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1025 Old Country Rd. #310 Westbury, NY 115901-800-622-4131 email@example.comCO-OP FUNDING PROGRAMBROKER INFORMATION GUIDEPro-Enroll®Consolidated Billing®Common Remitter®Single Slot AdminCo-opFunding®
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideProgram OverviewThe Paylogix Co-op Funding Program is a unique opportunity for brokers to provide excellent service without additional costs. It starts with our Consolidated Billing® service that allows multiple products from multiple carriers to be billed and paid in one online bill. Through partnerships with over 40 beneﬁt providers nationwide, we are able to oﬀer this service at no charge to the broker or the employer in standard cases. Brokers choose to provide this service to their clients because it reduces admin hassles and makes it easier to sell additional beneﬁts. Carriers choose to participate because their policy holders are billed accurately and premiums are paid on time. The Co-op Funding program is a signiﬁcant advantage for brokers and carriers.Imagine a TPA so good at billing & reconciliation, that the carriers agree to cover the fees.
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideParticipating CarriersBrokers now have access to over 125 products through our Co-op Funding Program.1. 5 Star Life Insurance2. Aetna3. Aﬂac4. Ameritas5. American National6. ARAG Legal7. ASPCA (Hartville)8. Benezon9. Boston Mutual10. Chubb11. College Assistance Plus12. Combined Worksite13. CyberScout14. Electric Insurance15. EyeMed16. GradFin17. Hyatt Legal18. Identity & Credit Services19. ID Watchdog20. InfoArmor21. John Hancock22. Kemper23. Legal Access24. Legal Club of America25. Legal Resources26. Legal Shield27. Liberty Mutual28. Lincoln Financial 29. Luther Sales30. MetLife31. MMI Group32. My Public Info33. Nationwide Pet34. Ocenture35. Pet Assure36. Purchasing Power37. Reliance Standard38. Symetra39. Transamerica40. Travelers41. Trustmark42. Unum43. US Legal Services44. VSP45. Voya
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideConsolidated Billing® Beneﬁts1 Determined by providers and products included in the oﬀering. $ Paylogix additional services are available on a case by case basis for additional fees. Contact your Broker Relationship Manager for pricing details.Included Features & Additional Available ServicesBroker DIY ToolsStandard Co-opCustom CaseMultiple carriers and products on one Consolidated Billing® Statement a a aExchange Builder® Premier Providers included at no additional chargea a aSupports multiple eligibility scenarios as deﬁned by the employer group1 a a aSecure, online access to Paylogix admin system included at no additional chargea a aAccommodates monthly premium paymentsa a aPaylogix standard ﬁle formats accepteda a aCo-op Funding carriers included with carrier approval at no additional chargea aPro-Enroll™ powered by Paylogix integration available$a aFile scheduling based on the client group payroll needs1a aAll payroll schedules supported1a aSupports per pay period premium payments1a aThird party or carrier enrollment technology integration available$aAll premium payment schedules supported1aCustom ﬁle format support available$aPaylogix oﬀers Exchange Builder, for a set annual fee. For more information visit www.exchangebuilder.com or ask your Broker Relationship Manager.
PLGX-1044-BRO-EXP-MAR2020Consolidated Billing® BeneﬁtsIncluded Features & Additional Available ServicesBroker DIY ToolsStandard Co-opCustom CaseMultiple carriers and products on one Consolidated Billing® Statement a a aExchange Builder® Premier Providers included at no additional chargea a aSupports multiple eligibility scenarios as deﬁned by the employer group1 a a aSecure, online access to Paylogix admin system included at no additional chargea a aAccommodates monthly premium paymentsa a aPaylogix standard ﬁle formats accepteda a aCo-op Funding carriers included with carrier approval at no additional chargea aPro-Enroll™ powered by Paylogix integration available$a aFile scheduling based on the client group payroll needs1a aAll payroll schedules supported1a aSupports per pay period premium payments1a aThird party or carrier enrollment technology integration available$aAll premium payment schedules supported1aCustom ﬁle format support available$aAs you can see, many valuable features are included in the Paylogix Co-op Funding Program. When you discuss the speciﬁcs of your case with your Broker Relationship Manager, you can decide which features your clients require and which level of Paylogix services will best meet your client’s needs. If your case meets the requirements for a standard case, you may be able to participate in the Co-op Funding Program. For more complex cases, we can discuss custom options and pricing on a per case basis.
PLGX-1044-BRO-EXP-MAR2020 9 The broker works with their client to assemble the necessary infor-mation. 9 The broker completes and submits the Paylogix Client Data Form on-line for review. 9 A Paylogix Broker Relationship manager reviews the client data form with the broker before submit-ting for approval and phase 2.An accurate and complete Client Data Form is necessary to proceed with case implementation.Phase 1: Data Gather 9 Paylogix Implementation Team conﬁrms information with the bro-ker and the carriers. 9 Paylogix works with the broker, cli-ent, and carriers to establish ﬁle exchange protocols. 9 Target set for implementation, test-ing and go-live dates.Non-standard ﬁle protocols will re-sult in additional fees and may de-lay the implementation timeline. Phase 2: ImPlementatIon 9 Data exchange is ﬁrst tested with the client group using the eligibility ﬁle. 9 Billing and remittance are tested with the client group prior to carrier testing. 9 Carrier testing ensures that the data format is correct and connec-tivity is working correctly.Changes to agreed upon ﬁle layouts must be approved by the Paylogix implementation team. Customized programming requirements will re-sult in additional fees. Phase 3: testInG 9 Review call with Paylogix to ver-ify online access and ﬁle transfer schedule. 9 Paylogix notiﬁes the client group and the broker when the ﬁrst ﬁle is sent. 9 Paylogix Broker Relationship Man-ager will provide ongoing updates.Phase 4: revIewPaylogix Co-op Funding Program Broker GuideNew Case Setup Overview4 Phases of New Case Setup
PLGX-1044-BRO-EXP-MAR2020If third party or carrier enrollment technol-ogy integration is necessary, the Paylogix implementation team will work with them to facilitate case set up. However, if the third party or carrier experiences a delay, or does not commu-nicate necessary information to Paylogix in a timely manner, it may cause delays. Brokers are encour-aged to work with established enrollment systems that have a positive on-time track record. thIrD Party DelaysNew Case Setup OverviewTop Causes of New Case Implementation DelaysThe CDF should contain all the informa-tion necessary for a successful imple-mentation. New case implementation will not proceed until this information is gathered and veriﬁed. If any of the information changes af-ter submission, the Broker must notify the Broker Relationship Manager as soon as possible to help avoid a delay. While the implementation team will work to address the CDF changes, we cannot guar-antee on time case set up if the CDF is incomplete, or updated. IncomPlete clIent Data FormIf the implementation team receives ﬁle protocols that vary from those speciﬁed at initial case set up, this will case a delay. New ﬁle mapping, or custom ﬁle set up may be necessary. Inaccurate FIle Protocols
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideOur ServicesBrokers and their clients depend on Paylogix for the technology and service that make beneﬁts possible.Allows multiple products from mul-tiple carriers to be billed and paid in one online bill. Provide your cli-ents with bills that actually make sense. Save time, money, and hassle for your clients to be a true beneﬁt hero.All the power of Paylogix in an easy to use Broker DIY kit. Build your tailored, employer speciﬁc beneﬁt marketplace. In 20 min-utes, you can launch your mobile friendly beneﬁt education, commu-nication and enrollment site with Consolidated Billing® built in.The industry standard for enroll-ment and eligibility. Promote, educate, and enroll in your own custom built, mobile friendly on-line enrollment tool. With over 10 years experience, we know how to do online enrollment right.Bring the Power of Paylogix to your company. The fully integrated front to back oﬃce TPA beneﬁts billing and administrative software solu-tion. Premium Solutions is a host-ed application that provides more ﬂexibility and opportunity than the traditional client-server model. With over 20 years experience, we have seen it all. Bring your compli-cated beneﬁts billing problems to Paylogix and we will make it pos-sible. Premium SolutionsCustom SolutionsYour clients save time and money with the Paylogix secure, online beneﬁt administration portal. A one stop shop for HR to access, update, and pay for all the ben-eﬁts that are part of their Consoli-dated Billing® statement.Beneﬁt AdministrationConsolidated Billing® Pro-Enroll® Exchange Builder®
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideWe will contact the carrier on your behalf to request that they join the Paylogix Co-op. If they agree to join Co-op, the carrier will cover the fees for their products to be included in your client’s Consolidated Billing® service. If the carrier is not interested in participating, we can still function as the TPA and they can still be included in your client’s Consolidated Billing® Service. However, the broker will be responsible for covering the fees. what IF my clIent wants to use a carrIer that Is not Part oF the PayloGIx co-oP FunDInG ProGram?FAQIf you would like to avoid the additional charges, you might look for a suitable alter-native product from a carrier that participates in the Paylogix Co-op. There are now over 125 products available through these carriers and more are added each year. A up to date list can be found on our website, or by contacting your Broker Relation-ship Manager.Some brokers choose to pass the fees along to their client. If you choose to do this, please know that you remain responsible for paying Paylogix fees, regardless of any arrangement you make with your client.how can I avoID excess Fees?We support the following pay-ment methods to make it easy for your clients to pay their premiums:• Payroll deduction• ACH Bank Draft• Back-up Funding• Direct Depositwhat Payment methoDs are avaIlable?
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideAbout UsAt Paylogix, we are changing what it means to be a TPA.WHO WE ARE WHAT WE DOPaylogix is a licensed and bonded Third Party In-surance Administrator. We move money and data related to health and welfare beneﬁts. But we are much more than an ordinary TPA. Founded in the worksite beneﬁts arena, we have been an in-suretech pioneer for over 20 years. We specialize in developing technologies speciﬁcally to simplify the administration of payroll deducted beneﬁts. We have the proven experience, reputation and endorsement of every signiﬁcant insurer in the vol-untary payroll deduction market.Our trademarked Consolidated Billing® & Common Remitter® services set the industry standard for ser-vice and simplicity enabling solutions that no single insurer can provide. Our web based solutions oﬀer real time access for our business partners includ-ing: Employers, Brokers, & Insurers. Our managed payroll deduction service provides unmatched ﬂex-ibility for secure client data exchange, ﬁle formats and business rules. We make it easy to get paid.
PLGX-1044-BRO-EXP-MAR2020Learn more about our legacy of innovation at http://www.paylogix.com/about-us/historyRead about our latest achievements athttp://www.paylogix.com/the-paylogix-post/front-pagePaylogix Co-op Funding Program Broker GuideKey ExpertiseWith over 20 years of specialized insurance industry experience, we have seen it all. Year after year, Paylogix and our employees have been recognized with industry awards from Employee Beneﬁt News, The Employer Healthcare & Beneﬁts Congress, and others. We care about developing our talented Paylogi-cians because that is how we deliver innovative solutions to our clients.Invented in 1996 by Paylogix’ founder and president, Rich-ard Pfadenhauer, our Consolidated Billing® service revolu-tionized the industry. Over 20 years later, we are still devel-oping new and better ways to move money and data. We don’t just know how to do billing, we invented the industry standard.thInk you know bIllInG?awarD wInnInG talent & tech
PLGX-1044-BRO-EXP-MAR2020Paylogix Co-op Funding Program Broker GuideLearn MoreWe take care of the complicated work, moving data and money, so that brokers and carriers can focus on what they do best.The best in the business trust Paylogix for:Learn more about how we make it possible atwww.paylogix.com• Enrollment• Billing• Administration• Premium Collection• Custom Solutions