Many of us read about the importance of the plan document language in last month’s By the Numbers.  Eligibility is an important part of a strong plan document and is the topic of our CSI bulletin this month.

By Jamie L.C. Pience, Associate General Counsel At Roundstone, we believe in a proactive approach to cost containment and plan language. Precise language which strictly states available coverage and full compliance to the terms required for coverage, combined with an administrator committed to the protection of the plan, are essential to controlling future costs. To […]

Listen to Amanda Brandt and Jamie Pience discuss the importance of reviewing your company’s plan design.     To read more about the Roundstone plan document, check out the article Not all Group Health Plans are Created Equal.  

By Book Chrobak, Health Analytics Manager Switching to self-funding health benefits allows employers to take control of their costs, design their benefit coverages, and understand their healthcare spend. The plan document is the “formal, written, legal statement listing the provisions of the insurance plan.” It is the instrument that sets forth the benefit details and […]

By Ellen Winson, Policy Administration Specialist Employers are continually looking for ways to control medical costs. This is especially true for self-insured employers. One strategy that has emerged is the implementation of Referenced-Based Pricing (RBP). With RBP, the employer sets a maximum reimbursement tied to a particular benchmark. The amount that providers bill is arbitrary […]