Supporting the Best Interest of the Employer: How Stop-Loss Providers can Help TPAs
In a recent discussion with employers, most knew they had Stop-Loss coverage for their self-funded medical plan. They further understood that it’s protection from a large loss. However, there was some confusion as to the role and relationship between the Claims...
Underwriting and Sales are Motivated Differently to Write the Same Account
A natural and healthy conflict exists between underwriting and sales. It's easier to manage when the underwriting and sales (producers) are separate entities. However, many stop-loss carriers/MGUs (carriers) compensate their sales (marketing) staff in a similar manner...
Your Stop Loss Carrier Should be Your Trusted Advisor
What is a ‘Trusted Advisor,’ and why is this important to you? There are several references on what a trusted advisor is. Simply put, it is a person and company that does not act only as a facilitator to your inquiries or needs. A trusted advisor will offer an...
Claim Success Story #6 – Chemotherapy
At USBenefits Insurance Services we take pride in our ability to identify potential claim issues to ensure the Plan is not paying for items that should not have been billed by the provider. In our most recent example, the claimant was undergoing chemotherapy over many...
Reasons Employers Should Use ACH Payments Over Paper Checks (Part 1)
(Part 1 of 4) Are you using an Automated Clearing House (ACH) to make and receive payments? ACH is an electronic application that allows the direct transfer of funds between two bank accounts with several benefits to all parties. Fraud mitigation: You may be aware...
Workers’ Compensation Continued
This is an updated version of an article USBenefits Insurance Services released in February 2022. On occasion, employers and employees may be unsure if an injury or illness (injury) can be considered work-related. * The short definitions for the two insurance products...
Are All Stop-Loss Providers Created Equal?
When it comes to service, it may be hard to differentiate between Stop-Loss Providers on a “Request for Proposal” spreadsheet. As discussed in previous articles, choosing the lowest price may not be in the best interest of the Plan. Let’s go a bit deeper into why...
Should your Stop-Loss Carrier Participate in your Sales Process?
Unlike other carriers and MGUs, USBenefits believes we can add value to your sales effort. We recognize the sensitivity and concerns you (our producers) may have by inviting a stop-loss carrier to your sales presentation. Hence the question… Should your stop-loss...
Personal Touch….
At USBenefits, your goal is our goal – to provide the best possible outcome for the employer. This is not just a tagline for the employees at USBenefits, but a drive to do everything we can to support our customers. We work closely with our Third-Party Administrators...
Fully Insured Vs. Self Funding
Fully Insured – the employer purchases a standard healthcare coverage from a commercial carrier such as UHC, BCBS, Cigna or Aetna. The insurance company takes the risk associated with the employees’ healthcare and the profit when premiums exceed claims costs. Self...
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