NFP Employee Benefits Solutions

Table of Content

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  2. Home
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  3. Consulting Model
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    2. Approach
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  4. What We Heard From You
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    2. Excellent Service
    3. Financial Management and Vendor Support
    4. Trustworthy Advice
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    6. Observations
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  5. Strategic Solutions
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    2. Rx Solutions
    3. Stop Loss Management
    4. Concierge Services
    5. Well-being and Engagement
    6. Communication
    7. Benchmarking Capabilities
    8. Data Analytics
    9. Compliance
    10. Voluntary Benefits
    11. Benefits Administration Solution
    12. Ancillary COE
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  6. Resources
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  7. About Us
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    3. Consulting Team Structure
    4. Additional Specialists
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What We Offer.

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Consultative Approach.

Our team is structured to support [INSERT CLIENT] comprehensively, with a wide-ranging team of experts and consistent, proactive engagement.

We are focused on:

  • Improving the employee experience
  • Reducing the administrative burden
  • Decreasing costs for the employee and employer

Annual Stewardship

Milestone / decision review

Post-open enrollment financial updates

Goal setting and prioritization

Strategic planning & timeline

Weekly Engagement

Daily account team interaction and weekly status calls keep tasks on track and projects moving

Client workbook provides organization across program

Liaise with vendors to ensure accountability and reduce administrative burden

Ongoing Strategy Sessions

Data review (utilization, benchmarking, demos and trends)

Initiatives identified and tracked 

Program recommendations

Financial forecasting

Decisions and implementation

Compliance

Monthly Reporting

Medical / Rx budget validation

Realtime Analytics

Large claimant details

Platform access to analytics and dashboards

A Strong Partnership that Delivers.

Excellent Service
  • All-in, flexible service model
  • Stellar and attentive employee support
  • Capability to assist Client Name’s HR team with benchmark analytics and build comprehensive education strategies
  • Technology / Innovation assessment and support 
  • Clear and regular communication

Financial Management and Vendor Support
  • Cost containment and alternate funding expertise
  • Dynamic financial modeling and analytics
  • Rx solutions 
  • Strong carrier and vendor relationships

Trustworthy Advice
  • Proactive strategic support 
  • Innovative, strategic thinking – let's be forward thinking and be ahead of the market!
  • Competitive, but not for the sake of JUST saying we're competitive - ensure employees are engaged and are getting the most out of the benefits 
  • Transparency into your data and actionable takeaways to support employee engagement and well-being – targeted wellness; what are the goals?
  • Accurate and reliable compliance guidance
Diagnostic of Your Current Programs

We offer a review of your current programs based on our initial review of your company operations, employee profile, and geographic footprint.

Apply document table or powerbi report with high level observations

Sample:

What We Offer.

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Pharmacy Management

  • NFP Rx Solutions is a PBM Consulting Firm that provides high-touch service, competitive pricing and drug-trend management to help employers manage their prescription costs.
  • We manage 350+ clients, more than 1.8M lives, and generated more than $2B savings since inception.
  • Unlike other coalitions, our extensive clinical team uses a proprietary technology platform to proactively identify Rx issues and offer clinical programs to reduce your Rx trend.
  • Each client receives a dedicated pharmacist, coordinator, and business analyst to oversee their PBM.
  • NFP Rx provides access to the three largest PBMs (CVS, ESI and OptumRx) and has unique access to external coalitions for extensive RFPs and repricing.
  • Exclusive, pharmacist-led specialty Rx and direct purchasing programs.

Rx Solutions and Consulting Services

Rx Coalition

Stop Loss Management
  • Preferred carrier panel with eight A-rated insurance carriers.
  • Annually renewable contracts with best-in-class provisions: “No New Laser,” renewal rate cap, and “Mirroring” rider.
  • Expedited reimbursement and claims process oversight.
  • Average claim payment turnaround time for an NFP block program of 4.6 days.
  • Customized claim statements provided with each claim reimbursement.

Panelist Carriers Include:

Automated Reporting From Medical Administrators

  • Coordinate with medical and pharmacy carriers on claims reporting
  • Detailed reports are reviewed on a monthly basis to monitor claims that reach 50% of the stop loss deductible.

NFP Monitors Claims, Ensuring Expedited Reimbursements

Oversee claims process and reduce administrative burden for our clients

Submit any claim that hits the deductible the day it is received

If additional information is requested, the claims team will work with our clients and their carriers to obtain the data

Provides updates on outstanding claims

Reimbursements Will Be Accompanied by Customized Statements

Provide claim statement showing turnaround time, amount paid, amount reimbursed, amount applied toward deductible and other pertinent details

Perform a year-end audit reconciling stop loss reimbursements against the stop loss carrier reporting and TPA reports

Concierge Services

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Well-being and Engagement

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Communication

Communicating your benefits plan succinctly is one of the best ways to secure employee buy-in and foster loyalty and satisfaction in the workplace.

We design communications materials and strategies that:

Comprehensive Internal Benchmarking

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Data Analytics

We work with you to weigh cost containment with employee freedom and satisfaction, compliance obligations with business interests, and employer investment with employee retirement readiness.

Our interface allows us to compare plan options, plan marketings, and model contributions in seconds allowing us to eliminate the back and forth that often slows down the decision-making process. All the financial analysis outlined below is performed and analyzed then delivered to you by your expert team of consultants.

Compliance Support

We Keep Pace of Change: Recent health care reforms make it critical to stay on top of compliance issues. 

Voluntary Benefits Center of Excellence

Service offerings:

Benefits Administration Solution

The NFP benefit administrative system provides best in class benefit offerings by maximizing choice to employees, delivering cost effective administrative efficiency and budget certainty. This proprietary and unique benefits administration platform provides compliance resources, literacy and educational tools and support. Along with electronic eligibility maintained and delivered to carriers.

Resources available:

  • Open enrollment consolidation, decision support tools and 24/7 access to plan information and costs
  • Voluntary employee paid-benefits
  • Employer reporting
  • ACA tracking & reporting
  • Employer analytics
  • Consolidated premium billing
  • COBRA administration

Our implementation team will coordinate with your staff to ensure a smooth launch of the NFP Solution to provide a great employee experience and meet the needs of your HR professionals.

Ancillary COE

The NFP Ancillary COE manages the RFP process for all non-medical lines of coverage for any existing or prospective NFP clients.

The Ancillary COE maximizes resources and expertise to provide timely and accurate proposals for all non-medical lines of coverage.

Other Resources

Links to PEO COE, InsurChoice, Retirement, Executive Benefits, Human Capital Solutions, Leave Management

The Right Team For You.

NFP has significant experience working with clients in your industry. Our expertise ensures your team receives the best support and coverage available.

The NFP team identified for [Client Name] will be selected based on their experience with strategy development, implementation, cost containment and program management.

Team

Lead

Industry experience: Client consulting

Role: Lead consultant, strategy development

Value: Building a program with high employee value at most competitive cost

Executive

Sponsor

Industry experience: Consultant for large clients

Role: Domestic strategy

Value: Direct connection to NFP leadership, client advocacy & thought leadership

Relationship

Manager

Industry experience: Business Development & Relationship Management

Role: Relationship Oversight

Value: Senior level support, collects client feedback, aligns client needs with additional services and resources

Team Main Point

of Contact

Industry experience: Client service & management

Role: Project management & day-to-day consulting

Value: Advice and deliverables that are timely, meaningful & support decision making

Team

Support

Industry experience: Client and project management

Role: Day-to-day support, service

Value: Managing deliverables, timely and responsive service


Our team is structured to support Client Name and its team broadly and deeply, with dedicated subject matter experts to guide understanding and decision-making.

Benefits Administration & Claims Advocacy Teams

Industry experience: Benefits Administration, Concierge, Employee Advocacy

Role: Benefits Administration

Value: Employee engagement and experience

Compliance

Team

Industry experience: ERISA & Tax Attorneys, Benefits Compliance, IRS and U.S. Tax Court

Role: ERISA, Benefits and Leaves Compliance

Value: Information & advice to mitigate compliance risk

Analytics

Team

Industry experience: Medical underwriting, data analytics

Role: Analytics, underwriting support, financial management

Value: Effective financial management

Well-being

Team

Industry experience: Well-being consultant

Role: Wellbeing Strategy & Program Creation, Implementation & Evaluation

Value: Well-being & health improvement programs that drive organizational results

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Insurance services provided through NFP Insurance Services, Inc. (NFPISI), a subsidiary of NFP Corp (NFP). NFP and its subsidiaries do not provide tax or legal advice. This material was created to provide a summary of the subjects covered, but should not be regarded as a complete analysis of these subjects. The services of an appropriate professional should be sought regarding your individual situation.
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