The manager of a small professional office contacted NYC Business Group after being told twice that the company failed to meet the minimum participation requirement for its small group health plan. Before moving the company to another carrier, we reviewed its tax documents and audit paperwork and determined that the group did meet the participation requirement. NYC Business Group took over as broker, completed the audit on the client's behalf, and a few days later the company received confirmation that it had passed.
The Challenge
The manager of a small professional office contacted NYC Business Group because she was concerned that the company's group health insurance plan was going to be terminated.
The company had been through the health insurance audit process twice and received the same response both times: the group did not meet the minimum participation requirement for a small group health plan.
At that point, changing insurance carriers appeared to be the next option.
Before quoting a replacement plan, however, we wanted to understand why the existing group was failing the audit.
How We Helped
We asked the company for its tax documents and the paperwork associated with the health insurance audit and reviewed the information ourselves.
What we found changed the situation entirely.
Based on our review of the company's documentation, the group did meet the participation requirement for a small group health plan.
Instead of moving the business to another insurance carrier unnecessarily, NYC Business Group was able to take over as the company's new broker and address the existing audit.
We accessed the insurance company's system and completed the audit on the client's behalf using the appropriate company and tax documentation.
The Result
A few days later, our new client received an email from the insurance company confirming that the group had passed the audit.
The company went from believing its group health plan was in danger of termination after failing the audit twice to successfully completing the audit with NYC Business Group handling the process.
And it happened without unnecessarily moving the company to a different health insurance carrier.
“Sometimes the right insurance solution isn't a new policy.”
Insurance support goes beyond the policy
Sometimes the right insurance solution isn't a new policy.
When a business encounters a problem with an audit, renewal, or eligibility requirement, it's worth understanding exactly why the problem is occurring before assuming the coverage needs to be replaced.
In this case, reviewing the company's documentation revealed that the business qualified for the group health plan it already had. The issue wasn't finding another insurance product — it was understanding the audit requirements and completing the process correctly.
That's part of the service NYC Business Group provides. We don't just quote insurance. We help our clients understand the requirements behind their coverage and work through the administrative issues that can affect it.