How to work with Ethos Benefits


Were not Brokers, we dont have incentives to sell you something new. Your company has a healthcare problem and we work with companies, as their consultants to navigate this process and achieve better outcomes.

LET'S TALK

Finally. Benefitsyour CFO and HRcan both getexcited about.

An Intersection of Solutions

Benchmark

How does your employee benefits program compare to those of your competitors in the same industry, company size, or geographic location? Evaluating employee benefits shouldn't be limited to the annual renewal period. Let’s start by benchmarking your current costs and benefits, along with your company’s trends over the last 5 years, to create a data-driven picture we can analyze together.
  • Broker & Vendor Compensation
  • Per Employee Per Year Costs
  • Employee Out of Pocket Costs
  • Claim Costs
  • RX Benchmarking

Collaborate

Now that we have a clear understanding of your historical data, let's work together on developing a forward-looking plan. This isn't just for the coming year but for a comprehensive 5-year benefits strategy. Our consulting team collaborates with yours to determine goals, metrics, and strategies, ultimately creating a multi-year plan that helps predict and control costs.
  • Desired savings
  • Strategy workshops
  • Cost containment strategies
  • 5-year benefits business plan

Implement

Employee benefits have one fundamental purpose: to serve your company’s number one asset. A healthcare strategy and plan are only as effective as their communication and execution. We can integrate with your existing workflows or provide our own solutions to ensure employees and their dependents understand and can easily utilize the custom health strategy we’ve developed. Ultimately, value is perception. Let’s modernize the way employees and dependents experience your benefits program, ensuring your number one asset perceives the value in your benefitsinvestment.
  • Administration/HRIS
  • Compliance Vendors
  • SMS/Email Communications
  • Interactive Benefit Guides
  • Mobile Communications

Support

Our service team integrates seamlessly with yours, acting as an extension of your operations.  Comprising industry-leading professionals who are passionately committed to transforming healthcare for American workers, our team advocates tirelessly on behalf of you and your employees. Whether dealing with carriers, vendors, hospitals, or providers, we strive to ensure afair and positive healthcare experience.
  • Monthly Claims Analysis
  • Weekly or Bi-Weekly Ethos Experience Calls
  • High Claim Monitoring & Mitigation Strategies
  • Auditing & Vendor Coordination
  • Employee Claim Advocacy & Healthcare Navigation Support
  • Transparent Reporting of Open Service Tickets

Client Service Team

Ethos is here to act as an extension to your team. From Insurance solutions to Non-Insurance solutions, we're here to help navigate not only the Healthcare finance system but also Healthcare delivery.

Benefits Consultant

• Strategy
• Contracts
• Benefits Business Plan
• Escalations

Account Executive

• Onboarding
• Weekly or Biweekly Ethos Experience Calls
• Claims Reviews
• Communication Strategy
• Technology & Integrations

Account Manager

• Employee Liaison
• Eligibility Management
• Claims Support
• Employee Healthcare Navigation
• Manage Mobile Communications Platform

Legal/Compliance Expert

• Fiduciary Committee Consulting
• Custom Compliance Calendar
• All Annual Benefits Compliance Items
• Access to HR Hotline, Handbooks, Document Review & Training

Technology Expert

• Build Benefits Administration Technology
• Audit of Plan Builds
• Carrier & Payroll Integrations, including 834 EDI setup
• File Feed Discrepancy Reports

Human Resource Consultants

• Assess your HR health
• Expert advice on HR & Legal
• Create handbooks
• Anonymous reporting
• Customizable documents

Frequently Asked Questions

The primary responsibility of fiduciaries is to run the plan solely in the interest of participants and beneficiaries and for the exclusive purpose of providing benefits and paying plan expenses.

Fiduciary responsibility can be breached unknowingly with a lack of prudence in decision making process.

Ethos benefits takes the stance they your “broker” or Consultant for your healthcare plan should also be acting in the best interest of your company and it’s insured members.

Ethos Benefits positions themselves as a Fiduciary to clients in the sense that they work with Employers directly in solving their healthcare problems.   All compensation is disclosed and is free of conflicts of interest.

Financial incentives drive results, there is no doubt about it.   

Insurance carriers offer different commissions, bonus and incentives to lure business their way.  In order to work with our clients with integrity we provide radical transparency and offer conflict free advice by disclosing all compensation and coming to those agreements with the client, before making a decision.

No, less.  We strip commission out of the agreements to lower the cost and then come to the agreement with our fee directly with our client based on the services provides and incentives for results that are in line with their goals.

It’s helpful to have some data prior to a call but not mandatory.   General information on healthcare trend, recent invoices, population and benefit guides can be helpful for an informed discussion.

No, Ethos is willing to help wherever they can provide value for Employers.