(813) 963-2420

Actuarial Consulting for Third Party Administrators

We offer the actuarial advice you need, including expertise in the realm of stop loss reinsurance, whether you are introducing a new risk sharing arrangement to the marketplace or helping a prospect make the transition from a fully insured arrangement to a self-funded one administered by your firm.

Areas of expertise include:

∙ PPACA/ACA/Affordable Care Act financial analysis
Minimum value certifications
Actuarial certification of financial plans for CMS grants
Self-funded feasibility analysis
Health insurance captive set-up
∙ Actuarial accrual models for plan performance reporting

∙ Claim cost projections and COBRA rate development
∙ IBNR/reserve estimates
∙ Composite rate calculator for small group age-banded rates
∙ Trend analysis
∙ Large claim expectation and stop loss cost/benefit analysis
∙ Benefit design and evaluation of savings if changes are made
∙ Florida Statute 112.08 filing: actuarial soundness
∙ Utilization review, analysis and executive summary
∙ Enrollment migration cost savings estimates upon change in plan offerings
∙ Wellness plan ROI and biometric testing claim analysis
∙ Insurance renewal strategy and negotiation
∙ Contribution strategy
∙ RFP consultation and scoring



Office: 813.963.2420 Mobile: 813.230.8162 Fax: 813.925.4370
3750 Gunn Hwy, Suite 301, Tampa, FL 33618
Email jay@jayminiati.com

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