ABOUT US

More Than Insurance Brokers, We Are Your Benefit Partner

Employee benefits are a vital tool in building a successful, profitable company.  However, balancing costs and managing benefits in today’s insurance landscape is not easy.  Today’s Benefit Solution Group can help.  We get best results by practicing a “people first” approach to consider and provide benefits that fit the needs of both the employer and their employees as a whole.  But, just as important, we help clients succeed by providing something more harder to come by today – superior customer service that goes far beyond what the ordinary broker provides.  LEARN MORE ABOUT US

OVERVIEW

Employee Benefits &
Benefit Management Services

Employee Benefits

Plan design, customized to fit the unique needs of your business and it’s employees.

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Cost Saving Plans

Tax-advantaged plans allow employees to pay for premiums and healthcare with pretaxed dollars.

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Online Enrollment

Our cutting edge online platform where employees can compare plans and enroll in all your programs.

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HR Support

Value add compliance and administration services to help you be more efficient and avoid penalties.

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Voluntary (Worksite) Benefits

At little or no cost, these benefits have been proven to increase the overall wellness of your employees and your bottom line.

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Key Person (Executive) Benefits

Reduce your risk and protect your business and it’s key executives with Key Life, Disability and other special coverage.

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Voluntary (Worksite) Benefits

At little or no cost, these benefits have been proven to increase the overall wellness of your employees and your bottom line.

SEE HOW THEY WORK

Key Person (Executive) Benefits

Reduce your risk and protect your business and it’s key executives with Key Life, Disability and other special coverage.

SEE HOW THEY WORK

TRADITIONAL EMPLOYEE BENEFIT OFFERING

Group Benefits
& Design & Strategy

Our initial consultation is FREE and is geared to identify cost drivers and determine which strategies will provide the best benefits for you and your employees, at the lowest possible price.  We utilize cutting edge technology to consider multiple factors including benchmarking, claims data, financial budget, cost sharing and other funding methods.  We then do the hard work for you, leveraging our long-term relationships with top carriers and other vendors to match you with the best programs that work for you and your employees.  As benefit experts, we will explain and simplify each of these important steps to help you make an informed decision.

We provide support and benefit education, insuring your employees understand how deductibles, coinsurance, co-pays and out of pocket maximums work and how they apply to the individual scenario a member is facing.  The goal is to help the member avoid unexpected surprises in the future when it is time to use the health insurance secured.  Also, studies have shown that when employees fully understand their benefits, employers will see higher employee retention, morale and productivity. We continue to follow through with effective communications and other services designed to help keep your benefit programs running smoothly.

In today’s benefit landscape, clients need a broker to provide more than quotes.  We  allow you more time to focus on running your business by handle the following additional tasks associated with your benefit programs:

  • Onsite implementation with question/answer sessions
  • Onboarding, new hires & terminations
  • Assistance with claims and billing issues
  • Employee education, communications and advocacy
  • Proactive strategy for annual renewals
Health Plans

HMO & PPO Plans from top national carriers designed for small, medium and large size groups.

Life Insurance

A staple benefit to insure your employee's loved ones will be taken care of, in the event of an untimely death.

Dental & Vision Plans

Extensive network with comprehensive coverage to help employees protect their overall oral health and vision.

Long-Term Care Plans

As the need and costs for LTC services increase, LTC Plans are quickly becoming a popular employee benefit.

Disability Plans

Highly valued by employees, disability benefits allow employees to maintain their life-style while disabled.

Medicare Supplements

Consider Medicare Supplements to help your retirees offset high premiums, deductibles and co-pays.

Incorporated into the health plan with little or no costs.

Increase Employee Wellness

Increase Employee Wellness at little or no cost.

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FOR INDIVIDUALS, FAMILIES & MEDICARE ELIGIBLE

Individual Health Insurance &
Supplemental Policies

We can customized a personal insurance program that provides the protection you need, while meeting your financial objections.

VALUE-ADDED HR SUPPORT

Administration & Compliance 

As Benefit Advisors and HR Professionals we are are continually updating ourselves on industry trends and regulations, as they emerge. We are committed to helping all clients stay abreast of market trends, risk and government compliance issues which continue to change constantly.

Compliance

We help reduce your risk.

We, along with our carriers and HR partners, assist with the following day-to-day and sometimes complex compliance requirements associated with your benefit programs.

  • COBRA – enrollment, filings and employee communication
  • HIPAA – PHI compliance
  • ERISA – wraps, filings, SMM, SAR, notices
  • AFFORDABLE CARE ACT – compliant benefit design, reporting, employee notices and more.

Administration

We’ll handle for you.

We assist with the tedious administration tasks associated with the following types of benefit programs.

  • Flexible Spending Accounts (FSAs)
  • Health Savings Accounts (HSAs)
  • Health Reimbursement Accounts (HRAs)
  • Premium Only Plans (POPs)
  • Fully and partially self funded health plans

Administration

We’ll handle for you.

We assist with the tedious administration tasks associated with the following types of benefit programs.

  • Flexible Spending Accounts (FSAs)
  • Health Savings Accounts (HSAs)
  • Health Reimbursement Accounts (HRAs)
  • Premium Only Plans (POPs)
  • Fully and partially self funded health plans

Healthcare Reform
More on the Affordable Care Act

The Affordable Care Act (ACA) was passed to insure everyone has affordable healthcare.  However, there are have been several changes to the law, including repealing of the Individual Mandate.  Following is a picture of the ACA, as it stands now.  However, we urge you to call us for more information as these are only a few of the main highlights and many need help understanding this complex law.

Tax Credit

Individuals and Small Businesses may be eligible for a tax credit under ACA healthcare reform laws. Thus, the credit is applied as a discount on your monthly insurance premium. Accordingly, to see if you are eligible for a tax credit, please use the Subsidy Calculator provided by the Health Insurance Marketplace. Or, if you are a business, use the Small Business Tax Credit Calculator provided by the Health Insurance Marketplace. Benefits must be purchase through the Health Insurance Marketplace to secure the tax credit.

Tax Penalties

EMPLOYERS: Employers who have more than 50 full-time equivalent employees must offer their employees benefits that pay for 60% of the minimum essential benefits. Employers will incur a penalty for non-compliance. The penalty amount is $2,140 per year, multiplied by the number of full-time employees which excludes the first 30 employees. The penalty is increased each year by the growth in insurance premiums. Employers also incur a penalty when at least one of their employees receives a premium tax credit in the Health Insurance Marketplace (Exchange).

INDIVIDUALS: From 2014 through 2018, Individuals were subject to a tax penalty if they did not have qualifying health insurance. Note, this mandate was repealed for 2019 and beyond. Following is information on the Individual Mandate prior to being repealed. The tax penalty is $695 for each adult, with an additional $347.50 for each child, or a maximum family penalty of 2.5% of income, or three times the adult penalty, which is $2,085 (whichever is greater). Penalties are applied on your annual tax return.

Underwriting Rules

  • There is no longer a pre-existing condition clause. In other words, insurance companies can not increase rates or deny coverage because of a pre-existing condition.
  • Your dependents can remain on your policy until they turn 26 years old.
  • Insurance companies cannot consider gender when setting rates.
  • Employer renewals must be based on the same rates as new business.
  • The waiting period for employer benefits should not exceed 90 days.

Required Benefits

You may be subject to a tax penalty if you do not comply with the “Essential Benefits” of ACA.  Specifically, to be in full compliance with the law, your insurance policy must cover at least 60% of the costs of the following essential benefits.

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Prescription Drugs
  • Mental health and Substance Abuse disorder services
  • Rehabilitative and habilitative services and devices
  • Pediatric services, including oral and vision care
  • Preventive and wellness services, and chronic disease management

SERVING INDIVIDUALS AND GROUPS OF 2-400 EMPLOYEES 

Our Top Rated Carrier Partners 

We have developed long-standing relationships with a wide range of top carriers in the market.  As a result, we can, without bias, recommend and combine, when necessary, different offerings to create cost-effective, quality benefits and benefit packages.