If your company has renewed the same fully-insured plan year after year, there may be options in the Houston market you have never been shown. A brief review tells you either way — and it costs nothing.
A middle-ground structure: fixed monthly cost, clearer reporting, and money back to you in a year when claims run well.
A way to lower what the plan pays for certain services, with someone your employees can actually call when a bill looks wrong.
Strategy, employee education, benefits administration, carrier coordination and HR/payroll guidance — not a forwarded renewal letter.
Have we compared fully-insured, level-funded and cost-containment options — with our own numbers in them?
Are employees getting clear guidance so they can use the plan and avoid unnecessary costs?
Do benefits, payroll, HR and the carrier systems actually talk to each other?
Is our broker driving strategy — or just forwarding renewal paperwork?
Employers do not need a quote once a year. They need someone who implements it, explains it to staff, administers it, and answers the phone in March when something breaks.
Experience across the major platforms and enrollment workflows — HR & P, ADP, iSolved, Paycor, Insperity, Employee Navigator, UKG and more.
Payroll deductions, eligibility rules, waiting periods, contribution strategy, HR handoffs and carrier/payroll coordination.
Clear communication for new hires, paperless open enrollment, and ongoing support so employees understand what they actually have.
Adds, terms, employee changes, dependent updates, billing questions, ID cards, claims escalation and carrier follow-up.
Safe Harbor / QACA, new comparability and age-weighted testing, cash balance plans, deferred compensation. Annual investment and fee review, benchmarked against comparable plans.
Retirement readiness, employee communication, participant support. Fiduciary responsibilities, an annual checklist, 3(21)/3(38)/3(16) options and documented ongoing process.
A plan that says it covers ABA therapy and a plan that pays for it at the hours a treatment plan prescribes are two different things — and you cannot tell which one you have from a benefits summary. We read denial letters, file the appeals, and place individual coverage for families whose group plan will not do the job. That work started with one family and now runs alongside a dozen Texas clinics.
Michael E. Hipson offers securities and investment advisory services through Ameritas Investment Company, LLC (AIC), Member FINRA/SIPC, and Ameritas Advisory Services (AAS). AIC and AAS are not affiliated with Hipson Investments. Representatives do not provide tax or legal advice. This material is for general information only and is not a recommendation, an offer, or a promise of any particular outcome. Coverage for ABA therapy depends on your specific plan, plan type and state; no appeal outcome is typical or guaranteed. Penalty and threshold figures change annually — confirm current amounts with your own counsel, auditor or third-party administrator.