Health Insurance Policies and Services
Health Insurance Policies and Services
Anderson Health has over 30 years of experience in providing health insurance policies for individuals, expats, corporate environments, SME’s and the oil and gas industry.
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Health Insurance Policies Consultation
- General advice as to the effect of actual or anticipated changes in law or employee benefit practice
- Liaison with the employer in respect of all aspects of benefit provision
- General advice in respect of compliance with legislation
- Provision of bulletins and technical advice
- Insurer performance evaluation
- Agreeing to the Insurer’s service standards and monitoring the same
- Regular client meetings, specifically at 6, 9 and 10-month results
Member Administration
- Liaise with the provider
- Assistance with general member queries
- Providing contact details for employees, which are included with the annual health insurance policy renewal information
Employees and their families have access to a named individual who will:
- Manage queries and complaints directly from the member
- Manage member expectations and reassure them of the acceptable claim levels of each element of treatment
- Providing guidance on the limitations in coverage
- Independently advise when conditions are no longer considered acute but chronic
And keep records of conversations
- Assistance to resolve disputed claims
- Monitor trends regarding claims issues
- Provide draft members’ communications
- Monitor scheme records
Health Insurance Policies Renewal
- Annual market review
- Obtain data from the holding insurer
- Assess data, evaluate trends
- Consider large completed and ongoing claims
- Consider the previous year’s experiences
- Terms negotiation
- Obtain competitive quotes for health insurance policies
- Pre-renewal report outlining the basis and requirements
- Make recommendations with premium adjustments such as limits on psychiatric, physiotherapy, cancer claims, excesses and imposition of dependent moratoriums etc
- Annual market re-broke exercise
- Formal report outlining recommendations
- Scheme account audit
- Health insurance policies renewal implementation