3 Sympl Steps to Analyze Your Health Plan Spend
Analyze your spend. Identify savings. Gain clarity.
Most employers don’t have a clear view of where their health plan dollars go.
Data is scattered. Contracts are vague. And vendors often provide just enough detail to keep you guessing. That’s why we built a simple process to help you collect what matters, so we can show you what’s working and what’s not.
Only 3 Sympl Steps
We make it easy to get started. Here’s what to gather:
Step 1: Enrollment and Fixed Spend
For fully insured groups:
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Monthly invoice with enrollment tiers
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Premium details per enrollee
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Census file (see template below)
For self-funded groups:
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Monthly invoices showing admin fees, broker fees, PBM fees, and stop-loss premiums
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Census file
Step 2: Plan Documents
Send Sympl your:
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Summary of Benefits and Coverage (SBC)
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Summary Plan Document (SPD)
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Most recent renewal proposals from your agent, TPA, or PBM
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Active service agreements and contracts
Step 3: Claims and Utilization History
Provide reporting for the last two plan years and year-to-date:
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Monthly claims with enrollment, admin fees, premiums, and claim costs
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High-cost claimant reports (with dates and case summaries if available)
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Top 20–50 prescription drugs, ranked by total spend
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If available: medical, pharmacy, and professional claims repricing reports
Gather what you need with these templates:
Ready to move forward?
Upload your completed files here. We’ll review them and reach out with next steps.