Preparation and monitoring of the Plan Document

Development and printing of the Summary Plan Descriptions for employees

Arranging the 419 (e) (3) (b) claims trust account

Providing access to legal and actuarial services for your plan

Fully automated claims adjudication

Enrollment and eligibility services, including timely issuance of ID cards

Provide a monthly executive summary to aid in management of the plan

Monthly automated self-funded paid claims case reports, a bank trust statement of account and check register

An extensive reporting package that can be customized to meet the needs of the client

Complete detailed analysis of the plan performance on a semi-annual basis, including consultation in trend factors, funding levels, cost control, benefit adequacy and recommended modifications or improvements on plan design

AGA Website capabilities for Employer and Employees to access claim information through QicLink Benefit Exchange (QBE)

Custom and packaged report capabilities for Employers and Brokers with online access through AGA’s Benefit Informatics

Preparation of the necessary government filings, such as are required by ERISA

Provision of form 1099 required for all providers of medical care

COBRA administration through COBRAhelp, a service of Worthington-Olson, or a vendor of the employer’s choice

Pre-Certification Review Program through Health Plan Services, Inc., Three Rivers Medical Management, Inc. or Managed Care Concepts (MCC).

Prescription Drug Card Program administrated by AGA through CVS/Caremark or 4D Pharmacy Management including Medtipster

Lab Card Program administrated by AGA

Cafeteria Plan Administration

5500 Form Preparation

Affordable Care Act mandated reporting including Form 1094 and Form 1095