You have enough going on.
Leverage our expertise and systems.
Managing new hires, terminations and benefit open enrollment doesn't have to be one more thing to worry about.
Employee Health & Benefits for Large Group Employers
We are insurance problem solvers, and our job is to find you the best solutions that fit YOUR needs and budget.
We are your advocate with carriers - we work for you.
We are the people your employees call.
Using an EMEX Benefits associate does NOT cost any more than going to a carrier direct.
However, it will save you time and provide you with confidence that you have made the right choices and have great systems in place to manage .
Let us provide you options, explain and educate you, and get you in the right fit. We are only a call away if you or your employees have any questions or need help with claims. They call us, leaving you more time to do other things.
We love making a difference for hard working businesses in these
& many other industries:
- Construction
- Manufacturing
- Industrial
- Transportation & Trucking
- Healthcare
- Printing
- Hospitality
- Retail
- Agriculture & Food
- Professional Services
With more than 50 employees there are many benefit solutions to explore:
Group Medical Plans
- Fully-Insured
- Level & Expected Funded Plans
Defined Contibution HRA Plans
Flexible Spending Accounts (Section 125)
- Dependent Care FSA's
- Health FSA's
Employer Paid & Voluntary
- Dental
- Vision
- Life
- Short Term Disability – STD
- Long Term Disability – LTD
- HRA's & HSA's
- Accident - Critical Illness - Cancer
- Group Legal
- Identity Theft Protection
- EAP & Wellness Programs
We represent dozens of carriers for medical, dental, vision, life & income protection options.
As new carriers come into the market, we adjust our offerings and bring them to you. This does not represent all of our carrier options.
Don't see what you are looking for? We are able to get appointed to new carriers quickly and are licensed in multiple states.
We were Beta Testers for the EASE benefit management software 13+ years ago, due to our unique client segments.
Having clients that range from sole proprietor, to 800+ employees in 43 states, the software giants chose us to be beta testers for them.
We built out intricate plan designs, many employee categories and dozens of different carriers and plans.
We are experts with EASE, and bring the ability to customize it just for you.
- Any States
- Any Carriers
- Multiple Plan Options per Carrier
- Multiple Employment Categories ex: Owner, Management, Operations
- Multiple Benefit Contribution Levels based on Employment Categories
- State-level and Federal New Hire Requirements
- Company specific documents and new hire requirements
- Ongoing employee communications and training through portal
- Obtain required reporting and easily track employee information
There is always an easier way to manage things & EMEX Benefit Systems is happy to help build it for you!
Alternatives to "Traditional" Fully-Funded Medical Plans
The ACA placed additional pressures on managing the cost of fully-insured plans. Additional taxes, fees and assessments along with benefit mandates create an environment that encourages the transition to level-funding, partial self-funding and self funding. Self funding is becoming more and more common. In fact, smaller companies are seeking self-funded insurance as a solution to escalating health care benefit costs.
Level-Funded Plans
A company pays a third-party administrator (TPA) a set monthly premium amount, covering the estimated cost for expected or maximum anticipated claims, specific stop-loss insurance, aggregate reinsurance premiums and plan administration costs. 16% of companies with 20 to 199 employees use level-funded health plans and that percentage is on the rise.
Partial / Self-Funded Plans
A company pays for all claims incurred by their employees. Generally, modern self-funded companies purchase reinsurance, placing a threshold on their maximum liability (attachment point). In essence, the employer has formed their own “insurance pool”. Self-funded plans give companies flexibility and control over their medical plan, but also expose the company to greater risk and increased involvement.
Advantages of Level or Self-Funded Plans
• Medically underwritten
• Custom plan design option
• Eliminate the current fully-insured taxes and assessments of 3-6% of premium
• Avoid fully-insured risk and contingency fees of approximately 2-4%
• Reduce administration and network management fees , typically 2-4%
• Improve cash flow as the company holds and invests their reserves 0.5-2%
Possible Disadvantages of Level or Self-Funded Plans
• Increased involvement & risk
ICHRA - Individual Coverage Health Reimbursement Arrangement &
QSEHRA - Qualified Small Employer Health Reimbursement Arrangement
Both options are similar but have slightly different rules, allowing employers to provide tax-free reimbursements to employees for health insurance premiums and cost-sharing responsibilities when they purchase policies outside the workplace.