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Consumer Directed Health Plans | CDHP Plans | Self Insured Plans LLC

http://www.selfinsuredplans.com/consumer-directed-plans.html

Consumer Directed Health Plans. Empower Your Employees and Control Costs. Consumer directed health plans. Were developed to empower and encourage plan participants to evaluate their health care options with an eye on the cost and an incentive to spend dollars wisely. At Self Insured Plans. We have designed CDHP plans. To encourage covered persons, the consumers of health care, to make informed choices. Consumer directed health plan. Options from SIP include Health Savings Accounts. Find all of SIP health...

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PACE

http://www.selfinsuredplans.com/pace.html

Providing Administrative Solutions for Hospice and PACE Programs. To manage member chronic disease more effectively and avoid more costly specialty care or hospitalization, Pace centers need improved data capabilities and analytics. These resources, and more, are available from The PACE Senior Solutions Group…. Eligibility maintenance, claims processing and payment of all eligible claims. State of the art re-pricing of health claims based upon current Medicare schedules. Self Insured Plans, LLC.

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Employee Health Plans | Third Party Administrator | Self Insured Plans LLC

http://www.selfinsuredplans.com/employers.html

Helping You Make Better Benefit Decisions. Our website is available 24 hours a day, seven days a week to provide comprehensive health plan information to employers. At SelfInsuredPlans.com, employers can. View our Provider Network Directories (search by name, location, or specialty). Manage Plan Enrollment - Additions, Changes and Terminations. View Benefit Plan Documents and Amendments Online. View Claims History or Explanation of Benefits Statements (EOBs). Debit Card Eligible Merchant List. Experience...

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GASB 43 and GASB 45 Overview | Self Insured Plans LLC

http://www.selfinsuredplans.com/gasb-overview.html

GASB 43 / 45 Overview. By their employees each year. The Governmental Accounting Standards Board (GASB) establishes accounting standards for governmental agencies, but has no enforcement power. Entities that fail to follow GASB can be subject to audits and could suffer damage to their bond ratings. That provided OPEB’s through trusts and GASB 45 outlined the OPEB reporting and disclosure requirements for governmental employers. The following chart outlines the GASB implementation schedule. (Annual Re...

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Plan Participants | Employee Benefits | Self Insured Plans LLC

http://www.selfinsuredplans.com/participants/find-doctor.html

Find a Network Provider. A Preferred Provider Organization (PPO). SIP has contracts with national, regional and local PPO networks that can serve the needs of employers with both single and multiple locations. In fact, we have access to virtually any provider that a customer may choose to use. Locate your PPO and/or Participating Physicians within your PPO:. Click to download Provider Waiver/Exception Form. First Health Network (Formerly Community Care Network/CCN). Claims Inquiries and EOBs. Find the re...

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ACA Timeline

http://www.selfinsuredplans.com/aca-timeline.html

Affordable Care Act Timeline. The dust has settled! The ACA provisions will be implemented through 2018. Many of the provisions will impact Medicare and Medicaid only. Therefore for the purpose of the following timeline, we have only identified those provisions which we believe will require employer action, and in some instances, will impact future employer healthcare costs. However, this is not intended to be a complete listing of all of the ACA provisions. Summary of Benefits (SBC). Increases the thres...

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Employee Health Plans | Third Party Administrator | Self Insured Plans LLC

http://www.selfinsuredplans.com/employers/employer-forms.html

Forms Available For Download. SIP forms are now web-ready. Simply click on the form you need and you can fill it out online, print it out, sign and return. It's that simple! EXHIBIT 1 - COBRA Model Notice (non-ARRA) - English Version. EXHIBIT 1a - COBRA Model Notice (non-ARRA) - Spanish Version. EXHIBIT 2 - COBRA Model Election Notice (non-ARRA) - English Version. EXHIBIT 2A - COBRA Model Election Notice (non-ARRA) - Spanish Version. EXHIBIT 3 - COBRA Model Supplemental Information Notice. Optum (formerl...

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Employee Benefits | Third Party Administrator | Self Insured Plans LLC

http://www.selfinsuredplans.com/agents.html

SIP provides customized benefit solutions including flexible plan design. And integrated cost and disease management. Exceptional Customer Support. Always. We help plan participants become wise healthcare consumers. By offering them information and tools to make informed decisions. Others Pay Health Claims. We Help Prevent Them. Partner with SIP and Build Your Business. Partnering with Self Insured Plans. And request a quote. These are just some of the agent support tools. All TPA's Are Not Alike. 14710 ...

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Plan Participants | Employee Benefits | Self Insured Plans LLC

http://www.selfinsuredplans.com/participants/claim-forms.html

Claim Forms and PHI Forms. SIP forms are now web-ready. Simply click on the form you need and you can fill it out online, print it out, sign and return. It's that simple! Health Care Claim Forms. Optum (formerly known as RESTAT) Mail Order Rx Claim Form. Optum (formerly known as Catamaran) Home Delivery Frequently Asked Questions. Flexible Spending Account (FSA) Withdrawal Request. HRA Debit Card Claim Form. Medical Claim CIGNA Form. Optum (formerly known as RESTAT) Prescription Drug Manual Claim Form.

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Health Care Reform | Self Insured Plans LLC

http://www.selfinsuredplans.com/healthcare-reform.html

Health Care Reform Updates. Curious About Health Care Reform. Employer PPACA Planning for 7/1/13 to 12/31/13. SBC Glossary of Terms and FAQs. Under the ACA, Self Insured Plans is required to post the Summary of Benefits Coverage (SBC) Glossary of Terms on our website. This glossary has many commonly used terms, but isn't a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. SBC Frequently Asked Questions. Click f...