Health Plan Administration

EGA’s experienced benefits specialists will develop a customized plan design based on the specific goals and objectives you identify. Customized plan designs are achieved by focusing on:

• Plan type (fee-for-service, Preferred Provider Organization Network (PPO), point of service, etc)
• Cost-sharing (copayments, deductibles and coinsurance)
• Health management and wellness
• Other cost-control features (exclusions, subrogation, coordination of benefits, etc.) intended to curb utilization through various incentives and disincentives
• Risk tolerance
• Stop loss coverage to protect the plan against catastrophic and aggregate risk
• Regulatory compliance assistance