Bolton Partners offers employee benefits consulting and brokerage services to employer groups of all sizes and in all market segments. We help our clients design, implement, and manage the employee benefits programs that best meet the strategic goals and financial objectives of their organizations. Our experienced team assists our clients in navigating the increasingly complex regulatory climate to ensure plans are in compliance with constantly changing laws.
We meet with clients on a regular basis to establish goals, set priorities, and identify areas of greatest challenge and opportunity.
The new requirements of the ACA are forcing all employers to re-evaluate their benefit offerings. Our goal is to ensure our clients understand, comply with, and prepare for the wide-ranging impact of this challenging legislation.
The final frontier in slowing (and even reversing) the constant climb in health care costs is implementing effective programs that provide incentives for employees and dependents to better manage illnesses and understand the impact that their personal well-being can have on this key budget item. We employ proprietary data analysis to help clients focus on areas having the greatest impact on their health care expenses and put in place a comprehensive strategy to address them.
Affordable Care Act (ACA)
Financial Underwriting and Claims Analysis
We provide renewal analysis and negotiations, budget projections, funding recommendations and alternatives, large claims analysis, and quarterly reporting of the plan’s financial performance. We specialize in stop-loss marketing and risk analysis.
Dependent Eligibility Verification Audits
It is crucial that employers ensure that only dependents that are eligible are covered under the plan. We have a comprehensive and secure process that takes this sensitive issue out of the client’s hands. We have been very successful in removing ineligible dependents, thereby saving clients significant health care costs. We also provide ongoing dependent verification services for employers that wish to outsource this task.
Evaluate Plan Design
We evaluate industry trends and labor market conditions, claim cost trends, alternative delivery systems, legal requirements, eligibility, cost-sharing, and benefit structure and network savings.
Prescription Plan Review
We specialize in the review and analysis of prescription plans and PBM vendor contracts to maximize plan performance. We ensure our clients receive the lowest possible net costs, coupled with appropriate clinical oversight and meaningful utilization management programs.
Request for Proposals(RFP)/ Competitive Bidding
We assist clients on a regular basis to satisfy their fiduciary duties by ensuring their vendors offer the best combination of cost and quality. We manage the entire process, beginning with the preparation of the RFP, answering vendor questions, analyzing vendor responses, conducting interviews, and negotiating best and final pricing and performance guarantees.
Participant Communications and Benefits Administration
We review ongoing participant communications materials, including summary plan descriptions, participant notices, open enrollment materials, and benefit statements. We prepare Plan Documents as needed. We evaluate in-house administration procedures and provide recommendations for improving services and efficiency through the use of technology.
Service Provider Relationships
We manage service provider relationships, advise on contracts, review provider service levels compared to performance guarantees, and resolve administrative issues.
HEALTH & WELFARE
Boca Raton Office
7279 Panache Way
Boca Raton, FL 33433
675 Seminole Avenue, NE
Atlanta, Georgia 30307
36 S. Charles Street
Baltimore, MD 21201
9000 Midlantic Drive
Mt. Laurel, NJ 08054
1615 L Street, NW
Washington, DC 20036
Copyright (c) 2008 - 2017 Bolton Partners, Inc. All rights reserved.
325 Sentry Parkway
Building 5 West, Suite 200
Blue Bell, PA 19422
720 South Colorado Blvd.
Denver, CO 80246