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Services Provided
Initial Setup
Collect Employer Benefit Information
Setup COBRA Software and Modify Notices
Communication to Existing COBRA Members
Setup Direct Billing with Insurance Carriers, if available
Monthly Services
Submit Premiums to Insurance Carriers or to Employer
Notification Services
General COBRA Notice to New Hires, Newly Covered Members
Misc. HIPAA Provisional Notices to Newly Covered Members
Initial "Special Enrollment" HIPAA Notice to New Hires
COBRA Election Notices
HIPAA Certificates of Creditable Coverage (at loss of coverage and end of COBRA period)
Notification to Health Plans and Confirmation Notification to Employer (i.e., termination requests, reinstatement requests)
Multiple Qualifying Event Notices as Required
COBRA Participant Services
Generate Premium Coupons for New COBRA Members
Tracking of Election Timelines
Collection of Monthly Premiums
Customer Service for COBRA Members
Conversion Notices for COBRA Members Six Months Prior to End of COBRA
Open Enrollment Communication to COBRA Members
Miscellaneous Communication (i.e. NSF checks, partial payments, credit balances)
Generate Billing Statement as Needed
Termination Letters/HIPAA Certificate of Creditable Coverage to COBRA Members and Communication to Insurance Carriers when COBRA Coverage is cancelled
FMLA Services Offered (Groups with 50+ employees)
Process Family Medical Leave requests, which include the following:
Evaluate all requests for leave to determine eligibility
Mail response form, along with Health Provider Certification form
Track receipt of documents
Track amount of leave time
Collect employee benefit contributions, if any, and forward to employer on a weekly, bi-weekly basis, etc. (depending on payroll frequency)
Mail status update forms, and track until employee returns to work or employment is terminated Develop employer policy in English and Spanish
*COBRA, HIPAA and FMLA administration is provided by COBRA Administration and Health Services, Inc. (CAHS) under the Choice COBRA brand name. The service contract for these services is between the employer and CAHS.
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