Build the plan that meets your needs
EBS Employee Benefit Services
Build the plan that meets your needs
An EBS-managed self-funded benefit program is unique, providing you the ability to custom mold your plan around your needs. As a third-party administrator, EBS works directly with clients, cutting out the broker middleman to custom-build self-insured employee benefit programs.
For most employers, benefits a major budget item, but one over which they have very little control. When you self-fund your employee benefits, you’ll get fine-tuned control over your benefits plan. You’ll be able to:
In addition to our regular benefits administration services, EBS self-insured clients receive:
We custom-build every plan document using a lengthy questionnaire covering every conceivable benefits issue: from what you want your deductible to be, to how do you want to cover a wig after chemotherapy, and everything in between.
Based on where your employees are located, EBS will design a network that best fits their needs. It is common to have one PPO network for employees in San Antonio, and a completely different one for employees in Dallas. And with EBS managing the network for you, it is seamless for employer and employee alike.
Because of the lack of competent case management available, EBS formed its own large case-management provider, Alamo Risk Management (ARM). ARM uses a hands-on approach to case management, confirming good communication among multiple providers and the insured.
Simply by eliminating duplication of care, ARM has saved clients hundreds of thousands of dollars while improving the health of the patient. ARM also provides bill auditing and provides covered employees easy answers to their benefits questions—making it priceless for our clients.
During normal business hours, you’ll always get a real person one the phone when you call EBS. After hours, we have an automated eligibility and verification fax-back system. No matter what time of the day or what day of the year, you can verify your benefits.
EBS will help you secure stop-loss insurance to completely wrap your company’s liability, leaving nothing exposed. We will consult with you to determine your level of risk aversion and thoroughly explain the advantages and disadvantages of different contract types and levels of coverage. When you self-fund with EBS, you’ll know your maximum liability to the penny.
Just with our traditional insurance plans, you’ll pay for all your benefits with a single check, no matter how many providers you have. EBS will send you an itemized invoice and make sure the right premiums get to the right benefits providers.
Participant claims are the most expensive part of any benefit plan, whether the plan is traditional insurance or self-funded insurance. To control the cost of your plan, you must control the cost of the claims. EBS, along with Alamo Risk Management (ARM) and Texas True Choice (TTC), has put together a turnkey package that effectively manages this most expensive part of your plan.
EBS has managed self-funded plans since the late 1980s utilizing a hands-on approach to cost containment. By monitoring creative billing trends and developing cost-controlling plan designs, our clients have successfully fought medical inflation.
EBS formed Alamo Risk Management (ARM) because of the poor service we encountered in the areas of utilization review and large case management. Managed by an RN, MSN with more than 26 years of experience, ARM works closely with providers, hospitals, insureds, and EBS to make sure the best and most economic care is given without sacrificing the health of the patient.
Simply by eliminating duplication of care, ARM has saved clients hundreds of thousands of dollars while improving the health of patients. ARM also provides bill auditing and provides covered employees easy answers to their benefits questions. It is invaluable to our clients.
The Texas True Choice (TTC) network consists of more than 340 acute care hospitals and 35,000 participating providers throughout the state. Their network discounts enable employers to enhance their existing benefit package by offering significant healthcare savings without limiting choices.
Some PPOs believe that the key to success is the number of providers participating in their network. TTC is indeed proud to offer one of the most extensive provider networks in the state, but also believes in providing a balance between substantial healthcare savings for clients and fair reimbursements to providers. The proper balance of these elements is the true key to success.
Have out-of-state employees? Extend the TTC network extends throughout the nation via TrueChoice USA.
It’s simple. EBS works with your company and makes sure all of the correct pieces are put together: custom-building your plan document, filing paperwork with the federal government, shopping the stop-loss insurance coverage with several companies, printing provider directories, and designing ID cards with your logo. EBS manages everything.
EBS has clients with as few as 13 employees and as many as 2,000, all successfully self-funded.
Doesn’t being self-funded mean taking on additional risk? What if one of my employees has an excessively large claim?
The risks associated with self-insurance can be mitigated. EBS will help facilitate the purchase of a stop-loss policy from a re-insurance company that will limit risk at a predetermined level per insured. This type of coverage is called specific insurance.
Aggregate insurance can be purchased to limit your total costs over the entire group on a monthly and annual basis. With the aforementioned specific and aggregate coverage in place, an employer can budget the self-funded plan the same way it budgets a fully insured plan. Just as with traditional insurance, you’ll know your maximum benefits liability down to the penny.
EBS and TTC together can custom build a provider network that fits your employees’ needs, regardless of their location.
Yes. The most common self-funded benefits are medical, dental, and vision insurance. Occasionally, short-term disability insurance is self-funded as well.
EBS has an integrated benefits-management system that unifies all of your benefits, both self-funded and fully insured, in one easy-to-administer package. The most common benefits managed by EBS include medical, dental, vision, life insurance, short-term disability, long-term disability, and Section 125 plans. If you have other benefits to discuss, please let us know.