About First Benefit Administrators
We were founded to provide professional administrative services for employer sponsored employee group health plans. We operate under a Certificate of Authority issued by the State of Florida. We are currently managing groups ranging from 35 to 5,000 employees.
Services
We provide the following services:
- Plan design, including Plan Document and Summary Plan Description.
- Arrange group life insurance coverage.
- Arrange utilization review, large case management and hospital auditing services through contracted providers.
- Arrange and contract Preferred Provider Organizations (PPO).
- Conduct enrollment meetings and provide the necessary materials, including enrollment forms, identification cards (I.D. cards), claim forms, and other appropriate supplies.
- Computerized adjudication of medical, dental, vision and short term disability claims.
- Computerized monthly list billing, claim reports, and utilization.
- Administration and filing stop-loss reinsurance reimbursements.
- Assist in the compliance with federal and applicable state laws, including reporting requirements.
- Administration and implementation of Section 125 Plans.
- COBRA and HIPAA administration.
Self-funding
Self-funding with Stop-Loss Reinsurance is designed to provide employers with an alternative to conventional health insurance. Self-funding can assist employers by providing the means to control the cost of health coverage.
Advantages
- Cash Flow - the employer can hold the money to pay claims, until it is needed to pay the actual cost of the claims.
- Immediate cost reduction with lower claims experience due to the plan design.
- The employer can significantly lower expenses by reducing the premium taxes, administrative fees and risk charges.
- Personalized claims services at a local office.
- Ability to monitor and control the benefits design to the employers' specific needs.
- Choice of Provider Networks.
Please contact us by telephone, E-mail, or postal mail for additional information.