877.CONEXIS ( ) Copyright 2005 CONEXIS. CX A Word & Brown Company
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1 877.CONEXIS ( ) Copyright 2005 CONEXIS. CX A Word & Brown Company
2 COBRA Administrative Services
3 The CONEXIS Solution: COBRA Compliance As a human resources professional, you need to make certain that your company s employees are fully knowledgeable about their right to continue health coverage, which is provided under, and strictly regulated by, the Consolidated Omnibus Budget Reconciliation Act (COBRA). However, while the intent of COBRA is admirable, compliance can be especially challenging. Reporting requirements can be terribly burdensome and the penalties for non-compliance are steep as high as $500,000 or 10 percent of group health 24/7 access to real-time data, activity logs, and online reports. plan costs. What s more, unnecessary COBRA claims are costly and the burden of proof often lies with you rather than the insurance carrier. The fact is simply trying to understand this very complex, everchanging COBRA law and ensuring your company s continued compliance, can be a full-time job. Unfortunately, like most managers, dealing with the myriad of requirements for COBRA is not the only mission-critical task on your plate. CONEXIS services include reporting, timely notification, updated employee information and comprehensive documentation.
4 Is Your Company At Risk? Internal administration, with or without costly software, can subject your organization to unnecessary risk. The challenges of staying current in this evolving area of employee benefits law can overtax even the most resourceful HR staff. In fact, the IRS estimates that more than 90 percent of all employers are not compliant with COBRA regulations. The IRS currently performs over a dozen audit procedures for COBRA compliance. Active enforcement is under way as the government continues to shift healthcare costs out of the federal budget. Are you COBRA compliant? Use the following as a self-audit: Does your company have a written COBRA procedures manual? YES NO Can you provide proof of Initial Rights Notices of all your covered YES NO employees and their dependents? Do you maintain documentation of any past requests for COBRA coverage? YES NO Is your staff trained to answer all attorney questions? YES NO Does your company understand the ramifications of COBRA extensions? YES NO Does your company keep up to date with changes to COBRA law? YES NO If you ve answered no to any one of the above audit questions, you are at risk. No matter what your answers, CONEXIS COBRA Administrative Services can improve your COBRA program. Our expert staff can cost-effectively manage every aspect of your COBRA administrative requirements.
5 We ll Save You Time, Money and Risk Let s face it COBRA coverage is risky. As an employer, you face significant potential liabilities for non-compliance. But an even greater risk exists, in terms of adverse selection and payment of unnecessary claims. Consider the following: Employers pay an average of $7500 per individual, per year, in COBRA-related costs. Claims costs for COBRA participants are 150 percent greater than the costs for active employees. COBRA non-compliance can be costly. The maximum excise tax penalty is $500,000 or 10 percent of health plan costs for the previous year, whichever is less. At CONEXIS, we re able to minimize these risks while delivering significant savings for our clients savings that you can re-invest in your business through: Administrative efficiencies such as auto cancellation, payment screening and election processing systems. CONEXIS is with you every step of the way with a staff of experts to provide Service of Unequalled Excellence. Conformance to the law while minimizing elections and duration on COBRA. Limiting adverse selection, thereby reducing medical cost ratios. In fact, we ve been able to consistently outperform the competition in key areas such as number of COBRA participants, COBRA election rates, COBRA duration and call center wait times, which equate to savings for you. (See the following table.) Industry norm* CONEXIS Number of COBRA Participants 2.6% 2.3% COBRA Election Rate 16.2% 14.3% Average COBRA Duration 10.4 months 9.5 months Average Call Center Wait Time 30 seconds 18 seconds, or employers and participants can obtain instant results through IVR or online *Source: Spencer and Associates
6 We re With You Every Step of the Way 24 Hours a Day, 7 Days a Week Our benefits experts are trained to quickly and cost-effectively manage every aspect of your COBRA administrative requirements. Our services include reporting, timely notification, updated employee information and comprehensive documentation. Plus, you ll have 24/7 access to real-time data, activity logs, online reports and other meaningful information that provides you with tools to ensure your COBRA administration program is running smoothly. With CONEXIS administering your COBRA you can focus on your core business. Our Extensive List of COBRA Administrative Services Includes: Reliable notifications and tracking. 24/7 access to information for employers and participants via Notification in writing to all newly covered employees and dependents of their COBRA Initial Rights. Notification to qualified beneficiaries of their rights under COBRA when a qualifying event occurs. Notification to beneficiaries of their conversion rights. Notification to the employer and beneficiaries when a participant s eligibility expires under COBRA. Reinstatement notification to beneficiaries upon COBRA election and payment. Billing and collecting beneficiary COBRA premiums. Notification to beneficiaries of changes in premium rates. Assistance with open enrollment changes for all beneficiaries. Comprehensive management reports throughout the month informing the employer of all COBRA activity. Remittance of collected insurance premiums to the employer (or insurance carriers as an optional service) with accounting documentation. Documentation of all correspondence sent to beneficiaries. Implementation of any new requirements for federal compliance as COBRA law changes. Personalized answers to any COBRA-related questions that your employees, or their covered dependents, may have. Toll-free customer service telephone numbers for active COBRA beneficiaries.
7 CONEXIS Online... Compliance Is Just a Click Away COBRA Administrative Services is online at When you choose to use our service, you ll receive a username and password that will allow you to log on to our website and access a host of special features designed to make complete COBRA compliance even quicker and easier. User-friendly online features include: For Employers: For Participants: Qualifying Event Submission Report qualifying events in a matter of seconds online, instead of a matter of days via mail. COBRA Initial Rights Notices Submission Accelerate the process of notifying newly covered employees and their families. Qualified Beneficiary Takeover Submission Transfer your existing participants to CONEXIS COBRA Administrative Services as soon as you set up your account. Online Reporting View your entire account history online, in real time, including participant detail. COBRA Administrative Services Tutorial Learn how to best use our innovative system. Online Administrative Guide Find the answers to any questions you might have concerning COBRA Administrative Services processes or procedures. Online Resource Center Review federal guidelines; learn about the latest IRS rulings and DOL opinions. Research current issues and court cases. If you have a COBRA-related question, the answer is here! COBRA beneficiaries also have online access available for their convenience. Online Elections Qualified beneficiaries can instantly elect COBRA via the web. Our online Election process is secure, protected by assigning a unique username and password, and automated so beneficiaries can immediately use the website. View Account History Beneficiaries can access their entire account in real time and view elections, payments and plan history. FAQs Beneficiaries can access an assortment of common questions related to COBRA and their accounts. Payments Beneficiaries can mail monthly COBRA payments or have premiums automatically paid through convenient ACH deductions. Once you and your participants have had a chance to use this extraordinarily efficient new administrative tool, you ll never want to use paper forms again! Best of all, you ll have access to CONEXIS COBRA Administrative Services online 24 hours a day, 7 days a week. So check it out ASAP. It s a convenient solution that "clicks" with the way today s companies and individual consumers do business. CONEXIS Online Compliance is just a click away.
8 Enrolling Your Company With CONEXIS COBRA Administrative Services Couldn t Be Easier Expedite COBRA Compliance and transfer the entire burden from your shoulders to ours. Here s all you need to do to enroll your company: Call us toll-free at 877.CONEXIS ( ) to request a quote. Or, for your convenience, these forms are also available online at Complete the application for administrative services, including plan information, and fax or it to CONEXIS. A CONEXIS benefit expert will establish your account and provide you access to worry-free COBRA compliance. No One is More Dedicated to Helping You Meet Your Compliance Goals The customer service and client delivery teams at CONEXIS are among the most experienced in the nation. Our comprehensive and cost-efficient methods of handling your COBRA compliance needs are recognized as among the most innovative in the country. Equally important, by choosing CONEXIS to fulfill virtually all of your COBRA administrative responsibilities, you ll be free to concentrate on other areas of vital importance to your business. CONEXIS is dedicated to CONEXIS COBRA Administrative Services is your worry-free solution for full COBRA compliance. Simply notify us when a COBRA qualifying event takes place, or when an employee or spouse first becomes covered under your group health plan. helping you meet your compliance goals System driven Human resourceful
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