Benefits Administration Pricing

Benefits Administration is the “Total Rewards Logistics” layer of your business architecture. We move beyond simple insurance enrollment to delivering Resilient Value Engineering. By integrating AI-powered administration with rigorous vendor governance and 2026 Cost-Containment Strategies—essential for managing the 6.5%+ projected rise in per-employee benefit costs—we ensure your workforce is protected while maintaining the fiscal solvency of your multi-entity operations.

Enrollment & Lifecycle Oversight: The Operational Hub

  • The Depth: we move from “Open Enrollment” events to Continuous Eligibility Management. In 2026, we utilize AI-driven platforms that automate the entire lifecycle—from onboarding and life-event changes (QLEs) to COBRA administration. We ensure your staff in Georgia and your international partners in Costa Rica have a seamless digital interface for managing their 2026 HSA limits ($4,400 Individual / $8,750 Family) and voluntary elections. We act as the “Fiduciary Gatekeeper,” ensuring all data transfers to carriers are error-free and timely.
  • The Outcome: Surgical Administrative Accuracy. You gain a 60% reduction in enrollment errors and a streamlined “Self-Service” environment that empowers employees while freeing your leadership to focus on high-level architecture.

Employee Education & Advocacy: The Value Amplifier

  • The Defense: A benefit misunderstood is a benefit wasted; we architect Transparent Choice Architecture. We provide multi-channel education—including 2026-standard “Benefits AI Chatbots,” virtual webinars, and one-on-one “Advocacy Sessions.” We focus on educating your team on High-Value Healthcare Navigation, such as utilizing Virtual Primary Care (DPC) and price-transparency tools to lower their out-of-pocket costs.
  • The Outcome: Verified Benefit Literacy. You receive a workforce that makes smarter, more cost-effective health choices, resulting in a 15–20% increase in perceived benefit value without increasing your actual premium spend.

Vendor Management & Compliance: The Fiduciary Guardrail

  • The Defense: We manage the complex web of carriers, TPAs, and brokers to protect your bottom line. We move beyond “passive renewal” to Active Performance Auditing, utilizing 2026 RxDC Reporting and Stop-Loss analytics to identify savings in specialty drug spending and high-cost claims. We ensure 100% compliance with 2026 mandates, including Mental Health Parity audits and Transparency in Coverage rules, shielding your entities from the six-figure penalties associated with regulatory failure.
  • The Outcome: Hardened Financial Oversight. You gain a “Clean Exit” from underperforming vendors and a defensible compliance record that satisfies 2026 audit standards.

Industry-Standard Pricing Guide (2026)

Pricing for Benefits Administration is typically structured as a Per-Employee-Per-Month (PEPM) fee, often bundled with payroll or HRIS services.

Service Tier

Basic Admin & PEPM

Managed TPA / Brokerage

Full Fiduciary Outsourcing

SaaS / DIY Platforms

$6 – $15 /pepm

$2,500 – $5,000 /yr

$100 – $200 /hr

Mid-Market MSSP/TPA

$20 – $50 /pepm

$10,000 – $25,000 /yr

$1,500 – $5,000 /mo

Global Advisory Group

$60 – $150+ /pepm

$50,000 – $150,000+

Tiered Custom Quote