Plan Design and Administration

Cook Group Solutions has been in the Benefit Administration field since 1974. Our proven experience involves the designing of benefit plans and their administration including a long-standing record of excellence in claims evaluation and processing. At Cook Group, we recognize that every organization is different and we plan our services accordingly. Our knowledge in the field serves the plan sponsor, members, and eligible participants with professionalism, expertise and prudence.

Combining Cook Group’s proficiency with state of the art claims processing technology and dependable fund administration provides our clients with a unique advantage over other third party administrators.

Healthcare Plan Design

  • Access to Preferred Provider
  • Networks
  • Flexible Benefits
  • HSA/HRA
  • Plan Document Design
  • Self-Funded
  • Stop-Loss Insurance Strategies
  • Summary Plan Descriptions

Plan Administration

  • ACH Payments
  • Claims Adjudication and Re-Pricing
  • Claims and Utilization Reports
  • COBRA and Retiree Billing
  • Fraud Control
  • HIPAA Complia nce
  • Subrogation

Additional Admin Services

  • Monthly reports by benefit category and annual claims data analysis
  • Custom reports
  • Records maintenance and available workspace for auditor to conduct audits.
  • Uploading of all disbursements, electronically, to a designated ‘positive pay’ account.

Claims Administration

  • Dental
  • Health Reimbursement Accounts
  • Life and Disability
  • Medical
  • Miscellaneous Variable Benefits
  • Prescription Drugs
  • Vision

General Admin Services

  • Bookkeeping and Accounting Reports
  • Cash Disbursements
  • EFT Payments
  • Hours Banking Services
  • NYS Wage Parity Compliance
  • Online Contribution System
  • Paper Based Reporting Services
  • Participant and Beneficiary Annual Tax Forms
  • Participant Benefit Inquiry Assistance
  • Payroll and Data Contributions Services