COBRA and HIPAA Premium Continuation Administration

Tri-Star offers the following COBRA and HIPAA Administration services. We can provide all COBRA/HIPAA services as a turnkey service or we can share responsibilities as you may require. They will be outlined in detail in the “COBRA Administration Procedures Manual” and mutually agreed upon.

Initial Notice of COBRA Continuation Coverage Rights

  • Provide and maintain original document for employer use

COBRA Qualifying Event Notice

  • Provide covered employees and qualified beneficiaries under COBRA, notices in writing of their rights to elect and continue to receive COBRA continuation coverage under the Plan, including model language recommended for the American Recovery and Reinvestment Act of 2009 (ARRA). Qualified Beneficiaries will be notified when COBRA continuation coverage has terminated
  • Annual open enrollment renewal notices. Payment coupons issued for renewals.

HIPAA Services

  • HIPAA Notifications
  • Initial Notices for new employees or those newly receiving qualifying coverage
  • Notice when an employee or dependent experiences a qualifying event
  • Women’s Health and Cancer Rights Act notices, and other communications
  • HIPAA Certificates of Creditable Coverage on termination of coverage

Eligibility Reporting

  • Provide monthly eligibility updates to each Plan Sponsor
  • Provide insurance carriers or plan administrators with regular updates (as frequently as twice per week) of eligibility changes via electronic interfaces

Premiums

  • Issue personalized payment coupons for monthly contributions due to the Plan (including subsidy rates for ARRA Assistance Eligible Individuals (AEIs))
  • Convenient premium payment option via electronic transfer
  • Collect premiums (including administrative charges) from or on behalf of continuants and forward premiums paid to the Plan Sponsor

Monthly Plan Sponsor Reports and Employee Data

  • Report of notices sent
  • Premiums collected and of the status of each continuant electing coverage
  • Reporting of premium subsidies for Plan Sponsor use in preparing quarterly Form 941
  • On-going internet access to real-time employee data

Beneficiary Customer Service

  • Toll-free, live, customer service
  • On-line account access 24/7 with real-time information on their payments and coverage
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