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 Alternative
Benefit Plans, Inc. is a professional third party administrator
located in Atlanta, GA. The staff has over 40 years experience
in the administration of partially self-funded employee benefit
programs and is bonded as required by federal ERISA guidelines.
A.B.P. will arrange the appropriate stop-loss coverage agreements
for your plan.
Healthcare costs presently
exceed $1 trillion dollars a year in the United States (U.S. Department
of Commerce). As the costs of heathcare continue to escalate
at double the inflation rate, employers are looking for ways to control
or reduce their costs. As more and more employers become aware
of the advantages of self-insuring, service companies such as Alternative
Benefit Plans are providing the experience and know-how to design
and administer the programs
The primary focus of
A.B.P. is to assist employers in maximizing benefits from the expenditure
of their healthcare dollars through the implementation of various
systems and procedures. What Services Does
ABP Provide?
Alternative Benefit
Plans offers plan design and administrative services for self-funded
employee benefit plans including health, dental, vision, and short-term
disability. |
Click on the items below for a detailed description of ABP’s services:
PLAN
SETUP AND IMPLEMENTATION
- Benefit Plan Design
- Arrangement of stop-loss
insurance and negotiate rates with insurance companies
- Initial and continuing
employee enrollment assistance including enrollment forms
- Designing and issuing
employee identification cards and employee booklets
- Preparation of plan
documents
- Review of on-going
cost of insurance protection
- Assistance to employer
in handling special situations
CLAIMS ADMINISTRATION
AND PAYMENT
- Provide claim forms
and assistance for proper claims submissions
- Provide prompt and
courteous claims payment
- Calculate each party's
portion of claim
- Implement Subrogation
and Coordination of Benefits Provisions
- Provide an Explanation
of Benefits for the employee, employer and each provider showing
how the claim was paid, the deductible's taken and the deductible
that may yet
need to be satisfied
- Implement Reasonable
and Customary Provisions
- Provide re-pricing
services when PPO or HMO plans are utilized
- Answer telephone
inquiries from employees, employers and providers
PLAN
ADMINISTRATION
- Prepare checks for
payment of claims
- Provide a monthly
analysis of total claims paid
- Act as a "buffer"
between employer and employee; employer and provider; and employer
and insurance company
- Provide assistance
in ERISA compliance
- Prepare monthly
eligibility report and billing of premium and administration charges
- Assist employer
in COBRA, HIPAA, etc. administration
- Provide other reports
to the employer on an as needed basis
- Handle filing of
any stop-loss claims with the insurance company
MANAGED
HEALTHCARE
- Implement a managed
healthcare program including hospital pre-certification, concurrent
stay review and discharge planning
- Utilization Analysis
Reports
- Medical Case Management
- Preferred Provider
Organizations
- Exclusive Provider
Organizations
- Health Maintenance
Organizations
- Managed Prescription
Drug Plans, including card and mail-order programs
- Pain management
- Managed Mental Health
Plans
ADDITIONAL
SERVICES AND PRODUCTS AVAILABLE
- Group Term Life
Insurance
- Accidental Death
and Dismemberment Insurance
- Dependent Life Insurance
- Dental Coverage
- Short Term Weekly
Income
- Long Term Disability
- Voluntary Employee
Benefits
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