Employers are responsible for informing their employees about health benefits. However, employees also have the right of access to information regarding the health benefit programs offered to them. The employer is allowed to inform employees about any information concerning the health benefits programs. As such, employers have created the position as Health Benefit Manager that includes communication.

Employer should share key information

There is a lot of information to communicate. The job of the Health benefits Manager is to communicate them in a structured and professional manner for employers.

Employers must give detailed information to their employees about the benefits and entitlements that they have under the health plan.
– Information on cost sharing and other arrangements
– To act as a representative of the client in addressing appeals and resolving problems.
– To assist and guide its employees in determining the status of accreditation, certification, as well as licensure.
– Also, provide sufficient and pertinent information about the provider network.
– To make use of emergency care services whenever necessary by employees.
– To request referrals to specialists
– Provide information on the employer sponsored plan as well as the cost.

Directives regulations
The Employer Retirement & Income Security Act of 1974 states that all employees have the right to receive detailed information. This includes plan rules, covered benefit details, as well as documents about plan management and operation. The summary plan description, or SPD, can be requested by employees. The SPD contains

– Information about the health care services included in the plan.
Description of the services offered by the plan and how these plans work.
It gives information on how you can calculate the benefits.
– Information about the cost of the plan and the cost that beneficiary has to cover.