Group Health & Welfare

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Overview


With the rising costs of providing group health care benefits to employees, employers now more than ever are looking for value-added, cost saving strategies and solutions. As with everything we do, we focus on the priorities of your individual group to find the optimum solutions to meet those needs.

Because of our market penetration, pools of expertise and sophisticated negotiation strategy, we have been successful at negotiating preferred pricing with multiple vendors and service providers that we are able to pass through to our clients. Having multiple experts with underwriting backgrounds on our team, combined with proprietary modeling technology that mirrors that of the underwriters, we are further positioned to represent our clients in receiving the ultimate flexibility from the underwriters as well as the most responsive service available from providers.

Our Approach

Our experts perform a complimentary needs analysis to gather information on the existing plan and situation. Employers then list for us their top priorities, including such elements as pricing, service, discounts, pharmacy options, utilization management and other elements deemed important by the client. We then we go out to the marketplace and find the best proven platforms and providers to meet the optimum needs and priorities of the client. We deliver customized options based on the specific client priorities.

Our Expertise

Our model takes each element of your group health and welfare plan and assigns specialists dedicated exclusively to that portion of your plan. For example, our prescription drug specialists focus daily on providing solutions to the rising cost of prescription drugs. These professionals are experts at seeking out the best actively managed prescription benefit managers to manage your drug costs. Our disability experts know how to identify disability gaps and how to deliver the optimum solutions to maximize these benefits at the most cost-efficient levels. Your core medical expert delivers the packaged or unbundled solutions that best meet your needs based on your specific priorities. A lead consultant coordinates the combined effort.

Our model further includes access to the added expertise of approximately 37 employment, labor and employee benefit attorneys focusing specifically on the complexities of group benefit plans. These experts provide complimentary employee benefit audits to determine where employers can maximize their benefits through plan customization and design. Our attorneys are experts in HIPAA, COBRA and other regulatory law.

Rather than simply reviewing case studies to determine the most viable options, our ERISA attorneys are among the few who are making case study history. These professionals are the innovative elite who are appointed to boards with the IRS and DOL and have challenged these and other governing bodies to set the standards of compliance for other professionals in the industry.

Depending on the options selected by our clients, this ongoing expertise is provided seamlessly as part of an efficiently-packaged solution.

Industry-leading Resources

Upon much research, due diligence and testing, PremierSource has combined the expertise of several leading benefits consulting teams under the PremierSource health and welfare consulting model. Depending upon the specific case demographics, client priorities, required expertise and resources, PremierSource hand-selects the best in class specialists among these consulting teams to represent its clients. PremierSource attorneys and relationship management teams provide the ongoing relationship management and integration of regulatory audits and compliance oversight for their clients.

PremierSource researches the market on an ongoing basis to continue to uncover the “best in class” for all disciplines represented under its health and welfare model. This research opens up additional pools of leading industry resources in very specialized areas such as pharmacy benefit auditing, network contract analysis, vendor contract review, TPA auditing, actuarial services, legal, compliance and more.

Sample Plans

Our teams analyze the optimum funding mechanism for each employer, comparing fully insured funding to minimum premium options and self insured programs, along with all the ancillary products that accompany such plans. Such ancillary products include dental, vision, cafeteria plans, life, disability and long-term care.

    For more information, please contact:
      Teah Corley, President
      John Kafer, Vice President, Business Development
      Sarah Cain, Vice President, Administration/Marketing
      (405) 228-7699 • (918) 574-3030 • (866) 239-4015