At NBS, it's our goal to take the stress out of providing benefits for your business, so you can spend your time focusing on what you do best. As an NBS client, you will be assigned a team of professionals dedicated to serving your unique needs. You can access your team through a single point of contact, making working with us seamless and easy.

THE PRODUCTS

NBS is a full-service, independent agency offering fully insured and self-funded health plans. We aren't restricted to certain carriers or plans so that means more choices for you and, unlike some other companies, we won't try to sell you on a product or plan that isn't just right for your business.

No matter its size, we can provide your business with a range of employee benefits including:

Medical Plans — PPO, EPO, HSA, HRA

Dental Plans — Traditional, PPO, DMO, Fee-Schedule

Life & Disability — Flat Amount, Multiple of Salary, Short-Term Disability, Long-Term Disability, Variable Levels of Coverage, Carve Out

Vision Plans — Large Network & Schedule

Voluntary Plans — Supplemental Disability, Critical Illness, Cancer Policies, FSA, Section 125 POP



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THE NBS DIFFERENCE

A Dedicated Account Manager
At NBS, we assign you with a highly experienced insurance professional dedicated to offering customized consultations and innovative approaches to your employee benefits package.

ACA Employer Reporting Services
The Affordable Care Act (ACA) requires many employers to fulfill complicated reporting requirements regarding the health coverage they offer. NBS can guide you through each step of the reporting process, helping you determine what information you'll need on your 1094-C and 1095-C forms to stay compliant under IRS Section 6056.

MyWave Portal
The MyWave portal is for NBS clients only. It provides desktop and mobile access to the latest in compliance and workforce information and forms, enrollment tools, wellness support, and more — on demand, 24/7. Click here to learn more and access the portal.

Compliance Audits
NBS will conduct a comprehensive review of your compliance obligations under the applicable state and federal laws and offer strategies to mitigate potential lapses.

Claims
We have dedicated claims specialists to handle all escalated claims issues, including coordinating with providers, pharmacies, and out-of-state payers, as well as exhausting all levels of internal and external appeals.

Administration Services
We partner with TPAs to provide COBRA compliance, HRA/FSA/POP administration and DOL compliance assistance.

Detailed Market Analysis
We conduct a thorough market review of all potential options in both the group and individual markets. We are certified to assist with packages both on and off the federal exchange. We also have contracts with various private exchanges to design a package that best fits your coverage and budget needs.

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THE ADDED VALUE

FREE HR Education Seminars
We offer monthly seminars at our Cranbury, NJ office on a variety of hot topics in the benefits industry. NBS is also registered with SHRM and HRCI, so for you HR professionals who are certified, attending our seminars will count toward your re-certification credits. We partner with experts from the Department of Labor, carriers, payroll companies, accountants, and lawyers to present the latest information and answer any questions. The seminars are FREE, the re-certification credits are FREE, and we even throw in breakfast (also FREE!). Seats are limited so give us a call and sign up for our next one ASAP.

COBRA/Section 125
Our administrative services include: HRA, HSA, FSA, Dependent Care, Federal Cobra, Transit & Parking, and Wellness Administration.

Payroll Services
NBS strategically partners with leading payroll service companies and will coordinate a great team to assist with your company's specific needs.

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FREQUENTLY ASKED QUESTIONS

1. What's the difference between an HMO, PPO, and EPO plan?
Generally, with an HMO plan, you pick one primary care physician. All your health care services go through that doctor. That means that you need a referral before you can see any other health care professional, except in an emergency. Visits to health care professionals outside of your network typically aren't covered by your insurance.

PPO stands for preferred provider organization. PPO plans give you flexibility. You don't need a primary care physician. You can go to any healthcare professional you want without a referral — inside or outside of your network. Staying inside your network means smaller copays and applicable coverage for eligible services. If you choose to go outside your network, you'll have higher out-of-pocket costs.

EPO stands for exclusive provider organization. EPO plans combine the flexibility of PPO plans with the cost-savings of HMO plans. In most plans, you won't need to choose a primary care physician, and you don't need referrals to see a specialist. But you'll have a limited network of doctors and hospitals to choose from. And EPO plans don't cover care outside your network unless it's an emergency. It's important to know who participates in your EPO plan's network. If you go to a doctor or hospital that doesn't accept your plan, you'll pay all costs.

2. What constitutes a full-time employee for a NJ small group?
As defined in the NJ Small Employer Health Guide, eligible employee means a full-time, bona fide employee who works a normal workweek of 25 or more hours. The term excludes a sole proprietor, a partner of a partnership, or an independent contractor. Eligible employee excludes both the husband and the wife in a husband and wife business. Eligible employee also excludes employees who work fewer than 25 hours a week, employees who work on a temporary or substitute basis, and employees participating in an employee welfare arrangement pursuant to a collective bargaining agreement.

3. How are rates determined for group insurance?
Carriers determine a group's rates based on the plan of benefits selected and the characteristics of the group. Carriers can only consider the ages of the people to be covered and the location of the business in New Jersey in determining the premium. Carriers may not consider the health status, nature of business, or past claims experience of a group in determining a premium.

4. Do I NEED to provide health insurance to my employees?
By the federal Affordable Care Act (ACA), employers with fewer than 50 FTE workers are not required to offer health insurance to their employees. There are no taxes or penalties. Tax credits may be available if you want to offer health insurance to your employees.

The small business healthcare tax credit benefits employers that:

  • Have fewer than 25 full-time equivalent employees
  • Pay an average wage of less than $50,000 a year
  • Pay at least half of employee health insurance premiums

You are not required to do anything — you have choices. If your business has 50 or more FTE employees, your business is considered a large employer under the ACA. If you don't offer health insurance, you may be penalized. There are certain requirements that have to be met before your large business is penalized.

5. How many employees do I need to have for a group plan and what percentage needs to enrollment?
To offer group health insurance you must have at least two full-time eligible employees including yourself (see above for clarification on who is a full-time employee). At least 75 percent of the eligible employees must be covered under the small employer health benefits plan. The employer is offering or covered under on of the following:
  1. Any full insurance health benefits plan offered by the employer
  2. Medicare
  3. Medicaid or NJ FamilyCare
  4. Another group health benefits plan
  5. A spouse's group health benefits plan
  6. Tricare
Note that coverage under an individual health benefits plan does not count toward satisfaction of the 75% participation requirement unless you are getting a subsidy.

A carrier is not required to give participation credit for those eligible employees who are covered under another carrier's contract issued to the same employer.

6. As an HR manager, how much control do I have over benefits selection with NBS?
You are in the driver's seat and we are your co-pilot. Through a fact-finding collaboration between yourself and a seasoned NBS employee together we can navigate to find the best fit for your company. Whether we test the self-insured water or pick a traditional fully insured plan, you will be presented all your options with different strategies attached to each type of plan to help deliver the highest level of benefits desired at the best price point. We can be as hands-on or hands-off as you wish!

7. Where can I go for more information? The MyWave Client Portal contains a wealth of information, forms, enrollment tools, and support. Click here to access our client portal page.

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