The “Ace” in your benefit plan Did you ever play the card game “Pass the Ace” as a child? You get one card and three chances to NOT be left with the Ace at the end of the hand. Those who get the ace too often are bumped from the game until only one remains. It’s not a...
Benefit Plan Audits Employee benefit plans, like other business cogs, can be taken advantage of via fraud or other forms of mismanagement. A benefits plan audit can help employers minimize this risk and ensure the plan is on track to remain sustainable. Some...
Reviewing the numbers When evaluating claims usage on a benefit package, has your consultant ever measured the difference between what has been submitted, compared to what was actually eligible under the terms of the benefit coverage contract, and then to finally what...
Is this also known as “pass the buck”? We seem to have developed an unhealthy methodology in the benefits world…pass the claim. There are multiple levels to choose from: Level one: An employer doesn’t offer a benefit plan to the employee, or limits coverage to...
Just how do employers know their benefit plan has the financial integrity to not be taken advantage of via fraud or other forms of mismanagement? While some organization will hire outside practitioners to complete a full financial audit of all of their benefits,...
The most common understanding of a “Lifestyle” drug is a medication prescribed for what are considered non-life threatening and non-painful conditions, like: · Erectile Dysfunction · Baldness · Acne · Narcolepsy · Sleep apnea · Fertility...
