Employer Services
- Human Resources Support
- New Employee Orientation
- Cobra Services Coordination
- Form 5500 / Summary Plan Description (SPD)
- Employee Service Center
- HR Specialists Training
- Health Clinics Coordination
- Health Risk Assessment
- Affordable Care Act Consulting
- Non Occupational Worker’s Compensation (SINOT)
- Claims Management
- Other Services
Risk Control Solutions
- Risk Assessment and Cost Containment Control
- Plan Designs
- Prescription Drug Coverage Carve Out
- Dental Coverage Carve Out
- Employee Assistance Program Carve Out
- Dual Option Programs Administration
- Group Private Exchange
- Part Time Employee Benefits Program
Auditing and Claim Analysis
Auditing Department
- Medicare Audits + Eligibility
- Eligibility Audits
- Benefits Coordination
Claim Analysis
- Audits
- Appropriate use of Modifiers
- Claims Duplicity
- Diagnostics + Procedure Validation
- Hospitalization Overcharges
Federal Compliance
Form 5500
- Upon completion of the policy year, within ninety (90) days all applicable information is received and processed.
- Our financial team verifies information received from the insurer and proceeds to complete the form.
- After the customer signs the form, Olympic Agency Inc. submits it via internet to efast.dol.gov
Summary Plan Description
A Summary Plan Description must accompany each welfare benefit plan that an employer maintains. ERISA states that plan administrators (employers) are required to provide plan participants—in writing—the most important facts and procedures about their retirement and health benefit plans.
SPD’s are one of the most important documents employers are legally obligated to maintain and provide to employees. The SPD must explain to plan participants the benefits, rules, claims and appeals procedures, participant rights and other compliance notices along with general and basic information about the employer and the plans.
Cobra
We perform the following functions for you:
- Full Support on Termination Processes
- COBRA Notifications for qualifying members
- Issuance of all subsequent letters through mail in compliance with law statutes
- COBRA Administration:
- “Start Up” for the Employer
- Access for Employer or Human Resources Specialist
- Training for the Employer and Human Resources Specialist
- Implementation Processes
- Termination Processes
- Mailing based on legal compliance
- Insured under COBRA may make their payments directly to the agency
- Late Payment Notification
- Reports for Employer
- HIPAA Certificates
- Eligibility for Medicare Advantage
- Termination of Contract
- Notification of Extension of the contract for all Eligible Dependents
Alejandra Gil De Lamadrid, COBRA Benefits Manager
Tel. 787-706-0102, Fax 787-706-0117
Mental Health Department
Employee Assistance Program
- We assist in the evaluation and selection of an Employee Assistance Program (EAP).
- Link between Human Resources Department and Employee Assistance Program (EAP).
- In situations of crisis we will have available qualified staff for consulting in formalities and procedures to follow, with facilities and hospitals selected.
- We offer educational seminars, in order to expand knowledge in mental health area
- Mental Health First Aid Training (Additional Cost)
Mental Health First Aid USA
8-hour training to teach participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The evidence behind the program demonstrates that it helps trainees identify, understand and respond to signs of mental illnesses and substance use disorders. Check our video here
*Abartys LLC.
Benefits Contact Center
- Bilingual Staff
- Fringe Benefits Management
- Certificate of Coverage
- Management of catastrophic cases through basic coverage, major medical expenses, family coverage, among others
- Coordination of services and benefits in Puerto Rico and USA
- Coverage Orientation
- ID Card Duplicates
- Prescription Drug Management
- Claims Processing
- Reimbursements
- Eligibility
- Enrollments, Disenrollments, Additions + Coverage Assistance
- Discount Programs
- Billing
- Appointment coordination with providers (Olympic Providers Network)
- COBRA Administration, from A to Z
Email: servicio@olympic-agency.com
Benefits Contact Forms
- ACH Inscription Form
- COBRA Manual
- HIPAA Disclosure Agreement Form
- Web Site Continuation of Health Coverage
- MCS-COBRA Inscription Form
- Notice of Termination and COBRA Offer
- Notice of Termination and COBRA Offer (Spanish)
- Triple S-COBRA Inscription Form
- Delta Dental COBRA Enrollement
- First Medical Inscription Form and Designation of Beneficiaries
- First Medical Change Application
- First Medical Reimbursement Application
- Humana Reimbursement Form
- Humana Reimbursement Form – Spanish
- Humana Inscription and Changes Form
- Mapfre form to divulge protected information
- Mapfre Group Insrance Employee Transaction
- Mapfre reinbursement claim form
- MCS Incscription Form (Spanish)
- MCS Inscription and Change form
- PALIC enrollment form
- Triple-S Coordination of Benefits Form
- Triple S Medical Services Reimbursement Form
- Triple S Policy Application Form
- Triple S Request For Change Form
- Triple S Pharmacy Reimbursement Form
- Triple S Group Form (Spanish)
- Triple S Reimbursement Form for Dental Services (Spanish)
- Triple S Reimbursement for Medical Services Form (Spanish)
Benefits Contact Forms
You can send your forms via fax : 787-706-0117
Email: servicio@olympic-agency.com
Email: cobra@olympic-agency.com
Added Values
Health Provider Discounts
Up tp 50% coinsurance discount on laboratories and imaging centers
Patient Assistance
PAP’s Patient Assistance Programs. Are run by pharmaceutical companies to provide free or low-cost medications to people who cannot afford them.
We are solving the global healthcare crisis with smarter, faster care achieved by use of a unique, centralized data hub that allows medical record portability and universal patient identification.
For more information, contact us here
