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Fringe Benefits Administration

We utilize proprietary fringe benefit administration software to administer, track, and report employee fringe dollars. Our real-time reports and extensive experience will keep your company compliant and remove the potential of any fines or penalties associated with non-compliance. Our experienced team will ensure the products and services we provide will optimize your employee’s fringe dollars to meet their individual needs.

More Info/Introductory Meeting

Does your company adhere to federal labor wage laws? Non-compliance may result in fines and exclusion from future projects.

There is a growing awareness that the service and government construction industry is facing heightened regulatory scrutiny. As construction firms recognize the need to focus on compliance within their operations, they are likely to proactively take steps to ensure adherence, leading to a decrease in the number of prosecutions.

Since 1985, the United State Department of Labor’s (DOL) Wage and Hour Division has reported over 119,000 violations of the Davis-Bacon Act. Those violators, who failed to pay employees the prevailing wage for government-contracted projects, paid over $197 million in back wages to their employees. Of all the industries in violation of the Davis-Bacon Act, construction was the worst hit by far, followed by administrative and support and waste management and remediation services, and manufacturing.

MBA can help your company:

Reduce benefit costs and increase options for your valued employees
Reduce internal administrative workload so you can increase profitability
Personal attention and customization of YOUR company and employees needs
Administer Davis-Bacon Act requirements
Manage SCA administration
Create systems for fringe benefit accounting, tracking, reporting and compliance
Create cost comparisons of fringe benefits vs. salary pay out
Develop unique/creative benefit options to meet fringe cost requirements

Key Plan Components

Healthcare Platform Model

Plan Document/Administrative Service Agreement

Plan model specific wording developed/incorporated into the Plan Document Plan
Document language coordination with the Administrative Service Agreement
Plan Document ties all the plan model components
Tiered benchmarks of fair and reasonable reimbursement
Addresses assignment of bene ts, plan max allowable, plan responsibilities
Member Balance Bill Protection
Plan Document language allowing for expansion of balance bill stop loss coverage

Smart Pricing

Local market driven pricing
Medicare rate application informed for proper market adjustment
Provider specific Medicare rate application (not general geographic region)
Provider economics algorithm
Service line variability (IP/OP Facility vs. Professional)
FairPricing market algorithm
Pre-Adjudication audit
EDI connection between intermediaries

Member Experience

Plan participant technology platform for mappable and price based provider search site
- ◦Addresses most costly providers and services
Concierge facility access support
Concierge imaging network
Social platform for crowd sourced provider feedback and tips
Search site for
- ◦Finding safe harbor providers (doctors, practices and hospitals)
- ◦Invite your doctor
- ◦Surgical procedure requests
- ◦Balance bill reporting
- ◦Addresses most costly providers and services
Patient advocate process for Plan members
Legal advocacy process for Plan members

Patient Advocacy Program

Technology platform
Toll-free hot-line
Proactive intermediation of high cost elective procedures Proactive member notification of large balance bills

Legal Advocacy & Defense Program

Provider letters delivered on behalf of member in response to balance bills Interaction with providers for purpose of explaining plan model
Member support communication with providers in event of balance bill Continual member support interaction with Plan member
Coordinated involvement of external professional negotiations service partner in
event of collection notice
Coordination of negotiations and settlement (if applicable) with provider, plan
sponsor and stop loss carrier
Weekly and monthly notices to member and at time of claim settlement Attorney communication or negotiation, if required
Coordinate "Attorney to Collections" communication or negotiation, if required

Stop Loss / Reinsurance

Maximum budget protection
Stop loss partners review
Stop loss carrier accommodates the payment tiers as designed in the plan document
Stop loss policy language to allow underwriting credit for the program