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PowerFlex Third Party Administration (TPA)

PowerFlex TPA (Third Party Administration) Services offers companies large and small an affordable, easy and convenient way to reap the benefits of tax-favored health plan designs without tapping your internal staffing resources for the plan administration.

PowerFlex TPA offers a comprehensive array of plan administration services to help employers make the most of their benefit programs while saving them time, money, and compliance exposure. From employee education and communication materials; to plan setup; to claims processing; to quick reimbursements - PowerFlex TPA is the best choice for administering your company's Flexible Benefits Plan.

Easy, Affordable, . . .Peace of Mind!

In today's highly competitive and ever changing regulatory environment, benefits administration has become increasingly complex. Innovations in consumer-driven health (CDH) benefit plan designs allow employees and employers to shield thousands of dollars in healthcare expenses every year which results in substantial tax savings for both the employee and the employer! And while employers want to provide these tax-advantaged healthcare solutions that will attract and retain employees, they face a common dilemma of how to offer them without breaking the bank or creating administration headaches and compliance risks.

At PowerFlex TPA, we understand the intricacies of Cafeteria Plan and Consumer Directed Health Plan design. Our expert staff has years of experience in the administration of those plans. PowerFlex TPA utilizes the latest technologies to increase efficiencies and control costs in all aspects of claim adjudication and reimbursement processing. And, we do so with strict adherence to HIPPA and IRS compliance, and the new Health Care Reform Bill regulations.

So relax! When you work with PowerFlex TPA, you can focus on what you do best and leave the plan compliance, confidentiality issues, claims paperwork and reimbursement processing to us!

 PowerFlex TPA Plan Administration Services include the following:

Account-Based Plan Administration

  • Medical Flexible Spending Accounts (FSAs)
  • Dependent Care Expense Accounts
  • Health Reimbursement Arrangements (HRAs)
  • Health Savings Accounts (HSAs)
  • Transit Parking Plans
  • Stacked plan options to accommodate multi-account plan designs

Dedicated Account Management

  • Experienced Benefit Plan Account Manager assigned
  • Toll-free access for employer's staff
  • No prefunding requirements! Employer holds all plan funds until they are needed to pay out claims.
  • Detailed Employer reports for plan reconciliations

Employee Communication and Enrollment Materials

  • Employee education materials and presentations provided
  • Employee enrollment materials, including election
    and claim forms
  • On-line group meetings available
  • Confirmation emails sent to plan participants after enrollment

Customer Services

  • Toll-free employer group and plan participant access to live customer support representatives
  • 24/7 Web-based participant account access for:
    • On-line Claim Submission
    • Claim forms and instructions
    • Claim status and account balances

Claim Adjudication and Reimbursements

  • Claim verification tracking to ensure that all claims:
    • are incurred during the selected plan year or grace period
    • are submitted before the plan run out period
    • do not exceed the plan maximum or available plan balance
  • Claim reimbursement options include:

Plan Compliance

  • Discrimination Testing
  • HIPAA
  • 5500 Form information provided for applicable employers
  • Regulatory updates
 
 
• Learn more about PowerFlex TPA

• Get a Customized PowerFlex TPA Quote!



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