Services Overview
SET SEG Employee Benefit Services delivers affordable, innovative options to help employers take control of health care costs and build healthy futures for Michigan’s public education community. We offer a range of consultative, administrative, and compliance services to help school districts provide the best possible care options for their employees and navigate the complexities of benefit requirements.
Through research and collaboration with innovative programs and partners, we stay at the forefront of the employee benefits landscape to help schools adapt to the ever-changing health care environment, optimize their resources, and combat the health care affordability crisis.
Consulting
Compliance
Affordable Care Act Tracking and Reporting
PA 106 Compliance Quote
Administration
- Online Enrollment & Consolidated Billing
- Dental and Vision Claim Administration
- Minimum Essential Coverage Plan
- Larger employers that do not offer “minimum essential coverage” to at least 95 percent of full-time employees and their dependent children can face significant assessments under Affordable Care Act (ACA) regulations. This MEC plan allows employers to offer a self-funded, employer-sponsored group health plan that qualifies as “minimum essential coverage” under the regulations. Offering this plan to employees who are ineligible for other medical coverage may help reduce the risk of a 4980H(a) assessment. A plan document, Summary of Benefits and Coverage (SBC), claim administration, and employee enrollment forms are all included with this service
- COBRA Services include:
- Preparation and mailing of all notices — general and election
- Receiving and tracking enrollment and waiver forms
- Processing participant enrollments and terminations with carriers
- Invoicing and collection of premium payments from participants
- Remittance of COBRA premium payments to the district
- Substantiation of COBRA compliance upon request