Zero Annual Out of Pocket Medical Cost for Participants – $123K Savings for the Employer!

0k

Case Study: Energy Foundation

The Pain Points
M
The Pain Points

What was the issue?

The client was lacking what they felt were creative medical plan alternatives and client support offerings were sub-par

Our Proposed Solutions
Our Proposed Solutions

Based on our Experience, We offered the following:

  • Better Benefits (Attraction and Retention)
  • Alternative Funding (Cost)
  • Websites, Apps, Custom Materials (EE Communications)
  • BenAdmin Tech, Bill Reconciliation (Admin Headaches)
The Details
The Details

Cost Control is Key

Energy Foundation conducted an RFP that included three prospective brokerage firms. The Filice presentation focused primarily on how to enhance their already generous medical benefits while controlling costs. The following represents an overview of the process: • Platinum/Highest level benefits with Kaiser and Blue Shield were in place at Energy Foundation with the Employer paying 100% of monthly premiums for both the Employee and Dependent(s). • Unique solution presented by Filice focused on an alternative funding arrangement:  This entailed transitioning all participating employees to the highest deductible/lowest-cost plan designs offered by Kaiser and Blue Shield.  The monthly premium savings resulting from this plan design modification were used to establish a Medical Expense Reimbursement Program (MERP) that would fund 100% of the In-Network Annual Out of Pocket cost exposure for all plan participants. Each enrollee received a debit card for use when seeking medical services from Kaiser or Blue Shield.  As the new combined, fixed monthly premium structure (MERP + Carrier Premiums) includes anticipated claims dollars, if overall plan utilization is less than “expected” (the cumulative amount built into monthly premiums to pay claims), Energy Foundation will also be eligible to receive a surplus refund at the end of each plan year.

Year 1 overall premium savings to the Employer resulting from this transition exceeded $123,000.

Roles Played
Roles Played

Components

Additional components that played a critical role in establishing this new client relationship: 

The Filice Tech Team’s assistance in transitioning this client away from the prior broker’s proprietary enrollment system to Ease. Encompassed in this was the need to establish a new FSA and COBRA service provider and the training of Energy Foundation’s HR contacts and plan participants.  Throughout the process, our contacts at Energy Foundation grew to appreciate the extreme upgrade in service and continuous support provided by Filice. The above is only a brief representation of the time and effort put forth by the Filice service and support team members. As a result, our primary contact, the Senior Director of Human Resources, was kind enough to label all who were involved from the Filice side, “Super Team”!

The Team
The Team

Team participants critical in this success: Client Service Manager, Benefits Admin Representative, Account Executive, Tech and Compliance team members, and the Third-Party Administrator who partnered with Filice in establishing EF’s Medical Expense Reimbursement Program