What we do

Group benefits work, end-to-end.

Placement, ongoing service, compliance, and renewal analysis for Florida employers from 10 to roughly 300 lives. Same producer every renewal, same service lead every day in between.

Group medical

Fully-insured, level-funded, and self-funded.

The medical line is where most of the work lives. We run a formal RFP across the carriers each employer is eligible for, with five weighted criteria: deductible, out-of-pocket max, Rx coverage, total cost, and copays. The output is a side-by-side comparison, not a wall of carrier logos.

For groups 25 lives and up, we model level-funded against fully-insured as a matter of course. For groups 100 and up with stable claim history, we run a self-funded feasibility against your run-rate — specific stop-loss, aggregate stop-loss, breakeven and downside cases on paper. If level-funded does not beat fully-insured at your group, we say so. If self-funded is the wrong move for your risk profile, we say so.

What we will not do is hand you a single carrier quote and call it a market check. Every renewal cycle is a real RFP.

Voluntary benefits

Dental, vision, life, disability, accident.

The ancillary lines that actually get used. Dental and vision have high employee perceived value at low employer cost, which makes them an easy win on the benefits-richness side of the ledger. Short-term disability is an easy sell for groups with younger workers; long-term disability becomes more important as the median age rises.

We model employer-paid, voluntary, and mixed funding before recommending. Enrollment runs on Employee Navigator or Ease so open enrollment is not a paper-and-spreadsheet exercise. Critical illness, hospital indemnity, accident, and pet are available where the carrier we use offers them.

One rule we keep: voluntary benefits are not bolt-ons to inflate the recommendation. If a line doesn't pencil for your group, we don't pad the proposal with it.

The education layer

Your employees get the benefit they think they're getting.

A great plan that nobody understands is a bad plan in practice. The placement is half the job; the other half is making sure the people using the plan know what they have. This is the part most brokers skip.

Plain-English benefit guide

One-page summary for every plan we place. Deductible, out-of-pocket max, copays, Rx tiers — the way you would explain them to a friend. Not the 60-page carrier SBC.

In-person enrollment walkthrough

Wil or Viviana on site for open enrollment. Group meeting first, then one-on-ones with anyone who has a specific question. Same week the carrier locks the rates.

Year-round access to Viviana

HR question on a Tuesday morning? Employee confused about a claim? Viviana picks up. Direct line, no ticket system. Same person, all year.

Sample enrollment-week timeline

A 50-person group's open enrollment is typically a 10-day window: Mon group meeting, Tue–Thu one-on-ones, Fri paperwork, following week ID cards. We share the timeline upfront so HR can plan around it.

Alternative funding

Level-funded and self-funded analysis.

For groups 25 lives and up. We model your claim run-rate against the proposed funding structure, layer in specific and aggregate stop-loss attachment points, and show the breakeven and downside cases on paper.

Level-funded sits between fully-insured and self-funded. You pay a fixed monthly amount that funds projected claims plus admin plus stop-loss; if claims run under projection, you get a surplus refund. Self-funded means you pay claims as incurred plus admin and stop-loss, and keep the entire surplus when claims run light — in exchange for taking on more month-to-month variability.

The right answer depends on your group size, claim history, cash flow tolerance, and how much administrative bandwidth you have. We will tell you when fully-insured is still the right answer for your group.

Reimbursement structures

ICHRA and QSEHRA design.

An Individual Coverage HRA lets an employer reimburse employees for individual-market premiums rather than offering a group plan. It can work well for groups with high turnover, multi-state remote workforces, or sub-50-life census that cannot get competitive group rates.

It does not work well if you have strong group-rate options or if your employees want a richer plan than the individual market offers. We model both before recommending. A QSEHRA is the small-employer flavor, capped at lower reimbursement amounts but simpler to administer.

Compliance and reporting

ACA, COBRA, ERISA wrap, Form 5500.

Applicable Large Employers (50+ full-time equivalents) must file Forms 1094-C and 1095-C with the IRS annually and distribute the 1095-C to each employee. Smaller groups with self-funded coverage file 1094-B and 1095-B. We can prepare and file these on your behalf or coordinate with your payroll provider when they handle ACA reporting in-house (ADP, Paychex, Gusto, Paylocity all offer the service for an additional fee).

COBRA administration is something we coordinate, not run ourselves. Most groups outsource COBRA admin to a third-party administrator such as WageWorks, P&A Group, or Tasc; fees run $1.50 to $3 per qualified beneficiary per month. We help select the COBRA admin, set up the integration with your payroll, and step in when something escalates.

ERISA wrap documents are required for any employer offering group health coverage. We handle the wrap. Form 5500 coordination — for plans with 100+ participants — we coordinate with a specialist filer.

Annual cycle

Open enrollment services.

We build the open-enrollment calendar 60 days out. The communications plan goes with it: email cadence, in-person meeting dates, recorded video for employees who can't be on site, and a plain-English enrollment guide.

Most employer groups complete enrollment in a two-to-three-week window: group meeting first, one-on-ones with anyone who needs them, then carrier paperwork, ID-card timing, and dependent eligibility verification. We handle the moving parts so HR doesn't have to chase the carrier.

The next step is a 45-minute working session.

Free, written, no follow-up unless you want one.