Sample Service Calendar

First Quarter

Benefit Reference Document

The benefit reference document is a single source document detailing key information about each of the benefit coverages provided. The report highlights important facts about each type of benefit coverage inclusive of:

• Insurance Carrier Contracts
  
  
• Eligibility
  
  
• Benefit Description
  
  
• Funding Arrangements
  
  
• Current Rates
  
  
• Contribution Levels
  
  
• Financial Summary
  
  
• Coverage Funding Arrangements Participation, etc.
  

Second Quarter

ERISA Compliance/Review Progress

Throughout the second quarter we focus on government compliance and assist in preparation of required reporting as directed by ERISA. We gather Schedule A information from carriers for preparation of the Form 5500. We also assist in the drafting of summary annual reports and review of summary plan descriptions for distribution to all eligible employees. In addition, we prepare a compliance calendar showing the due dates of such documents. Of course, the actual filing will require review by your tax or legal counsel as we do not practice law.

Third Quarter

Pre Renewal Process/Future Considerations

We assist in reviewing your objectives to be certain the benefit plans established at the beginning of the year are indeed meeting those objectives on an on-going basis. Reviewing the objectives combined with a mid-year financial analysis report provides for a basis for future considerations. These considerations would include: alternative benefits to offer, redesigning programs, re-establishing objectives, and alternative market considerations if applicable. Provide claims analysis and reports.

Fourth Quarter

Renewal Process/Coordinate Employee Meetings

During the fourth quarter we focus on the renewal process. This process includes reevaluating the service requirements of all other insurance providers. The current carriers’ renewal will be analyzed and negotiated to provide for the most favorable contract terms of our clients. Budget projections and methods by which to evaluate service requirements will be established.

Communicate Plans

A communication program will be developed to communicate the major components of the benefit programs and identify any changes for the new plan year to employees. This would include coordinating employee meetings if deemed applicable.

Contract/Applications

All contracts and applications will be reviewed for accuracy prior to implementation.
Once submitted, all applications will be tracked until the case is completed and installed.

On Going Services

Throughout the year, Kim Stanley Insurance, Inc. will act as liaison between the insurance providers and you, the employer. We will continue to monitor and review the progress of the benefit programs on an on-going basis. We also provide resources as they relate to day-to-day issues revolving around such items as:

• Employee Communications
  
  • Open Enrollment
    
  • Benefit Summaries
  
  
  
• Current Developments (both Federal and State)
  
  
• Claims Analysis & Reports (see attached sample report)
  
  
• Billings/Service Resolution
  
  
• COBRA
  
  
• FMLA-Family Medical Leave Act
  
  
• ERISA Compliance
  
  
• HIPAA