BROKERS AND THIRD PARTY ADMINISTRATORS

Our consultants provide the following services to brokers and third party administrators (TPAs):

Group Medical Funding Studies

  • Premium equivalent rate development
  • Plan design modeling
  • Stop loss attachment optimization
  • Network discount analysis

Self-Insured Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Medicare Creditable Coverage Testing

  • Testing employer plan designs to evaluate compliance with minimum Actuarial Value (AV) requirements
  • Issuing a report in support of employer creditable coverage notices

LEARN MORE ABOUT CREDITABLE COVERAGE TESTING…

Incurred But Not Paid Valuation

  • Develop estimates of IBNR/IBNP claims
  • External auditor support

Captive Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Reference-Based Pricing

  • Quantify the financial impact of utilizing a reference based pricing reimbursement model

M&A Due Diligence

  • Buy-side and sell-side due diligence analysis of employee benefits

OPEB Actuarial Modeling

  • FASB and GASB actuarial valuations of post-employment benefits

Our Team