Elevating Efficiency, Delivering Excellence

Embracing Innovation in Third-Party Benefit Administration

With a relentless commitment to innovation, we continuously invest in advanced technologies, dynamic methods, and skilled staffing. This approach ensures our clients and plan participants can look forward to a future rich with possibilities and advancements in benefit administration.

Product Solutions:

Integrated Solutions for Benefit Plan Success

  • Close-up of two people holding hands, conveying support and care. One person is wearing a blue uniform.

    Claims Cost Containment

    Take a comprehensive approach to lowering claim costs and safeguarding participants from balance billing. Our solutions include claims review and editing, error identification, and expert recommendations on claim payments and trends.

  • A smiling couple shopping online, the woman holding a credit card and the man using a smartphone, with a tablet on the table.

    Payment Optimization

    Streamline payment delivery with our fast and reliable solutions, simplifying reconciliation, reducing costs, and satisfying providers by accommodating their preferred payment methods. Accessible payment data enhances efficiency.

  • Pharmacist assisting a mother and child at a pharmacy counter, surrounded by shelves of medications.

    Consumer-Driven Health Plan Solutions (HRA, HSA, FSA, RRA, MRP)

    We empower clients to manage their consumer-driven healthcare accounts and cut expenses. Our tools assist participants in handling reimbursement accounts effectively.

  • Two colleagues in an office setting reviewing information on a laptop.

    Dependent Audit - Dependent Eligibility Verification Audit

    Keep health funds up to date by verifying dependent eligibility and identifying ineligible dependents. Our audit solutions result in cost savings for the client fund and its participants.

  • Pharmacist explaining medication to a customer at a pharmacy counter.

    Specialty Drug Advocacy Program

    Experience effective cost management with our specialized services, including financial case management for select specialty drugs, products, and procedures. This program helps reduce costs for both clients and their participants. 

  • Family video conferencing with doctor on laptop.

    Telehealth

    Empower participants with 24/7 access to healthcare for non-emergency conditions, connecting them to board-certified professionals via phone, video, or app.

  • Older woman doing yoga at home, sitting on a mat, stretching towards her toes, with a laptop nearby on the floor.

    Musculoskeletal (MSK) Navigation and Advocacy

    Provide personalized outreach for plan participants dealing with musculoskeletal issues, complementing our MSK Chronic Pain Management program for optimal support.

  • Woman performing arm exercise with dumbbell, assisted by a trainer in a fitness setting.

    Musculoskeletal (MSK) Chronic Pain Management

    Deliver virtual chronic care for musculoskeletal pain, seamlessly connecting plan participants with providers. Combine with MSK Navigation and Advocacy for a comprehensive approach.

  • Older couple reviewing documents on a laptop at home.

    Price Comparison Tool - Transparency Coverage (TinC)

    Simplify healthcare spending with our user-friendly platforms, meeting Transparency in Coverage (TinC) requirements effortlessly for better control over expenditures.

  • Person holding a smartphone with a padlock icon, in front of an open laptop on a wooden desk, indicating digital security.

    Privacy and Security Officer

    Mitigate risks with our HIPAA-qualified team, assisting covered entities in meeting HIPAA responsibilities. Tailored services support health and welfare plans, ensuring HIPAA Privacy and Security compliance.

  • Pharmacist assisting customer in a pharmacy aisle with shelves of products.

    J-Code Medical Drug Rebate Program

    Minimize high-dollar medical drug spend with no disruption to members with our J-code Medical Drug Rebate Program. Reduce the cost of medical spend through the identification of drugs eligible for manufacturer rebates often overlooked and unused.

Leveraging Cutting-Edge Technologies, Innovative Methods, and Seeking Opportunities for Continuous Improvement.

Newsroom

Featured
Meet your Regional President: Mike Shea, Central
Meet your Regional President: Mike Shea, Central

Meet Mike Shea, Regional President of Zenith’s Central Region.
With over 19 years of experience in Taft-Hartley Trust Fund administration and a 20-year U.S. Air Force career, Mike Shea leads with integrity, innovation, and a deep commitment to service. Since joining Zenith in 2009, he has driven operational excellence and client-focused solutions across the Central Region. His leadership continues to inspire teams and elevate the standard of third-party administration.

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Regulatory Update:  IRS Forms 1095-B No Longer Require Postal Mailing to Recipients
Regulatory Update:  IRS Forms 1095-B No Longer Require Postal Mailing to Recipients

Employers offering health plans with Minimum Essential Coverage (MEC) must file Form 1095-B annually with the IRS. This form confirms whether employees and their dependents had qualifying health coverage during the previous year, as required by the ACA.

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One Big Beautiful Bill Act:  Provisions Impacting Employee Benefit Plans
One Big Beautiful Bill Act:  Provisions Impacting Employee Benefit Plans

President Trump signed the One Big Beautiful Bill Act (“OBBB”)into law on July 4, 2025.  The Act includes some provisions that impact employee benefit plans, which are highlighted in our article. 

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