Enrollment, Eligibility and Billing Distinctions

Employers and their advisors are increasingly seeking to outsource in-house corporate benefit management. Total benefit management outsourcing provides nearly complete freedom from the benefit administration workload. The functions most often targeted for outsourcing include enrollment, carrier-eligibility and billing processes. Finding truly dependable services is critical, but finding trustworthy benefit administrative services can be challenging. Benesyst's systems excel in all key areas:

Implementation Project Management

Implementing an outsourced solution is a serious undertaking, no matter what any salesperson tells you. Understanding your world, your culture, your policies, rules and practices - as well as your benefit plans - is crucial to achieving success in outsourcing. Yet so often, in the labor- and research-intensive aspects of implementation, requirements and assumptions collide in a rush to complete implementation, with unprofessional results. With Benesyst, you can be assured of professional project management planned and supervised by professional project managers, experienced in both benefits and outsourcing preparation and execution. The result? Success. This is just one important reason to select Benesyst.

Complex, Rules-Based Benefit Enrollment

A key Benesyst advantage is our ability to manage a wide variety of benefit structures and eligibility scenarios. Benefits based on class, business unit, location, or other variable are generally no problem for the highly flexible BeneSmart system. You can trust that employees will be presented with the correct options, tiers, rates and content, based on the required eligibility criteria. Likewise, BeneSmart easily manages carrier billing rules and payroll deduction rules.

Defined Contribution (Cafeteria) Benefit Structures

Does you plan offer a budget of benefit credits (employer contribution by class) that the employee can spend down on various benefit plans? Are there rules on which benefits the dollars can be applied to? Rules on how the remainder can be applied? Cash-out conversion? All these are no problem for the rules-based processes within BeneSmart.

Decision Support

Benesyst's enrollment and Employee-Self-Serve options within BeneSmart provide tools for calculating costs, modeling benefits based on individual needs, as well as customized content management. The result is greater privacy and self-sufficiency for the employee. Employees are able to arrive at better decisions with less of a drain on your limited resources in the HR/benefits department. This means greater productivity for you; an ability to concentrate on planning and strategy, rather than answering the same questions, over and over. It also means greater productivity for employees, as they are able to get their questions answered after hours, at home (see BeneSmart ROI).

Content Management

BeneSmart's content management gives you the opportunity to provide documents, forms, SPDs, hints, Q&A info, links, video clips and a wealth of other information to employees, customized by eligibility, round the clock! The rules-based content repository can be used by eligible HR and employees alike - a major convenience and a great way to get more efficient!

Eligibility Data Relayed To Carriers

Benesyst's carrier connectivity provides an electronic data interface between Benesyst and a wide array of health, dental, vision, life disability and ancillary benefit providers. Health data is relayed in HIPAA 834; alternate formats are available for the needs of ancillary carriers. This ensures that you control the data that carriers receive, that the data is timely and that it ties out to the billing you also control (consolidated benefit billing) which is created by the same system that controls and transmits the eligibility.

Consolidated Benefit Billing

What your organization pays for benefits each month should tie-out precisely to the eligibility data relayed to carriers. Benesyst's system controls the changes going into carrier systems, and our internal systems and staff ensure that exceptions are aggressively managed with each carrier. This system prevents overpayment and generally saves employers at least 1% of the annual benefits budget in successfully captured credits for retroactively-dated changes. Also, since data is relayed electronically, stale dated changes resulting in lost premium months become unlikely.

Payroll System Integration & Connectivity

We can integrate with virtually any ODBC-compliant payroll system. This includes 95% of what's out there, including the payroll industry leaders. Going with Benesyst gives you the freedom to select the payroll system or vendor you choose, without concern that you'll be tied to any one's limited benefit management capabilities or questionable service levels. With Benesyst, benefits are our only business.

Employee Self-Serve & Life-Cycle Event Management

Benesyst's systems are designed to manage all "hire to retire" life events for the employee and dependents. Nearly sixty types of employment and/or life events are managed by the system. Any of these events can be "farmed out" to employees to run on a validated "self-serve" basis. This makes BeneSmart a truly all-encompassing service and a time-saving, money-saving partner in all aspects of benefit management. Employees can view their benefits and, if authorized, make their changes in the privacy of their workspace or home, without employer involvement. Changes can be monitored by the employer and the range of self-serve events can be contracted or expanded as required.