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Strategy
and Design
Quantum helps you align your health care strategy and benefit plan design
with key short and long term business objectives. We help you manage the
financial aspects of health and group benefit plans, ensuring you the
most cost-effective solutions.
Quantum provides detailed benefits analysis, a direct comparison between
your current benefits and those of a comparison group in order to analyze
the competitiveness of your programs
Financial Analysis
Quantum performs the following services to ensure that clients are operating
under the most advantageous financial conditions. This ensures that benefit
dollars and service expectations are maximized.
• Review current plan design
• Evaluate current contribution
strategies and analyze alternatives
• Periodic and planned claims
experience reviews
• Analyze large claim information
and their effect upon costs
• Analyze medical trend factors
to ascertain appropriateness
• Analyze stop loss and/or pooling
charges for competitiveness and adequacy (as applicable)
• Review retention (expense) components
to determine competitiveness
• Calculate reserve levels to
ensure they are reasonable
• Review policy settlements (including
financial accounting for participating or dividend eligible contracts)
for accuracy
• Review appropriateness of current
as well as alternative self-funding arrangements
• Determine most advantageous
rating methodology i.e., community rating, experience rating, manual rating,
etc
• Help prepare annual Form 5500s
including Schedule A information
Identity Theft Resolution Services
This is not insurance. It is purely a resolution service that allows
employees to return to work while a personal advocate spends as many
hours as it takes to restore one’s identity (in many cases 100+). It is
an extremely affordable program. For Large Employers, (1000+) annual
cost per employee & spouse ranges from $15 to $45. Individual products
on the market sell for $100 to $155 per year per person.
The program for large employer groups also includes:
• 24/7 dedicated toll free line
– answered: “XYZ Company” ID theft resolution services…”
• Monthly self billing
• Simple enrollment – Employee name and company ID
number only
• Co-branded web site and marketing materials
• Monthly call and activity reports
This is a low cost benefit that will have a big impact on an employee’s perception of their company. Additionally, companies that implement this program limit their liability in the event of a security breach; i.e. stolen laptop with sensitive employee information on it. The FTC requires employers to take action such as placing fraud alerts on affected employees’ credit reports. Our Identity Theft product takes care of that.
Health Plan Selection, Renewal,
and Customer Relationship Management
Quantum manages your health plan selection and renewal process to ensure
that you contract with the most comprehensive and cost-effective providers,
resulting in greater cost efficiencies and improved employee satisfaction
levels. Quantum’s Consultants also act as a liaison between you and
your contracted insurance carrier to ensure that you are consistently
receiving the best, most accurate, and most cost-effective service. All
Quantum clients are assigned a dedicated Account Manager to ensure timely,
consistent and accurate information between you and the carriers. We help
manage your carrier and third party relationships to ensure that they
are meeting your organizations daily and ongoing needs.
Benefit Plan Marketing & Implementation
Quantum provides detailed analysis of our plan marketing research to make
sure potential new carriers understand and meet your organizations benefit
program goals and employee needs. Quantum will perform the following services
to market & implement new benefit plans.
• Prepare detailed specifications
of current plans
• Market plans to all potential
carriers and provide true objectivity
• Review and summarize all prospective
carrier proposals
• Provide a detailed benefit comparison
• Provide Physician/Hospital disruption
analysis to minimize employee dissatisfaction
• Provide an illustrated financial
comparison of the most effective alternatives
• Compare HEDIS/NCQA quality credentials
• Assist with new carrier employee
enrollment meetings and carrier presentations
• Prepare communication materials
for employees
• Negotiate performance and rate
assurances from carriers when available
