Employee Benefits Insurance
Benefit Plan Administrators, Inc.This business is NOT BBB Accredited.
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Complaints
Customer Complaints Summary
- 6 total complaints in the last 3 years.
- 0 complaints closed in the last 12 months.
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Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:06/21/2023
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
During 2022, my employer used bpa bestlife for employee health insurance. bpa bestlife stated in their insurance documents that preventative care is covered at 100%. To receive care, it was required to contact a 3rd party to get permission/recommendation to see a specific medical provider. Several days prior to my annual preventative visit (which occured mid-December of 2022), I contacted the 3rd party to get permission to see my provider and they told me it would be covered since it was preventative. Then, I saw my provider for my annual preventative visit as normal. Since then, bpa bestlife has lied consistently - saying over and over they would process the claim. However, we are over six months out, and bpa still refuses to pay any of the claim. My bill nearly went to collections because of their refusal to insure the services as they promised they would in their insurance documents - and I ended up having to make a payment to ensure it would not go to collections. Additionally, they have lied and said I did not contact the 3rd party prior to my visit and did not have "certification" to see my provider for this preventative visit. I want bpa to either pay my claim in full immediately or return my premiums to me. They have alternated between not communicating and being extremely dishonest in their communications the entire time I've been in contact with them. This is an extremely dishonest and unethical company, and I just want them to fulfill what they promised to do and pay for the services I received as their documents and 3rd party company promised to do. I would warn any employer or individual considering using bpa bestlife to stay far, far away!! They will take your money and then not provide the coverage they advertise and promise to provide.Initial Complaint
Date:05/03/2023
Type:Billing IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
BPA Bestlife was our health insurance provider from the period of 3/1/22 - 2/28/23. Our families experience with them has been beyond frustrating. They have not been able to provide us with an itemized list of our transactions. By our records we reached our deductible in the summer and yet, they are still reporting that we hadn't reached it. We were charged out of pocket on medications that should've been covered. The medical side of the plan was not connecting with the pharmacy side, SO, because we have a high deductible plan, all pharmacy and medical transactions should go toward either our in network or out of network deductible, but the prescriptions weren't appearing on the medical side. I was charged for a ********* test which by law should've been covered in my age category, yet I had to pay over $400 OOP for it. The list goes ON AND ON!!!! We have asked since December for an itemized list of every transaction so that we can confirm our suspicions that they owe us hundreds, if not thousands of dollars. We've gotten nowhere. We most recently were told that we had to wait for 1 month past the last day of the plan to conclude so that they had time to finish out the policy year. That date would've been March 30, 2023. It is now May 3 and we still haven't received anything. I reached out to the CEO via ****** in and was told to download the list of transactions from their online portal. On the online portal only a portion of our family is appearing. This is frustrating and a huge waste of mine and my husband's time.Initial Complaint
Date:11/09/2022
Type:Customer Service IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My employer used BPA Bestlife as our insurance carrier from Jan 2021- jun 2022. One of my care providers was in-network at our previous insurance company, but not at BPA, so I began paying out of pocket and submitting receipts for partial reimbursement. I submitted my last batch of receipts on July 7th, 2022 and was told it would be processed within 60 days. BPA customer service says it shows as “processing” in their system but they cannot give me an expected date for issuing the $980 check I am owed. I have reached out to the customer service company (***** **********) that acted as a liaison with BPA and they have not had any success getting answers either.Initial Complaint
Date:09/13/2022
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I had routine preventative bloodwork from an in-network provider on 2/14/22. My plan with BPA states that there is no cost for preventative lab work and a $50 copay for other lab work in- network. However, BPA is stating the claim for in-network preventative blood work at the price of $107 is not covered. This should be covered by my plan. I have talked to several of their customer service employees who agree with me and keep sending it back to claims. This has been going on since May with no result or payment. I would just like them to pay the bill to the provider as this is what I am covered for and why I pay them a monthly premium.Business Response
Date: 09/22/2022
I have determined that the service date in question was processed with the incorrect coverage code.I reprocessed the claim, and the claim is set to pay out at the full network allowance with no member responsibility. Please see attached reprocessed EOB.Please let me know if there are any questions.Customer Answer
Date: 09/27/2022
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. Regards, ****** *******
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