prepared for jefferson county alabama proposal
TRANSCRIPT
PREPARED FOR
Jefferson County Alabama
PROPOSAL FSA, COBRA July 1, 2020
SALES CONTACT:
Macon Barham Vice President of Sales
MYAMERIFLEX.COM 2508 HIGHLANDER WAY, SUITE 200 • CARROLLTON, TEXAS • 75006
2 July 1, 2020• Prepared for Jefferson County Alabama
Thank you for the opportunity to present
this proposal for the administration of your
FSA, COBRA
As your dedicated VP, Sales, I am here to guide you through the proposal process and answer your
questions about our industry-leading services.
Check out a few of our complimentary unique-to-Ameriflex features:
✔ Dedicated account manager for all clients, at no cost, for life;
✔ Dedicated implementation team, delivering three layers of quality assurance;
✔ FSA Guarantee -- if employees spend more than they contribute, we’ll refund the difference back to
you;
✔ Complimentary ID Theft Protection, powered by Mastercard, for all Ameriflex cardholders;
✔ Fastest response time in the industry - client emails responded to within four hours; and
✔ Client Love: Net Promoter Score (NPS) 200%+ the industry average
Thank you again for your time and consideration. I will be in touch with you
to answer any questions you may have.
Macon Barham
Vice President of Sales
3 July 1, 2020• Prepared for Jefferson County Alabama
✔ FSA Guarantee: In the event that total annual
claims exceed total annual employee
contributions, we will refund you the net
aggregate plan-year loss - offered to you at no
additional cost
✔ 100% Regulatory Protection
✔ ID Theft Protection: Complimentary, including
full wallet restoration, for all Ameriflex
cardholders
✔ MyPlanConnect: A service that integrates with
the employees’ insurance carriers to
automatically substantiate claims. (additional cost)
REAL DOLLAR SAVINGS COMBINED
WITH WORLD-CLASS SERVICE
We respond fast to keep your world quiet.
It’s early in the morning. Your client has a question about their Ameriflex plan and they need an answer
quickly. They call their dedicated Ameriflex account manager. As usual, their question was quickly handled,
and you and the client move on with your day.
The experience was frictionless. Your client got the answers they needed without having to call you. Even
if they didn’t get through right away, they’ll always get a call back within 59 minutes or an email response
within four hours. It is that level of service that puts Ameriflex’s Net Promoter Score (NPS) next to world-
renowned brands.
Instead of starting your day putting out fires, you and your client started with unparalleled tranquility.
Your clients love the Ameriflex FSA Guarantee, which insures they never lose money in their plan.
Employees love the peace of mind they get with their complementary identity theft protection. You love
knowing your clients have true regulatory protection. Their data has the highest standards of security in
the industry.
By choosing Ameriflex, you’re saying yes to…
✔ Dedicated account manager at no cost, regardless of
group size
✔ Dedicated implementation team at no cost, with three
layered quality assurance process
✔ Access to in-house ERISA attorney
✔ Industry Leader in Service: Ameriflex Net Promoter
Score (NPS) is 200%+ the industry average
✔ Fastest claims payment speed in the industry - Claims
are adjudicated within one business day of receipt,
98.5% of the time or greater
✔ Unmatched Data Security: Private HIPAA Audit,
HITRUST CSF Cloud, SOC 1 Type 2 Review
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FLEXIBLE SPENDING
ACCOUNT (FSA)
A flexible spending account (FSA) allows employees to set aside pre-tax money from their paychecks to
pay for everyday healthcare expenses, including medical copays, dental, vision, prescription medication
and commuting expenses. Participating in an FSA decreases the employee’s taxable income, and in turn,
decreases the employer’s costly FICA tax burden. Learn more
What You Get
✔ Dedicated account manager at no additional cost
✔ Dedicated implementation team with three-layer quality assurance process
✔ FSA Guarantee: In the event that total annual claims exceed total annual employee contributions, we’ll
refund you the net aggregate plan-year loss. Learn more
✔ Complimentary ID Theft Protection, including full wallet restoration, for all Ameriflex Cardholders
✔ MyAmeriflex Debit Mastercards for all participants, including unlimited replacements
✔ POP language included in FSA Plan documents at no additional fee
✔ Summary Plan Description (SPD) and plan document preparation
✔ Online enrollment capabilities
✔ EDI file feeds
✔ Initial enrollment report
✔ Educational participant email campaigns and enrollment materials
✔ Mobile App
✔ Employer and participant account management portals
✔ Daily claims processing and coordination with Mastercard®
✔ Self-Service employer reports
✔ Dedicated Participant Services support via phone and live chat
✔ Automated account alerts
✔ Direct Deposit for reimbursements
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✔ EDI File Feeds
✔ Plan document amendments
✔ Optional $500 rollover administration
✔ Optional 2.5-month grace period administration
✔ Discrimination testing portal access
✔ FSA educational tools
(including videos, participant drip email campaigns and more)
✔ Forms 5500 Support Assistance (Main Form, Schedule C)
Additional Employer Benefits
The FSA Guarantee
We are the only administrator to offer
an FSA Guarantee at no cost.
In the event that total annual claims exceed total annual employee
contributions combined with the employer’s tax savings, employers will
have the option to file a claim in order to recoup the amount of the plan
year’s net aggregate loss.
MyPlanConnect
MyPlanConnect is a unique service offered by Ameriflex that connects your employees’ flexible spending
account (FSA) debit card transactions to their insurance carriers. It reduces friction for your employees
because in most cases they don’t have to manually send us supporting documentation to verify the
eligibility of their expenses. It reduces friction in your day because you aren’t fielding as many
substantiation questions. Learn more
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DEPENDENT CARE
ACCOUNT (DCA)
A dependent care account (DCA) allows employees to set aside pre-tax money to help
pay costs associated with the care of dependents. The account can be used to pay for services
like daycare, elder care, before/after school care, summary day camp and more. Learn more
What You Get
✔ Dedicated account manager at no additional cost
✔ Dedicated implementation team, with three-layer quality assurance process
✔ FSA Guarantee: In the event that total annual claims exceed total annual employee contributions, we’ll
refund you the net aggregate plan-year loss. Learn more
✔ Complimentary ID Theft Protection, including full wallet restoration, for all Ameriflex cardholders
✔ MyAmeriflex Debit Mastercards for all participants, including unlimited replacements
✔ Summary Plan Description (SPD) and plan document preparation
✔ One-time annual claim option for plan participants
✔ Online enrollment capabilities
✔ Educational participant email campaigns and enrollment materials
✔ Mobile App
✔ Employer and participant account management portals
✔ Daily claims processing and coordination with Mastercard®
✔ Self-service employer reports
✔ Dedicated Participant Services support via phone and live chat
✔ Automated account alerts
✔ Direct Deposit for participant reimbursements
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MYAMERIFLEX DEBIT MASTERCARD
Ameriflex is proud to offer the
MyAmeriflex Debit Mastercard.
This single-platform debit card allows for the automatic electronic transfer of pre-tax dollars
from the participant’s account when paying for qualified expenses. Most importantly, the
MyAmeriflex Debit Mastercard can accommodate and administer all spending accounts on
the same card with no additional fee.
The Mastercard® system classifies merchants of the world into over 1,000 categories and assigns
each a code signaling whether the merchant is a restaurant, department store, pharmacy,
doctor’s office, etc. The card will not work at an unauthorized Mastercard® merchant (e.g. gas
station, restaurant, etc.), but it will recognize applicable healthcare, dependent care, and transit
merchant category codes (MCC), or SIC codes. This allows Ameriflex to efficiently and
effectively adjudicate claims according to IRS guidelines. Learn more
When the debit card is used,
the expense is automatically
qualified based on the
merchant’s code.
The balance is automatically
checked to ensure there are
adequate/ available funds in
the employee’s FSA
Account
Pre-authorization occurs
at the merchant point-of-
service (POS) Terminal.
The merchant is paid via ACH
and the amount of the charge
is deducted from the
employee’s FSA Account.
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Complimentary Identity Theft Protection
All Ameriflex cardholders get complimentary access to Mastercard’s industry-leading identity theft
protection and resolution service. Cardholders can register as much or as little of their personal
information as they want, including their MyAmeriflex Debit Mastercard, personal bank accounts,
email addresses, Social Security number, driver’s license, passport, and medical ID. Learn more
IMPLEMENTATION TIMELINE
Our top priority is to ensure each client is set up for success starting day one of their
Ameriflex implementation. We can accelerate the implementation process based on how quickly
the client provides their onboarding information. All applications and enrollments
go through three layers of quality assurance.
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9 July 1, 2020• Prepared for Jefferson County Alabama
COBRA ADMINISTRATION
COBRA requirements are burdensome, and one small misstep can expose employers to costly penalties set
forth by the Department of Labor. That’s just one reason why choosing a trusted COBRA partner is so
important. Ameriflex will relieve your clients of the burdens associated with COBRA tracking, notifications,
and billing.
Our industry-leading COBRA administration automatically processes all payments and provides grace
period deadlines, letter generation, and participant documentation according to Department of Labor and
IRS regulations. Along with our COBRA account management portal, Ameriflex can also provide Electronic
Data Interchange (EDI) connectivity to your current HRIS system for a frictionless experience.
What You Get
✔ Dedicated account manager at no additional
cost
✔ Dedicated implementation team, with three-
layer quality assurance process
✔ Takeover of pending or enrolled qualified
beneficiaries
✔ General Rights notifications to new plan
participants
✔ Specific Rights notifications to Qualified
Beneficiaries
✔ Issuing and mailing of Qualifying Event Notices
✔ COBRA elections and terminations
✔ ACA-compliant language
Retention of 2% Administrative Fee Ameriflex shall collect 102% of the monthly premium for each active COBRA participant or other special plan
participant/retiree and remit 100% payment to the employer on a monthly basis.
✔ Premium collection and remittance
✔ Disability extension
✔ Notice of Unavailability
✔ Mailing confirmation
✔ Real-time reports exported in multiple
formats, including Excel. Examples include: Paid-
through report, mail-sent report, subsidy report, etc.
✔ Electronic Data Interchange (EDI) connectivity
available
✔ Employer and participant COBRA account
management portals - PCI compliant, SAS 70
Type II reviewed, and both IBM and CISCO
certified
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FUNDING & CLAIMS
Find the right claims funding option for your business
Most Popular
Daily-Preferred Weekly-Preferred Weekly-Prefund
$0 Prefund
We will pre-pay merchants and medical providers and debit your account the next business day.*
$0 Prefund
We will pre-pay merchants and medical providers and debit your
account on a weekly basis**
We will debit your account weekly to cover claims activity. Ameriflex
requires a small up-front prefund to cover claims activity***
Sample Company: Joe’s Auto Shop 10 participants, with $1,000 in annual elections each
$0 Prefund
$0 Prefund
$833.33 Prefund
(due first month of administration)
* No up-front prefund payment is required. Your account will be debited each day for the claims activity amount + a reserve fee of up to 3.997%
**No up-front prefund payment is required. Your account will be debited weekly for the claims activity amount + a reserve fee of up to 4.997%
***We will collect a prefund for 1/12 annual elections.
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TECHNOLOGY
Ameriflex continues to reinvest in smart, integrated user tools, technology, and best-in-class service designed to make your life easier.
Employer
& Broker Portals
Submit new client applications
Complete online renewal
Submit enrollments
Manage COBRA enrollees
Access reports
Participant Portal
& Mobile App
View account balance and past spending
Sign up for account alerts
Mark card lost or stolen
Upload receipts
Set up direct deposit
24/7, on-the-go account access
Get reimbursed for out-of-pocket spending
MyAmeriflex Debit Mastercard
97%+ of transactions auto-verified at point of sale All pre-tax accounts on one card at no cost
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Cardholders get complimentary ID Theft Protection through Mastercard
ePOPdocs.com Create your plan document, add it to your cart, and pay for it – all in a matter of minutes.
Data Security Philosophy
At Ameriflex, we made a choice years ago to develop our own technology in-house, and to build
data security and compliance into our company from the ground up. Unlike others, we have not
awkwardly retrofitted security on top of aging systems. We've built security that scales into
everything we do.
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FEES
Fee Guarantee
Ameriflex pricing terms set forth in this Proposal are guaranteed to stay flat for six (6) years,
during the initial term of the Services Agreement.
Setup Fees
Annual Renewal Fee $0.00
One-Time Account Set-Up Fee $0.00
Flexible Spending Account
Pricing
Dedicated Account Manager Complimentary
Identity Theft Protection for all Ameriflex cardholders
Complimentary
FSA Guarantee Complimentary
MyPlanConnect - Per Enrolled Participant Per Month
$1.00
DCA Fee (if selected) $2.75 (0.00 with a Medical FSA)
Monthly Fee (Per Enrolled Employee) OR
$2.75
Minimum Monthly Fee (if
participation drops below 15 enrolled employees)
$75.00
Estimated Annual Employer
Savings
Number of Eligible Employees 2600
Number of FSA Participants 706
Average FSA Election Per Participant
$2,000
Total FSA Elections for all Participants
$1,412,000.00
FICA Tax Rate 7.65%
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Your Estimated Annual FICA Tax Savings
$108,018
Estimated Annual Participant
Savings
Average Tax Rate (FICA + Income)
29.65%
Estimated Annual Participant Savings
$418,658
Total Potential Employee
Savings
Number of eligible employees 2600
Average Tax Rate (FICA + Income)
29.65%
Total Annual Employee Savings $1,541,800
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COBRA Per Insured
Pricing
Dedicated Account Manager Complimentary
Per Insured Employee, Per-Month Fee OR $0.39
Minimum Monthly Fee* $80.00
Additional Services Offered
Marketing/Special Materials with Mailings
Price based on size and complexity
Open Enrollment $15 per notice - $60 minimum
* Ameriflex invoices off medical bill only; includes outside dental and vision carriers at no additional cost
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Help Us Go Green
In an effort to help maintain the health of the environment in which we serve our clients, we are waiving printing and processing fees for those that help us reduce our carbon footprint. Please be prepared to make your selection when filling out the New Client Application.
Invoice Receipt Method for Administrative Fees
Sent electronically OR Sent by USPS Mail Invoice Printing Fee Waived $5.00/mo
Payment Method for Administrative Fees
Payment Received Electronically by ACH Debit OR Payment Received Via Check
Payment Processing Fee Waived $25.00/mo
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ABOUT US
Ameriflex is recognized as one of the nation’s largest independent administrators of consumer-
driven health plans. Built organically with an unwavering commitment to sustainable growth that
puts the best interests of our clients first, Ameriflex continues to reinvest in smart, integrated
user tools, technology, and best-in-class service. We get out of bed every morning to reduce
healthcare costs and simplify the healthcare experience for the growing population of partners,
employers, and individual consumers we serve.
Awards
Ameriflex has been recognized within the industry for its commitment to superior service
and product innovation.
Partners Ameriflex partners with the biggest and most well-respected names in the industry to
bring you and your employees more value.
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EDI Integrations
Ameriflex utilizes EDI with many leading vendors to enable fast and accurate exchange of data
between our clients’ payroll or HRIS systems to the Ameriflex platform. For a full list of our EDI
partners, click here.
60+ EDI Integrations
60+ Carrier Integrations
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MAKE IT EASIER FOR YOURSELF
& YOUR EMPLOYEES.
By choosing Ameriflex, you’re getting the best service and
value available, including:
✔ Dedicated implementation team and account manager, at no
additional cost, with three layers of implementation quality
assurance
✔ Calls returned in 59 minutes or less; email replied to in 4 hours or less
✔ Client Love: Net Promoter Score (NPS) 200%+ the industry average
✔ 100% Regulatory Protection; delivering peace of mind
✔ FSA Guarantee: the only life preserver for underwater plans, free
✔ ID Theft Protection: Complimentary, including full wallet restoration,
for all Ameriflex Cardholders
✔ Unmatched Data Security: Private HIPAA Audit, HITRUST CSF Cloud,
SOC 1 Type II Audit, SSAE18
✔ Fastest claims payment speed in the industry - 95% of payments
direct deposited in a matter of days
If you have any questions about this proposal or need any support, please
don’t hesitate to contact me.
I look forward to speaking with you soon.
Macon Barham