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Hamilton Insurance Agency

4100 Monument Corner Drive, Suite 500

Fairfax, Virginia 22030

703.359.8100

Services 

Simple
Smart
Efficient
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One Enrollment
One Bill
One Service Call
What Services We Provide to Our Clients and Brokers

Hamilton Insurance Agency provides a variety of benefits administration/TPA services coupled with our partner’s Software as a Service enrollment technology. With our service team and technology platform we have become one of the leaders in enrollment, eligibility management, customer service (call center), billing and COBRA administration that provide solutions for all size groups. This coupled with our strong relationships with leading insurance carriers allows us to delivered streamlined administrative services that support our employers and allows us to provide a complete suite of services to our broker partners looking to grow their business.

Web Based Electronic Enrollment and Eligibility Management System

•HR administrator enrollment, qualifying event management, termination and demographic changes.

•Employee self-service enrollment

•HR reporting

•Employee confirmation statements

Employee Communications & Fulfillment Services

•On-site enrollment

•Customized employee communications documents

•Enrollment and fulfillment kits

•Benefit confirmation statements

•Dependent verification information material

Paybensolutions payroll and more

•HR Hiring and On-boarding

•Payroll and Taxes

•Benefit Administration

•Time and Attendance

Call Center Services

•Dedicated 800 numbers

•Telephonic voice-stamped enrollments

•Employee advocate with insurance carrier 

•Technology how to inquiry

•Call center representatives working to resolve

Eligibility – plan and coverage inquiry

Enrollment – open and perpetual

Life events

Claims assistance

Dependent verification

Premium Billing and Invoicing

•One bill

•Self-billing (subject to insurance carrier)

•Bill reconciliation

•Payment processing

COBRA Administration

•Initial notification

•EDI electronic carrier and payroll file interface

•Employee communications

•Transaction processing of eligibility and enrollment

•Billing and collection

•Premium payment processing

•HIPAA compliance 

Dependent Verification

•Initial and perpetual mailing and notification

•All document stored on-line for retrieval

•Dependent status accessible on-line

•Excludes unverified dependents from enrollment

       until documents have been reviewed and approved

•Dependent verification reporting

ACA Reporting and Administration

•ACA profile management

•Annual Reporting

•ACA IRS Filing

Washington DC Health Exchange Services

•Dedicated team that specializes in the DCHL and the Federal Exchange

•Participate with DCHL to the fullest extent

•Assist in all transaction processing for our clients

•Participate in all account activity from quoting, to enrollment, to servicing