Account Management

Account Management for the Private Sector

The overriding objective at Manquen Vance is to enable our employer groups to find affordable health care benefit plans while maintaining the best coverage without sacrificing employee satisfaction. Our staff provides a full array of services that guide and supplement your Human Resource and Finance Departments as well as troubleshoot claims problems and help educate employees/retirees.

Dedicated Account Manager or Director

You’re assigned an Account Manager who is your Go-To person. When plan members cannot resolve claim and billing issues with the carrier your Account Manager will assist; they also assist with benefit and compliance questions.  Your Account Team will handle your account throughout the year by managing timelines and tasks for benefit renewals, annual or special enrollment activities, special projects, implementing new benefit plans and changes to existing plans, and many other services.

Vendor Management and Interface

As an independent agency, we work with numerous insurance companies, third party administrators, and other benefit/service organizations to obtain quotes, implement new benefits or benefit changes, process renewals, troubleshoot any claims, billing, or benefit issues.

Concise Reporting and Analysis

Our Plan Analyst team is responsible to obtain and analyze benefit plan renewals and quarterly/annual settlement reports, claim experience, demographics, and stop loss levels; development of employee/retiree contributions and illustrative rates for self-funded groups.  We use our analysis work to support negotiating renewal increases and rate guarantee periods.

Regulatory and Compliance

We provide assistance, information, analysis, and guidance on the application of State and Federal laws such as HIPAA, COBRA, FMLA, PPACA – Health Care Reform, Section 125 non-discrimination and others.

Plan Document Review

We assist in preparing and reviewing plan documents, reviewing insurance certificates as well as third-party contracts. As insurance rules become more complicated it is increasingly important to document your “plan rules” and have an effective mechanism in place to communicate these rules to “human resource” staff and employees. We will prepare you and your staff in this effort.

Audit Services

We will help clients manage member eligibility. Plans where “member eligibility” is not proactively managed can succumb to cost leaks.  Large claim, Medicare, Retiree, and Dependent Eligibility audits ensure that only benefit-eligible members are covered under your plan and that your organization only pays for their fair share of plan costs.

Customer Satisfaction Survey

Cornerstone Municipal staff is dedicated and focused on customer-service excellence.  We conduct periodic surveys to gain an understanding of our clients’ “level of satisfaction” and to determine what services or process may need improvement.

HIPAA Compliance – PHI protection

A challenge created by the HITECH Act is how to be compliant and meet the “reasonable and appropriate” standard set by HIPAA. Manquen Vance is committed to protect the security and confidentiality of both employers and employee/retiree health information to which we have access.  You can see how we are observing and maintain HIPAA compliance by viewing our Compliance Metertm.  There are four values displayed: policies, procedures, forms, and tasks completed.  We also subscribe to a data encryption service to safeguard emails containing PHI.

RFP Services

Effective cost control is a primary goal of our work as a benefit consultant. Manquen Vance regularly shops the market to evaluate plans and products that can generate cost reductions while maintaining attractive benefits for employees and retirees. Today’s options are numerous and the market is ever-changing. Manquen Vance is an independent agency representing a variety of insurance companies, third party administrators, and service providers.

Our skill and experience enables us to manage the most complex RFP’s. We manage the entire process by developing the specifications, goals, objectives, and evaluation criteria; writing and distributing the RFP; compiling the proposal responses; conducting semi-finalist and finalist interviews; contacting references; and summarizing results in an easy to understand report.

We also work with clients to form and participate in multi-departmental Benefit or Selection Committees in order to explore and evaluate alternative plan options within the market.

  • Market Reviews We Conduct
  • Medical – PPO
  • HMO
  • High Deductible Health Plans
  • “Wrap” Plans
  • Retiree Medical – Medicare Advantage
  • Medicare Supplement
  • Third party administrative services and stop loss insurance for self-funded groups
  • Health Reimbursement Arrangements
  • Health Savings Accounts
  • Retiree Medical Savings Accounts
  • Pharmacy Benefit Managers
  • Retiree Prescription Drug plans
  • Dental – PPO
  • DHMO
  • Vision – PPO and Traditional
  • Flexible Spending Accounts (Health Care; Dependent Care; Transit; etc.)
  • Group Basic Term Life and AD&D; Supplemental Life Dependent Life
  • Group Short Term and Long Term Disability plans
  • Employee Assistance Plans
  • FMLA
  • Retiree Billing services
  • Group Legal Plans
  • Enrollment services
  • Voluntary Benefits
  • Other products or services as needed

Market Study Services

Evaluating, negotiating with, and recommending insurers and providers to our clients are Manquen Vance’s specialties. Our position in the marketplace allows us to enjoy preferred financial arrangements with insurance vendors and third party administrators across the United States. We actively cultivate long-standing relationships with major carriers, and those relationships allow us to negotiate aggressively and obtain cost-efficient proposals for our clients.

As we negotiate with vendors, we will also examine your loss history, establish the necessary types of coverage consistent with your risk tolerance, choose carriers that provide superior services, and adopt the optimal funding mechanisms for your specific needs.

Vendor Service Agreements

We also evaluate vendors for other performance objectives and incorporate these objectives into the service agreement.

Relationship Management – Implementation

Phase 1

Conduct introductory meeting

Conduct preliminary goal setting

Conduct strategic review to prioritize issues

Collect pertinent documents

Establish an initial plan of action

Phase 2

Review and analyze information

Share analysis with Client

Finalize plan of action
(short-term & long-term)

Prepare plan for implementation
& communication

Phase 3

Establish cadence of ongoing
service meetings

Continually monitor vendors,
programs and financials

Conduct a compliance review to
identify any potential gaps

Relationship Management – Day to Day

Multi-layer structure to our service team with all team members having day-to-day engagement with client

We respond to our clients as soon as possible, within 24 hours
We place a percentage of comp on client satisfaction

Client’s HR Staff

Benefit Administration team available to assist with employee issues & concerns providing direct contact with employees

We actively manage carrier relationships throughout the year and report any changes