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Clients choose us because they demand creative solutions and innovative thinking to deal with the ever changing world of employee benefits. At the same time, while HR and Benefits resources are being stretched to their limits, our day-to-day support provides an extension of our client's staff.
At CMC, our client teams include underwriting, financial, operations, compliance and customer service experience; allowing us to serve as an effective resource, and advocate, for our clients across all facets of their health insurance programs. Because we are not constrained by billable hour quotas and quarterly earnings requirements, our team can spend the time necessary to understand the specific needs of each employer, and then develop a customized approach to meet their business objectives.
 Our Services for Fully Insured Clients
Our approach for our fully insured clients is to provide a comprehensive set
of services – not simply a broker that shows up with the annual renewal. These services include:
Strategic Planning for Medical, Prescription Drug, Dental, Vision, Group Life, Accident and Disability
- Development and evaluation of short, medium, and long term program objectives
- Regular strategy planning meetings
- Plan performance management and measurement
- Evaluation of consumer directed plans (CDHP)
- Marketplace updates
- Benchmarking
- Benefits program analysis
- Cost-driver and opportunity analysis
- Network adequacy
Employee Health and Productivity Management Solutions
- Strategies for population wellness
- Design and incentives
- Metrics and results tracking
- Planning and coordination for:
- Onsite biometric screenings
- Health risk assessments
- Corporate wellness challenges
- Health fairs
Financial Management
- Claim reporting
- Budget analysis
- Large claim analysis
Contribution Strategy
- Contribution modeling with cost/employee impact
- Alternative strategies, including incentives and surcharges
Plan Design and Financial Modeling
- Plan design options
- Cost and employee impact analysis
- Multi-year projections to support business planning
Renewal Planning and Negotiation
- Pre-renewal meeting
- Needs determination for soliciting proposals/market plans
- Management of renewal process
Vendor Selection/Implementation
- Proposal solicitation
- Proposal analysis
- Vendor selection
- New vendor implementation and management
HR Support
- Comprehensive plan and vendor management to allow HR teams to focus on other important business initiatives
- Claim, enrollment and administration issue resolution
- Mergers and acquisition analysis /integration
Compliance Support
- Assurance of plan compliance
- Legislative and regulatory updates
Employee Communication
- Client-specific branded employee communication
- Enrollment presentations
- Annual enrollment process coordination
Voluntary Benefits Strategy
- Program evaluation and design
- Vendor selection and negotiation
- Implementation
- Member communication
- Enrollment and billing strategy
- Executive benefits
Our Services for Self-Funded Clients
Our consulting services for our self-funded clients can be customized to fit your company’s unique needs and typically include:
Strategic Planning for Medical, Dental, Vision, Group Life, Accident and Disability
- Development and evaluation of short, medium, and long term program objectives
- Regular strategy planning meetings
- Plan performance management and measurement
- Evaluation of consumer directed plans (CDHP)
- Marketplace updates
- Benchmarking
- Benefits program analysis
- Cost-driver and opportunity analysis
Provider Network Analysis (medical and dental)
- Evaluation of network adequacy
- Disruption analysis
- Network discount analysis
Employee Health and Productivity Management Solutions
- Strategies for population wellness
- Design and incentives
- Metrics and results tracking
- Planning and coordination for:
- Onsite biometric screenings
- Health risk assessments
- Corporate wellness challenges
- Health fairs
Financial Management
- Premium equivalent/funding rate development
- Claim reporting
- Budget analysis and monitoring
- IBNR reserve analysis
- Large claim analysis
- Stop loss analysis
Contribution Strategy
- Contribution modeling with cost/employee impact
- Alternative strategies, including incentives and surcharges
Plan Design and Financial Modeling
- Plan design options and pricing
- Cost and employee impact analysis
- Multi-year projections to support business planning
Renewal Planning and Negotiation
- Pre-renewal meeting
- Needs determination for soliciting proposals/market plans
- Management of renewal process
Vendor Selection/Implementation
- Proposal solicitation
- Proposal analysis
- Network discount and disruption analysis
- Vendor selection
- New vendor implementation and management
HR Support
- Comprehensive Plan and Vendor Management to allow HR teams to focus on other important business initiatives
- Claim, enrollment and administration issue resolution
- Mergers and acquisition analysis /integration
Compliance Support
- Assurance of plan compliance
- Legislative and regulatory updates
Employee Communication
- Client-specific branded employee communication
- Enrollment presentations
- Annual enrollment process coordination
Retiree Health Care
- Plan design
- Health care and pharmacy
- Medicare and non-Medicare
- Carrier evaluation, selection and negotiation
- Funding alternatives
- Implementation
- Member communication
Pharmacy
- Diagnostic services and plan performance evaluation
- PBM contract negotiations
- Discounted AWP and cost plus pricing
- PBM vendor selection, procurement, and monitoring
- Member compliance and consumerism strategies
- Pharmacy benefit plan design
Voluntary Benefits Strategy
- Program evaluation and design
- Vendor selection and negotiation
- Implementation
- Member communication
- Enrollment and billing strategy
- Executive benefits
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© 2012 CMC Advisory Group. All Rights Reserved.
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