Actuarial and Finance

Deep In-House Actuarial Services to Guide Your Plan

When it comes to managing rising healthcare costs, Alera Group offers the actuarial and finance expertise you can count on to optimize your benefits plan and drive value to your organization and employees.

Alera Group’s dedicated actuarial team can help you:

  • Develop program strategy with a long-term view of costs and potential claims liability
  • Determine the impact of program and vendor changes
  • Set program budgets for planning and reporting, and monitor emerging experience against budget
  • Analyze claims experience and population health trends
  • Support for retiree plans, including an analysis of creditable coverage, retiree drug subsidy (RDS) attestations and actuarial valuations.

 

Financial Management Approach

Alera Group offers comprehensive financial management services and analysis across all aspects of your benefits program, including:

Program Strategy

Develop a baseline of long-term costs and potential cost variability. Assess the potential impact of a program strategy and vendor changes and conduct a risk assessment.

Cost Projections

Develop and update budget projections, set rates and provide long-term cost projections.

Plan Governance

Provide regular monitoring and an executive dashboard, identify key cost drivers and conduct large claims reporting.

Financial Reporting & Reserving

Establish incurred but not paid (IBNP) reserve, conduct retiree medical valuations and provide quarterly financial reporting support.

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EXPERT EDUCATION

Events and Webinars

Employee Benefits

Setting Your Strategy for the New Year: Alera Group's 2025 Employee Benefits Market Outlook

Our experts will highlight key results from Alera Group’s "2025 Employee Benefits Market Outlook" and explain how these trends can impact your benefits program this year.

January 16, 2025 at 01:00 pm CT | Virtual

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Employee Benefits

The Value of Voluntary Benefits

In this session, our experts will showcase the value of voluntary benefits, from financial savings to improved retention to addressing the specific needs of their employees.

March 20, 2025 at 01:00 pm CT | Virtual

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Employee Benefits

Balancing Cost and Care: Could Captive Insurance Be the Solution?

In this session, our experts will discuss how Captive Insurance works and what you need to consider for your own group’s needs.

April 17, 2025 at 01:00 pm CT | Virtual

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THOUGHT LEADERSHIP

Insights

Employee Benefits

State of the Market for Employee Benefits in 2025

What are the needs and priorities of those in the workforce and the employment market? What are rival businesses offering to attract and retain the best the market has to offer? And what shifts are taking place in the market that employers should anticipate and prepare for? Alera Group’s 2025 Employee Benefits Market Outlook, scheduled for release on January 16, provides answers to those essential questions.

December 19, 2024

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Employee Benefits

Don’t Forget About Your Gag Clause Attestations

When the Consolidated Appropriations Act, 2021 (CAA) was enacted on December 27, 2020, it included a provision that prohibits group health plans and health insurance carriers from entering into certain agreements that, either directly or indirectly, restrict the release of certain information related to provider networks and de-identified encounter data, among other things. Such restrictions are commonly referred to as “gag clauses.” The CAA also requires plans and carriers to attest annually that their agreements do not include such impermissible gag clauses.

November 20, 2024

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Employee Benefits

Avoiding an Employee Lawsuit Over a Tobacco Surcharge Claim

Tobacco surcharges on health insurance premiums for employees who use tobacco products are attractive options for employers looking to keep their workforce healthy while lowering their organization’s healthcare costs. But surcharges can go too far, and many employers may be unaware of the limitations. Alera Group's new whitepaper on tobacco surcharges is designed to assist employers in complying with federal regulations.

November 19, 2024

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Employee Benefits

Q4 Considerations: New HIPAA Privacy Considerations

Earlier this year, the Department of Health and Human Services (HHS) issued a Final Rule titled HIPAA Privacy Rule to Support Reproductive Health Care Privacy.

November 15, 2024

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