Administrative Services

The Berkshire Health Group has contracted with Group Benefits Strategies (GBS) as its Central Benefit Administrator to provide the following services:

Central Benefits Administration
Enrollment processing for participating employers
Maintenance of master enrollment data base for all health & dental plans
Transmission of enrollment data to health & dental plans
Monthly billing to governmental employers (consolidated bill for all plans)
Review and processing invoices from vendors
Preparation of trust fund bills (on a warrant) for group’s Treasurer
Preparation and provision of data to group’s independent auditor

Claims Auditing
Auditing of monthly paid claims from claims data
Recovery – submission of disputed claims and COB to claims administrator(s)
Enrollment auditing

Consulting and Administrative Support to the Board and Committees

General consulting services:

Preparation of Requests for Proposals,
Plan evaluation,
Benefit design analysis
Underwriting/rate calculations for self-funded plans
Health plan renewal evaluation
Premium and fee negotiations
Contract writing and negotiation
Legislative information, updates, and advice on compliance (most recent HIPAA Privacy)
Preparation and presentation of briefing papers
Review and evaluate health plan reports
Draft policies

Administrative support:
Staff all meetings
Preparation of meeting agendas
Preparation of meeting minutes
Communications – prepare and respond to correspondence
Distribution of materials to member
Maintenance of group records

Reporting:
Annual cash flow projection
Annual Report of activity
Monthly reporting – Financial Update Report, Funding Rate Analysis, Balance sheets
(if requested, not done for BHG), Stop Loss reports, COBRA administration reports

COBRA Administration:
Provide all services required by COBRA (except for the COBRA General Notice)

Other:
Organize/conduct informational meetings for benefits administrators, if requested
Assist with wellness programs
Conduct workshops and seminars
Meet with employee committees as requested

Comparison Charts & Rates