Administrative Services

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  Plan Design

  Consultation with management to identify goals and objectives
  Analysis of current plan design
  Recommendations for improvements
  Analysis of managed care options available
  Development of cost control strategies


  Plan Implementation

  Cost analysis and benefit illustrations
  Claims experience studies and forecasting
  Preparation and update of plan documents
  PPO and Drug Card Management
  Stop-loss consultation and placement
  Plan compliance analysis
  Internet accessibility consultation and implementation


  Communication and Education

  Management consultation
  Design consultation and assistance
  Employee announcements and materials assistance
  Employee enrollment meetings
  Articles for internal communications and newsletters
  Material for internet or intranet site
  On-line enrollment and benefit information
  Hyperlink to Tucker Administrator’s website


  Plan Management

  Financial analysis and forecasting models
  CAPS 2020, AS 400 mainframe computer based adjudication system
  Data base customization to measure plan’s effectiveness
  Monthly, quarterly and annual plan reviews
  Quarterly on-site visits with Management to review and evaluate plan performance
  Custom reports available, additional fees may apply


  Plan Renewal

  9 month analysis, review and strategy session with Management to develop renewal plan
  Negotiations with current and potential stop-loss insurance carriers
  Negotiations with current and potential PPO, Utilization Review and Drug Card vendors
  Presentation of options and recommendation to Management
  Assistance with communication of plan changes to employees, medical providers and vendors.


  On-line Capabilities

  Enrollment
  Additions and Terminations
  Benefits Verification
  Eligibility Verification
  Claims Activity
  Explanation of Benefits (EOB)
  Employer Reports
  Customized Security Settings
  Forms


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