Personalized Employee Benefit Plans
Designed Around Your Workforce
At Unified Group Services, we understand the evolving needs of today’s employees when it comes to benefits. That’s why we deliver custom health plans designed to help you meet employee needs, attract and retain top talent, and protect your bottom line.
Service, Savings & Solutions
That Stand Out
Next-Level Customer Service
Benefit packages structured to your specific needs
Dedicated claims account manager
95% client retention rate
Live-answer phone service
99.8% claims processing accuracy
Single sign-on access at UnifiedGrp.com
Comprehensive Data & Analytics
- Monthly reports, ad hoc reporting, and semi-annual benefit reviews
- Custom reporting based on your needs
- Updated data available next business day
- A.I. predictive modeling
- Pre-built custom queries
- Interactive medical & prescription claims data
- Trend analysis updated nightly
- No additional charge for reporting
Programs & Services at a Glance
Complete Health Plan Administration
Unified Analytics
Population Health Management
All-Inclusive Pricing
Complete Health
Plan Administration
- Medical
- Rx
- Dental
- Vision
- FSA/HRA
- COBRA
- HIPAA
- Custom Networks
Unified Analytics
- Comprehensive Data Analytics and Reporting
- Ad Hoc Reporting Options
- Semi-Annual Benefit Plan Review
- A.I. Predictive Modeling
- Interactive Medical & Prescription Claims Data Trend Analysis
- No Additional Charge for Reporting - Ever!
Population Health
Management
- Care engine
- Personify Health
- Sword Health
- Valenz Bluebook
- Recuro Health
- Livongo
- Living Connected
- Bexa
- Unified Care Connect
- LabCorp
- Bend Health
All-Inclusive Pricing
- Processing Medical/Rx Claims
- Filing of Specific & Aggregate Claims
- Pursuance of Subrogation
- Benefit Design Consultation
- Eligibility Maintenance
- Comprehensive Semi-Annual Reviews
- Plan Document Restatement
- SBC Preparation
- W-2 Reporting
- And more!
Controlling Costs,One Claim at a Time
Our claims process is designed to protect your bottom line. Through targeted auditing, coordination of benefits, ineligible claim detection, and integrated payment review, we help reduce costs and maximize savings.
- Targeted Claims Auditing
- Transparent Subrogation
- Efficient Coordination of Benefits
- Leading Claims Processing Software
- Integrated Payment Review
24/7 Employer & Member Access
Through the Unified portal and mobile app, you and your employees have secure, single sign-on access to all benefit plan information:
- View benefit booklets and plan details
- Track deductible status
- Look up claims in real time
- Securely message your Claims Account Manager directly
- Download/request ID cards
- View Explanation of Benefits (EOB)
- Access wellness tools, network & PBM info
- View and pay monthly administration billing
- Access compliance and audit tracking
Why Employers Choose Unified Group Services
“Thanks to the whole team at Unified, from the people who we see and communicate with directly, to the people behind the scenes who have put forth the effort to get our plan off and running smoothly by January 1.”
–Valued Customer
“I have never worked with such a great group of people. Everyone that I have ever dealt with within your organization has been top of the line.“
–Company Treasurer
“I can’t say enough about Unified Group Services – you are undoubtedly the most knowledgeable and responsive TPA I have worked with.”
–Human Resources Manager
Employer Resources
Common Self-Funded Terms: A Comprehensive Glossary
Below are common self-insurance terms and their definitions to help members, employers, and other stakeholders understand their plans and options.
- Administrative Services Only (ASO): An arrangement where a third-party administrator handles plan administration, while the employer funds claims.
- Aggregate Stop-Loss: Insurance that protects against total annual claims exceeding the employer’s projected liability.
- Allowed Amount: The maximum fee a health plan will pay for a covered service, which may affect out-of-pocket costs.
- Case Management: Coordination of care for members with complex health needs.
- Claim: A request submitted to a health insurance provider for payment of medical services.
- COBRA: A federal law allowing individuals to temporarily continue employer-sponsored health coverage after certain qualifying events.
- Coinsurance: The percentage of covered costs members pay after meeting their deductible.
- Copayment: A fixed amount a patient pays for a service or prescription, with the plan covering the rest.
- Deductible: The amount a member must pay before the health plan begins covering costs.
- Explanation of Benefits (EOB): A statement detailing what was billed, what the plan paid, and what the patient may owe.
- Formulary: A list of prescription drugs covered by a plan, often organized by cost tiers.
- Health Reimbursement Arrangement (HRA): An employer-funded account that reimburses employees for medical expenses.
- Health Savings Account (HSA): A tax-advantaged savings account for those enrolled in high-deductible health plans.
- High-Deductible Health Plan (HDHP): A plan with lower premiums but higher deductibles, often paired with HSAs.
- Network: A group of healthcare providers contracted to offer discounted rates to plan members.
- Out-of-Pocket Maximum: The cap on annual expenses a member pays before the plan covers 100% of costs.
- Population Health Management: Programs designed to improve health outcomes and control costs across a group of members.
- Preferred Provider Organization (PPO): A network of providers offering discounted rates with flexibility to see out-of-network providers at higher cost.
- Self-Funded Plan: A plan where the employer assumes financial responsibility for employee healthcare claims.
- Stop-Loss Insurance: Coverage that protects employers by reimbursing claims that exceed certain thresholds.
Take control of your healthcare spend and deliver benefits that meet employee needs while protecting your business.