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First Mid <br /> INSURANCE GROUP <br /> ➢ Provide as agreed upon periodic financial review of the group self-insurance including actual vs. <br /> budget, aggregate and stop loss review, utilization review, contributions by employer, <br /> employee and retiree, and projected costs <br /> ❖ Communications and Assistance <br /> ➢ Attend regular and special meetings (some with as little as 2 days notice) as requested including <br /> City Council Meetings, contract negotiations, and with City staff <br /> ➢ Provide customer service to staff, employees and retirees to resolve provider issues including <br /> billing, claims and vendor service <br /> ➢ Recommend and assist City staff in developing improved communications with employees and <br /> retirees <br /> ➢ Assist or conduct employee educational meetings on benefit coverage and trends including <br /> providing benefit information to employees and retirees <br /> ➢ Assist with regular, open and new employee enrollment process including attending employee <br /> meetings, developing enrollment materials and verifying enrollment accuracy <br /> ❖ Compliance & Resources <br /> ➢ Evaluate and review plan designs to assist and ensure plans are in compliance to state and <br /> federal regulations <br /> ➢ Review and evaluate benefit plan documents, summary plan descriptions, contacts, required <br /> communications to employees and regulatory agencies as requested <br /> ➢ Provide samples of suggested language for required communications to employees and <br /> regulatory agencies <br /> ➢ Conduct periodic meetings and provide materials discussing practical implementation of the <br /> Patient Protection Affordable Care Act and related State of Illinois requirements <br /> ➢ Assist, review and evaluate compliance procedures for other programs such as COBRA and <br /> HIPAA <br /> e <br />