Relation Insurance Services · 5 hours ago
Health Plan Specialist
United States
Full-time
Remote
New Grad, Entry Level
$26.45/hr - $36.06/hrEdison Health Solutions, a Relation Insurance company, is a leading organization in the insurance market, seeking a Health Plan Specialist. This role involves creating and maintaining compliant health plan documentation and ensuring that all materials meet regulatory requirements while collaborating with cross-functional teams.
ConsultingEmployee BenefitsFinancial ServicesInsuranceRetirement
Responsibilities
Creates, maintains, and updates PHIA-regulated Summary Plan Descriptions (SPDs) and Plan Documents for ERISA and non-ERISA health plans, ensuring compliance with all applicable regulations
Produces Summaries of Benefits and Coverage (SBCs) in accordance with federal and state compliance requirements
Manages plan renewals and drafts plan amendments, ensuring accuracy, consistency, and timely delivery across a high-volume document environment
Supports the production and delivery of 80+ plan documents per month, adhering to established timelines and quality standards
Participates in client implementation meetings to review benefit outlines, clarify plan requirements, and gather all necessary information prior to document creation
Collaborates with cross-functional teams (e.g., implementation, compliance, operations) to ensure plan materials are aligned, compliant, and reflective of client expectations
Conducts quality reviews to confirm plan documents accurately reflect approved benefit designs and regulatory requirements
Maintains organized documentation records and version control in accordance with internal procedures and compliance standards
Performs other projects, duties, and tasks, as assigned
Qualification
Required
High School diploma or equivalent
Bachelor's degree in Business, Health Administration, Public Policy, English, or related field; equivalent experience preferred
Strong writing, editing, and proofreading skills with attention to detail
Basic knowledge of employee benefits and health plan concepts (medical, Rx, dental, vision, HSA/HRA/FSA)
Working knowledge of the laws and regulations associated with HIPAA
Knowledge of and basic understanding of benefit plans & terminology
Willingness to adhere to all principles of confidentiality
Proficiency with Microsoft Word (templates/styles), Excel, and Adobe Acrobat
Ability to manage multiple deadlines in a fast-paced, high-volume environment
Excellent communication and collaboration skills
Preferred
A Life Accident and Health License from state of domicile is preferred
Certified in Healthcare Compliance (CHC) is helpful
Familiarity with plan document generation platforms or template libraries preferred
Exposure to ERISA, ACA, HIPAA, COBRA, MHPAEA, and state benefit mandates preferred
Familiarity with SBC templates and plan document generation platforms preferred
Benefits
Family health and wellness programs
401K
Employee assistance programs
Paid time off
Paid holidays
Company
Relation Insurance Services
Despite our size, Relation feels like a family company. Here, a handshake matters.
Founded in 2007
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2019-02-21Acquired
Leadership Team
Charissa Hartmann
Chief Financial Officer
Brandon Youngfountain
Executive Vice President, Mergers & Acquisitions
Recent News
Mergers & Acquisitions
2025-11-11
2025-08-29
2025-08-26
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