Laserfiche WebLink
Addendum A- Consulting Agreement Services <br />Standard Services <br />• Interact with carrier or outsourced disease management firm using InfoLock claims analytics tool <br />when available to aggressively pursue identified high-risk claimants <br />Monitor Health Risk Management program results to ensure objectives are met; modify as <br />appropriate <br />Compliance Services <br />• Access to Lockton's in-house Compliance Department for assistance with: <br />ERISA and state insurance law; COBRA and HIPAA; Title VII, FMLA, and USERRA; Tax Code <br />welfare; Tax Code retirement <br />Legislation affecting benefit program <br />ERISA requirements via "ERISA Calendar" <br />Document preparation and review <br />Compliance audits and reporting <br />• Other services include online seminars and workshops, compliance newsletters, and <br />newsflashes/alerts delivered via e-mail <br />Coordinate gathering of Schedule A reports to facilitate preparation of Form 5500, if applicable <br />• Prepare signature -ready Form 5500, if applicable <br />Actuarial Services <br />Provide comprehensive actuarial services, including: <br />IBNR reserve certification for Medical, RX, and Dental <br />Actuarial valuation of benefit plan design changes <br />Comparison of provider network reimbursement levels by network <br />Medicare Part D actuarial attestation <br />Medicare Part D claims submission <br />COBRA rate certification <br />Analysis of funding options (fully insured vs. self-insured) <br />Detailed analysis of claims data to identify problem areas, estimate impact of plan changes, <br />project enrollment for multi -option plans, etc. <br />• F.S. 112.08 filing with the FL Office of Insurance Regulation (OIR) <br />• GASB 45 / FAS 106 Analysis <br />o Stop loss analysis; including, <br />t. Analysis of the difference in risk between various stop loss levels <br />Estimate of expected number and dollar of claims above the specific stop loss deductible <br />Typical Frequency <br />As needed <br />As needed <br />Daily <br />Daily <br />Annually and updates <br />As needed <br />As needed <br />Timely <br />Annually <br />Annually <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />As needed <br />Cost <br />Lockton services included in <br />fee; outside services, if <br />needed, provided at Lockton <br />preferred vendor cost <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />Included in fee <br />L <br />LOOKT <br />