Competitor Knowledge
Top competitor and not a CPEO
Rippling
Kaiser Permanente, Aetna, and United Healthcare
&
UnitedHealthcare, Blue Cross Blue Shield and Anthem
Our open market and master policy providers
Master Policy: Kaiser Permanente, Aetna, and United Healthcare
Open Market: UnitedHealthcare, Blue Cross Blue Shield and Anthem (may go by different names like HCSC depending on the state)
NY DU30 and Disabled Dependents
Two types of Overage Dependents
Marc Rosenburg
Who should be tagged in the term ticket if the company is using Time Tracking.
Except for AZ, CO, HI, IL, MN, MO, WA
Employers can offer Aetna in every state except
Charges a percent of each payroll run vs. a per employee per month charge.
ADP
Company plan selection and employer contributions.
Health insurance factors that an employer can control
$1,500 is the minimum deductible
For a High Deductible Plan.
Who is tagged on a term ticket if the company is a Sage customer?
Benefit Ops
What is a key difference between Aetna and UHC that is based on what state they are underwritten out of?
UHC does not include coverage for bariatric surgery and fertility treatments like IVF or egg freezing
Offers built in applicant tracking system. Admins can create new job posts, push them to popular career boards, and access candidate information.
Trinet
Thursday, August 7th - Thursday, August 28th at 11:59 pm EST & Tuesday, September 16th - Thursday, September 25th at 11:59 pm EST
Plan selection timeline for both ER and EE
10/10/25 - 10/31/25
COBRA Renewals
If a company terminates on the 1st of the month, what can they expect to happen in terms of fees and health insurance?
Company's will be charged the full cost of service fees and benefits would terminate at the end of the month.
Employees located in a KP market (CA, CO, DC, GA, MD, OR, VA, WA) will be able to enroll in KP plans as long as the company's situs in what states?
CO or WA
Many company's may often refer to this as a local PEO
G&A Partners
NYOA 15/20 0/100% JNY
New plan names
The scenario for a company that has two sets of medical, dental, and vision enrollment opportunities available at the same time.
Dual Enrollment
How is the off-boarding checklist changed for company's who offer Sage?
The COBRA insert must be updated to reflect Open Market COBRA options.
Minimum employee enrollment requirement reduced from 5 to 2
Kaiser Permanente Carrier eligibility criteria
Currently offers more country coverage and international solutions
Remote
Higher monthly premiums, low to no deductible, low to no co-insurance
A rich plan
HSA, FSA, & deductible.
Resets on the calendar year
How are final payments impacted for terminating company's?
For Bi-weekly employees off-cycle payments would have to be scheduled for final week on the platform while semi-monthly employees should not need to have off-cycle payments scheduled if the termination date falls on the 15th or the end of the month.
<5 eligible EEs at least 2 must enroll. - 5+ eligible EEs, at least 40% must enroll
United Healthcare enrollment requires