Individual Healthcare Solutions
Does shopping for individual health insurance coverage seem confusing? Are you shopping for coverage for the first time on your own? Are you about to have a separation of service from your current employer? We at Summit Benefits Group LLC can help. We are an ACA certified company that helps people like you to maximize subsidy which helps you pay for your new coverage. We also help you understand your coverage options and help you navigate through the enrollment process on a personal one on one basis.
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Your priority should be managing your business. Our focus is simplifying the complexities of employee benefits for you. A partnership with Summit Benefits Group means you can easily achieve your benefit objectives without negatively impacting the growth and success of your business.
Focusing on a full spectrum of consulting services, our expertise includes benefit and renewal planning, carrier rate negotiations, compliance assistance, employee communication and cutting edge benefit administration technology, all designed to maximize the competitiveness and value of your employee benefit package.
Today, there are a multitude of different funding strategies available to groups of virtually all sizes. With our knowledge and expertise, we can work with you to discover if an alternative funding model can benefit the unique demographics and utilization of your workforce. Properly fitted, one of these alternative funding solutions could help you generate substantial cost savings and greater transparency without sacrificing the level of benefits you offer your employees.
Small Business Employee Benefits
For a small business, shopping for group health insurance is more difficult now than ever. The Affordable Care Act has introduced an array of benefit and pricing variables that make it difficult to find the right plan for you and your employees at a price you can afford. Add to that the host of new compliance regulations, tax-related products and guidelines, wellness programs and funding methods and, well, managing benefits can be a full-time job! At Summit Benefits Group, our team of experts can help you sort through these complexities to design a benefit program that’s the right fit for you company. Our vast array of internal resources coupled with strategically chosen vendors allows us to craft a strategy that will not only work for you today, but for years ahead as well.
Ancillary Benefit Programs
Ancillary benefit programs, when designed properly, provide employees with the ability to fill any needed gaps in coverage at rates lower than what they would be able to obtain on their own. Additionally, by offering products and services like critical illness insurance, hospital indemnity insurance, life and disability insurance, long term care insurance, dental and vision insurance, pre-paid legal and stand alone wellness, businesses can increase employee morale, productivity and work efficiency all increase…enhancing the firm’s growth and competitiveness.
Every year, businesses are faced with a renewal deadline for their group benefit programs, allowing them an opportunity to perform a thorough review of each plan and making revisions, when necessary. Strategic planning for the renewal process is critical, as it can assure that the benefits offered by the company are the proper fit for the needs and circumstances of both the employer and employee.
We begin preparation for each renewal year several months in advance, formulating a strategy with you based on a review of the latest market products, innovations and trends, along with your firm’s objectives. From this plan we negotiate with several leading carriers to obtain the benefit package that best suits your vision and your employee’s needs, at pricing that works for you.
Health Care Reform / Compliance Guidance
The complexity of regulations that impact employers as a result of the Affordable Care Act, IRS and other employee related legislation can be a tremendous burden carrying stiff penalties, fees and interest for non-compliance. On top of that, rules and regulations are constantly changing from year to year, requiring an on-going, regular review of practices. Our team of experts can help you develop an effective strategy for maintaining compliance in a way that allows you to progress toward your business goals.
Vendors to Assist with Consumer Driven Administrative Services
Business owners today can increase their control over employee benefit programs and increasing insurance costs by introducing consumer driven administrative services, such as Health Savings Accounts (HSAs), Flexible Savings Accounts (FSAs), Health Reimbursement Accounts (FSAs) and/or Premium Only Plans (POP). Additionally, the same vendors offering these services can often assist you in preventing costly penalties and taxes by working with you to provide COBRA Administration, 5500 Preparation, help with 1094 and 1095 filings, nondiscrimination testing and ERISA Compliance.
Understanding the Coding of Health Plans from MEC to Metallic
Choosing the right insurance plan for you (and your family) is not an easy task. The Affordable Care Act (ACA) has introduced major changes to the way carriers traditionally marketed their health plans to the public and introduced a volume of new terms, requirements and complexities, many of which may sound confusing to the general public. From terms like “minimum essential coverage” to the various metallic plan categories of Bronze, Silver, Gold and Platinum, a solid foundation of knowledge is essential in order to find the coverage required at an affordable price.
With the increasing number of individuals continuing to work past age 65, there’s a good chance your business either has or will have Medicare eligible employees on the payroll. There’s also a good chance that either the individual or the benefits representative at your company will have questions about Medicare benefits, enrollment or related issues. Medicare is loaded with confusing language, similar plan names, critical deadlines and a complex rating schedule. Our Medicare experts can educate and assist you and your employees to evaluate the best coverage, compare carriers, navigate the enrollment process and field any questions that may arise.