Managed Benefits · Healthcare
Nurses flexing between 24 and 40 hours, per-diem staff nobody can classify, twelve-hour shifts that wreck monthly hour counts, and a turnover rate that turns COBRA notices into a weekly chore. BEG Managed Benefits, powered by isolved, runs the administration for healthcare employers nationwide. You keep your broker; we do the administration.
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The Healthcare Benefits Problem
What Gets Handled
Plans live in one system and staff enroll themselves online, on a night-shift break or between home visits, with AI-guided recommendations balancing cost and coverage. Life events are self-service workflows instead of a form waiting on the practice manager, and deductions sync to payroll across differentials and irregular hours.
This is where most healthcare employers land. Per-diem, PRN, and flex staff are measured under the IRS look-back method, offers of coverage are documented, and Forms 1094-C and 1095-C are produced on schedule. When the IRS asks why a 32-hour-average tech was or was not offered coverage, the measurement records answer instead of the office manager's memory. Consider a home health aide who works 24 hours a week for most of the year, then covers 36 to 40 hours a week for a three-month stretch while a colleague is out. Under the look-back method, that stretch can pull her average into full-time territory for the following stability period, whether or not anyone in the office noticed the schedule change in real time.
A dedicated Managed Benefits Specialist runs open enrollment start to finish, processes the constant flow of hires, exits, and status changes a healthcare roster generates, and keeps carrier records current. A Benefits Auditing Analyst checks the data for the errors that cost real money: departed staff still on the carrier bill, missed eligibility dates, and deductions that stopped matching elections after a status change.
How You Buy It
Benefits Admin Software is self-service enrollment in one system. Software + ACA Compliance adds variable-hour tracking and Forms 1094-C and 1095-C. Fully Managed adds a dedicated specialist and auditing analyst who run it all. Full detail on the managed benefits overview.
Your monthly estimate on screen - no call required
Shift differentials and payroll the bigger fire? BEG's core service is managed payroll for healthcare, and credential tracking and leave live in healthcare HR outsourcing.
Questions
Plan setup, open enrollment, life-event changes, carrier updates, variable-hour ACA eligibility tracking for per-diem and PRN staff, deduction sync with payroll, and Forms 1094-C and 1095-C, all in one system.
With the IRS look-back measurement method. Hours are tracked over a measurement period to determine full-time status, since the ACA counts anyone averaging 30 hours a week or 130 hours a month as full-time.
High clinical and support turnover means a steady stream of qualifying events, each with notice deadlines. COBRA and state continuation support is available and scoped exactly on your discovery call.
No. Your broker keeps advising you and placing coverage. BEG Managed Benefits handles the administration behind those plans: enrollment, eligibility, data, and filings.
Yes. Clinics, agencies, and groups with several locations or EINs run in one system nationwide, so a nurse picking up shifts at two sites has one eligibility record instead of two guesses.
No. There is no co-employment and no master plan takeover. BEG Managed Benefits, powered by isolved, administers the plans you and your broker already chose. You stay the employer.
For 2026, the IRS penalty under Section 4980H(a) for failing to offer coverage to enough full-time employees is $3,340 per full-time employee, and the Section 4980H(b) penalty for an unaffordable or insufficient offer is $5,010 per affected employee. A single misclassified per-diem nurse who should have been offered coverage can trigger either exposure, which is why measurement-period documentation matters more than a snapshot headcount.
Multiple layers apply at once: CMS and state health departments oversee facility licensing and staffing ratios, the IRS enforces ACA employer shared responsibility, and the DOL oversees COBRA and ERISA. BEG Managed Benefits handles the benefits administration layer; your credentialing and licensing obligations stay with your compliance team.
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Your monthly estimate on screen - no call required
