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BCI'S CONSULTING SERVICES


BCI provides a full range of consulting  services with respect to group medical, pharmacy, dental, vision, life and disability benefits. Our key areas of focus include the following.


Health Benefits Cost Management

  • Advanced plan design concepts
  • Managed care (PPO, HMO, POS, mental health and prescription drug plans)
  • Utilization review
  • Wellness programs
  • Employee communications

Self-Insurance of Health Benefits

  • Self-insurance feasibility studies
  • Implementation of self-insurance
  • Aggressive bidding and renewal excess risk insurance
  • Assistance in selection of service providers (managed care organizations; pharmacy benefit managers, etc.)
  • Claim administration
  • Data analysis
  • Cost projections

Self-Administration of Claims

   Implementation Services

  • Office setup
  • Staff recruitment
  • Training
  • Claim administration software
  • Resource vendors & materials
  • Privacy and security issues

   Ongoing Services

  • Advice on claim problems
  • Advice on claim appeals
  • Claim audits

Legal and Regulatory Compliance

  • Employee Retirement Income Security Act (ERISA)
  • Consolidated Omnibus Budget Reconciliation Act (COBRA)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Family Medical Leave Act (FMLA)
  • Americans With Disabilities Act (ADA)
  • Mental Health Parity Act (MHPA)
  • Mothers' and Newborns' Health Protection Act (NMHPA)
  • Uniformed Services Employment and Reemployment Rights Act (USERRA)
  • Medicare Modernization Act
  • Medicare secondary rules
  • State requirements
  • Regulatory compliance audits

Benefits Aspects of Labor Negotiations

  • Financial projections
  • Projection of required contribution rates
  • Pricing of benefit changes

Other Services

  • Calculation of COBRA Rates
  • Merger studies

Group Health, Disability and Life Insurance

  • Plan design
  • Aggressive competitive bidding
  • Negotiation of renewals

Fees

  • Competitive hourly fees for most consulting work
  • Estimated or fixed fees for well-defined projects

Client Satisfaction

  • Contact our clients for their evaluation of our services
 

 

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