Brokers/Sales
LionGen is committed to supporting our broker partners by delivering an experienced and professional account executive team, sophisticated client reporting solutions and a wide array of services all of which are backed by a state of the art software processing system. We value our partners as a key element of success.
- Enrollment and eligibility maintenance and production, including online enrollment capabilities
- Member ID card generation
- All-inclusive medical management services, including pre-certification, concurrent review, discharge planning, case management, disease management
- Local customer service and claims adjudication
- Check and Explanation of Benefits (EOB) production
- Client billing services
- Sophisticated reporting packages enhanced by predictive modeling capabilities
- State-of-the-art technology portals that connect members, employers, providers, and brokers
- Value-added employee services, such as wellness progLiongens, telehealth consultation accessibility, and consumer-directed health plan options (FSA, HSA, HRA administration)
- Plan document and Summary Benefit Coverage (SBC) preparation
- COBRA and HIPAA administration
- Secure electronic medical record accessibility for members
- Client Management Tools
- Back Office System
- High Commissions & Administrative fee on Sales
- Complete Management Portal
- Easy Online Enrollment
- Real Time Sales & Commission Tracking
- Training & Marketing Support
A self funded healthcare plan, sometimes referred to as a self insured, or partially self funded healthcare plan, is a healthcare plan in which the sponsoring entity (Taft Harley Fund or Employer Group) assumes the financial responsibility for providing health care benefits to its members/employees.
Self Funded vs. Fully Insured
| Self Funded | Fully Insured |
|---|---|
| An administrative service company collects from your company then pays doctors and hospitals for claims. | Your health insurance company pays doctors and hospitals for claims. |
| Claims cost can vary from week to week. You can cap your liability with stop-loss insurance to protect against excess risk. | You pay the same monthly premium no matter what your employees’ individual claims are. |
| Design the plan that fits your clients’ workforce needs. | Limited plan options; your clients typically must select a plan from several set levels (i.e. Platinum, Gold, Silver, or Bronze). |
| Your clients only spend money on the services that they need. | They pay for the whole package, including services they may not need. |
| You retain the money that is not spent. | Any funds leftover simply become more profit for the insurance company. |
| We give your clients access to reports that show how every dollar is spent. | Carriers are often reluctant to provide any actionable data. |
