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Our Core Product

4.7 User Rating

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BENEFITFIRST™ IS A BENEFITS ELIGIBILITY MANAGEMENT SYSTEM BUILT FOR ACCURACY

Enrollment

The Enrollment Wizard uses rules-based eligibility parameters to guide employees step-by-step through the benefits that apply only to that employee and his or her family.
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Routine Audits

Keeping errors out of your eligibility data is an ongoing process. Using weekly payroll and eligibility audits, Benefitfirst eliminates errors before they can affect your billing, deductions, claims and employee coverage.
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Carrier Exports

To ensure carriers always have the latest employee benefits data, Benefitfirst transmits electronic file feeds to your carriers/TPAs each week. And our routine exports to payroll/HRIS systems keep your payroll data, Benefitfirst’s data and each carrier’s data in sync.
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Billing

The Benefitfirst eligibility management system can generate audited self-bills for life and disability plans each month. And our weekly eligibility audits means you can greatly reduce or eliminate time-consuming bill reconciliation and costly billing errors for all your benefit plans.
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ACA Compliance

Our ACA Data Center provides the data management and reporting capabilities you need to stay in compliance with the Affordable Care Act (ACA), including W-2 reporting, PCORI reporting, employee notices, hours tracking and benefit declination tracking and reporting.
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Optional Products

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ADD-ONS TO COMPLEMENT OUR CORE PRODUCT AND SIMPLIFY YOUR DAYS

Payroll Connection

Seamless flow of employee data between payroll and Benefitfirst and deduction updates from Benefitfirst to payroll.
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Benefits Communication

Custom enrollment materials and fulfillment, including Benefits Guide, required employee notices and video.
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Customer Care Center

Trained benefits specialists for enrollment, benefit questions and bilingual support.
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Wellness Tools

Health Risk Assessments and incentive data management.
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Variable-Hour Tracking

Tracking of average hours of variable-hour workers for ACA compliance.
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ACA Employer Reporting

Completion and fulfillment of the IRS Forms 1095-C and 1094-C for ACA compliance.
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Federal COBRA/HIPAA Compliance

One-step process for notices, coverage offers, terminations and reinstatements.
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Wrap SPD Documents

Creation of Summary Plan Description wrap documents for ERISA compliance.
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Dependent Eligibility Audits

Process to identify, report and terminate coverage for ineligible dependents.
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Annual Benefits Statements

Annual employee benefits statements to illustrate employer’s benefits investment.
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Subscription-Based Product

4.7 User Rating

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One Solution, Many Options™.

Core

  • Core Benefits Eligibility Management Product

PLUS

  • Core Benefits Eligibility Management Product
  • Payroll Connection
  • COBRA

Premium

  • Core Benefits Eligibility Management Product
  • Payroll Connection
  • COBRA
  • Benefits Communication & Fulfillment

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