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Employee Benefits…everything you need in one place!

TruAdvantage Healthcare would like to introduce you to Connect Employer Services. Our goal is to assist you in making each year a great success. Your business demands significant attention to a variety of issues – issues that you cannot afford to ignore. We free up time and resources so that you can focus on what is most important to you- running your business profitably.

TruAdvantage Healthcare can help you find the best solutions at the best value to ensure your compliance and growth from Employee Benefits to HR Compliance. We welcome the opportunity to discuss your specific needs and demonstrate our extensive knowledge and services. Let TruAdvantage Healthcare be your # 1 resource.

Employee Benefit Support is Always Complimentary!

• Online Enrollment System

• Annual Benefit Review & Marketing with Carriers

• Online Prescreen & Enrollment

• On-Site Employee Meeting & Enrollment Support

• Dedicated Agent & Client Care Representative

• Changes – Qualifying Events

• Payroll Deduction Reporting

• Employee Benefit Support

• Personal Claims Care & Support Services

• HR Self-Serve Portal (HR-360)

Stability Testing
ACA Reporting
Data Reconciliation
Forms Preparation
HR Support

Whether you are in need of an HR professional or assistance with your compliance responsibilities, we can help! Compliance has never been easier. We can customize a plan for you depending on your unique situation.

• Pop 125 Document

• COBRA Administration

• FMLA Administration

• FSA Administration

• HSA Administration (carrier)

• CMS Employer Reporting

• Market Exchange Notice

• SPD & SBC Notification (mailing services are an additional cost)

• Employer Notice Package (PDF)

• Benefit & Basic HR Compliance Update

• HR Support & HR Review

• 1094/1095 Assist

• Legal Planning

• HR Online Platform

• HR Consultation (monthly subscriptions available)

 

Initial Notices of COBRA Rights & Obligations
Premium billing & collection
Qualified event letters for all qualifying beneficiaries
HIPPA certificates included
Termination letters
Management of COBRA elections
Online event submission & reports

What to know about open enrollment.

Open enrollment is the period each year when you’re allowed to start, stop or change your health insurance plan. Normally, you sign up around the end of one calendar year for coverage that lasts the full next year.

 

When can you sign up for health insurance?

 

Plan TypeOpen Enrollment
Individual & Marketplace Health PlansNovember 1st – January 31st
Employer Sponsored PlansDates Depend on Employer
MedicareOctober 15th – December 7th

 

If you’re interested in purchasing health insurance on your own, you have several options for purchasing a policy:

1.) Off the Exchange: A Tru Advantage Healthcare Agent can quote you out for individual insurance directly with the carriers.

2.) On the Exchange: A TruAdvantage Healthcare Agent can assist you with signing up for a SHOP plan with the Federal or State Health Insurance Exchange.

Life happens, and when it does, your health coverage may have to change. If you experience a qualifying life event that affects your insurance needs, you can take advantage of a special enrollment period.

• Marriage, divorce, or legal separation

• Adoption or birth of a child

• Taking or returning from a leave of absence

• A change in your work schedule that causes you to gain or lose coverage

• Change in residence or work location of you or a dependent on the policy

• Death of a spouse or child

• A child on your policy turns 26

Compliance…everything you need in one place!

TruAdvantage Healthcare Healthcare can help you navigate the world of insurance, finance and compliance. TruAdvantage Healthcare brings together a single access point for unique connections, products, and services with solutions for both the challenges of today and tomorrow.  We take care of you wherever you are, whoever you are, and for whatever you need.

We invest ourselves in identifying your goals and then harness our diverse skills to bring together all the necessary resources to protect what’s most important to you and help you reach your objectives in the most cost effective and efficient manner possible.

Group Access can help you be compliant!

ACA Assistance

The ACA’s reporting requirements apply to all employers with 50 or more full-time or equivalent employees. TruAdvantage Healthcare provides employers with a solution that helps manage crucial employer-related elements of Health Care Reform, including determining ACA offer of coverage eligibility, assessing affordability, and providing a critical Regulatory Management solution that helps you identify and address compliance issues that may result from interactions with government agencies before they become a problem.

• Stability Testing

• ACA Reporting

• Data Reconciliation

• Forms Preparation

Stability Testing
ACA Reporting
Data Reconciliation
Forms Preparation
COBRA Administration
The Consolidated Omnibus Budget Reconciliation Act of 1985, commonly known as COBRA, is a federal law that requires employers of 20 or more employees with group health plans to offer employees, their spouses and dependents a temporary period of continued health care coverage if they lose coverage through the employer’s group health plan.

• Initial Notices of COBRA Rights & Obligations
• HIPPA certificates included
• Premium billing & collection
• Termination letters
• Online event submission & reports
• Qualified event letters for all qualifying beneficiaries
• Management of COBRA elections
Initial Notices of COBRA Rights & Obligations
Premium billing & collection
Qualified event letters for all qualifying beneficiaries
HIPPA certificates included
Termination letters
Management of COBRA elections
Online event submission & reports
ERISA Wrap Document & Amendments

The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for retirement and health benefit plans in private industry.

• Custom Summary Plan Description (SPD)

• Custom Plan Document Wrap

• Compliance Guide for Welfare Benefit Plans

• EverWrap Compliance Updates

• Compilation of Available Documentation for Component Benefit Programs

Custom Summary Plan Description (SPD)
Compliance Guide for Welfare Benefit Plans
Custom Plan Document Wrap
Compilation of Available Documentation for Component Benefit Programs
EverWrap Compliance Updates
FMLA Administration
The federal Family and Medical Leave Act (FMLA) generally requires private employers with 50 or more employees to provide eligible employees with up to 12 weeks of unpaid leave during a 12-month period for certain family and medical reasons.

• Online access to custom dashboard
• Review of current FMLA documentation, policies, and practices for compliance to federal and state FMLA regulations
• Monitor and track attendance
• Claim approval/denials, recertification, military leave, medical certifications
Online access to custom dashboard
Monitor and track attendance
Claim approval/denials, recertification, military leave, medical certifications
Review of current FMLA documentation, policies, and practices for compliance to federal and state FMLA regulations
Section 125 (POP) Plan

A Cafeteria Plan (includes Premium Only Plans and Flexible Spending Accounts) is an employee benefits program designed to take advantage of Section 125 of the Internal Revenue Code. A Cafeteria Plan allows employees to pay certain qualified expenses (such as health insurance premiums) on a pre-tax basis, thereby reducing their total taxable income and increasing their spendable/take-home income.

Outsourcing…everything you need in one place!

TruAdvantage Healthcare would like to introduce you to Connect Employer Services. Our goal is to assist you in making each year a great success.  Your business demands significant attention to a variety of issues – issues that you cannot afford to ignore. We free up time and resources so that you can focus on what is most important to you; running your business profitably. 

Outsourcing these services to our trained professionals can help you control capital costs, increase efficiency, reduce labor costs, focus on your core business, increase your competitive edge and reduce risk.  We customize successful plans by simplifying your source of assistance. TruAdvantage Healthcare can find the best solutions at the best value to ensure your compliance and growth.  We welcome the opportunity to discuss your specific needs and demonstrate our extensive knowledge and services.  Let TruAdvantage Healthcare be your # 1 resource.

We invest ourselves in identifying your goals and then harness our diverse skills to bring together all the necessary resources to protect what’s most important to you and help you reach your objectives in the most cost effective and efficient manner possible.

HR, Benefit & Compliance Services

• COBRA
• HSA/HRA
• ACA Reporting
• Benefit Administration
• FMLA
• ERISA
• Carrier Billing Reconciliation
• Enrollment Call Center
• FSA
• Payroll
• Human Resources
• HR Online Library
Custom Summary Plan Description (SPD)
Compliance Guide for Welfare Benefit Plans
Custom Plan Document Wrap
Compilation of Available Documentation for Component Benefit Programs
EverWrap Compliance Updates

Private Online Enrollment Center.

Private Exchanges allow employers to enhance their employee benefit experience while streamlining the enrollment process – online! Employers can minimize time spent on open & new hire enrollments & processing errors.  Employers and their employees can login anytime to check their benefit information and update personal demographic data. Our online Private Exchange can strengthen employee engagement, reduce costs, and simplify benefits administration.

 Private ExchangePrivate Exchange
Who uses it?Active and retired employees of companies who provide benefitsPrimarily individuals purchasing insurance on their own for themselves and their families
Who operates it?Private companiesGovernment bodies – individual states or the federal government
What products are available?Often a wide range of benefits including health care plans across a wide range of price points, dental, vision, life, disability, critical illness, wellness, legal plans, and even pet insurance and telemedicineMedical, dental and vision
Are subsidies available?NoYes

 

Communication is vital to compliance

Employers are responsible to provide notification of certain rights and options available to employees such as Summary Plan Descriptions (SPDs), WHCRA, Medicare Part D and more. With the introduction of the Affordable Care Act, there is an increased urgency to keep current and compliant. Tru Advantage Healthcare can help keep you compliant with our integrated communication strategy that incorporates:

  • Private Exchange & Data Automation
    Enrollment, Reporting, Compliance Documents, Payroll Integration, & IRS Reporting
  • Print, Web & Video
    Effective forms of communications to notify, inform, & engage employees
  • HR Support, Training & Call Center
    Timely responses to everyday questions