EPEGA provides the interface between:
The company and the insurer
• Regular updating of the file of members and beneficiaries;
• Control of the reimbursement statements of health files;
• Calculation of contractual contributions;
• Payment of benefits due in the event of an insured person’s work stoppage or death in accordance with the provisions of the contract.
Employees and the insurer
• Support for change requests (choice of options, guarantees, change of address, control of beneficiary designation, etc.);
• Calculation of medical expenses and reimbursement of insured persons;
• Handling of exceptional cases.
