Step 1 - ANALYZE - Before we recommend anything to our clients or prospective clients we pride ourselves on first conducting all necessary due diligence. We will personally sit down and discuss your present situation and develop a clear understanding of your needs and financial objectives.
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Step 2 - DESIGN - Once we understand what it is you're looking for we will review your existing plan(s) to see if they meet your current and future needs. We will develop, market and recommend a benefits program selecting appropriate products, plan designs, carriers, etc. that not only meet your needs and financial budget, but also satisfies the needs of your employees.

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Assess existing plan(s):

• Funding mechanisms
  
• Plan provisions
  
• Program costs
  
• Union contracts
  
• Compliance issues
  
• Historical claims data
  
• Administrative services
  
• Employee contributions
  
• Network review (usage and discounts)

Develop and market benefits program:

• Coordinate and review data
  
• Preparation of specifications
  
• Select insurance carriers/third party administrators (TPA's)
  
• Conduct meeting with insurance carriers/TPA's to negotiate:
  
  • Costs
    
  • Plan provisions
    
  • Guarantees
    
  • Service commitments
    
• Prepare marketing presentation and recommendations
  
  • Carrier/TPA
    
  • Funding mechanism
    
  • Program cost
    
  • Plan design
    
  • Networks
    
  • Employee contributions
    
  • Tour of claims facility
    

Union Negotiations

• Plan design recommendations based on utilization
  
• Evaluate cost of recommendations to the company
  
• Presentation to union leaders during negotiations

Step 3 - IMPLEMENT - If our recommendations make sense to your organization, we will begin the implementation process. Our staff will enroll and communicate the plan to your employees, providing them with educational enrollment kits. We will review all plan documents and booklets, applications and contract information and will coordinate administration of your plan.

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Employee Meetings

• Design easy to read benefits summaries
  
• Develop employee enrollment kits
  
• Conduct employee meetings
  
  • Review benefit summaries with employees
    
  • Review benefit changes, if applicable
    
  • Respond to employee questions
    
  • Distribute necessary materials to employees

Review of plan documents and booklets

• Review compliance to proposed benefit provisions
  
• Review compliance to union contract provisions
  
• Review ERISA language
  
• Review prior insurance contract provisions versus new booklet
  
• Review compliance of Federal and State mandated regulations
  
• Review multiple proofs, if necessary

Coordinate Administration of Plans

• Conduct orientation meetings with employee(s) responsible for administration of plan at all locations
  
• Review billing procedures
  
• Set-up the account structure i.e. divisions, retirees vs. active employees, salary vs. hourly employees, etc.
  
• Prepare materials for new hires

Step 4 - REVIEW - After the implementation stage we set up a system to monitor your plan(s). Our staff will create management reports and organize quarterly reviews to discuss your financial position and service related issues. We will conduct a claim review and benchmark your initial goals and objectives with your actual results. Prior to your renewal our staff will review your plan and contact the insurance provider and negotiate the impending renewal. If necessary, we will market your plan(s) to evaluate the current market place. Upon examination of your renewal and our marketing efforts we will recommend a course of action.

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Management Reports

• Analyze and summarize claims data
  
• Evaluate provider's performance (COB savings, etc.)
  
• Request customized reports, if necessary
• Preparation of in-house management reports, if necessary

Quarterly Review

• Evaluate financial position
  
• Discuss administrative and service related issues
  
• Review legal compliance

Annual Renewal Review

• Evaluate current providers
  
• Evaluate network discounts and utilization
  
• Conduct meetings with carriers for annual review
  
• Negotiation of renewal rates
  
• Market, if necessary
  
• Recommendations

Step 5 - MANAGE - The A.E. Mourad Agency is dedicated to continuous day-to-day service. We assign a dedicated service team to every client, which acts as an extension of your human resources function. To keep you abreast of changes in the insurance market place we provide a newsletter and legislation and compliance updates.

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Ongoing Service

• Plan amendments
  
• Plan booklet revisions
  
• Secure information for Form 5500 completion
  
• Coordinate services from all vendors
  
• I.D. Cards
  
• Coordinate the actual calculation of COBRA rates
  
• Evaluate existing benefit programs for new acquisitions
  
• Resolve claim concerns
  
• Resolve administrative concerns
  
• Assessment of new products
  
• Calculate accruals annually
  
• Newsletter and legislative and compliance updates
  

 

Property & Casualty

Eastern Michigan Agencies can provide the following value-added services to your business, which will help reduce potential risk exposures and your overall insurance costs. Some of these major services are:

RISK MANAGEMENT SERVICES

• Conduct an exposure analysis of all operations to determine the necessary changes.
• Perform a risk management audit of company operations to determine potential strengths and weaknesses of your existing risk management program.
• Help develop comprehensive Risk Management Program:
  
  
  • Third Party (Vendor, sub-contractor) concerns
  • Disaster Planning
  • Products, Property, and Employee Safety (OSHA Guidelines)
  • Employment Practices
  • Environmental - Recycling Plant & Landfill
  • Fidelity
  • Fleet Safety
  • Claim Handling Procedures
  • Review Contractual or Lease Agreements
  • Fiduciary Liability - ERISA
  • Directors & Officers Liability
  • Transit
  • Website / E-Commerce



• Perform a thorough review of the insurance marketplace on an annual basis to provide the most comprehensive and cost effective insurance program for your business.
• Review the feasibility of self-insurance and alternative risk product (i.e. captive) for your business.
• Provide a comprehensive coverage summary of all policies for management.
• Provide claim kits, auto ID cards, and certificates of insurance.
• Provide assistance in evaluating coverage, deductibles, and risk financing options.
• Review insurance and risk management contractual issues (i.e. leases, etc).
• Assist in developing risk management requirements for vendors and subcontractors.
• Provide new Workers Compensation rates and experience modification estimates for budgeting.
• Review all insurance policy audits for accuracy.
• Review experience modification worksheets to determine if accurate.
• Provide premium allocation assistance as needed.
• Perform risk management due diligence services for potential acquisitions, joint ventures, etc.
• Provide monthly loss reports for management.
• Provide risk management educational seminars for key employees.

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SAFETY CONSULTING SERVICES

• Monitor and coordinate insurance carrier loss prevention services. Provide safety / loss control education seminars on various topics for your employees.
• Conduct audit of current safety program.
• Help develop and maintain compliance programs required by OSHA and federal safety regulations.
• Assist in developing safety / loss control programs for:
  
  
  • Employee safety
  • Fleet safety
  • Product liability
  • Property / premises loss prevention
  • Security
  • Ergonomics
  • Accident Investigation
  • Provide various safety related resources such as videos, standards / guidelines, research articles, etc.
  • Help develop safety incentive programs to reduce your Workers' Compensation costs.
    
    

CLAIMS MANAGEMENT SERVICES

• Report and monitor the status of claims on your behalf.
• Assist in developing claims reporting procedures for your company.
• Provide claims handling assistance on all large complicated claims.
• Conduct claim review meeting with you and your insurance carrier to discuss status of claims.
• Review all open claims prior to experience modification promulgation and dividend/retro calculations.

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