Plan Document Specialist- Self-Funded Health Plans (TPA)

Description Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Plan Document Specialist, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The Plan Document Specialist is responsible for drafting, revising, and maintaining summary plan descriptions (SPDs), benefit summaries, and related regulatory documents for clients’ employee health and benefit plans. This role supports accurate documentation of self-insured healthcare plans by applying established regulatory guidelines, templates, and internal standards. The Plan Document Specialist works within defined procedures and collaborates with internal teams, brokers, client representatives, and stop-loss carriers. Complex plan designs, regulatory interpretations, or non-standard requests are reviewed with leadership or senior subject matter experts. Key Responsibilities:

• Draft and update Summary Plan Descriptions (SPDs), Summaries of Benefits and Coverage (SBCs), and related documents using approved templates and guidelines.
• Apply federal regulations (ERISA, ACA, COBRA, HIPAA) and internal compliance standards, escalating complex issues as needed.
• Assist with plan amendments and documentation updates in collaboration with internal and external partners.
• Review plan design inputs to ensure documentation accurately reflects approved benefit structures.
• Maintain the electronic plan document library, including version control.
• Respond to routine plan document questions and provide support within defined guidelines.
• Monitor regulatory updates and assist with document revisions as directed.
• Participate in process improvement and document standardization initiatives.

Requirements

• Bachelor’s degree in business, Healthcare Administration, Legal Studies, or a related field (or equivalent experience).
• 2–3 years of experience in benefit plan documentation, compliance support, or plan administration.
• Working knowledge of healthcare plan documents and self-insured benefit structures.
• Familiarity with ERISA, ACA, COBRA, and HIPAA requirements.
• Experience with TPAs, stop-loss carriers, and brokers preferred.
• Proficiency in Microsoft Office and document management systems.
• Strong attention to detail, organization, and written communication skills.

Work Environment & Physical Demands

• Hybrid or remote work availability may be offered based on meeting key performance metrics.
• Prolonged periods of sitting may be required.
• Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request.
• Employees should ensure an ergonomically appropriate desk and chair setup.
• Comfort with being on camera for virtual meetings (e.g., Microsoft Teams)

Benefits: After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including:

• Fantastic medical, dental, and vision insurance*

• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!

• Company provided Basic Life and AD&D
• Company paid Short-Term and Long-Term Disability**

• Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)

• 10+ paid holidays
• Generous paid vacation and sick time
• Annual Volunteer Paid Day
• Annual Tuition Reimbursement
• Annual Health and Wellness Reimbursement
• Lots of fun company events

Who We are: As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue. With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/. Benefit Waiting Period Notes:

• 60 day waiting period
• *90 day waiting period

Apply tot his job Apply To this Job