SandMartin leads the way in Cafeteria Plan Administration outsourcing services, transforming your operations into a 24/7 virtual office for Consumer Driven Healthcare (CDH) Services. We have been a trusted partner to Third Party Administrators (TPAs), offering comprehensive services including claims processing, adjudication, Enrollments, Payroll, Non-Discrimination Testing, and COBRA management. The complexity of Cafeteria Plan Administration demands precision and process understanding. To address this, we have assembled a well-trained and experienced team with strong analytical skills capable of working with any Cafeteria software.
Services We Offer
Claims Processing and Adjudication
We expertly manage FSA, HRA, and HSA claims for numerous clients. Our services encompass reimbursing out-of-pocket claims, adjudicating Debit Card claims, and generating participant checks and denial letters. We process healthcare, dependent care, tuition care, and transport claims with minimal turnaround time.
COBRA
We perform reconciliation and accounting services for participants on daily basis. We are also managing the COBRA premium payments including billings for collection of participant premiums. We enter PQB for terminated employees and prepare DOL notices in the COBRA software.
Maintaining and Reconciling Bank Accounts
We maintain the Corporate Accounts for the plans like FSA, COBRA and PBA. This includes making deposit and withdrawal entries on daily basis besides verifying that a minimum account balance is maintained in these accounts. We also handle the monthly reconciliation of the accounts.
Plan Reconciliation
Plan over funding or under funding is determined and balance is returned or funded to/ from the client.
Non Discrimination Testing (Sec 125 & Sec 129)
We complete the non-discrimination testing for the cafeteria plans on the basis of the census sent by the client to ensure their IRS compliance.
At SandMartin, we serve as your 24/7 virtual office, enabling seamless Cafeteria Plan Administration outsourcing. With a team of experts well-versed in every aspect of CDH Services, we empower TPAs to excel in a highly regulated and competitive environment.
