Underwriting & Financial Consulting

Through an innovative approach to clinical risk management and access to predictive risk modeling, the Equinox Underwriting team can do a deep dive into your expenses when it comes to healthcare spend and claims, and proactively find ways to positively impact your bottom line.

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Service Overview

Our team gives employers all the tools they need to control their healthcare expenses like they would any other business expense. Through experts in the field, transparency, access to actionable data and insights, and healthcare education, we increase value and lower healthcare costs for the long term. Modeling helps you manage your year-over-year plan costs, while helping you understand the financial position of your current benefits plan.

“Each year Equinox’s dedicated insurance team assists in designing a cost-effective benefit package for our multi-state workforce that is both affordable and competitive.”

Diane S. – HR  Manager

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One client saw RX savings with a $49 PMPM (per member, per month) cost post rebates, performing 44% better than the industry benchmark ($88 PMPM).  They also experienced 15 successful claims through our connect program (specialty sourcing & copay maximum), estimating $68K in rebates in one year.

Become a Part of the Success
Tom Groves Presenting the scholarship donation with Equinox's Employees and their children that attend St Ann's School. (Named in order from left to right) Equinox's Benefits Consultant: Nick Maxell and his son Mason Maxell, Tom Groves, St Ann's Principle: Diana Kile, Allentown Diocese Director of Scholarships: John Fierro, Equinox's Director of Client Engagement: Adam Ulicny and his son Luke and his daughter Lilyana Ulicny.

MODELS DESIGNED TO BUILD THE FOUNDATION OF COST MANAGEMENT STATEGIES

Our team reviews a client’s self-funded healthcare claims monthly to understand plan performance and any underlying claims trends that need to be monitored. An annual service plan with quarterly client meetings and communications ensures transparency.

Our team gives employers all of the tools they needed to control their healthcare expense like they would any other business expense. Through experts in the field, transparency, access to actionable data and insights, and healthcare education, we can increase value and lower healthcare costs for the long term.

Modeling helps you manage your year-over-year plan costs, while helping to understand the financial position of your current self-funded healthcare benefit plans.

OUR IN-HOUSE UNDERWRITING TEAM HELPS EMPLOYERS UNDERSTAND THEIR HEALTHCARE COSTS, IDENTIFY AREAS WHERE SAVINGS COULD BE ACHIEVED, AND MANAGE THEIR LONG-TERM HEALTHCARE TRENDS.

EXECUTIVE DASHBOARD: DEMOGRAPHICS

Employee demographics are an important part of building an employee benefits strategy. Demographics are compared to industry norms to help groups understand their strengths and weaknesses.

EXECUTIVE DASHBOARD: UTILIZATION

Employee communication strategies can be customized based on the population mix and enrollment. Contribution strategies are also modeled when you understand your population and financial position.

RENEWAL MANAGEMENT

Determines the best available vendor pricing and helps you find the right balance of future company costs, benefits and employee contributions. Calculations include pooling charge, trends, retention, and more.

PLAN & CONTRIBUTION MODELING

Modeling plan design based on your data. When considering revised plan offerings built from the actual values and benefits consulting, review trends and opportunites.

PHARMACY ANALYSIS & MODELING

When considering different pharmacy options, it is important to consider the discount guarantees per tier, rebate guarantee and clinical savings opportunities.

STOP LOSS ANALYSIS

Stop loss modeling and historical data can help companies evaluate risk and negotiate with carriers including Loss Ratio History, Trigger Analysis, Independent Pricing Model, and Renewal & Option Summary.

UNDERWRITING MODELS

Combined with monthly data, and regular meetings these models ensure you understand plan performance and underlining trends that need to be monitored.

BENCHMARKING

Comparing your benefit plan costs and strategy to employers that are similar to you is fundamental in developing a competitive employee benefit package.

UTILIZATION & SITE OF CARE STEERAGE

Using common sense choices to lower costs and drive plan utilization at high quality locations.

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