Carrier & Affinity Group Benefit Plan Administration
enabling you to focus on your future

Creating efficiencies and innovations within a business is imperative to achieving both short and long-term business objectives, not to mention ensuring a business’s survival and growth.

Gilsbar understands this and has created a comprehensive administrative solution for insurance carriers and affinity groups across the nation. By delegating details of their plan administration, we allow our clients the freedom to focus on what they do best – managing the risks of their clients.

Managing benefit plans for carriers and affinity groups is what we do best – it’s where we started and it’s where we’re headed. Our dedicated staff of over 325 client-focused employees is driven to exceed our clients’ expectations and help them surpass their strategic business objectives.

strategic alignment

defining partnerships

Gilsbar is dedicated to developing strategic relationships with our clients. The focus of our business is to help our clients achieve their business goals, create returns, and drive profitability. Over the years, we’ve learned the value of building alliances with partners who share our desire for mutual success, have a demonstrated strategic commitment, and possess a collaborative outlook.

taking care of you

Our highly skilled account management team is trained in relationship development and the delivery of expedient, accurate solutions, while concentrating on the integration of your business strategy within our processes.

forecasting your future

Gilsbar’s actuarial team can provide accurate data on your group’s plan performance using up-to-date eligibility and claim information, and provides the support to assist you in fully understanding your data and performance.

administrative solutions

seamless integration & technology

Serving an expansive client base requires electronic integration with scores of partners in various capacities. Gilsbar uses services provided by the IBM Genelco Group+ Health Benefits Management System, a fully integrated system that allows for virtual access by plan sponsors. Efficiency and accuracy are essential for the success of your plan, and our systems, IT staff, and processes will give you the assurances that these needs will be met.

expert implementation

Our dedicated account management, operations, technology, and finance teams will work with you to understand your unique data and will systematically convert the data to Genelco’s Group+ platform. Our goal during implementation is to minimize disruption while finding ways to increase efficiencies, which undoubtedly will have a positive impact on member satisfaction.

compliance

Gilsbar’s compliance team is made up of a staff of in-house attorneys who provide you with Federal and State Regulatory Consultation and serve as a HIPAA compliance resource.

administrative services

• Benefit plan management
  – Individual medical, dental, life, vision, STD, and LTD
  – Group medical, dental, life, vision, STD, and LTD
  – Medicare supplement plans
  – Group retiree health plans
• Internal audits
• Reporting and analysis
• General ledger reconciliation
• Claims adjudication
• Underwriting
• Commission processing and payment
• Account reconciliations
• Premium collection and disbursement
• Vendor coordination – PPO, PBM, and EAP
• Unique call center capabilities

member advocacy

engaging & empowering your members

Our award winning marketing team will develop an engagement and branding strategy for you. Our team of experts will design, print, and distribute flyers, posters, payroll stuffers, post cards, and brochures to your members – all in alignment with your communications goals.

taking care of your members

Your members will experience excellent customer service from our Customer Contact Center representatives who are available to address any member issues or concerns. The Customer Contact Center is available by phone or e-mail Monday through Friday, from 7 a.m. to 7 p.m. (CST).

keeping your members healthy

As a nationally recognized leader in Health & Lifestyle Management (H&LM), Gilsbar offers H&LM programs that will keep your plan fiscally strong and your members mentally, physically, and socially healthy.