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Mercer coalition Mercer Health Advantage
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Mercer coalition Mercer Health Advantage
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Clients have choice of maintaining existing Wellness program or offering no Wellness ... Employee service center. ⢠Em
Not Peer Reviewed
Reduced Costs
Simplified Administration
Empowered Employees
TODAY: DEFINED BENEFIT
EMERGING: DEFINED CONTRIBUTION
Critical illness (employee paid) Employee share Employer share
2014
2015
2016
2014
2015
Employer + employee save
2016
Funding Flexibility One-Stop Shop Less Administrative Burden for HR BenefitFocus – Proven Partner Compliance Assurance Personalized Experience Decision Support Expertise Reduce Over-Insurance All Groups >100 Employees
Reduced Costs
Simplified Administration Exceptional Value
Empowered Employees
Defined Contribution
Funding Flexibility
Reduced Costs
Collaborative Buying
Reduced Number of Overinsured
Fewer Coverage Gaps
Reduced Costs
Collaborative Buying
Identify Products
Create competitive benefit solutions
Favorable Rates & Terms
Cost Savings through Mercer collectives
Reduced Costs
Decision Options
Insured employers: generally single carrier per location Self-insured employers: three medical carriers plus one regional carrier per location
Plan Designs
Choice of up to five plan designs between 64% and 92% actuarial value
Pharmacy
Insured employers: “carve-in” approach with medical carrier
Five “riders” – Bariatric, Infertility, Gender Change, Autism, Disease Management
Self-Insured employers: “carve-in“ or “carve-out” to Mercer collectives
Reduced Costs
Decision Stop Loss
Self-Insured: “carve-in” to qualified stop loss carrier, “carve-out” to Mercer coalition
Mercer Health Advantage (MHA)
Enhanced clinical platform, predictive modeling, care gaps
Wellness
Clients have choice of maintaining existing Wellness program or offering no Wellness program
One-stop Shop
Less Burden for HR
Simplified Administration
Standardized Processes
Compliance
Simplified Administration
Comprehensive Scope Plan Administration
• System configured for client-specified rules
• Online enrollment • Dependent and beneficiary collection
• • • • •
Carrier eligibility reporting Payroll reporting Life event processing Premium reporting Evidence of insurability processing
• COBRA / Direct Bill • Open Enrollment management
Employee Engagement
Account Administration
• Employee service center
• Health Care FSA
• Employee
• Limited purpose FSA
Communications
• Benefit Education materials
• Learning center
• Dependent Care FSA • Health Savings Account • Health Reimbursement Account
Simplified Administration
Funding
DC or DB
Employee communications & education • Online
Standard Plan Designs
• Call center • Print & email
Choice among multiple, prescreened plans Enrollment
Administration • Eligibility Determination
Election Data
Carriers
Deductions
Payroll
• Data-driven Events • Election Management • Contribution Calculation
Reporting & Premium Data
HR Professionals
Empowered Employees
Decision Support
Comprehensive Benefit Options Personalized Experience
Empowered Employees Specialty
Purchase resources Focused
Learn expertise Effective Effective program program management management
Employee
Data
analysis Assess Needs
Flexible Choice
Medical
Supplemental Health
Life, DI, Dental and Vision
Ancillary – Voluntary
Spending Accounts
Empowered Employees
On-line
Service Center
Print & Email
Empowers your benefits and ensures that your benefits are empowering to employees
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