Plan Design and Analysis

  • Complete plan designs and re-designs.
  • Analysis of funding mechanisms, including self-insurance feasibility studies.
  • Analysis of ASO and TPA service organizations in self-funded situation.
  • Development of bid specifications for insured groups (or for stop loss coverage and administrative services in self-funded situations) for competitive plans.
  • Analysis of cost impact of new benefits (e.g. vision, dental) or of modifications to existing plans.
  • Expert information on evaluation and selection of alternate delivery systems.
  • HDHP's (High Deductible Health Plans), CDHP's (Consumer Driven Health Plan's), HSA's (Health Savings Accounts), HRA's (Health Reimbursement Arrangements), HMO's and PPO's.
  • Section 125 and 105 Plans.
  • Development of plan documents and summary plan descriptions for appropriate review.
  • Evaluation of appropriateness of rate increases by incumbent insurance carriers and competitive market analysis.