Laserfiche WebLink
Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Actuarial and Compliance Services <br />15 <br />Actuarial Testing / <br />Calculation Description of Service Price <br />Recommended Claims <br />Fluctuation Reserve <br />Calculation <br />Calculation of recommended level of assets necessary to <br />fund the reserve for claims fluctuations. Fees are per <br />calculation. <br />$1,100 <br />NQTL Mental Health <br />Comparative Analysis <br />If you are interested in this service, due to the complexity of <br />the requirements a custom proposal will need to be <br />created for each client by our partner MZQ. For additional <br />information see the product sheet and contact your <br />Account Executive. <br />Custom upon <br />request <br />NQTL Mental Health <br />Comparative Analysis <br />Data Only <br />The Data Only Product includes: <br />The Plan’s claim utilization data for the benefits we <br />administer, Claims utilization data for clients accessing <br />pharmacy benefits through one of our PBM contracts, <br />Supplemental TPA, Network, and Care Management <br />Informational Materials <br />Does not include Claims data or materials for any other <br />benefits administrator or carve out product, Rx/PBM claims <br />not on our preferred PBM contract. This is data only and <br />does not include the Comparative Analysis. <br />$2,000 <br />Section 105(h) Non- <br />Discrimination Testing <br />Completion of annual test to confirm compliance with <br />Section 105(h) requirements. Fees are per calculation.$1,375 <br />ACA Support Services Buy <br />Up Option 1 --1094 & 1095 <br />Filing Service <br />ACA Support Services to assist clients in calculating, defining and <br />reporting the necessary data, including filing the necessary 1094- <br />C and 1095-C forms. The service includes: • Employer Mandate <br />Consulting with an ERISA attorney • 1095-C Benefit Information <br />Reporting • Production & E-filing with the IRS of Form 1094-C • <br />Production & E-filing with the IRS of Form 1095-C (employee form, <br />also called the individual statement) provided to employer in <br />electronic format for distribution to employees • Printing and <br />mailing of Form 1095-C to employees (optional –additional fees <br />apply) <br />$4,000 Per Client + <br />$500 For Each <br />Additional Employer <br />Identification Number <br />(EIN) + $9-$15 (fee <br />varies based on <br />employer size) <br />Statement Fee Per <br />Employee Form <br />including Printing and <br />Mailing. <br />ACA Support Services Buy <br />Up Option 2 -Full Time <br />Employee Tracking & <br />Calculation <br />ACA Support Service to identify full-time employees. This annual <br />service provides reporting for both current employees and new <br />hires to determine if, based on variable hours or fluctuating work <br />schedules, they qualify as full-time under the employer mandate. <br />Annual Tracking -$10 <br />Per Employee Per Year <br />with a Minimum of <br />$2,000 and a <br />Maximum of $7,500 <br />Monthly Tracking - <br />$500 per Month <br />MA-1099 Filing Waived <br />We may receive revenue cost-share from vendor who provide services to the Plan Sponsor through our vendor contract.