HR Simplified performs all of the legally required steps to administer COBRA, HIPAA and State Continuation for your Qualified Beneficiaries.

Initial Notification Of COBRA Rights.

HR Simplified will provide the Initial/General COBRA Notification to all covered employees under the health plan as required by law. The notification letter explains the options aplan participant has regarding the continuation. COBRA regulations require that this notification be provided when coverage is first available; the employee & dependents need to know their COBRA rights before the qualifying event occurs. 

Qualifying Event Data

HR Simplified has the capability of receiving most forms of electronic data. In addition, employers can submit qualifying event information using our secure web site.

Provide The Election Packet When A Qualifying Event Occurs.

Upon notification of a qualifying event by the employer, HR Simplified mails the qualified beneficiary the following:

  • Introductory letter that defines their qualifying event and election time period 
  • Continuation plan election form
  • Separate Family enrollment form
  • Payment instruction
  • Toll Free phone number for live customer service.

Most forms and letters used by HR Simplified can be customized to meet your needs.

 

Election Notification

Once the qualified beneficiary has elected to continue and has made the initial premium payment, HR Simplified will notify the TPA or insurance carrier or the employer of the election. 

Premium Verification (Billings)

HR Simplified provides individualized coupons to each qualified beneficiary electing coverage. When premium is received by HR Simplified, payment accuracy & time requirements are verified.  Collected premiums are remitted to the employer on a monthly basis along with detailed reports. 

Benefit Change, Open Enrollment & Rate Change Notification

HR Simplified notifies all enrolled and pending Qualified Beneficiaries of any change to your benefit plans. 

Terminations and Eligibility Changes

Whether due to nonpayment or reaching the maximum period, HR Simplified will promptly notify the Qualified Beneficiary, the Plan Sponsor and the insurance company or TPA in the event of termination of coverage or Change in Eligibility.

Participant Communication

HR Simplified provides a toll free voice and fax lines to all participants. All calls and faxes are digitally recorded and maintained for continual reference.

 

Monthly Reports and Premium Payments

HR Simplified provide monthly reporting detailing the status of enrolled and pending qualified beneficiary.  Employers will have access to the HR Simplified web site and receive detailed information on the status of new, pending, enrolled and terminated beneficiaries. These reports can be downloaded into an MS Excel.  Ad hoc reporting is typically available at no additional fee.

Live Customer Service (Toll-Free Telephone Support)
Our Customer Service hours of operation are:

  • 7:00 a.m. to 7:00 p.m.  Monday through Thursday (Central Time)
  • 7:00 a.m. to 5:00 p.m. Friday (Central Time). 

All of our customer service team members are highly trained and are ready to answer your employees’ questions.