SERVICES

The products and services we offer are just the foundation of what we can provide

KEY

OFFERINGS

We offer a full line of products for small, medium and large employers to include:

• ERISA Compliant HRA Plans

  • Level-Funded MERP​

  • Individual Coverage HRA (NEW for 2020)

• Excess Loss Level Funded Stop Loss Plans

• ACA Compliant MEC Portfolio

  • MEC Plan

  • MEC Value

  • MEC+

  • MVP Next Gen

  • Hybrid Plan

  • Buy Up Stop Loss RBP

  • Buy Up Stop Loss PPO

ANCILLARY 

OFFERINGS

Our ancillary plans help create the complete package when added alongside one of the key offerings.  Select any of the products below for more information:

• Fully Insured DPPO/DEPO Dental Plans

• Fully Insured Prepaid DHMO Dental Plans

• Self-Insured Dental Plans

• Self-Insured Vision Plans

• Fully Insured VSP Vision Plans

• Group Term Life

• Telemedicine

• COBRA

• Section 125 / FSA

ADDITIONAL

OFFERINGS

The following are available at no additional charge for existing clients:

• YourBenPortal, Online Web Portal

• Concierge Service™

• Creation and maintenance of required ERISA documents to include:

• Summary Plan Description

• Plan Document

• Summary of Benefits & Coverage

• Notice of Material Modification

• ACA Required Notices

• PCORI Assistance

• Monthly reporting

• Annual Financial Breakdown

• Market Comparison

In need of financing for your out-of-pocket expenses? Apply for the card that makes care possible...today.

How Our Products and Services Can Help

• Employer groups of 2 or more for fully-insured, high deductible PPO, with integrated health reimbursement arrangement (HRA) and Medical Expense Reimbursement Plans (MERP)

• Employer groups of 10 or more for partially self-insured stop loss

• Employer groups of 200 or more for self-insured ASO services

• California as primary, open to and licensed in other states as a third party administrator (TPA)

E.D.I.S. has experience with and the capability of:

• Program Creation

• Outlining the vision

• Creating all documents to include certificates, schedules, policies and marketing material

• Coordinating and contracting with necessary vendors

• Actuarial relationship for rate creation

• Compliance relationship for electronic filings both new and amendments and ongoing regulation compliance

• Marketing

• Underwriting

• Eligibility

• Claims processing/adjudication

• Billing and collection of premium and outgoing program payment/commission