Running a group health plan involves more than choosing coverage. This Paychex Insurance Agency guidebook explains the day-to-day administration that follows, starting with who is responsible for what across the agency, the employer, employees and the insurance carrier. It covers when enrollment and waiver forms are required, the documentation each qualifying event calls for, how to handle voluntary and involuntary cancellations, and how carrier invoices tie to payroll deductions, with a worked example. Annotated samples of the Eligibility, Enrollment & Deduction Summary and Census reports show what to review each month. You will also find open enrollment responsibilities, COBRA and State Continuation basics, optional services such as premium payment and health advocacy, a plan FAQ and a glossary of common health insurance terms.
Health plan administration guide for employers
A Guide to Administering Your Company's Health Insurance
Content provided by Paychex Insurance Agency
Missed enrollment deadlines and mismatched invoices can put your group's coverage at risk. This Paychex Insurance Agency guidebook lays out exactly what employers need to do, with annotated sample reports, a COBRA workflow and a payroll deduction example. Keep it on hand as your everyday plan administration reference.
- Annotated sample reports
- COBRA process walkthrough
- Health insurance glossary
What you'll get
A practical reference for employers and benefits administrators, covering the forms, reports, deadlines and responsibilities involved in running a company health insurance plan from enrollment through renewal.
Enrollment and cancellation rules
When forms and waivers are required, qualifying event documentation and reporting deadlines for terminated employees.
Invoice and deduction checks
How carrier invoices, payroll deductions and the monthly summary report should reconcile, illustrated with a worked example.
Annotated sample reports
Section-by-section explanations of the Eligibility, Enrollment & Deduction Summary and Census reports you will receive.
COBRA and renewal guidance
Who COBRA applies to, a step-by-step administration workflow, FAQs and employer duties at open enrollment.