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Healthcare Services

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ACTUARIAL SERVICES

For Employers & Health Insurers

We work with many of the different perspectives in healthcare and have an incredibly extensive picture of today’s healthcare landscape. This allows us to provide invaluable risk management and other actuarial consulting services to our clients; all of which we tailor to help them understand and better manage the financial risk associated with their health and welfare plans, including retiree medical benefits. 

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Self-Funded
Health Plans

Determine your best options for self-funding your employee health benefits.

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Government 
Programs

Get meaningful data-driven insights on your federal and state healthcare programs.

cost

Experience
Reporting

An extensive analysis and view of your plan’s data over a certain period time

funding

Retiree
Valuations

Expert actuarial valuations of government and private retiree health plans.

ACTUARIAL CONSULTING SERVICES

For Insurance Carriers

We offer a wide range of actuarial services to help you manage financial risk and market uncertainty while staying  competitive.

Additional Actuarial Services

Pricing, Modeling, Compliance & Certifications

Benefit Pricing & Plan Design

Determine what the latest regulations will cost your company, and if your current design or a new design will save you money.

Actuarial Value Calculations

Determine if your plan meets the ACA requirements and which plan it is closest to: platinum, gold, silver, or bronze.

Expert Witness

Mediation and lawsuit support as it relates to the fairness of legal decisions involving complex and specialized financial risk.

Medicare Part D Compliance

Value testing, qualified attestations, and credible coverage determinations for the Part D Retiree Drug Subsidy & Part D qualification.

Actuarial Certifications

For healthcare reform grants and other projects requiring actuarial certification by a qualified, credentialed actuary.

Cost Projections

Make wise business decisions with actuarial modeling that will help you forecast cost and revenue into the future.

Benefit Pricing & Plan Design

Determine what the latest regulations will cost your company, and if your current design or a new design will save you money.

Actuarial Certifications

For healthcare reform grants and other projects requiring actuarial certification by a qualified, credentialed actuary.

Expert Witness

Mediation and lawsuit support as it relates to the fairness of legal decisions involving complex and specialized financial risk.

Medicare Part D Compliance

Value testing, qualified attestations, and credible coverage determinations for the Part D Retiree Drug Subsidy & Part D qualification.

Actuarial Value Calculations

Determine if your plan meets the ACA requirements and which plan it is closest to: platinum, gold, silver, or bronze.

Cost Projections

Make wise business decisions with actuarial modeling that will help you forecast cost and revenue into the future.

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Plan Termination

When it’s time to terminate your plan, you can trust us to help you take the necessary action, which is, no doubt, a complicated process. As actuaries, we assist with the entire process of winding-up the operation of a plan to submitting required IRS and PBGC paperwork and finally distributing the plan’s assets.  These services include:

Plan Documentation

We reduce the administrative burden and financial risk of the required plan document and related forms for your retirement plan(s). As actuaries, we ensure you are compliant, while streamlining the process. Our plan documentation services include:

  • Drafting proposed language for individually designed plans and client-requested changes to plan documentation
  • Plan Document and Administrative Policies
  • Summary Plan Description
  • Ancillary Beneficiary Forms
  • Salary Deferral Agreement, if applicable
  • 401(k) Safe Harbor Notice, if applicable
  • Participant Loan Policy, if applicable
  • Consultation with the client’s attorney to assist in plan preparation.

Plan Design

We make sure your retirement plan fits the diverse needs of your employees, while also meeting company goals and objectives. As actuaries, we walk you through the entire plan sponsor process, from plan design and choosing the right investment options to plan administration and more. 

Retiree Valuations

Let us handle it for you! As actuaries, we have a thorough understanding of FASB and GASB standards and will do the hard work for you.  We provide actuarial accounting, funding, and financial reporting valuations and guidance for employers who sponsor pension and other post-employment benefit (OPEB) plans.

Experience Reporting

Make intelligent data-driven decisions and optimize every aspect of your benefit plans. We utilize powerful visualization tools to deliver insights how and when you want them!

Government Programs

We have extensive experience in the Public & Government Health sphere with programs such as  Medicare, Medicaid, and the ACA-Exchange Marketplace.  As actuaries we routinely analyze the impact of legislative mandates, as well as proposed legislation, and offer unbiased solutions to plan sponsors, regulators, and other governmental decision makers regarding state and federal health programs.  This includes:

Self-Funded Health Plans

Let us help you save time and money. As experienced healthcare actuaries, we provide insights to minimize financial risk, ensuring informed decisions that are aligned with your goals and budget. We help you determine your best options for self-funding your employee health benefits through the following services: