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Services

A full-service partner,
not just a broker.

Benefits Collective provides comprehensive, ongoing services that go well beyond plan placement. We manage your self-funded plan, your vendor relationships, your compliance obligations, and your data—year-round, every year.

🏗
Self-Funded Plan Management

Your plan, actively
managed every day.

Transitioning to a self-funded health plan is only the beginning. The real value comes from how it's managed after launch. We oversee every component of your plan on an ongoing basis—holding vendors accountable, monitoring performance, and proactively optimizing your plan structure so it keeps delivering results year after year.

TPA oversight — we monitor your third-party administrator's claims processing accuracy, turnaround times, and contract adherence every month.
Stop-loss management — proactive large-claim tracking and timely filing to ensure you're capturing every dollar of stop-loss reimbursement you're owed.
Pharmacy program oversight — ongoing PBM contract monitoring, rebate reconciliation, and formulary performance review to protect against cost creep.
Renewal strategy — data-driven renewal modeling that starts months ahead of deadline, giving you time and leverage to negotiate from a position of strength.
Plan Management Calendar
Claims review & variance analysis
Monthly
Stop-loss filing & tracking
Ongoing
TPA & PBM performance review
Quarterly
Pharmacy rebate reconciliation
Quarterly
Renewal modeling & strategy
Q3 start
Open enrollment support
Annual
🤝
Account Management

A dedicated team that
knows your business.

Every Benefits Collective client has a named account team—not a call center, not a rotating cast of analysts. Your advisor knows your plan history, your workforce, your goals, and your challenges. We serve as a seamless extension of your HR department, handling the day-to-day complexity of benefits administration so your team can focus on what matters most.

Dedicated advisor — a senior point of contact who is available year-round and deeply familiar with your organization's benefits history and goals.
Employee advocacy — direct support for members navigating complex claims, billing disputes, prior authorizations, and care coordination challenges.
HR team support — we handle vendor escalations, eligibility issues, and benefits questions so your HR team isn't the last line of defense for every problem.
Open enrollment management — end-to-end support including communications, decision tools, enrollment logistics, and post-enrollment audits.
What Your Account Team Handles
Vendor escalations & disputes
Member claim support & advocacy
Eligibility & enrollment changes
Benefits communications & materials
New hire onboarding support
Open enrollment planning & execution
Ad hoc HR team consulting
Compliance Management

Stay ahead of every
regulatory obligation.

Self-funded health plans carry significant compliance responsibilities under ERISA, the ACA, HIPAA, and a constantly evolving body of federal and state regulations. Missing a deadline or mishandling a disclosure can expose your organization to meaningful financial and legal risk. We manage the full compliance calendar so nothing falls through the cracks.

ERISA plan document management — drafting, maintaining, and distributing summary plan descriptions, wrap documents, and required notices on your behalf.
ACA reporting & filing — 1094/1095 preparation, affordability testing, and minimum value analysis to keep you compliant with employer mandate requirements.
Non-discrimination testing — annual 105(h) and cafeteria plan testing to ensure your plan doesn't inadvertently favor highly compensated employees.
Regulatory change monitoring — proactive alerts and guidance whenever federal or state legislation affects your plan design or reporting obligations.
Annual Compliance Obligations We Manage
Obligation
Reg.
Due
Summary Plan Description
ERISA
Mar 31
Form 5500 filing
ERISA
Jul 31
1094-B / 1095-C reporting
ACA
Mar 31
COBRA administration
Federal
Ongoing
HIPAA privacy & security review
HIPAA
Jun 30
105(h) non-discrimination testing
IRS
Dec 1
State mandate tracking
Multi-state
Ongoing
📊
Data Analytics & Reporting

Intelligence that drives
smarter decisions.

The single greatest advantage of a self-funded plan is access to your own claims data. We turn that data into a strategic asset—delivering monthly reporting, identifying cost trends before they become problems, and giving you the evidence you need to make informed decisions about plan design, vendor performance, and workforce health.

Monthly claims dashboards — clear executive-level reporting on spend by category, top cost drivers, utilization trends, and variance to budget.
Population health analysis — aggregate member health risk profiling that identifies emerging cost trends and informs targeted care management interventions.
Peer benchmarking — we compare your plan's performance against industry and size-matched peers so you always know how you stack up and where the opportunity is.
Renewal projections — data-driven modeling of next year's expected spend gives you the facts needed to challenge carrier estimates and negotiate from strength.
Claims Spend by Category — YTD
$1.42M
Total claims YTD — $96K under budget
Inpatient
45%
Pharmacy
32%
Outpatient
18%
Primary Care
5%
YTD vs. prior year
−8.4%
Budget variance
−$96K
High-cost claimants (>$50K)
3 members
Specialty Rx trend (flagged)
+14%
What's Included

Every engagement includes all four services.

We don't unbundle or upsell. Every Benefits Collective client receives our full suite of services as part of a single, fully-disclosed flat fee.

01
🏗
Self-Funded Plan Management
Active oversight of every plan component — TPA, stop-loss, pharmacy, and vendors — year-round.
02
🤝
Account Management
A dedicated advisor and support team serving as an extension of your HR department every day.
03
Compliance Management
Full oversight of your ERISA, ACA, HIPAA, and state compliance obligations so nothing is missed.
04
📊
Data Analytics & Reporting
Monthly claims dashboards, population health analysis, and renewal projections built from your data.
Get Started

See what comprehensive service actually looks like.

Schedule a no-obligation consultation. We'll walk you through exactly how we'd support your organization and what you could realistically expect in year one and beyond.

No pressure. No commitment. Just a conversation.