Simple solutions for the complex world of benefits.

Transcription

1 Simple solutions for the complex world of benefits. bswift s software and services are designed to help you easily navigate the ever changing world of health care and benefits. for Employers for Exchanges SIMPLY BETTER RESULTS bswift s innovative, highly configurable software delivers more bang for your buck than traditional outsourcing and ERP vendors that require costly installation, customization and development. And our best-in-class technology is backed by a dedicated team of benefits and health care experts who not only provide knowledgeable customer service, but also share industry insights, best practices, ideas and suggestions for making your benefits and your business work better. We re the partner you can trust to help your HR and Benefits team discover the true business value of benefits administration. for Employers We streamline the benefits process so that it s as efficient and painless as possible. We also offer private corporate solutions as a new way to deliver benefits to your employees. for Exchanges From shopping, enrollment and eligibility, to billing, reporting and interfacing with carriers, we offer a flexible, robust, web-based solution.

2 A New Way to Think About Benefits bswift s innovative health and benefits technology delivers more bang for your buck than traditional outsourcing and ERP vendors, which require costly installation, customization and development. Our solutions are intelligent, automated and configurable to meet your specific needs. We ve worked hard to streamline the employee benefits process to make the user experience simple and engaging. bswift designs software with the non-techie in mind. As a result, employees, HR managers and administrators find it intuitive and easy to use. But it s not just about our technology. Our dedicated team of knowledgeable benefits and health insurance professionals provide expert customer service, industry insights and best practices to help keep your benefits administration running smoothly. Our services include: ACA Compliance Audits Benchmarking Benefits Portal Benefits Administration Billing (List/Self Bill) Health Advocate Call Center COBRA Administration Consumer-Driven Health (CDH) Dashboards Decision Support Tools (Ask Emma & BestFit) Defined Contribution Dependent Eligibility Verification EDI & Web Services Employee Communication Employee Self-Service Enrollment Health & Benefits Exchanges One-click Language Translation Premium Reconciliation Reporting Retiree Administration Total Compensation Statements Video Library Voluntary Benefits Wellness Solutions

3 bswift Benefits Administration Solutions Featuring bswift s Proprietary Defined Contribution Technology T he bswift Benefits Administration platform will enable employers of all sizes from 2 to 100,000+ employees to provide an engaging, intelligent and personalized retail experience for consumers shopping for benefits. The Nuts & Bolts Proven Technology. We ve drawn on our 16+ years in the benefits administration marketplace, including our experience running numerous private and public exchanges, to create the best platform out there. Features of our core technology include: bswift s proprietary Defined Contribution platform, with the configurability to handle all kinds of benefit plans and contribution strategies Employer tools including reporting, alerts, ACA compliance and the bswift Dashboard featuring bswift s Affordability panel Efficient setup and maintenance to handle both initial enrollments and ongoing administration and renewals Electronic data interchange (EDI) with numerous carriers, partners, and administrators Billing Premium Products. Stores are only as good as their products, and benefit platforms are no different. Leverage our inventory or bring your own relationships and products to the table. It s up to you! The Experience Superior Service. Often compared to online travel sites, health and benefit platforms are significantly more complex due to the ongoing administrative nature of the service. Unlike travel sites where buyers complete a one-time transaction, benefit platforms must manage enrollment and eligibility changes throughout the year in the face of numerous regulations and employmentdriven changes. bswift has the people and tools to help guide you and your employees through the process, including: Consumer shopping and decision support tools, featuring bswift s video library, proprietary Best Fit Plan Advisor and the new Interactive Benefit Advisor Highly personalized & friendly Call Center an extension of your HR team and corporate culture going beyond service to gracious hospitality with knowledgeable bswift benefits professionals helping employees Employer support and tools: to set up your Defined Contribution program, benchmark your benefits, enable easy and secure access to data, and provide ongoing support of your program and ACA compliance bswift advantages include: Premium national carrier partners for ancillary and voluntary benefits, including dental, vision, life, disability, accident insurance and more Simplified administration: carrier partners have committed to collaborate with bswift to offer employers a streamlined, integrated and reliable end-to-end process for enrollment, eligibility and billing Flexibility to plug in health carriers on a regional basis; after all, health care is local

4 Presenting Built on bswift s state-of-the-art enrollment technology, the Springboard Marketplace offers: A consumer-oriented shopping experience with our Ask Emma decision-support tool Here s your chance to offer employees greater choice and promote a consistent and elegant shopping experience with the help of our proprietary, interactive Ask Emma decision support tool. She s there with employees every step of the way and won t ask for information she already knows. She s smart. She s helpful. She s trustworthy. Defined contribution and wellness incentives If you re looking to rein in your spending on corporate health care and shift ownership to your employees, consider a defined contribution strategy. Springboard Marketplace gives you the flexibility to apply this approach in the most cost-effective way: For example, you can use defined contribution for medical plans and continue to offer employer-paid plans for other benefits, like life and disability. Additionally, with Springboard Marketplace, you can incorporate wellness incentives into your defined contribution program.

5 Pre-packaged products for faster, easier and less-expensive implementations HEALTH INSURANCE Medical plans may be selected from a spectrum of prearranged benefit designs, or employers can bring their own ideas for a customized approach. You choose the benefit designs and the carriers or networks, and we provide the backend connectivity to help guide you and your employees through that process seamlessly and efficiently year round. FINANCIAL PROTECTION Ancillary and voluntary benefits programs like dental, vision, life, disability or worksite plans can be part of a defined contribution approach, or offered as voluntary or traditional defined benefit programs. Just use the prepackaged programs brought to you by Springboard Marketplace, and you can enjoy quicker, easier implementations and ongoing administration. EXTRA PERKS AND HEALTH BOOST Springboard Specials provide access to programs that many employees want without costing your company money. Basically, you get credit for offering popular services like auto insurance, pet insurance, identity theft protection, legal insurance, wellness offerings, and access to massage therapists, chiropractors and more. Simplified benefits administration and year round support Springboard Marketplace delivers the same bswift support services that are available through a traditional benefits administration offering, including: Simplified end-to-end enrollment, eligibility and billing processes with featured carriers Automated new hire, life event, and status change communications and transactions Integrated FSA and COBRA administration ACA compliance resources Easy to use on-demand reporting Reliable payroll system connections Call center support Great customer service

6 Want to help your employees find the benefits that fit them best? Just Ask Emma. Ask Emma is much more than an interactive decision support tool. She represents a whole new approach to benefits shopping, enrollment, and education, helping employees make more informed and personalized decisions across a range of benefits offerings all through an engaging experience. Ask Emma guides employees through the buying process by asking a few simple questions and then suggests the plans that fit their individual needs. Unlike other tools in the market today, Ask Emma is fully integrated into the shopping and enrollment platform for a seamless consumer experience. Ask Emma Advantages: For Employers Enhances the employee benefits shopping experience Promotes consumerism Tailors enrollment guidance to employees unique needs Educates employees on the value of available benefits, supporting recruitment and retention Is fast and easy to implement For Employees Is easy to understand and fun to use! Takes the guesswork out of the benefits shopping experience Facilitates convenient one-stop shopping Personalizes cost comparisons by health needs and preferred doctors and hospitals Models future health scenarios for the whole family Translates insurance jargon into easy-to-understand explanations

7 Defined Contribution Reining in the employer s rising costs of health care Recruiting and retaining key employees is important to every company, and your employee benefit program is a key part of the compensation you offer to your employees. Due to the rising costs of traditional employer-sponsored health insurance, defined contribution is gaining popularity across the U.S. You decide how much, they decide what works. With defined contribution, you give your employees a set amount of money to spend on benefits it s like an allowance for their insurance and they use that money to shop for the coverage that meets their individual needs. So instead of offering a one-size-fits-all health and benefits package, you empower your employees to choose the combination of coverage that s just right for them. You set up rules around where the money is spent. For example, if you gave your employees a monthly allowance of $350, you could decide that $300 can be spent on health insurance, and $50 can be used for dental coverage, a vision plan or other benefits. And if you want to keep offering some plans that are 100% employer-paid like long-term disability or life insurance that s up to you. We make it easy for you to decide how to allocate the funds, and our decision support tools help your employees decide which plans work best. Defined Contribution Advantages: For Employers Control the employer s rising costs of health care Promote consumerism Flexibility to tailor the health and benefits allowance for your employees Fast and easy to implement For Employees Easy to understand allowance concept More freedom to choose from a greater number of plan options Potential for additional, more personalized coverage Decision support tools help decide which plans fit best

8 Do your employees need help selecting the best health insurance plan for them? Best Fit can help! What is Best Fit? Best Fit is a decision support tool that helps employees make an educated choice when selecting a health insurance plan. Employees will see a side-by-side comparison of plan details and estimated total costs based on: Milliman averages for their metropolitan area The pre-insurance costs for in-network services The underlying plan design to calculate an estimated post-insurance out of pocket expense total Employees can personalize the estimates by selecting a health status for their family members and adjusting projected health needs such as doctor visits, prescriptions and more. The Best Fit tool helps employees understand the relationship between their healthcare consumption and out-of-pocket costs. Out of Pocket Expenses (from Best Fit) Health Insurance Premium (from bswift) Total Out of Pocket Costs for Employee Best Fit Advantages: FOR EMPLOYERS: FOR EMPLOYEES: Feel confident directing employees to an unbiased tool for guidance Promote consumerism Enhance the employee benefits shopping experience Fast and easy to implement Easy to use and understand Takes the guesswork out of the plan selection process Helps determine what to contribute to their Flexible Spending or Health Savings account Conveniently integrated into the bswift online enrollment portal for one-stop shopping Personalizes cost comparison by health care consumption Great for modeling future health scenarios for the whole family Ask about our Best Fit Plus and Best Fit Plus with Claims models that incorporate actuarial and claims data as well.

9 bswift Compliance Solutions The innovative technology employers need to comply with ACA requirements bswift is now offering a suite of Compliance Solutions to help employers navigate the new world of health care and benefits and comply with the complex provisions of the Affordable Care Act (ACA). In today s rapidly changing environment, our tools are quickly and easily configurable and available on-demand, with numerous scheduling and alert options, to meet your specific business needs. Leverage our team of experts and fully automated tools for the ongoing support of your program and ACA compliance. Features include: Managing Risk Employee Notifications 9.5% Dashboard for affordability tests, optimizing on safe harbor rules to determine the potential risk Numerous health reform dashboard panels & reports with the ability to drill down to employee level detail 30-hour rule tools (i.e., shared responsibility), including tracking within measurement, administrative and stability periods W-2 reporting Public exchange notices Section 6055 employee annual notice / the individual mandate Summary of Benefits & Coverage (SBC) All notices available online to employees & administrators Employer Reporting Regulatory Plan Changes New taxes/fees, such as the Patient Centered Outcomes Research Institute (PCORI) fee & the reinsurance tax Section 6055 IRS return / the individual mandate Section 6056 IRS return / the employer mandate 90-day new hire wait limit Auto-enrollment (when applicable) Dependent coverage rules (e.g., age 26) Annual limits including Flexible Spending Account (FSA), Health Savings Account (HSA), and 401(k)

10 ACA Management Suite Features include: Service Hours Accumulator Import Configuration of Accumulator 2.0 Map for Service Hours Configuration of FTP Connection and Schedule Shared Responsibility Categories Initial Measurement, Stability, Administrative Periods Ongoing Measurement, Stability, Administrative Periods Transitional Measurement, Stability, Administrative Periods 30 Hour Rule Calculation Average Weekly Hours Determination for Specified Individuals Rule of Parity Consideration for Return to Work Scenarios Leave of Absence Consideration for Qualified Unpaid LOA Implementation of Actual W2 Earnings to use for Affordability Determination Configuration of Accumulator 2.0 Map for W2 Earnings Configuration of FTP Connection and Schedule Automated/Integrated Enrollment for Status Changes bswift ownership of benefit class mapping Implementation of shared responsibility benefit class map Ongoing maintenance of shared responsibility benefit class map Auto-Approval of ACA Driven Status Changes (Optional) ACA Resources Dashboards and Reporting All dashboards and reporting features within the bswift Affordable Care Act Suite of Services will be included when and if available. Features to be included but not limited to are listed in the roadmap below: Plan Eligibility Plan Affordability PCORI Fee Transitional Reinsurance Fee 6055 Employee Notification and Employer Reporting Support* 6056 Employee Notification and Employer Reporting Support* Electronic Distribution via bswift Employee File of applicable 6055 and 6056 reporting* "On the Fly" Measurement Period Forecasting "On Demand" Employee Hours Dashboards (Optional) W2 Box 12 Reporting *January Release

11 A Step-by-Step Comparison 9 Steps HR Manager: Prepares and distributes paper benefits documents Fields questions from employees Collects paper forms Scrubs forms Enters demographic information Faxes forms to carriers Distributes provider directories and plan documents Manually generates benefit reports Corrects errors and performs additional administration Employee: Digs through stack of benefits documents to find information Calls HR staff to ask questions Fills out paper forms 2 Steps HR Manager: Directs employees to a bswift-powered self-service enrollment Website Generates online standard and custom reports Employee: Enters demographic information Views side-by-side benefit plan comparisons Easily accesses answers to all benefits questions Enrolls in benefits online bswift: Electronically transmits election data to carriers and payroll/hris/erp systems Provides online access to provider directories and plan documents Generates a confirmation statement for each employee Answers subsequent benefits questions online Result: Savings of more than $15 per employee per month in reduced administrative costs and more accurate insurance premiums and claims payments* *not to mention the positive environmental impact of reduced paper consumption!

12 bswift Total Compensation Statements It s no secret that most employees are not aware of the financial investment that their company makes beyond their direct paycheck. With bswift Total Compensation Statements, you can offer your clients a cost-effective way for organizations to communicate the value of their compensation and benefits. Plus, it s a way to engage with employees and publicize any special benefits or extreme perks that can help differentiate the employer brand. With bswift, offering Total Compensation Statements is easy: We already store all of your clients enrollment data, and can accept additional data from their payroll (or other) system, such as tuition reimbursement, 401(k), car allowances and more. Our Total Compensation Statements are highly configurable with an unlimited number of fields that let your clients decide how compensation categories are named, organized and displayed. Employees can securely access their personalized Total Compensation Statement online or print a copy at their convenience. Or if preferred, we can help you mail a hard copy of their statement.

13 Access to Bloomberg BNA s HR Essentials expert guidance when you need it most. Bloomberg BNA s HR Essentials helps HR professionals get fast, reliable support online. You ll access federal and state law summaries prepared by Bloomberg BNA s team of experts, succinct explanations of numerous compliance and policy topics, and easy-to-use model documents. HR Essentials provides a user-friendly, Web- based resource designed to lighten your workload, not add to it. With HR Essentials, you ll be able to: Get the answers you need faster with Bloomberg BNA s exclusive Fast Answers thousands of succinct expert explanations on everyday HR topics. Read detailed discussions with in-depth expert analysis from Bloomberg BNA s lawyer/ editors on core HR issues. Easily scan federal and state law summaries in 52 jurisdictions. Access a broad collection of downloadable and printable model documents, such as sample policies, notices, forms, and more. Keep tabs on news and trends with weekly updates on important HR events. Monitor state law developments with the State Compliance Alert delivered weekly to your inbox. Create custom job descriptions, job advertisements, and job interview questions with the Job Description Tool. Evaluate and record employee performance with the Performance Review Tool. Topics Include: Benefits and Compensation Compliance Performance and Productivity Equal Employment Opportunity Recruiting, Selecting, and Staffing Risk Management and Safety To View HR Essentials: Reach out to your Client Services Team to enable access Log into your bswift administrator homepage Click on the Bloomberg BNA HR Essentials link Download a quick reference guide to help you easily navigate the site Powered by 1801 South Bell Street, Arlington, Virginia The Bureau of National Affairs, Inc JO12050

14 COBRA Administration Remove the responsibility of COBRA Administration! When it comes to COBRA administration, let us manage the time-consuming tasks of mailings and collecting payments. We re diligent about every legislative detail, so you can spend less time worrying about compliance, and more time focusing on the bigger picture. Service Offering: Providing a real time, full-featured COBRA administration system with twentyfour (24) hour web based access Monitoring eligibility and qualifying events for all of your employees enrolled in your COBRA qualifying health plans Completing the initial set up of a group in the web portal Offering immediate access to our Web based reporting system Preparing and mailing all required notices to comply with all regulations Handling Carrier Enrollment/Term Notifications for COBRA participants Remitting premiums directly to clients or insurance carriers Collecting all premiums from COBRA participants Staying up to date with all new laws and regulations Assuming administration for all current employees on COBRA Maintaining all record keeping for the required period of six (6) years Customer service support Monday-Friday 8:30am 5:00pm EST Providing a single point of contact for all questions or concerns Reconciling monthly carrier bills to ensure accurate billing for COBRA participants Training all necessary Human Resource personnel on our software system Our expert COBRA team helps you: Save on internal resources: we handle COBRA so your team can focus on more strategic HR and benefit initiatives Transition terms : we provide a professional and friendly buffer between terminated employees and your company Leverage bswift s integrated platform: provide a one stop shop on our platform for your HR and benefit managers Ensure compliance: we take care of the nitty-gritty and meet the necessary COBRA requirements and deadlines

15 Pre-Tax Benefit Plan Administration (HSA, FSA, DCAP, HRA, QTA) REAL SAVINGS. REAL SIMPLE As more and more of your employees household budgets are allocated to healthcare expenses, you can offer them a way to save money and offset increasing health and dependent care costs. We have aligned ourselves with Progressive Benefit Solutions, an evolution1 partner, to offer a simplified and seamless solution. With their products, your employees gain more spending money per paycheck while you reduce your company s payroll tax liability. Together we take the complexity out of HSAs, FSAs, HRAs, wellness plans and transit/parking plans. Their Solution Offers: Streamlined claim submission Easy uploading for claim documentation Enhanced employer dashboards Healthcare payment (debit) card with multi account capabilities Fast access to funds with one day reimbursement turnaround Easy reimbursement processes with payment cards, claims feeds, and online bill pay options Anytime, anyplace access with online election changes and 24 X 7, 365 availability Mobile Application & Text Alerts: View account balances and transaction history Review claim details and submit a new claim Pay providers directly with mobile bill pay and Click-to-Pay Access HSA investments and contribution center Upload photo of claim documentation View FAQs and eligible expenses Receive account alert push notifications Tap to call Customer Service Send text requests for account balance, claim and contribution information When you need to work with the best to deliver reliable, trusted, customizable consumer-driven healthcare account solutions for your employees, turn to Progressive Benefit Solutions. Our choice of healthcare account solutions will help you provide competitive options that meet your employees needs and achieve high levels of employee satisfaction while minimizing your time spent on support.

16 Retiree Private Exchange Solutions Whether you re looking for a way to administer traditional retiree benefits or you d like to move to a retiree private exchange, bswift has you covered. Through our partnership with HealthPlanOne, a nationwide leader in helping employers and retirees transition to a defined contribution program, we now offer one of the nation s leading private retiree health care exchanges. Key Benefits of Our Private Retiree Exchange More than 8,000 plans from 80+ carriers, including Medicare Supplement, Medicare Advantage, Prescription Drug and Individual Plans Lower premiums than group retiree coverage A dedicated service center with licensed and salaried advisors to assist retirees with selecting and enrolling in health plans Comprehensive HRA administration services to manage your defined contribution Tailored retiree communications and secure website to deliver an experience that meets the needs of your company and retirees Plan options for both Medicare-eligible and pre-65 retirees Defined Contribution Retiree Benefits An increasing number of companies are adopting defined contribution programs for retirees, and it s easy to understand why: a greater choice of carriers and plan designs for retirees and a reduction in overall health care expenses for employers. Regardless of whether your client is moving to a defined contribution plan or is offering a retiree benefits plan for the first time, their retirees will benefit greatly as they enjoy: A wide selection of carriers and plan designs offering Medicare supplement, Advantage and prescription drug plans No more one size fits all retirees choose the type and level of coverage that meets their needs Prudent and objective guidance from HPO s staff of fully-licensed and salaried sales advisors Intuitive and comprehensive online content and tools that make decision-making easier Ongoing customer service questions on HRAs, claims, covered expenses, etc. are all handled by highly trained telephonic advisors

17 An evolution in how medical insurance is offered To illustrate the key advantages of a defined contribution plan, let s compare the old decisionmaking process to the new. Current Process for Defined Benefit Approach With traditional medical coverage, the employee benefit is built around one or two plan designs offered by a single insurance carrier. As the sponsor, you absorb much of the cost. New Process for Defined Contribution Approach With a defined contribution approach, the employee benefit is built around a set dollar amount that you determine. Adopting this strategy is generally less costly for employers and offers retirees a menu of Medicare or individual plans from which to choose. All this is possible with the bswift/healthplanone exchange-based solution. There s good reason why HealthPlanOne was recognized as one of the fastest growing companies in the country by Deloitte and Inc. Magazine. As experienced experts in the Medicare and health insurance market, our robust exchange solution is helping employers meet and more often times exceed employee benefit, financial and administrative objectives.

18 65% of your workforce is likely overweight $1,429 the minimal amount per year of additional expenses you will pay per obese employee (could be up to $6,694 per year) 80% of businesses have experienced increasing health care costs over the past 10 years Your organization needs a proven weight management solution that delivers sustainable outcomes and a positive ROI. (sources: Duke University, Kaiser Family Foundation Employer Health Benefits, 2013) How Retrofit Works The Retrofit solution is a unique combination of proactive 1:1 coaching, live interactive classes and expert-led online community groups that offers easy access to comprehensive tools, apps and support which integrate into your daily life.

19 LASTING RESULTS LASTING RESULTS LASTING RESULTS LASTING RESULTS LASTING RESULTS pounds ands, BMI has ar 40% The Retrofit Difference: Proven Outcomes, Lasting Results Our outcomes are so good, we guarantee them. 90% of participating employees lose weight, with 68% keeping it off 18 months later. Using Retrofit, participants lose weight and transform their lives. Our success is driven by five key differentiators: 1) Built and supported by the industry s best: Our Medical Advisory Board a multi-disciplinary, expert team with decades of experience ensures the Retrofit program is scientifically-based and drives proven outcomes. 2) Plays well with others: Focused, highly effective solutions seamlessly integrate with your current wellness ecosystem for better communications, participation, engagement, incentives management and reporting. 3) Engagement that inspires change: Consumer insights and years of experience connect clients to the program, inspire engagement and drive profound change. 4) An experience like no other: A unique combination of 1:1 coaching, interactive video classes and expert moderated communities work with mobile apps and devices to fit members lifestyles. 5) Happiness, delivered: Because Retrofit clients are more than 2x more satisfied than those on other weight loss programs, they can achieve meaningful, sustainable results and live a life they love. Retrofit complies with US Task Forc e recommendations and works with your company to identify eligible populations and potential cost benefits.