ERRP Services

Early Retiree Reinsurance Program

We help you navigate through every stage of the program
and make sure you qualify to receive the maximum subsidy

Basic Services

• Work with HHS during initial program development
• Complete all parts of application
• Write affirmative attestation statements
• Project reimbursement amounts for first two plan-year cycles
• Define, describe and document that the sponsor’s plan(s) have programs and procedures in place that generate cost-savings for participants with chronic and high-cost conditions.
• Ensure that policies and procedures are in place to detect fraud, waste and abuse
• Troubleshoot Application errors
• Monitor data files for all eligible individuals
• Coordinate data with all vendors
• Track threshold and cost limits
• Write sponsor’s summary describing how they will use the programs reimbursement
• Prepare HHS appeals/requests for redetermination
• Aggregate claims for an individual with multiple “benefit plan options”
• Troubleshoot data submission issues (i.e. claim reversals, COB adjustments)
• Compile and submit claims for reimbursement in a form and manner specified by the Secretary
• Monitor changes in HHS rules & regulations
• Track status of participants, monitor retiree plan changes
• Identify discrepancies between plan sponsor and vendor retiree lists

Data Management Service

Many vendors will not provide the HHS compliant “data formatting” required for collecting subsidy under the Early retiree reinsurance Program. RDS Services, LLC has the ability to aggregate your vendors’ data and create the reports necessary to submit to HHS in order to submit “claims reimbursements” under the Program.

Record Keeping

Section 149.350 of the regulations requires the Plan Sponsor to maintain records and produce documentation and data upon the request of the Secretary. We will maintain and provide all requested information and represent you in the event of an HHS audit.