At this stage, we will use all elements at our disposal in order to prepare a specifications book for the insurance companies that will be representative of the client’s needs and requirements.
The specifications book establishes the situation (with regards to guarantees, as well as rates and claims history) of recent years.
In addition, different options will be analysed that will allow the client to have all the information on hand to make an informed decision.
At this stage, we approach all insurers likely to submit a project, depending on the group size, industry and other relevant factors. Upon receipt of the insurer’s proposals, we analyse the market results, in order to present to the client the plan that best suits his needs, in terms of costs and benefits, along with our recommendations.
As consultants and because we have such an important volume distributed among all insurers on the market (over 113 million annual premiums), our analysis and recommendations are always objective and our client’s interests take precedence over any other considerations.
The first part of the analysis presents the costs of the current plan and optional plans separately. This information is first presented in a global format, on a monthly basis for the whole group and then in a personalized format, per employee per pay.
The personalized format reflects the employer/employee distribution (including a calculation of provincial and federal taxable benefits as well as code 85/235). Moreover, in some cases, a fiscal analysis can be made to evaluate the impact of indirect costs (QPP, CSST, etc.) through various scenarios.
The second part will present a detailed analysis of the benefits (of the current plan and options) and every clause and exclusions to ensure that the client has all the necessary elements to make his decision.
Finally, the renewal methodology will be analysed in detail and some factors (administration fees, reserves and credibility) will be negotiated and guaranteed.
In the event of a change of insurer, our enrolment department follows an established procedure to ensure that the implementation of the plan is done in a simple and effective manner for a flawless transition. Here are the different steps:
In today’s highly competitive business world, it is a necessity for clients to obtain an efficient and personalized customer service.
Our customer service team’s primary role is to be an intermediary between the company‘s plan administrator and the insurer.
Its involvement is oriented towards obtaining a fluid, efficient and personalized communication. With the greater specialization of resources dedicated to this department, our customer service is second to none in the industry.
With this in mind and in order to create a long term trustworthy relationship, every client is assigned to a customer service representative.
At this stage, Group Censeo as the agent receives the renewal conditions proposed by the insurer. The analyst assigned to the file will study the renewal terms proposed by the insurer and by his mandate, will validate, negotiate and produce a renewal report which will be presented to the client by his advisor.
We have our own renewal assessment model that guarantees our customers the most competitive conditions while ensuring stability of costs in the long term.
We do comprehensive analyzes of the use of your plan, including an analysis of the types of medications most used by your employees, as well as an analysis of the consumption profile allowing us to create a Personalized Health Profile.
The renewal format and philosophy are the same as those that prevail during the initial market analysis.
In addition, as part of the renewal, our firm can prepare memos or bilingual presentations for employees, which constitute effective and simple communication tools, and are greatly appreciated by plan administrators.
During the year, in order to adequately prepare the official renewal and make adjustments during the period if necessary, we prepare a biannual analysis for the files whose parameters meet the analysis criteria (group size, credibility, etc.).
To that end, the analyst appointed to the file requests an experience report to the insurer for the period being analyzed. Upon receipt and based on factors (costs, reserves, credibility, pooled premiums and inflation) already established and confirmed, a simulation of the renewal is produced and presented to the client by his advisor.
Group Censeo offers, at the client’s request, a complete administrative service for invoicing (multi-employer group, association’s plan or plans subscribed with more than one insurer).
This service is also used when the insurer cannot manage certain features of the contract (invoice frequency other than monthly, direct debit, invoice management by various divisions and classes, etc.).