Employee Benefit Management Services Inc

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How to Advise Your Individual Plan Customers Patient Protection and Affordable Care Act theloss of affordable child only policies in the state of Illinoisregardless of thechilds healthsubstantiallymore costly product.

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Eliminating Manual Processes To Improve The Client Experience

As a third-party administrator of health plans, Employee Benefit Management Services is on a mission to improve the care experience, reduce health costs, and simplify the benefit journey for everyone.

The company administers health insurance for 300 employers, and serving its clients means EBMS needs to share important insurance data with different organizations from healthcare providers and pharmacies to employers and insurance members.

Prior to MuleSoft, EBMS had to manually create all up to 80,000 files per day to send to clients. Each client they served used 10-20 different partners to support their health plan and employee benefits. Manually creating each of these was a cumbersome, time-consuming, and error-prone process that led to a disconnected client experience and a frustrating healthcare experience for the patients.

Roose V Lincoln County Employee Group Health Plan

When Kent Roose was injured in an automobile crash his wife was an employee of Lincoln County, which provided health benefits via a group health plan that was part of Joint Powers Trust . Employee Benefit Management Services, Inc. . Appellants subsequently reimbursed Roose the requested amount. In 2014, Roose filed a motion for partial summary judgment and class certification, arguing that Appellants violated section 2-18-902 through systematic practices that amounted to seeking subrogation against the tortfeasors liability carrier before Roose was made whole. Roose also sought class certification on behalf of every member of Appellants plans subject to Montana law that contained the coverage exclusion. The district court granted Rooses motion. The Supreme Court affirmed, holding that the district court did not abuse its discretion in certifying the class or in defining the class.

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Quality & Cost Transparency

Comparison shopping has typically been difficultor impossiblein healthcare. Weve addressed that with our consumer-oriented transparency tools, which allow you to compare hospitals and doctors based on quality measures and typical costs. You can easily identify the providers that have the best outcomes and the fewest complications.

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• Employee Benefit Management Services

Zippia gives an in-depth look into the details of Employee Benefit Management Services, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Employee Benefit Management Services. The employee data is based on information from people who have self-reported their past or current employments at Employee Benefit Management Services. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Employee Benefit Management Services. The data presented on this page does not represent the view of Employee Benefit Management Services and its employees or that of Zippia.

Employee Benefit Management Services may also be known as or be related to Employee Benefit Management Services.

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Health Plans & Benefits Management

724 items

Companies developing or offering digital platforms and services, including online insurance marketplaces, data analytics for claims adjustment, benefits administration, and payments systems, that help make private health insurance more affordable, navigable, or transparent.

About Employee Benefit Management Services Inc

• EBMS is one of the nations premier industry leaders in health risk management and third party administration of self-funded health benefit plans, designing strategies to transform the health and wellbeing of individuals, organizations and communities.

• HR WorksHR Works is a total solutions provider of human resource consulting and outsourcing services, serving clients of all sizes and industries throughout the United States for over 30 years. From specific HR projects to fully outsourced HR management, our tailored approach gives you the flexibility… Read More

Directory searches provide access to a Network of highly qualified industry-specific suppliers. Eliminate irrelevant results from Internet queries through a targeted, effective search in SHRM Human Resource Vendor Directory – and find new suppliers today!

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Onboarding Clients In 2 Days And Reducing Operational Costs By 40%

EBMS now also has a real-time view of critical moments that happen in the insurance member journey including submitting a claim, changing the status of a claim, and more.

Thanks to the new data interchange solution that EBMS built, customer service calls are down by 50% a sign that employers, insurance members, and other stakeholders can easily find the information they need via the web portal or mobile app.

EBMS also witnessed a 40% reduction in operational cost as teams more easily reused MuleSoft assets to create the custom client-driven partner interfaces. Additionally, EBMS can now easily connect to new systems that their clients or employers have this means new employers can be onboarded in just two days instead of 15 days.

Employee Benefit Management Services

Employee Benefit Management Services, Inc. is thrilled to support students who are pursuing careers in healthcare. As Montanas first third party administrator for self-funded health plans and one of the nations premier industry leaders in health risk management, EBMSs team has helped hundreds of organizations throughout the U.S. for nearly four decades. EBMS offers a full suite of health management services, including onsite clinics, pharmacy services, and wellness, disease management, and medical management programs. To assist students pursuing careers in the health care industry, EBMS established three scholarships at MSU Billings: the Cheryl Miller-Bodley Memorial Nursing Scholarship, the EBMS Medical Administrative Assistant and Medical Coding & Insurance Billings Scholarship, and the miRx Pharmacy Technician Scholarship.

Impact

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Organizations That Arent Leveraging A Peo Or Online Benefits Platform Are Likely Wasting Valuable Time And Energy

Managing pay stubs and W-2s, tracking time, or doing job-costing and labor distribution can be time-consuming and take business owners away from focusing on more important projects.With GMS, our online employee self-service portal gives employees access to all of the following and more:

• Costs of medical services
• Detailed EOB & coverage information

We offer flexibility, control of premiums, access to data and networks, and overall options that you can’t find elsewhere. Financial security, flexible benefit options, and unprecedented customer service set GMS apart as an industry leader and the preferred provider of employee management services.

Delivering A Single Patient View To Ebms And Its Clients Using Api Integrations

To improve the client experience and increase operational efficiency, EBMS needed to adopt a new strategy and unified platform that enables them to quickly and efficiently share insurance data with multiple organizations in real-time.

With MuleSofts Anypoint Platform, EBMS took an API-led integration approach using APIs and web services to build an electronic data interchange solution that connects to different organizations systems and creates a single view of all data. With MuleSoft, EBMS can now securely send data to health providers, pharmacies, employers, and insurers in real-time via a web portal and mobile app.

EBMS then reused the same API integrations to build a push notification feature that sends stakeholders critical updates and information via text or email. This saves employers and insurance members critical time because they only need to log in to the portal or mobile app only when they receive an important push notification.

With MuleSoft, we didnt need to completely overhaul the systems and data we have instead, we built APIs that helped us better leverage existing data fast. Thanks to this API-led approach, we now deliver the great experience that our clients deserve.

James VertinoCEO, EBMS

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What Our Clients Say

“Weve very much appreciated the partnership we have with HJ Group. As our benefits broker and administrator, they have been very attentive and responsive to our questions and needs. They check in quarterly to ensure things are running smoothly and are much more relational than our previous broker. They were also able to help us negotiate lower premiums based use the use of the plan. Additional HR related resources are an added bonus. They have provided great customer service and wed be happy to recommend them.”

Cynthia Yoon – Director of Administration – The Bridge Markham

“Since taking over as our businesss Group Benefits Insurance Broker, HJ Group has exceeded our expectations with the level of service provided. They are consistently fast at responding and providing informative, yet, candid advice. We feel confident that they are representing our interests when negotiating with the insurance companies over our rates and not just rolling-over for a commission. We would highly recommend HJ Group to any business that is looking for a new Group Benefits Insurance Broker or even a second opinion on their current group benefits plan.”

Keith A. Nichols – Nichols Law Professional Corporation

Sharon Sparks – Manager – Toronto Heart Centre

Kent Andrews – Executive Pastor The Olive Branch Community Church

Catherine Callaghan CPA, CGA

Warren Greig – President – Greig Security Services

About Employee Benefit Management Services

Employee Benefit Management Services architects blueprints for employers’ health care management strategies. EBMS’ benefits experts reduce costs, improve care, and make it easy for their customers by simplifying a traditionally complex industry. Founded in 1980, EBMS has 320 employees who serve more than 275 clients throughout the U.S.

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Learn Which Health Benefits Are Best For Your Business

Different businesses have different needs when it comes to offering group health insurance. Our small business health insurance guide breaks down key information that you need to know before you start offering health plans to your employees:

• Your healthcare responsibilities as an employer
• Common questions about plan options, coverage, and costs
• How premiums are calculated and what drives down costs

Employee Benefit Management Services Company History Timeline

In 1875, the American Express railroad company established the first private pension plan in the United States Banks, utilities, and large manufacturing companies soon followed suit.

In 1884, for example, the B& O Railroad pension plan provided a benefit of up to 35% of pay but only to those workers retiring at age 65 with at least 10 years of service.

In 1920, the federal government finally established a pension plan for its employees.

In 1929, Baylor hospital officials offered a non-profit medical plan to 1,300 area public school teachers that cost 50 cents/mo. in exchange for 21 annual days of free hospital visits.

After his election to the presidency in 1932, Franklin D. Roosevelt chose not to pursue universal healthcare coverage.

In 1935, Congress passed the Social Security Act for the same reason many employers had adopted private pension plans to encourage and allow older workers to retire so younger ones could take their place.

The Labor-Management Relations Act of 1947 provided guidelines for the establishment and operation of pension plans administered jointly by an employer and a union.

In 1948, the NLRB ruled pensions to be considered wages that they fell under conditions of employment and, hence, subject to collective bargaining.

In 1954, Congress codified this exclusion in what is now Code section 106 and also expanded Code section 105 to exclude benefit payments made to employees under self-insured, as well as insured, health plans.

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