISA
- Pharmacy Benefits administration
- Access to MedCost Preferred PPO and national primary and travel (wrap) PPO networks
- MedCost Care Management programs, such as Personal Care Management, SmartStarts Maternity Management, Health Risk Assessments, Lifestyle Management Programs, Catastrophic Case Management, and Utilization Review
- Stop-Loss underwriting and administration, including filing stop-loss claims
- ERISA Legislative Compliance
- Department of Labor Claims Regulations
- HIPAA Privacy and Security Standards
- Claims adjudication and reporting (Health, Dental, Disability, and Vision)
- Flexible Spending Account (FSA) administration
- Health Savings Account (HSA) and Health Reimbursement Account (HRA) administration
- 24-hour online access to eligibility, claims, Explanation of Benefits (EOB), SPD, and schedule of benefits
- COBRA support services
- Eligibility maintenance
- Monthly stop-loss reporting; quarterly cost and trend reporting
- Coordination of benefits
- Subrogation and recovery from third-party payers
