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NGS CoreSource Services
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COBRA Administration
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You can ease the administrative burden of COBRA and also control costs by limiting the window of COBRA exposure!
With NGS' unique COBRA administration system, plan sponsors are able to system generate notices and HIPAA Certificates simultaneously with terminations. Once a COBRA event has been triggered the system will clock all election periods, as well as payment and grace periods and the maximum COBRA periods.
COBRA administration capabilities are also fully integrated with NGS CoreSource's eligibility and claim systems - even during the COBRA waiting period and payment grace periods.
NGS' COBRA capabilities strengthen the plan sponsor's COBRA administration in these important ways:- Limiting the initial COBRA enrollment and payment grace periods to legally prescribed minimums. Employee and/or dependent eligibility status changes from "current" to "pending" immediately following qualifying event notification and during grace periods. This protects your plan against claims brought by former employees who have not enrolled in or paid for continuation coverage. It also protects you against liability resulting from inappropriate claim denials during periods when eligibility is questionable, such as grace periods. Additionally, this precise COBRA enrollment information can be shared via EDI with other plan providers such as Pharmacy Benefit Managers, dental, vision, EAP and HMO plans.
- Reducing administrative burden by automating the issuance of Initial COBRA Rights notifications (upon enrollment), COBRA notices, rate changes and termination letters.
- Protecting from liability by providing complete audit trails with system tracked payment due dates, grace period expiration dates and maximum coverage periods.
COBRA services include premium billing and collection, rate development and rate change notification listings, review of social security determinations, administration of "shortfall" payments, notices of non-availability and Help Desk services.
COBRA services are also available to non-TPA clients on a stand-alone basis.
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Medical Claims Administration