19
PREPARED FOR Jefferson County Alabama PROPOSAL FSA, COBRA July 1, 2020 SALES CONTACT: Macon Barham Vice President of Sales MYAMERIFLEX.COM 2508 HIGHLANDER WAY, SUITE 200 • CARROLLTON, TEXAS • 75006

PREPARED FOR Jefferson County Alabama PROPOSAL

  • Upload
    others

  • View
    4

  • Download
    0

Embed Size (px)

Citation preview

Page 1: PREPARED FOR Jefferson County Alabama PROPOSAL

PREPARED FOR

Jefferson County Alabama

PROPOSAL FSA, COBRA July 1, 2020

SALES CONTACT:

Macon Barham Vice President of Sales

MYAMERIFLEX.COM 2508 HIGHLANDER WAY, SUITE 200 • CARROLLTON, TEXAS • 75006

Page 2: PREPARED FOR Jefferson County Alabama PROPOSAL

2 July 1, 2020• Prepared for Jefferson County Alabama

Thank you for the opportunity to present

this proposal for the administration of your

FSA, COBRA

As your dedicated VP, Sales, I am here to guide you through the proposal process and answer your

questions about our industry-leading services.

Check out a few of our complimentary unique-to-Ameriflex features:

✔ Dedicated account manager for all clients, at no cost, for life;

✔ Dedicated implementation team, delivering three layers of quality assurance;

✔ FSA Guarantee -- if employees spend more than they contribute, we’ll refund the difference back to

you;

✔ Complimentary ID Theft Protection, powered by Mastercard, for all Ameriflex cardholders;

✔ Fastest response time in the industry - client emails responded to within four hours; and

✔ Client Love: Net Promoter Score (NPS) 200%+ the industry average

Thank you again for your time and consideration. I will be in touch with you

to answer any questions you may have.

Macon Barham

Vice President of Sales

Page 3: PREPARED FOR Jefferson County Alabama PROPOSAL

3 July 1, 2020• Prepared for Jefferson County Alabama

✔ FSA Guarantee: In the event that total annual

claims exceed total annual employee

contributions, we will refund you the net

aggregate plan-year loss - offered to you at no

additional cost

✔ 100% Regulatory Protection

✔ ID Theft Protection: Complimentary, including

full wallet restoration, for all Ameriflex

cardholders

✔ MyPlanConnect: A service that integrates with

the employees’ insurance carriers to

automatically substantiate claims. (additional cost)

REAL DOLLAR SAVINGS COMBINED

WITH WORLD-CLASS SERVICE

We respond fast to keep your world quiet.

It’s early in the morning. Your client has a question about their Ameriflex plan and they need an answer

quickly. They call their dedicated Ameriflex account manager. As usual, their question was quickly handled,

and you and the client move on with your day.

The experience was frictionless. Your client got the answers they needed without having to call you. Even

if they didn’t get through right away, they’ll always get a call back within 59 minutes or an email response

within four hours. It is that level of service that puts Ameriflex’s Net Promoter Score (NPS) next to world-

renowned brands.

Instead of starting your day putting out fires, you and your client started with unparalleled tranquility.

Your clients love the Ameriflex FSA Guarantee, which insures they never lose money in their plan.

Employees love the peace of mind they get with their complementary identity theft protection. You love

knowing your clients have true regulatory protection. Their data has the highest standards of security in

the industry.

By choosing Ameriflex, you’re saying yes to…

✔ Dedicated account manager at no cost, regardless of

group size

✔ Dedicated implementation team at no cost, with three

layered quality assurance process

✔ Access to in-house ERISA attorney

✔ Industry Leader in Service: Ameriflex Net Promoter

Score (NPS) is 200%+ the industry average

✔ Fastest claims payment speed in the industry - Claims

are adjudicated within one business day of receipt,

98.5% of the time or greater

✔ Unmatched Data Security: Private HIPAA Audit,

HITRUST CSF Cloud, SOC 1 Type 2 Review

Page 4: PREPARED FOR Jefferson County Alabama PROPOSAL

4 July 1, 2020• Prepared for Jefferson County Alabama

FLEXIBLE SPENDING

ACCOUNT (FSA)

A flexible spending account (FSA) allows employees to set aside pre-tax money from their paychecks to

pay for everyday healthcare expenses, including medical copays, dental, vision, prescription medication

and commuting expenses. Participating in an FSA decreases the employee’s taxable income, and in turn,

decreases the employer’s costly FICA tax burden. Learn more

What You Get

✔ Dedicated account manager at no additional cost

✔ Dedicated implementation team with three-layer quality assurance process

✔ FSA Guarantee: In the event that total annual claims exceed total annual employee contributions, we’ll

refund you the net aggregate plan-year loss. Learn more

✔ Complimentary ID Theft Protection, including full wallet restoration, for all Ameriflex Cardholders

✔ MyAmeriflex Debit Mastercards for all participants, including unlimited replacements

✔ POP language included in FSA Plan documents at no additional fee

✔ Summary Plan Description (SPD) and plan document preparation

✔ Online enrollment capabilities

✔ EDI file feeds

✔ Initial enrollment report

✔ Educational participant email campaigns and enrollment materials

✔ Mobile App

✔ Employer and participant account management portals

✔ Daily claims processing and coordination with Mastercard®

✔ Self-Service employer reports

✔ Dedicated Participant Services support via phone and live chat

✔ Automated account alerts

✔ Direct Deposit for reimbursements

Page 5: PREPARED FOR Jefferson County Alabama PROPOSAL

5 July 1, 2020• Prepared for Jefferson County Alabama

✔ EDI File Feeds

✔ Plan document amendments

✔ Optional $500 rollover administration

✔ Optional 2.5-month grace period administration

✔ Discrimination testing portal access

✔ FSA educational tools

(including videos, participant drip email campaigns and more)

✔ Forms 5500 Support Assistance (Main Form, Schedule C)

Additional Employer Benefits

The FSA Guarantee

We are the only administrator to offer

an FSA Guarantee at no cost.

In the event that total annual claims exceed total annual employee

contributions combined with the employer’s tax savings, employers will

have the option to file a claim in order to recoup the amount of the plan

year’s net aggregate loss.

MyPlanConnect

MyPlanConnect is a unique service offered by Ameriflex that connects your employees’ flexible spending

account (FSA) debit card transactions to their insurance carriers. It reduces friction for your employees

because in most cases they don’t have to manually send us supporting documentation to verify the

eligibility of their expenses. It reduces friction in your day because you aren’t fielding as many

substantiation questions. Learn more

Page 6: PREPARED FOR Jefferson County Alabama PROPOSAL

6 July 1, 2020• Prepared for Jefferson County Alabama

DEPENDENT CARE

ACCOUNT (DCA)

A dependent care account (DCA) allows employees to set aside pre-tax money to help

pay costs associated with the care of dependents. The account can be used to pay for services

like daycare, elder care, before/after school care, summary day camp and more. Learn more

What You Get

✔ Dedicated account manager at no additional cost

✔ Dedicated implementation team, with three-layer quality assurance process

✔ FSA Guarantee: In the event that total annual claims exceed total annual employee contributions, we’ll

refund you the net aggregate plan-year loss. Learn more

✔ Complimentary ID Theft Protection, including full wallet restoration, for all Ameriflex cardholders

✔ MyAmeriflex Debit Mastercards for all participants, including unlimited replacements

✔ Summary Plan Description (SPD) and plan document preparation

✔ One-time annual claim option for plan participants

✔ Online enrollment capabilities

✔ Educational participant email campaigns and enrollment materials

✔ Mobile App

✔ Employer and participant account management portals

✔ Daily claims processing and coordination with Mastercard®

✔ Self-service employer reports

✔ Dedicated Participant Services support via phone and live chat

✔ Automated account alerts

✔ Direct Deposit for participant reimbursements

Page 7: PREPARED FOR Jefferson County Alabama PROPOSAL

7 July 1, 2020• Prepared for Jefferson County Alabama

MYAMERIFLEX DEBIT MASTERCARD

Ameriflex is proud to offer the

MyAmeriflex Debit Mastercard.

This single-platform debit card allows for the automatic electronic transfer of pre-tax dollars

from the participant’s account when paying for qualified expenses. Most importantly, the

MyAmeriflex Debit Mastercard can accommodate and administer all spending accounts on

the same card with no additional fee.

The Mastercard® system classifies merchants of the world into over 1,000 categories and assigns

each a code signaling whether the merchant is a restaurant, department store, pharmacy,

doctor’s office, etc. The card will not work at an unauthorized Mastercard® merchant (e.g. gas

station, restaurant, etc.), but it will recognize applicable healthcare, dependent care, and transit

merchant category codes (MCC), or SIC codes. This allows Ameriflex to efficiently and

effectively adjudicate claims according to IRS guidelines. Learn more

When the debit card is used,

the expense is automatically

qualified based on the

merchant’s code.

The balance is automatically

checked to ensure there are

adequate/ available funds in

the employee’s FSA

Account

Pre-authorization occurs

at the merchant point-of-

service (POS) Terminal.

The merchant is paid via ACH

and the amount of the charge

is deducted from the

employee’s FSA Account.

Page 8: PREPARED FOR Jefferson County Alabama PROPOSAL

8 July 1, 2020• Prepared for Jefferson County Alabama

Complimentary Identity Theft Protection

All Ameriflex cardholders get complimentary access to Mastercard’s industry-leading identity theft

protection and resolution service. Cardholders can register as much or as little of their personal

information as they want, including their MyAmeriflex Debit Mastercard, personal bank accounts,

email addresses, Social Security number, driver’s license, passport, and medical ID. Learn more

IMPLEMENTATION TIMELINE

Our top priority is to ensure each client is set up for success starting day one of their

Ameriflex implementation. We can accelerate the implementation process based on how quickly

the client provides their onboarding information. All applications and enrollments

go through three layers of quality assurance.

View larger in-browser

Page 9: PREPARED FOR Jefferson County Alabama PROPOSAL

9 July 1, 2020• Prepared for Jefferson County Alabama

COBRA ADMINISTRATION

COBRA requirements are burdensome, and one small misstep can expose employers to costly penalties set

forth by the Department of Labor. That’s just one reason why choosing a trusted COBRA partner is so

important. Ameriflex will relieve your clients of the burdens associated with COBRA tracking, notifications,

and billing.

Our industry-leading COBRA administration automatically processes all payments and provides grace

period deadlines, letter generation, and participant documentation according to Department of Labor and

IRS regulations. Along with our COBRA account management portal, Ameriflex can also provide Electronic

Data Interchange (EDI) connectivity to your current HRIS system for a frictionless experience.

What You Get

✔ Dedicated account manager at no additional

cost

✔ Dedicated implementation team, with three-

layer quality assurance process

✔ Takeover of pending or enrolled qualified

beneficiaries

✔ General Rights notifications to new plan

participants

✔ Specific Rights notifications to Qualified

Beneficiaries

✔ Issuing and mailing of Qualifying Event Notices

✔ COBRA elections and terminations

✔ ACA-compliant language

Retention of 2% Administrative Fee Ameriflex shall collect 102% of the monthly premium for each active COBRA participant or other special plan

participant/retiree and remit 100% payment to the employer on a monthly basis.

✔ Premium collection and remittance

✔ Disability extension

✔ Notice of Unavailability

✔ Mailing confirmation

✔ Real-time reports exported in multiple

formats, including Excel. Examples include: Paid-

through report, mail-sent report, subsidy report, etc.

✔ Electronic Data Interchange (EDI) connectivity

available

✔ Employer and participant COBRA account

management portals - PCI compliant, SAS 70

Type II reviewed, and both IBM and CISCO

certified

Page 10: PREPARED FOR Jefferson County Alabama PROPOSAL

10 July 1, 2020• Prepared for Jefferson County Alabama

FUNDING & CLAIMS

Find the right claims funding option for your business

Most Popular

Daily-Preferred Weekly-Preferred Weekly-Prefund

$0 Prefund

We will pre-pay merchants and medical providers and debit your account the next business day.*

$0 Prefund

We will pre-pay merchants and medical providers and debit your

account on a weekly basis**

We will debit your account weekly to cover claims activity. Ameriflex

requires a small up-front prefund to cover claims activity***

Sample Company: Joe’s Auto Shop 10 participants, with $1,000 in annual elections each

$0 Prefund

$0 Prefund

$833.33 Prefund

(due first month of administration)

* No up-front prefund payment is required. Your account will be debited each day for the claims activity amount + a reserve fee of up to 3.997%

**No up-front prefund payment is required. Your account will be debited weekly for the claims activity amount + a reserve fee of up to 4.997%

***We will collect a prefund for 1/12 annual elections.

Page 11: PREPARED FOR Jefferson County Alabama PROPOSAL

11 July 1, 2020• Prepared for Jefferson County Alabama

TECHNOLOGY

Ameriflex continues to reinvest in smart, integrated user tools, technology, and best-in-class service designed to make your life easier.

Employer

& Broker Portals

Submit new client applications

Complete online renewal

Submit enrollments

Manage COBRA enrollees

Access reports

Participant Portal

& Mobile App

View account balance and past spending

Sign up for account alerts

Mark card lost or stolen

Upload receipts

Set up direct deposit

24/7, on-the-go account access

Get reimbursed for out-of-pocket spending

MyAmeriflex Debit Mastercard

97%+ of transactions auto-verified at point of sale All pre-tax accounts on one card at no cost

Page 12: PREPARED FOR Jefferson County Alabama PROPOSAL

12 July 1, 2020• Prepared for Jefferson County Alabama

Cardholders get complimentary ID Theft Protection through Mastercard

ePOPdocs.com Create your plan document, add it to your cart, and pay for it – all in a matter of minutes.

Data Security Philosophy

At Ameriflex, we made a choice years ago to develop our own technology in-house, and to build

data security and compliance into our company from the ground up. Unlike others, we have not

awkwardly retrofitted security on top of aging systems. We've built security that scales into

everything we do.

Page 13: PREPARED FOR Jefferson County Alabama PROPOSAL

13 July 1, 2020• Prepared for Jefferson County Alabama

FEES

Fee Guarantee

Ameriflex pricing terms set forth in this Proposal are guaranteed to stay flat for six (6) years,

during the initial term of the Services Agreement.

Setup Fees

Annual Renewal Fee $0.00

One-Time Account Set-Up Fee $0.00

Flexible Spending Account

Pricing

Dedicated Account Manager Complimentary

Identity Theft Protection for all Ameriflex cardholders

Complimentary

FSA Guarantee Complimentary

MyPlanConnect - Per Enrolled Participant Per Month

$1.00

DCA Fee (if selected) $2.75 (0.00 with a Medical FSA)

Monthly Fee (Per Enrolled Employee) OR

$2.75

Minimum Monthly Fee (if

participation drops below 15 enrolled employees)

$75.00

Estimated Annual Employer

Savings

Number of Eligible Employees 2600

Number of FSA Participants 706

Average FSA Election Per Participant

$2,000

Total FSA Elections for all Participants

$1,412,000.00

FICA Tax Rate 7.65%

Page 14: PREPARED FOR Jefferson County Alabama PROPOSAL

14 July 1, 2020• Prepared for Jefferson County Alabama

Your Estimated Annual FICA Tax Savings

$108,018

Estimated Annual Participant

Savings

Average Tax Rate (FICA + Income)

29.65%

Estimated Annual Participant Savings

$418,658

Total Potential Employee

Savings

Number of eligible employees 2600

Average Tax Rate (FICA + Income)

29.65%

Total Annual Employee Savings $1,541,800

Page 15: PREPARED FOR Jefferson County Alabama PROPOSAL

15 July 1, 2020• Prepared for Jefferson County Alabama

COBRA Per Insured

Pricing

Dedicated Account Manager Complimentary

Per Insured Employee, Per-Month Fee OR $0.39

Minimum Monthly Fee* $80.00

Additional Services Offered

Marketing/Special Materials with Mailings

Price based on size and complexity

Open Enrollment $15 per notice - $60 minimum

* Ameriflex invoices off medical bill only; includes outside dental and vision carriers at no additional cost

Page 16: PREPARED FOR Jefferson County Alabama PROPOSAL

16 July 1, 2020• Prepared for Jefferson County Alabama

Help Us Go Green

In an effort to help maintain the health of the environment in which we serve our clients, we are waiving printing and processing fees for those that help us reduce our carbon footprint. Please be prepared to make your selection when filling out the New Client Application.

Invoice Receipt Method for Administrative Fees

Sent electronically OR Sent by USPS Mail Invoice Printing Fee Waived $5.00/mo

Payment Method for Administrative Fees

Payment Received Electronically by ACH Debit OR Payment Received Via Check

Payment Processing Fee Waived $25.00/mo

Page 17: PREPARED FOR Jefferson County Alabama PROPOSAL

17 July 1, 2020• Prepared for Jefferson County Alabama

ABOUT US

Ameriflex is recognized as one of the nation’s largest independent administrators of consumer-

driven health plans. Built organically with an unwavering commitment to sustainable growth that

puts the best interests of our clients first, Ameriflex continues to reinvest in smart, integrated

user tools, technology, and best-in-class service. We get out of bed every morning to reduce

healthcare costs and simplify the healthcare experience for the growing population of partners,

employers, and individual consumers we serve.

Awards

Ameriflex has been recognized within the industry for its commitment to superior service

and product innovation.

Partners Ameriflex partners with the biggest and most well-respected names in the industry to

bring you and your employees more value.

Page 18: PREPARED FOR Jefferson County Alabama PROPOSAL

18 July 1, 2020• Prepared for Jefferson County Alabama

EDI Integrations

Ameriflex utilizes EDI with many leading vendors to enable fast and accurate exchange of data

between our clients’ payroll or HRIS systems to the Ameriflex platform. For a full list of our EDI

partners, click here.

60+ EDI Integrations

60+ Carrier Integrations

Page 19: PREPARED FOR Jefferson County Alabama PROPOSAL

19 July 1, 2020• Prepared for Jefferson County Alabama

MAKE IT EASIER FOR YOURSELF

& YOUR EMPLOYEES.

By choosing Ameriflex, you’re getting the best service and

value available, including:

✔ Dedicated implementation team and account manager, at no

additional cost, with three layers of implementation quality

assurance

✔ Calls returned in 59 minutes or less; email replied to in 4 hours or less

✔ Client Love: Net Promoter Score (NPS) 200%+ the industry average

✔ 100% Regulatory Protection; delivering peace of mind

✔ FSA Guarantee: the only life preserver for underwater plans, free

✔ ID Theft Protection: Complimentary, including full wallet restoration,

for all Ameriflex Cardholders

✔ Unmatched Data Security: Private HIPAA Audit, HITRUST CSF Cloud,

SOC 1 Type II Audit, SSAE18

✔ Fastest claims payment speed in the industry - 95% of payments

direct deposited in a matter of days

If you have any questions about this proposal or need any support, please

don’t hesitate to contact me.

I look forward to speaking with you soon.

Macon Barham