Top 14 Trigger Events that Prompt Employers to Change Voluntary Benefit Carriers?

Top 14 Trigger Events that Prompt Employers to Change Voluntary Benefit Carriers?

Reviewing "takeover" and "rollover" business yields interesting insights about Trigger Events, why an employer has made the decision to move forward with replacing a current Voluntary Benefit carrier. Are these the top 14 reasons change was implemented?

  1. Rate action with medical/dental/vision plans, seek bundled discounts if they offer Voluntary Benefits to minimize rate increases
  2. New HR Director onboarded, they prefer a carrier from previous role
  3. Broker Of Record change is implemented, new broker conducts inforce analysis and recommends shift
  4. Complex and unresolved billing, claim, technology or administrative issue(s) with current carrier
  5. Fiduciary review. HR asks for lower cost Group products to replace outdated/more expensive Individual product lines and review of 5500 data prompts inquiry about payments.
  6. Seeks to expel “overly enthusiastic” independent carrier agent(s) due to complaints from employees about over selling
  7. Employer feels neglected due to agent turnover
  8. Client expands (becomes multi-state employer), current Individual products offered are unavailable in new states or cumbersome to administer. (Group products are based on the situs state of the employer)
  9. Seeking streamlined administration to reduce the number of bills received from multiple carriers
  10. Implementing new HRIS/software, current carrier is unable to interface effectively or timely
  11. Owner/employee has medical event with significant Out-Of-Pocket expenses, current Supplemental Health carrier has exclusion/limitation and doesn’t pay the claim or offer a product line that could cover similar future events
  12. Different carrier markets new best in class product line/value ad service/offers new enhancements
  13. Current carrier exits market/sells block of business
  14. Independent agent calls on employer directly, builds relationship and wedges out broker/current agent from different carrier 

What additional trigger events are you seeing in the market?

Michael Naumann, Regional Practice Leader, Guardian Life

E: [email protected]

C: (503) 926-1881

Robin Chambers

Customer-Centric Leader Driven by Innovation and Strategic Insights

5 年

Great list. Often times it’s just not doing basics like customer service follow ups 2-3 times a year and keeping your promises. Fundamentals and foundation in business practices must be in place before all the other technology, cutting edge products or marketing slicks are added.

Charlie Page

Managing Director | Ancillary Benefit Strategist | Enrollment Solutions | Benefit Administration Platform Solutions | Healthcare Solutions | Consolidated Billing | Medical Expense Reimbursement Plans

5 年

Need new heaped comp with a new carrier to fund an enrollment tech and possibly call center/face to face. That is probably number 1 reason Number 2 is ease of integrating with certain ben tech platforms.

Michael - Great article - Advice2Pay eliminates numbers 4, 9 and 10 and more....Welcome discussion when your schedule allows.?

Rick McKinney, MHRM

Executive Partner | Director of Operations | Employee Benefits Designer | Coffee Aficionado

5 年

Thanks Michael. Very well written and great points.

Maynard Hebert II

PSPL PUBLIC SECTOR PRACTICE LEADER

5 年

Spot on sir

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