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<br /> Administrators Self-Funded Quote <br />lHE <br />LIPMAN <br />COMPANY, INe. <br /> FINANCIAL AND ADMINISTRATION DUTIES: <br /> As administrator, TLC Administrators shall... <br /> · Maintain a trust imprest account based upon 150% of the estimated monthly self- <br /> funded claims costs plus fixed costs. <br /> · Bill the client monthly for the amount necessary to restore the accounfs balance to <br /> an agreed-upon estimated balance. <br /> · Prepare a monthly check register listing the check number, date drawn, amount, <br /> claimant, and payee for each disbursement. The register will include the remaining <br /> balance of the account. <br /> · Perform all routine accounting functions on a monthly basis, including the <br /> maintenance and balancing of the imprest checking account. <br /> · Prepare a monthly activity report on the status of the imprest account. <br /> · Prepare any additional special reports relating to benefit claim activity as requested <br /> by the client. (We reserve the right to render a separate fee for the preparation of <br /> special reports.) <br /> REPORTS: BUlin!! and Eli!!ibilitv <br /> 1. ACCOUNTS RECEIVABLE TRANSACTION LISTING. Prints a list of aging <br /> information for invoices. The report prints the original invoice balance and ages <br /> the outstanding balance in 30-day increments. It also recaps daily receipts <br /> summary for balancing the month end reports and bank account. <br /> 2. CARRIER PREMIUM REPORT. Shows the premium payments distributed for <br /> each benefit type by carrier. The report includes the specific benefit type, group <br /> and invoice period, along with single, family and total premiums charged-to-date; <br /> the number of single, family and total premiums to-date and amounts for single, <br /> family and total premium-to-date. <br /> 3. CENSUS REPORT. Lists employee's eligibility for the past month and is used for <br /> claim payment and eligibility verification. <br /> 6 <br /> ·r' <br />