Employee Benefit Administration Services

EPSI provides full-service, third-party administration of your benefit plans. We are committed to helping you control your employee benefit costs, manage your risk, and maximize your growth. Our expertise will help you navigate through the vast array of healthcare regulations, managed care systems and benefit options to create a solution that perfectly matches your needs. Whether your program is self-funded or fully insured, we have the experience and knowledge to administer all your benefit programs.

Comprehensive Medical Plan Administration
‘A la Carte’ Administration
Additional Services

Comprehensive Plan Administration

Our Integrated third party administration (TPA) services are available as a total package, or can be contracted as separate administration services. Either way, our commitment is to serve as a personalized, professional and competent extension of our clients benefit program.

  • Self Funded Plan Administration
    • Claim Administration
    • Premium and Eligibility Administration
    • Information Reporting
    • Preferred Provider Network
  • Arrangements
    • Customized Plan Design
    • Online Enrollment and Benefit Access
  • Dental Plan Administration
  • Vision Plan Administration
  • Short-Term Disability Plans
  • Managed Care Implementation
  • Disease Management
  • Large Case Management
  • Utilization Review
  • 24-hour Benefits Verification
  • Personalized Customer Service
  • Subrogation Services.
  • Reinsurance Negotiation/Management

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Specialized Administration

In a constantly changing and complex environment of government regulations and plan compliance, we believe it is critical to offer clients outsourcing capabilities and flexible outsourcing options. EPSI administers programs for clients in all states in accordance with applicable state and federal regulations. We employ only experienced, trained and locally based, customer service representatives, striving to constantly provide superior customer service.

  • Billing Consolidation and Premium Remittance
  • Federal and State Regulatory Compliance and Testing
  • Health Reimbursement Account Administration (HRA)
  • Health Savings Accounts (HSA)
  • HIPAA Administration and Compliance
  • Section 125 Spending Accounts

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Additional Services

Clients rely on our knowledge to ensure that their employee benefit plans stay on course and in compliance with standard accounting and government regulations. Each client solution is tailored to the client's unique and evolving needs. We regularly access each client's program making modifications as needed, while continually expanding our capabilities to offer clients more HR outsourcing opportunities.

EPSI provides professional assistance in the following areas:

  • State and Federal Regulatory Compliance
  • Form 5500 Preparation
  • ERISA Advisory Services
  • Actuarial Studies and Services
  • Discrimination Testing
  • Custom Employee Benefit Statements
  • Document Preparation
  • Employee Communications
  • Employee and Dependent Eligibility Audit

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