Due to changes in our web-portal, all users must sign in as new users. We apologize for the inconvenience.
 

Who Are We?

 
Alternative Benefit Plans, Inc. is a professional third party administrator located in Atlanta, GA.  The staff has over 40 years experience in the administration of partially self-funded employee benefit programs and is bonded as required by federal ERISA guidelines.  A.B.P. will arrange the appropriate stop-loss coverage agreements for your plan.

Healthcare costs presently exceed $1 trillion dollars a year in the United States (U.S. Department of Commerce).  As the costs of heathcare continue to escalate at double the inflation rate, employers are looking for ways to control or reduce their costs.  As more and more employers become aware of the advantages of self-insuring, service companies such as Alternative Benefit Plans are providing the experience and know-how to design and administer the programs

The primary focus of A.B.P. is to assist employers in maximizing benefits from the expenditure of their healthcare dollars through the implementation of various systems and procedures. What Services Does ABP Provide?

Alternative Benefit Plans offers plan design and administrative services for self-funded employee benefit plans including health, dental, vision, and short-term disability.

Click on the items below for a detailed description of ABP’s services:



PLAN SETUP AND IMPLEMENTATION
  • Benefit Plan Design
  • Arrangement of stop-loss insurance and negotiate rates with insurance companies
  • Initial and continuing employee enrollment assistance including enrollment forms
  • Designing and issuing employee identification cards and employee booklets
  • Preparation of plan documents
  • Review of on-going cost of insurance protection
  • Assistance to employer in handling special situations




CLAIMS ADMINISTRATION AND PAYMENT
  • Provide claim forms and assistance for proper claims submissions
  • Provide prompt and courteous claims payment
  • Calculate each party's portion of claim
  • Implement Subrogation and Coordination of Benefits Provisions
  • Provide an Explanation of Benefits for the employee, employer and each provider showing how the claim was paid, the deductible's taken and the deductible that may yet need to be satisfied
  • Implement Reasonable and Customary Provisions
  • Provide re-pricing services when PPO or HMO plans are utilized
  • Answer telephone inquiries from employees, employers and providers




PLAN ADMINISTRATION
  • Prepare checks for payment of claims
  • Provide a monthly analysis of total claims paid
  • Act as a "buffer" between employer and employee; employer and provider; and employer and insurance company
  • Provide assistance in ERISA compliance
  • Prepare monthly eligibility report and billing of premium and administration charges
  • Assist employer in COBRA, HIPAA, etc. administration
  • Provide other reports to the employer on an as needed basis
  • Handle filing of any stop-loss claims with the insurance company




MANAGED HEALTHCARE
  • Implement a managed healthcare program including hospital pre-certification, concurrent stay review and discharge planning
  • Utilization Analysis Reports
  • Medical Case Management
  • Preferred Provider Organizations
  • Exclusive Provider Organizations
  • Health Maintenance Organizations
  • Managed Prescription Drug Plans, including card and mail-order programs
  • Pain management
  • Managed Mental Health Plans




ADDITIONAL SERVICES AND PRODUCTS AVAILABLE
  • Group Term Life Insurance
  • Accidental Death and Dismemberment Insurance
  • Dependent Life Insurance
  • Dental Coverage
  • Short Term Weekly Income
  • Long Term Disability
  • Voluntary Employee Benefits



Questions?
Call Alternative Benefit Plans for Details
P.O. Box 921849
Norcross, GA 30010
(800) 241-7319
or
Click here to submit your question via e-mail.