Health, Long-term Care, Disability, & Employee Benefits

Brokers and Third-Party Administrators

Our consultants provide the following services to brokers and third party administrators (TPAs):

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Services

Group Medical Funding Studies

  • Premium equivalent rate development
  • Plan design modeling
  • Stop loss attachment optimization
  • Network discount analysis

Self-Insured Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Medicare Creditable Coverage Testing

  • Testing employer plan designs to evaluate compliance with minimum Actuarial Value (AV) requirements
  • Issuing a report in support of employer creditable coverage notices

Incurred But Not Paid Valuation

  • Develop estimates of IBNR/IBNP claims
  • External auditor support

Captive Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Reference-Based Pricing

  • Quantify the financial impact of utilizing a reference based pricing reimbursement model

M&A Due Diligence

  • Buy-side and sell-side due diligence analysis of employee benefits

OPEB Actuarial Modeling

  • FASB and GASB actuarial valuations of post-employment benefits

Meet The Team

Frank Huang

Head of P&C Actuarial Solutions

Michael Berman, FSA, MAAA

Director, Actuarial Solutions

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    What would you like to discuss with us?

    Group Medical Funding StudiesMedicare Creditable Coverage TestingIncurred But Not Paid ValuationCaptive Feasibility StudiesReference-Based PricingQuantify the financial impact of utilizing a reference based pricing reimbursement modelM&A Due DiligenceOPEB Actuarial Modeling