About First Benefit Administrators

We were founded to provide professional administrative services for employer sponsored employee group health plans. We operate under a Certificate of Authority issued by the State of Florida. We are currently managing groups ranging from 35 to 5,000 employees.

Services

We provide the following services:

• Plan design, including Plan Document and Summary Plan Description.
• Arrange group life insurance coverage.
• Arrange utilization review, large case management and hospital auditing services through contracted providers.
• Arrange and contract Preferred Provider Organizations (PPO).
• Conduct enrollment meetings and provide the necessary materials, including enrollment forms, identification cards (I.D. cards), claim forms, and other appropriate supplies.
• Computerized adjudication of medical, dental, vision and short term disability claims.
• Computerized monthly list billing, claim reports, and utilization.
• Administration and filing stop-loss reinsurance reimbursements.
• Assist in the compliance with federal and applicable state laws, including reporting requirements.
• Administration and implementation of Section 125 Plans.
• COBRA and HIPAA administration.

Self-funding

Self-funding with Stop-Loss Reinsurance is designed to provide employers with an alternative to conventional health insurance. Self-funding can assist employers by providing the means to control the cost of health coverage.

Advantages

• Cash Flow - the employer can hold the money to pay claims, until it is needed to pay the actual cost of the claims.
• Immediate cost reduction with lower claims experience due to the plan design.
• The employer can significantly lower expenses by reducing the premium taxes, administrative fees and risk charges.
• Personalized claims services at a local office.
• Ability to monitor and control the benefits design to the employers' specific needs.
• Choice of Provider Networks.

Please contact us by telephone, E-mail, or postal mail for additional information.