The Open Solution™ offered by MBA Benefit Administrators is the future of your group medical benefits.

“The only way to pay less for health care, is to pay less for health care.”

Dr. James Robinson, Director of Health Policy, University of California Berkeley

We are changing the way people create and manage medical benefits.

MBA Benefit Administrators was founded in 1987 as a third-party administrator for group health benefit plans. In 2012 MBA introduced The Open Solution™, a partially self-insured plan that incorporates multiple cost reduction strategies. The plan eliminates network requirements and reduces the number, size and frequency of claims resulting in a savings of 25% or more. The Open Solution™ give employers transparency, control and savings while giving employees more choice and richer benefits at reduced costs.

We invite you to learn more about how this innovative new platform can transform the way your business manages group health benefits.

 

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The Open Solution™ offered by MBA Benefit Administrators is an innovative new medical benefits plan that allows you more control over the cost to provide benefits for your employees.

Expect a 25% decrease from previous plan year costs

The Open Solution’s™ auditing and re-pricing formula provides greater savings than standard discounts. This increases your organization’s cash flow and stops the ever-tightening squeeze on your employees’ paychecks.

No Networks

Because our plan doesn’t rely on forcing employees into networks to obtain dubious discounts, your employees are free to see any provider and use any facility. This allows people more freedom and control over their healthcare.

Chronic Conditions

Pro-active medical case management helps to prevent costly medical stays and procedures by utilizing nurse case managers throughout the continuum of care; preventative coaching, episode management and maintenance consulting.

Open Access

Easily solve multi-state issues by offering the same benefits to all employees throughout the US. Our plans are governed by ERISA, not the State. No network restrictions mean simpler administration and reduced costs.

Isn’t it time to take a different approach? One that empowers your organization to take control of your health care costs?  Let The Open Solution™ offered by MBA Benefit Administrators work for you.

The Open Solution™ is the collaboration of multiple high-powered cost containment strategies.  These proven approaches will substantially reduce the costs of providing health benefits to your employees. The plan gives organizations control over the price they pay for healthcare and employees the freedom to choose which providers and facilities to use.

The Open Solution™ SIGNIFICANTLY REDUCES healthcare costs and health insurance premiums for organizations with 100 or more employees.

Implementing The Open Solution™ will enable your organization to retain cash flow and improve the financial health of your business. It’s time to stop the ever-tightening squeeze on your employees and your organization’s finances.

The Open Solution™ approach to reimbursing claims is based on pure transparency. This formula provides a substantial reduction in hospital costs.

You should be paying for medical goods and services in the same manner that your corporation buys everything else – with transparency and upfront knowledge of costs. Our methodology works and is being used successfully by corporations large and small, municipalities, school districts, tribal nations, unions and non profits.

Actual Savings Because of The Open Solution™

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Learn more about how The Open Solution™ offered by MBA Benefit Administrators can work as the healthcare advocate for your organization. We provide medical case management, third party administration, fiduciary protection and  auditing and re-pricing services that bring your organization big savings. You are making a decision to contain your medical expenditures, and protect your financial interests while maintaining a high quality care for each and every plan member. You are not alone in the quest to provide necessary benefits and to navigate to pitfalls of the healthcare industry. We’re with you every step of the way!


About The Open Solution™ | Cost Savings Estimator | FAQs | Success Stories | Contact Us

Phone: 855-743-6070 (toll free)
801-743-6070 (local)
Mail: P.O. Box 57340
Salt Lake City, UT 84157-0340
Email: info@theopensolution.com

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Abraham Lincoln said, “Our commitment is what transforms our promises into reality. It is our words that speak boldly of our intentions, and our actions which speak louder than words. It’s being on time when we promise. It’s coming through time after time, year after year after year.” And that is our commitment to you.

Mission Statement

“As a team of professionals, we are committed to delight those we serve with quality service, excellent performance, and respect for their individual needs. We are dedicated to fostering an environment of productivity, job satisfaction, harmony, and a willing attitude. We are committed to the highest standard of honesty, personal integrity, and fairness.”

 

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The Open Solution Founder Phyllis Merrill

 

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We're neighbors you can talk to...
Where else can you get a direct line to a claims adjudicator, plan manager or even the President of the company? Only at MBA Benefit Administrators. We’re the big third party administrator for health plans with personal service that you can only wish others would provide. Like talking to a friend over a fence, we have that neighborly feel…but we provide world class advantages.
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…and we prove real solutions do exist for escalating healthcare costs.
We’ve received national kudos for our multiple, proven strategies which reduce claims and plan costs without harmful benefit reductions for our clients’ employees. Proof of MBA’s effectiveness in this is in the numbers. Our clients see:

  • An immediate average reduction of up to 25% in maximum health plan costs the first year,
  • Flat renewals after that, and because of this and our commitment to impeccable service…
  • Our clients remain with us an average of 12 years…an unheard of accomplishment in the health insurance industry.
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With “outside the box” flexibility in health plan administration…
Since 1987 MBA Benefit Administrators has successfully served large and small employers, public entities, associations, tribal nations, school districts, non-profit organizations and insurers. We have the capability to administer anything from single-plan 25-life groups to complex employee organizations with multiple medical, dental and vision benefits or employees in multiple states. We also provide a wide array of ancillary services such as COBRA and HIPAA administration and HSAs. When you discover:

  • The depth of our experience
  • The flexibility we offer in benefit design
  • Our commitment to technology to make your life easier
  • Our can-do attitude toward service

 

…we’re confident you too will see why MBA is a national leader in third party administrative healthcare benefits.

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…and state-of-the-art technology for painless administration and integration of services, we make your life easier.
No one thinks about making your life easier and more efficient than MBA Benefit Administrators. Our technological investments are totally integrated across services so that employees and employers – with HIPAA-compliant and appropriate need-to-know safeguards – can view at a glance their standing for benefits, claims, plan reporting and other services. These advancements provide:

A Comprehensive On-Line Enrollment Wizard: Employee self-enrollment or HR department enrollment methods, including ancillary program enrollments and billings.

HR On-line Capabilities: View, adjust and approve on-line employee eligibilities; check claims status, print reports and plan documents all from one place.

Multiple Employee Access Channels: Employees can view on-line their claims status, eligibility and account balances of reimbursement plans such as HRA, HSA, Flex and Executive Reimbursement plans. In addition, we offer all employees our MBA App, where they can:

  • Carry a virtual ID card,
  • Check on the status of a claim,
  • Submit secure documentation to MBA,
  • Contact our support team,
  • …and more!

On-line Document Management: In one place view specific documents such as:

  • Plan Documents
  • Temporary ID Cards, and
  • Employee Communications and Forms

HSA Services Integration: MBA seamlessly integrates HSA plans with HealthEquity Services. Claims information is electronically transferred from MBA’s claims system to HealthEquity employee accounts. There is no need for paper claim filing or second-guessing the eligibility of expenses. Even employee eligibility is updated through MBA data feeds.

HRA Reimbursement Plans: MBA’s administration processes allow clients and their participants to rely on accurate and timely processing of reimbursements. Eligibility, billing and remittance of claims, integrated scanning and storage allow for real-time remote access.

Section 125 Flexible Spending Plans: MBA Benefit Administrators coordinates with employers to offer Section 125 Flexible Spending administration and help employees save money on medical expenses. Providing this benefit for your employees is like getting a 30% discount on Medical Premiums, uncovered medical expenses and dependent care.

COBRA Administration: MBA Benefit Administrators can handle all of your COBRA requirements. We will mail and track notifications, coordinate COBRA payments, receipts and reporting and ensure claims match “paid through” dates, plus give you on-line access to all activities.

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At MBA employers are cared for too…
MBA goes the extra mile to ensure that as an employer your health plan does not complicate your life. We give you things like:

  • Business intelligence for advanced reporting and critical analysis of your plan’s performance, costs, payouts, claims analysis and large claims submitted for insurance.
  • Billing and Funding services integrated with enrollment, customized to your specifications and handled electronically.
  • Account balancing systems produce cost accounting reports and perform bank reconciliation activities, available for review at any time.
  • And the ability to review multiple reports regarding your plan; check registers, active employee reports, YTD recaps, claims reviews and lots more.
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...with powerful health care and claims management systems to save them money.
We believe your investment in a health plan should be treated like any other aspect of your business, with upfront knowledge of the costs and all attempts to weed out waste. MBA saves employers more than nickels and dimes with many methods of management, including:

Metrics Based Pricing: Why rejoice over a 30% discount on a claim that is 1000% too high? Metrics Based Pricing reduces claims to a “cost of service + reasonable margin” level by auditing claims for unfair markups and inaccurate or fraudulent billing. This results in an average $1500 per employee savings – AND WE DO IT WITHOUT RESTRICTIVE NETWORKS!

Medical Management Services: Proven to reduce hospital admissions and the average length of stay.

HealthSteps™: Wellness plans and initiatives that do make a difference in the overall health of your workforce and drive down health claims.

Prescription Benefit Management: With an average reduction of 9.4%.

Internet Prescription Bidding: Allowing employees to save up to 87%.

Actuarial Projecting: The projection of benefit costs and savings is one of our underwriting core competencies. Go ahead – suggest benefit changes, add or drop a plan component, change eligibility: MBA will accurately determine the financial impact on the plan and offer suggestions to tweak the benefits to suit your objectives. We offer the facts then you call the shots.

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1. It’s an “easy in”.
Almost every larger employer (50+ employees) annually shops their company’s health insurance. Rapidly rising rates and diminishing benefits have traditionally caused them to shop this aspect of company insurances more than any other.

With very little work this easily opens a lot of doors you wouldn’t otherwise get through. Furthermore, local employers like local expertise. They welcome the neighborhood broker who can answer service questions or help with the employee enrollment process. All you have to do is be ready with competitive products at the appropriate time.

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2. Group health opens the door to other profitable sales.
There are a lot of needs that are begging for solutions within the corporate world, whether that world employs 50 or 5,000. CEOs and business owners want to retain key employees or prepare themselves for the future. Employees need guidance during life changes, such as an impending retirement, the buying of a new house or the birth of a child.

If you wander the halls of your group clients under the guise of service, you’ll be surprised what you uncover and how much more you can sell – just because you’re accessible.

With very little work this easily opens a lot of doors you wouldn’t otherwise get through. Furthermore, local employers like local expertise. They welcome the neighborhood broker who can answer service questions or help with the employee enrollment process. All you have to do is present your own insurance lines and solutions – the same products you currently sell – when the need arises…and it will!

• Key Person Insurance
• Buy/Sell Agreements
• Deferred Compensation
• Disability
• Estate Planning
• Retirement Plans
• P&C Products – Both Business and Personal

…the list could go on and on. MBA doesn’t provide these products, but with the group health business already captured you’ll be in a position to favorably present your own policies and services.

Each easy cross-sell has the potential to be very profitable as now you, the group health broker, are a trusted resource. Make one sale and it won’t be long before everyone wants to talk to you just because you are the tacit face of insurance within a group client’s company.

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3. The larger group health market offers long term financial stability.
It is a proven fact that the more products you have in place within a group the less likely it is that some other broker will be stealing your business. With a competitive group health plan, a passion for service and additional products in place, employers think twice about switching brokers. MBA, for example, has an average client retention rate of 12 years.

Group health is rarely a stand-alone product. With today’s tax codes a group health plan almost always immediately calls for HSAs, COBRA administration and the like. In addition you’ll be finding a lot of ancillary sales.

That’s a good, stable building block for a broker’s income. Year after year the same commission is paid the broker and year after year the deep well for cross-sells keeps on giving.

In the meantime, adding new groups just keeps the broker’s income growing to the upside.

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4. Commissions are recurring and high, perhaps higher than any other product line.
To put things into perspective:

• What’s the average commission on a home owner’s or auto policy?
• How often do you dig up on your own a million dollar life policy or high 6-figure annuity?
• How easy is it to scrape up new business?

Contrast that with the group health broker. MBA, for example, pays brokers handsomely (on average $25 per employee per month) for every group they sign up. On top of this are your multiple cross-sells for several product lines. With a good base group health income and constant cross-sells, a commission from one group can rack up quickly.

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