Direct/Retiree Billing

Direct/Retiree Billing

Employers often provide employees the opportunity to continue participating in their employer sponsored group health programs, at their own expense, without being subject to the rules and regulations of COBRA. 

For example, while on a Leave of Absence, or during a Family Medical (FMLA) related leave, many employers will provide you the opportunity to continue your participation in the health plan coverage(s). Additionally, some employers provide retiree coverage for former employees that have satisfied their company’s requirements to participate in their Retiree Health Plans. Direct Bill participants are typically responsible for paying all or part of the monthly health plan premiums, as determined by the employer’s business rules.

 

DIRECT BILL BASICS

NueSynergy can invoice, collect and simplify the transfer of information and funds by eliminating much of the paperwork usually associated with administering Leave of Absence (LOA), Family Medical Leave Act (FMLA), Retiree Billing and other employer-specific billing needs. Features include flexible non-COBRA employer-directed premium billing and collection processing, account access, reporting, premium billing collection with detailed employer activity and remittance reports. 

 

WHY OUTSOURCE?

Employers frequently struggle with the administrative burdens associated with premium billing for retirees and employees on leave or disability. NueSynergy can provide employers with an easy and cost-effective solution through our versatile direct billing solution that adapts to a variety of specifications, enabling us to manage any payment, benefit, billing or election structure. Employers can allow their staff to concentrate their resources and energy on more business-critical objectives by partnering with NueSynergy to the manage Direct Bill functions on their behalf.  Employers can also expect an improvement to cash flow through increased accuracy, more timely billing and access to back-up documentation.

 

 

 

 

Resources

FAQs

When you participate in a payroll deduction program through your employer, deductions can be taken from your payroll before calculating your taxable federal income, FICA (Social Security and Medicare) tax and for most states, taxable state income. By taking deductions pre-tax, you reduce the dollars on which you are taxed and, as a result, reduce your total tax bill.

• Change in legal marital status (marriage, death of spouse, divorce, legal separation, annulment)
• Change in number of tax dependents (birth, death of dependent, adoption or placement for adoption)
• Change in dependent’s eligibility
• Change in employment status of employee, spouse or dependents
• Other changes that may permit an election change under the Dependent Care FSA are:

     ○ Change of dependent care provider
     ○ Change of rate charged by unrelated dependent care provider
     ○ Child attaining age 13

Election changes must be consistent with the event. If you experience a Change in Status, please review your Summary Plan Description, as it will provide you with important information on the deadline for reporting this event.

Participants can fax, email or mail claims and supporting documentation for their parking expenses directly to NueSynergy. You may also submit claims online through the participant online portal. Supporting documentation can be a receipt, a bill, and/or a signed affidavit validating the submitted expense. After the claim has been reviewed and the expense approved, payment is then issued to the participant via direct deposit or a check. Claims are processed daily and payments are issued at least once per week. Mass transit expenses must be paid for using the NueSynergy benefits card.

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