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
∙ Self-funded feasibility analysis
∙ Health insurance captive set-up
∙ 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 and analysis
∙ Enrollment migration cost savings estimates
∙ Wellness plan ROI and biometric testing claim analysis
∙ Insurance renewal strategy and negotiation
∙ Contribution strategy