Donlon & Associates, Inc.
901 Warrenville Road
Suite 480 (4th Floor)
Lisle, IL 60532
Phone: 630.505.0830
Fax/Data: 630.241.1445
Email: info2@donlon-associates.com
About Us
Donlon & Associates, Inc. (D&A) is an actuarial consulting firm specializing in providing strategic planning advice for insurers, employers, health care providers and public sector clients regarding the design, pricing, funding and administration of health and welfare plans. D&A has seven employees in the Lisle office and numerous associated consultants throughout the country.
Competitive Advantages
D&A offers professional, actuarial and financial services to a broad range of clients. Our competitive advantages include:
- Extensive experience with actuarial and financial matters related to group medical, dental, disability, life and prescription drug insurance policies and benefit plans;
- Unique perspective of health care issues emanating from our work with a diverse client base;
- Personal, practical and efficient consulting style; and
- Competitive and creative pricing of services.
Services and Capabilities
Actuarial services for insurance companies and health care plans:
- Pricing and filing group medical, dental, disability, life and prescription drug products
- Pricing consumer-driven health insurance products
- Pricing Medicare Supplement products
- Filing statutory rate certifications for small group business
- Large group experience rating
- Claim reserve development including certification with an actuarial opinion letter
- Developing pricing and marketing strategies for new products
- Evaluating and negotiating contracts with provider networks and administrative vendors
- Detailed experience analysis including comparisons to benchmarks
- Developing actuarial pricing models and rate quote management software
Benefit consulting services for employers:
- Analysis of options available under Medicare Part D, including actuarial equivalence testing and assistance with submission of applications to CMS.
- Pricing plan options for group medical, dental, disability, life and prescription drug benefit plans including consumer-driven health options
- Performing nondiscrimination tests for health and welfare benefits plans
- Developing employee contribution rates
- Analyzing the plan design and administrative needs of an employer's benefit plans
- Reviewing the competitiveness of benefit plans and administrative contracts
- Negotiating stop loss insurance contracts
- Evaluating and negotiating administrative and insurance bids
- Complying with FAS 106 and FAS 132 guidelines for postretirement benefits
- Complying with FAS 112 guidelines for postemployment benefits
- Providing actuarial expertise for the development of web-based employee benefit decision making tools
Consulting services for public sector clients:
- Preparing actuarial reports to comply with GASB 43 and GASB 45 including analysis of alternative plan designs and funding strategies
- Developing computer models that forecast the implications of state initiatives to reduce the number of uninsured persons
- Evaluating Medicaid capitation rate contracts
- Measuring the actuarial implications of variations to Medicaid coverage and eligibility provisions
Actuarial services for health care providers:
- Determining the financial implications of fee schedules
- Evaluating capitation rate contracts
- Pricing the components of global fee contracts