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40 |

P a g e

Your

business

just got

easier

.

We are preferred producers and sit on Agent Advisory Councils for several major carriers, including;

Aetna, Anthem, CIGNA and United Healthcare.

Enrollment Support

CBIZ takes a proactive approach to annual benefits enrollment. Starting early and staying on track

are our specialties. We will:

Coordinate the enrollment process with vendor including eligibility data;

develop employee communication materials including announcement letter, benefit

summaries and custom materials as needed;

review vendor and/or client enrollment materials;

identify electronic enrollment capabilities – internal, CBIZ, or 3rd party;

facilitate employee meetings via webcast or in person, including PowerPoint presentation

and vendor support; and

provide vendor interface throughout the enrollment season.

In addition to facilitating annual open enrollment meetings or webcasts, we are available on an on-

going basis to answer employee questions regarding plan benefits, covered and excluded services,

pre-certification procedures, provider networks, claims, etc. We also utilize web-based employee

communication materials so that employees and dependents can view 24hours/7days a week.

Implementation and Vendor Management

Whether entering into a renewal contract or switching to a new vendor, CBIZ will coordinate and

manage the implementation process and the ongoing vendor relationship. We will:

Schedule planning and implementation meetings with vendors as needed;

coordinate eligibility data requirements and timing;

order vendor benefit booklets and/or certificates, ID cards;

review administrative forms and billing;

request and review contracts, SPDs, and other vendor materials;

provide ongoing employee support for claims, customer service, etc.;

proactively identify issues before they become problems; and

establish service level expectations and negotiate performance guarantees as appropriate.

CBIZ leverages our position in the marketplace to obtain the best value, prices, and performance

from all major vendors. During the vendor selection process we will obtain meaningful vendor

commitments, ensure that their contracts accurately reflect their promises, and then manage the

vendor performance on an ongoing basis.

Plan Management

CBIZ provides ongoing plan management, monitoring the District’s cost and utilization trends on an

ongoing basis that identifies:

Enrollment and claims trend;