Explore our Actuarial Services for Health Plans.

We work with many of the different perspectives in healthcare (employers, insurers, unions, and others), and have a strong and extensive grasp on today’s ever-changing healthcare landscape. This allows us to provide invaluable risk management and other actuarial consulting services to our clients; all of which are geared to help them understand and better manage the financial risk associated with their health and welfare plans, including retiree medical benefits.

We help clients with plan pricing and design, reserving, financial reporting, claim experience and financial analysis, and regulatory compliance.  Please take a moment to browse our detailed services below.

Health Plan Design

Determine if your plan is meeting your organization’s needs and if it will save your organization money, or find a plan design that will.

Benefit Pricing

What will the latest regulated benefit cost your organization?  We’ll help you determine the impact of regulatory changes to make the best decisions possible with your benefits.

Minimum Value Calculations

Does your plan meet the Affordable Care Act requirements?  We will help you determine benefit coverage to avoid penalties and fines.

Actuarial Value Calculations

Which level is your employee benefits plan closest to: platinum, gold, silver, or bronze? Understanding your benefits is vital to helping you choose the best options for your needs.

Actuarial Attestations

We will perform required value testing and provide qualified actuarial attestations for you Medicare Part D Retiree Drug Subsidy (RDS) program.

Credible Coverage Determinations

Per the Medicare Modernization Act (MMA), help you determine and satisfy the Medicare Part D credible coverage requirement.

Expert Witness

We provide invaluable expertise and input as it relates to the fairness of legal decisions involving complex and specialized financial risk.

Actuarial Certifications

Actuarial certifications for healthcare reform grants and other projects requiring certification by a qualified, credentialed actuary.

Cost Projections

Make wise business decisions with actuarial modeling that will help you forecast cost and revenue into the future.

Self-Funding Analysis

Determine if self-funding your health plan is a wise decision through assessment of multiple factors unique to your organization.

Imputed Income Calculations

We will calculate the fair market value of benefits for domestic partners and their children for IRS and business expense purposes.

Retiree Valuations

Expert actuarial valuations of government and private retiree health and pension plans.

Request a Consultation

Could you be saving money and managing your benefit programs more efficiently?

As actuaries, we have extensive training in statistics, insurance, accounting, and finance and can quickly assess your benefit programs and circumstances to recommend strategies to help you be more compliant and efficient, while increasing your bottom line.