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Employer Tools

Your health plan should work for you Not the other way around

As an extension of your Human Resources team, PayneWest Insurance works with you to deliver on our promise of value. From the basics, like customized communications and online enrollment, all the way to the complex, including regulatory updates and employee education and seminars, we can comprehensively manage every aspect of your health plan.

So relax, we got this.

What are the hidden (and not-so-hidden costs) of the hours spent researching the ever-changing regulations of your health plan? What would you do with your time if you didn’t have to constantly run down answers to employees’ routine questions about coverage? PayneWest Insurance has developed solutions to all these time killers, along with tools that reduce your costs, increase productive, and improve employee satisfaction:

Data-analysis tools

An underutilized health plan doesn’t always equate to a healthy work force. What benefits are your employees using and what aren’t they using? What’s bringing true value to your employees and their health? We’ll dive in and figure out how we can negotiate a plan that can improve health and savings all at the same time.

Self-Insurance Opportunity Analysis

As Self-Insured Specialists, we will continually evaluate opportunities for your company to self-insure and help you determine whether it’s the right solution for your organization.

Third Party Administrator (TPA) Service Comparisons

PWI evaluates carriers and administrators based on more than 60 criteria, ranging from administration process to reporting capabilities. We know what they do and how they do it, and we’ll make sure we get you partnered with the right one for the right price – because we work for you, not for them.

Health Management Programs

What good is a health plan if employees aren’t using it to get healthy? We’ll implement Health Management Programs to help increase productivity, reduce absenteeism, and engage your workforce. We can do this through a variety of means, including Health Risk Assessments and claims analysis.

Human Resource Information Systems

To help employers comply with HIPAA regulations and secure employee data, we have aligned ourselves with the most sophisticated and effective HRIS systems in the industry. This can streamline the HR function, payroll, and hiring practices for employers, as well as provide online enrollment tools.

Benefit Benchmark surveys

How does your plan stack up to other employers’ plans? Do you even know? PayneWest can compare a client’s benefits to other businesses of similar demographic or industry to be sure you stay competitive.

Customized communications

Employee communication programs ensure that the money you are spending on your benefit program is well used and appreciated. From benefit plan reminders to education on how to submit a claim, find a provider, or use their HSA account, you’ll find that your employees appropriately use and appreciate their benefits the more they understand them.

ERISA compliance

PayneWest can assist you with ERISA compliance questions in several ways. We have access to a library of easy-to-read, comprehensive documents and forms. We have access to legal counsel to help with questions and concerns that you may have in this area.

Disease management

Disease Management Programs utilize Registered Nurses to coordinate the clinical care needs and program participation of members. In other words, these nurses educate and influence employees with chronic conditions to get the care they need when they need it, so they stay as healthy as possible and don’t end up with a catastrophic health event.

PayneWest’s Disease Management Assessment Tool evaluates appropriate programs based on underlying health care conditions and assesses program efficacy and impact over the long term.

Marketing analysis

On behalf of our clients, PayneWest sends detailed, comprehensive, professional requests for proposals to all appropriate carriers in each area we do business. We then analyze each of those proposals so that you receive the best possible option in the market.

Benefit Value

What good is a benefit if employees don’t see…well… the benefit? PayneWest provides customized surveys that uncover hidden needs and areas of interest when it comes to a health plan.

Once we develop a plan that addresses those needs, we create benefit overviews that explain benefits and highlight the employer’s cost for each, so employees see your financial commitment to their health and wellbeing. We’ll also perform demographic studies to make sure your plan maintains a standard of affordability and attractiveness over the course of its lifetime based on your particular employee population.

Enrollment assistance

We provide onsite enrollment meetings for every plan provided, including detailed employee communication materials.

Service agreement

A service agreement outlines and prioritizes the expectations of each client relative to PayneWest’s performance. We want to deliver on our promise to you. A service agreement makes sure we’re held to that standard. Service timeline
PayneWest has a system in place to address the installation of policies and the timeline that will be followed.

Next Steps

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