WE’VE ALL GOT A
PAYMENT PERSONA. WHAT’S YOURS?
THE
THE
THE
VISIONARY
CLOSER
RENOVATOR
You started to transition to electronic payment processing, but the conversion has stalled or failed. You’re not giving up and you’re looking for a proven solution to get you to the finish line.
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We all may fall into different groups, but no matter your type,
ECHO® IS THE ANSWER. That’s what we call Payments Simplified®. sales@echohealthinc.com | 440.835.3511
ADVERTISERS 58
AmWINS Group Benefits
108
Arbor Benefit Group, L.P.
29
Benefit Indemnity Corporation
95
BenefitMall
31
ClaimDOC
121
CPR Strategic Marketing Communications
135
Crum & Forster
117
ECHO Health, Inc.
Inside Front Cover
Golden Triangle Specialty Network, LLC
52
Hannover Re
110
Health Cost Control
131
Hi-Tech Health, Inc.
72
Homestead Smart Health Plans
132
Insurance Program Managers Group
122
CONTENTS
S E CT I O N
Accresa
1
THIRD PARTY ADMINISTRATORS (TPAs) ..........................................................................6 Life & Health/Employee Benefits
2
THIRD PARTY ADMINISTRATORS (TPAs) .......................................................................22 Property & Casualty/Workers’ Compensation/Captives
3
MANAGING GENERAL UNDERWRITERS (MGUs)......................................................28 Medical Stop-Loss Carriers – Life & Health/Employee Benefits
4
MGU/EXCESS INSURANCE CARRIERS ........................................................................47 Property & Casualty/Workers’ Compensation/Captives
5
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS ...............................................49
6
TECHNOLOGY VENDORS.....................................................................................................57
Madison Scottsdale Insurance Asset Management
88
7
BROKERS & CONSULTANTS ..............................................................................................68
Midlands Management Corporation
24
8
UTILIZATION REVIEW/CASE MANAGEMENT ............................................................... 80
National Underwriting Services, Inc.
105
9
ATTORNEYS ..............................................................................................................................85
10
FINANCIAL SERVICES ...........................................................................................................86
11
ACTUARIES, ACCOUNTANTS & AUDITORS ..................................................................90
12
CONSUMER DRIVEN HEALTH CARE ............................................................................. 94
13
CAPTIVE MANAGEMENT SERVICES .............................................................................. 99 Risk Retention Groups (RRGs)
14
REINSURANCE ......................................................................................................................107
15
INTERNATIONAL ....................................................................................................................116
16
SUBROGATION .....................................................................................................................118
Next Level Administrators
27
NorthWind, LLC
39
NTT DATA HealthCare Staffing Services
64
OneArk Suite
76
Renalogic
26
SCOR
113
Swiss Re Corporate Solutions
43
UMR
21
United Claim Solutions
Outside Back Cover
Voya Employee Benefits
46
17
LOSS PREVENTION/CONTROL SERVICES ...............................................................120
WC Bundled Payments
67
18
PUBLICATIONS/RESOURCES ........................................................................................125
138
19
TRADE ASSOCIATIONS ......................................................................................................126
Inside Back Cover
20
REFERENCE BASED PRICING SERVICES..................................................................128
21
OTHER ......................................................................................................................................134
22
INDEX ........................................................................................................................................140
WellDyneRx Zelis Healthcare
PRESIDENT Erica Massey EDITOR Jennifer Ivy DIRECTOR OF OPERATIONS Justin Miller ACCOUNTING Grace Chen DIRECTOR OF ADVERTISING Shane Byars Published as a community service by: SELF-INSURERS’ PUBLISHING CORP. P.O. 1237, Simpsonville, SC 29681 888.394.5688 www.sipconline.net
©2018/2019 SELF-INSURERS’ PUBLISHING CORP. All listing information contained herein was supplied by the individual companies, and SIIA/SIPC is not responsible for statements made, or for their accuracy. SIIA/SIPC urges readers to check references prior to contracting the services of any company listed. Statements of fact and opinion made are the responsibility of the companies alone, and do not imply an opinion on the part of the officers, directors, staff or members of SIIA/SIPC.
888.394.5688
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THE SELF-INSURANCE INSTITUTE OF AMERICA, INC. (SIIA) is a dynamic, member-based association dedicated to protecting and promoting the business interests of companies that utilize self-insurance/captives or are involved in the industry, both domestically and internationally. SIIA is truly a “one-stop-shop” for companies looking for a single association to meet all of their informational, educational, networking and legislative/regulatory representation needs. To complement its role as the “umbrella” association for the self-insurance/captive industry, SIIA operates the following membership sections to facilitate more targeted membership benefits. Health Care • Captive • Workers’ Compensation • International
SIIA DELIVERS MEMBERSHIP SERVICES IN FOUR MAIN AREAS:
PROTECTING & PROMOTING SELFINSURANCE/CAPTIVE ON CAPITOL HILL
I. Legislative/Regulatory Representation
SIIA is the only self-insurance/captive association that has a full-time lobbying presence in Washington, DC. When members of Congress need guidance on self-insurance/captive issues, they turn to SIIA. To complement its effective direct lobbying capabilities, SIIA engages its members through a variety of communications and activities, including:
SIIA is the leading advocate for the legislative/regulatory interests of the self-insurance/captive industry at both the state and federal level.
II. Education
For nearly three decades, SIIA has been producing cutting-edge educational content for its members through a variety of educational forums big and small. No other organization has such an extensive professional network of recognized industry experts to put together and deliver education like SIIA does.
III. Information
No matter where their business takes them, SIIA members are assured a steady flow of critical information and industry insights from a variety of electronic and printed communication products. Our website and regular member communications, which include the State Regulatory Reports and the monthly Self-Insurer Magazine, look beyond the headlines to give members a sense of what every development means to their business.
IV. Networking
SIIA’s members are the leaders in the self-insurance/captive industry and they know the importance of making the right contacts and maximizing their business opportunities through networking. SIIA’s Annual National Conference and other targeted events and conferences throughout the year give executives and employees valuable time to connect with the people they need to know in order to promote the success of their businesses.
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• STATE REGULATORY REPORTS
An electronic newsletter covers the news and events taking place on Capitol Hill of specific interest to companies involved in the selfinsurance/captive industry.
• SPECIAL BULLETINS
In-depth reports focused on developing legislative/regulatory stories.
• LEGISLATIVE BILL TRACKING
Summaries of all key federal Senate and House bills from introduction to passage.
WELCOME We are pleased to deliver the 32nd Edition of the Self-Insurance Solution Provider Directory published by Self-Insurers’ Publishing Corp. (SIPC), in conjunction with the Self-Insurance Institute of America, Inc. (SIIA). The Self-Insurance Solution Provider Directory has served as a top resource for professionals in the self-insurance industry, and for anyone that is interested in exploring self-insurance, since 1987. We would like to give special recognition and thanks to our advertisers, SIIA members and the affiliates who continue to play a prominent role in the success of our organization and the self-insurance industry.
Sincerely, Erica Massey
President Self-Insurers’ Publishing Corp.
888.394.5688
[5]
SECTION
1
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
A New World Medical Network
Cathy M. Nenninger, MBA, Chief Executive Officer
29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.� 14 quality facilities across the U.S.A. win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
ACS Benefit Services, LLC
Kari Niblack Esq., Chief Executive Officer 8025 North Point Boulevard, Suite 100 Winston Salem, NC 27106 - United States PHONE: (336) 759-2013 EMAIL: kniblack@acsbenefitservices.com WEB: www.acsbenefitservices.com
ACS is committed to investing in the future - your future. We take the time to align your strategic goals with your benefit plan and continually expand our product portfolio and cost containment solutions delivering optimal plan data reporting to build customized benefit solutions. Building better health plans is what we do.
Advance Benefit Management Systems, Inc. Randy Wright FLMI, HIA, President
800 Jesse Jewell Parkway, SW, Suite 200 Gainesville, GA 30501 - United States PHONE: (844) 624-0404 EMAIL: rwright@aimssc.com WEB: www.aimssc.com Advance Benefit Management Systems, Inc. (ABMS) represents the Highest Level of Systems Support for any Self-Insured Program. Our Claims System, SynthCare is Cloud Based, Completely ICD 10 Compliant and Utilizes Real-Time Adjudication. We can Service Single Employer, MCO Medicaid, Fully Insured and Backroom (Private Label) Operations.
Advanced Medical Strategies Stacy Borans, Founder/Chief Medical Officer 50 Salem Street, Building A Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: stacy.borans@mdstrat.com WEB: www.mdstrat.com
AMS is the Industry leader in strategic intelligence software for combatting emerging high-cost claim issues. AMS provides software-enabled healthcare solutions delivering crucial insight into catastrophic diagnoses, specialty pharmaceutical, and implant price transparency through clinically vetted, predictive financial analytics with near real-time data.
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Affordable Benefit Administrators, Inc.
Marie Ackad, Marketing Operations Manager 444 Irving Drive, Suite 202 Burbank, CA 91504 - United States PHONE: (800) 350-0148 EMAIL: m_ackad@benefitsaba.com WEB: www.benefitsaba.com
1
Allegiance Benefit Plan Management, Inc. Dirk Visser
2806 South Garfield Street Missoula, MT 59801 - United States PHONE: (406) 523-3175 EMAIL: rayni.lenz@askallegiance.com WEB: www.AskAllegiance.com At Allegiance, we measure our success by the value we deliver to our customers. We take a consultative, team-based approach with each of our clients to be their overall resource for employee benefits. Our experience, flexibility, and technology ensures fast, accurate claims processing together with high-touch customer service.
AmeriHealth Administrators Dennis Foley, Vice President - Sales 1900 Market Street, Suite 500 Philadelphia, PA 19103 - United States PHONE: (215) 830-2709 EMAIL: Sales@ahatpa.com WEB: www.ahatpa.com
AmeriHealth Administrators, Inc. has a history of innovation in managing self-funded health plans, and providing business process outsourcing services for insurers and payers. We listen, anticipate, and respond by leveraging technology and carefully crafting strategies, tools, and services to help customers manage solutions for next generation health care. Visit ahatpa.com
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing Project Manager
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
Third Party Administrator specializing in Medical, Dental, & Vision Self-funded Plans. COBRA, HSA/HRA administration; Packaging EPO/PPO networks; Utilization Review/Case Management; Cafeteria Plans Administration; Insurance and Stop Loss Access with Traditional and Innovative stop loss design. We also specialize in creating and managing custom plan designs based on Fair Market Value Pricing Model.
50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
888.394.5688
[7]
AudioNet America, Inc.
1
Kevin Crudder, Labor/Account Representative
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
33830 Harper Avenue Clinton Township, MI 48035 - United States PHONE: (586) 944-0043 EMAIL: Kevin@audionetamerica.com WEB: www.audionetamerica.com
AudioNet America is a licensed Third-Party Administrator & National Network Manager specializing in hearing benefit administration. Our “Audiologist Only” network has over 4,400 Audiologists/ENTs at over 7,700 locations. AudioNet works under a bundled payment arrangement with a plan design that includes professional services/hearing aid(s) with no balance billing.
AvMed Leda Silver, ASO Sales Operations Manager 9400 South Dadeland Boulevard, Suite 370 Miami, FL 33156 - United States PHONE: (305) 671-4749 EMAIL: leda.silver@avmed.org WEB: www.avmed.org
AvMed works with employers to deliver best-in-class self-funded programs for employers that maximize benefits and minimize costs. We tailor our programs to meet the needs of their companies, encouraging employees to live healthier lives and helping employers maintain a healthy and productive workforce, while controlling overall costs.
Benefit Management Administrators Tammy Cooper, Sales & Marketing Director 11550 West IH-10, Suite 220 San Antonio, TX 78230 - United States PHONE: (800) 934-6302 EMAIL: sales@bmatpa.com WEB: www.bmatpa.com
Benefit Management Administrators – an administrator of self-funded benefit plans – makes Employers’ lives easier by helping them reduce employee benefit costs, stay in compliance with HIPAA, and have transparency about healthcare spending. Employers of all sizes rely on BMA as their partner for implementing cost-effective employee benefit strategies.
Benefit Plan Administrators, Inc. Tom Cardwell, Vice President Marketing and Strategic Planning 707 South Jefferson Street Roanoke, VA 24022-1746 - United States PHONE: (244) 532-8613 EMAIL: tcardwell@bpatpa.com WEB: www.bpatpa.com
Offering unique solutions to self-funded employers. Our programs bring to our clients innovative solutions that help in managing the cost and quality of care to assist in managing the risk of a self-funded employer.
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BSI Companies
Jane VanBergen, Director of Marketing 304 Ridgeland Drive Greenville, SC 29601 - United States PHONE: (864) 370-0711 EMAIL: jvanbergen@bsicompanies.com WEB: www.bsicompanies.com
1
Cognizant Technology Solutions
Laura Gerling, Director, Product Management 500 Frank West Burr Boulevard Teaneck, NJ 07666 - United States PHONE: (640) 428-5207 EMAIL: laura.gerling@cognizant.com WEB: www.cognizant.com
Cognizant is a leading professional services company, transforming clients’ business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run innovative and efficient businesses. Cognizant’s TriZetto Healthcare Products software solutions help enhance revenue growth, drive administrative efficiency, and improve cost and quality of care.
Complete Benefit Administration, Inc. Kenneth Meyer, President
1580 South Milwaukee Avenue, #505 Libertyville, IL 60048 - United States PHONE: (513) 504-4333 EMAIL: kmeyer@completebenefitadmin.com WEB: www.completebenefitadmin.com Hi-tech employer self-funded TPA with a focus on any group size from 2 and up. Our goal is to excel in service and cost containment.
Considine & Associates HealthClaim Solutions®
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
BSI Companies is a privately held company specializing in claims administration for self-insured entities. Our team of experts has over 100 years’ experience in high deductible workers’ compensation, general liability, group health and life. We offer an exceptional level of personal service at a competitive price point, while delivering measurable savings to our clients via state of the art technology and innovative cost containment strategies. Headquartered in Greenville, SC, BSI’s commitment to customized client solutions makes us a valued partner in the industry. For more information visit www. bsicompanies.com or call 800-421-9139.
Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
888.394.5688
[9]
Consociate
1 THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
Darren Reynolds, Chief Executive Officer & President 2828 North Monroe Street Decatur, IL 62526 - United States PHONE: (800) 798-2422 EMAIL: darrenr@consociate.com WEB: www.consociate.com
Consociate Health partners with employers as a trusted advisor to deliver innovative employee benefits programs, healthcare plan administration, healthcare management, and wellness initiatives. Consociate Health is a leading expert in the healthcare industry-providing high-touch, personalized service guided by proprietary data and analytics.
Consolidated Health Plans
Ben Larsen, Marketing & Communications Manager 2077 Roosevelt Avenue Springfield, MA 01104 - United States PHONE: (413) 733-4540 EMAIL: marketing@consolidatedhealthplan.com WEB: www.consolidatedhealthplan.com
Consolidated Health Plans (CHP), a Berkshire Hathaway company, provides student health insurance, mandatory and sports accident plans, and international and study abroad solutions to colleges and universities. CHP also provides traditional and voluntary employee benefits products to employers nationwide.
CoreSource
Erin Polis, Marketing Director 400 Norh Field Drive Lake Forest, IL 60045 - United States PHONE: (847) 283-2496 EMAIL: epolis@coresource.com WEB: www.coresource.com
CoreSource’s expertise and dedication to clients has propelled them to become one of the nation’s leading administrators of self-funded employee health plans. With an innovative and evolving suite of solutions, CoreSource designs personalized and comprehensive benefit plans — all aimed at reducing clients’ healthcare spend without sacrificing access and quality of care.
Custom Design Benefits Amanda Guinan
5589 Cheviot Road Cincinnati, OH 45247 - United States PHONE: (800) 598-2929 EMAIL: aguinan@customdesignbenefits.com WEB: www.customdesignbenefits.com Custom Design Benefits (CDB), founded in 1991, is Cincinnati’s largest, independent Third Party Administrator of selffunded health benefit plans and consumer-driven services as well as compliance solutions. CDB is recognized as a national leader in the development and implementation of reference-based-pricing plans and other healthcare strategies.
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DAKOTACARE Administrative Services, Inc. (DAS)
Greg Jasmer, Director of Business Development and Integration 2600 West 49th Street Sioux Falls, SD 57105 - United States PHONE: (605) 274-3166 EMAIL: Greg.Jasmer@dakotacare.com WEB: www.dakotacare.com
1
Delta Health Systems
Rich Roge, President 3244 Brookside Road Stockton, CA 95219 - United States PHONE: (209) 939-3485 EMAIL: Rich.roge@delapro.com WEB: www.deltahealthsystems.com
TeamCare is a full service wellness company that engages employees, reduces claims and increases healthcare savings through a proven suite of integrated solutions. Our comprehensive approach to wellness gives employers unparalleled insight into their workforces’ health and the tools necessary to effectively reduce population health risk.
Direct Care Administrators Tana Taylor, Vice President
P.O. Box 5000 Bountiful, UT 84010 - United States PHONE: (801) 390-9241 EMAIL: tana@directcareadministrators.com WEB: www.directcasreadministrators.com Independently owned TPA serving employers/ brokers for 20+ years. The name derived from the concept of bringing best in class products and service directly to our clients and symbolizes our company’s goal of delivering cost competitive plans with uncompromising personal service and flexibility while managing and eliminating plan costs.
Diversified Group Brooks Goodison, President
369 North Main Street / P.O. Box 299 Marlborough, CT 06447 - United States PHONE: (888) 322-2524 EMAIL: bgoodison@diversifiedgb.com WEB: www.dgb-online.com
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
DAS has over 25 years’ experience as a third party administrator for self-funded health plans as well as outsourced administrative services to other payers. DAS specializes in medical, dental, and vision claims payment services as well as subrogation, COBRA/FLEX/HSA/HRA/STD administration, and population health management with real-time analytics and reporting solutions.
The Diversified Group was built on the premise that self-funded plans are the most cost effective and transparent health insurance option for most companies across the country. We have been administering self-insured health plans for 50 years. Our experience allows us to provide comprehensive and cost effective approaches to healthcare.
888.394.5688
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Employee Plans, LLC
1
Deb Eovaldi, Director
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
1111 Chestnut Hills Parkway Fort Wayne, IN 46845 - United States PHONE: (800) 964-7444 EMAIL: deb.eovaldi@employeeplansllc.com WEB: www.employeeplansllc.com Employee Plans, LLC is located in Fort Wayne, Indiana. Our focus is to create long term relationships by partnering with the broker and employer community, listening to the needs and designing programs that align with the client’s strategic objectives. Our knowledgeable, creative and analytical staff ensures a successful program.
Exceedent
Todd Kuehl, National Vice President of Sales W129 N7055 Northfield Drive Menomonee Falls, WI 53051 - United States PHONE: (844) 532-5200 EMAIL: todd.kuehl@exceedenthealth.com WEB: www.exceedent.com
Exceedent is an innovative full-service third-party administrator (TPA) that specializes in serving self-funded employers locally and nationally. Exceedent delivers an optimized health and wellness planning experience that provides employers with assets and solutions they should expect from their health care benefit administrator.
Gilsbar Doug Layman, President of Health & Life 2100 Covington Centre Covington, LA 70433 - United States PHONE: (800) 445-7227 EMAIL: gilsbarmarketing@gilsbar.com WEB: www.Gilsbar.com
For more than half a century, Gilsbar has offered services and solutions for businesses looking for happier constituents and healthier bottom lines. As one of the nation’s largest privately held health and benefits management organizations, Gilsbar delivers an unwavering commitment to partnerships guided by a corporate vision focused on the clients we serve— employers, brokers, consultants, affinity groups, insurance carriers and more. These professionals choose Gilsbar for our innovation, ingenuity, knowledge and world-class service. Our expertise makes Gilsbar the trusted choice for clients across the nation.
Global Benefits Group (GBG)
Miranda Milke, Marketing & Communications Manager 27422 Portola Parkway, Suite 110 Foothill Ranch, CA 92610 - United States PHONE: (888) 824-6627 EMAIL: miranda.milke@gbg.com WEB: www.gbg.com
Global Benefits Group (GBG) is the largest independent, fully integrated provider of international benefits in the world. Because of our unique underwriting platform, GBG can offer a multitude of insurance products – including TPA services – to individuals and groups of any size anywhere in the world.
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www.sipconline.net
Golden Triangle Specialty Network, LLC
Scott E. Williams, Senior Vice President P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
1
Group & Pension Administrators, Inc. Kathy Enochs, Chief Operating Officer 12770 Merit Drive, Suite 200 Dallas, TX 75251 - United States PHONE: (972) 744-2530 EMAIL: kathye@gpatpa.com WEB: www.gpatpa.com
Since 1968, GPA has delivered the highest-quality, custom healthcare services to self-insured employers and their members. The driving force behind this success is this simple fact: We Care. GPA is the largest privately owned TPA in the Southwest. It has long-standing client relationships with high satisfaction levels Serving Fortune 500 companies and smaller industry leaders, GPA offers customized total wellness solutions with proven savings and outcomes. Innovative GPA Nurse NavigatorSM service supports wise consumerism, and GPA has an entrepreneurial culture with ongoing investment in the future.
Hawaii-Mainland Administrators Jeremy E. Ramsland, Director, Managed Care Contracting 1600 West Broadway Road, Suite 300 Tempe, AZ 85282 - United States PHONE: (480) 921-8944 Ext. 3214 EMAIL: jeremy.ramsland@hmatpa.com WEB: www.hmatpa.com
HMA, LLC is one of the largest third party administrators in the country. Based in Tempe Arizona, HMA works with small to large self-insured groups including municipalities, Native American Tribes, Taft Hartley Trust Plans, etc. We would love to have an opportunity to work with you!
Health One Alliance
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
GTSN the most trusted Dialysis cost management solution for payors nationally. Now, GTRx Specialty Pharmacy NetworkSM continues our reputation of service and guaranteed safe discounts, with a focus on your Medical Spend. Free review (single case or data dump). Nothing to lose and so much more to save!
Mark Mixer, Chief Executive Officer 1503 North Tibbs Road Dalton, GA 30720 - United States PHONE: (877) 668-1015 EMAIL: mmixer@alliantplans.com WEB: www.alliantplans.com
A provider owned network and insurance company with systems that are provided in the local community of North Georgia. Twenty-one year old company with strong network access and customization capabilities.
888.394.5688
[13]
Health Plans, Inc.
1
Deborah Hodges, President
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
1500 West Park Drive, Suite 330 Westborough, MA 01581 - United States PHONE: (508) 475-6105 EMAIL: cmagnusson@healthplansinc.com WEB: www.healthplansinc.com Health Plans, Inc. (HPI), a Harvard Pilgrim company, is a forward-thinking, national TPA with entrepreneurial spirit. Our flexible, innovative approach, along with our commitment to quality, technology and personalized service, enable us to solve unique challenges and deliver better value to our self-funded clients and their employees.
Healthcare Management Administrators Lindsay Harris, Chief Client Officer
220 120th Avenue North East, Suite 200 Bellevue, WA 98005 - United States PHONE: (425) 462-1000 EMAIL: Lindsay.Harris@accesstpa.com WEB: www.accesshma.com HMA believes that good healthcare should improve health. So we help companies take better care of people by taking better care of companies. We combine the best network in the Pacific Northwest with the most dedicated team in the industry to deliver great choices with outstanding service. The result is healthier futures at lower costs.
HealthComp Keri Dixon, Vice President Marketing & Account Management 621 Santa Fe Street Fresno, CA 93721 - United States PHONE: (559) 312-2551 EMAIL: kdixon@healthcomp.com WEB: www.healthcomp.com
With over 330,000 members, HealthComp is one of the nation’s leading independent health plan administrators. We have a proven track record managing health care costs, delivering unparalleled service and member experience and providing insights through our proprietary analytics solution, resulting in an NPS of 77 (>6x higher than industry average).
HealthSCOPE Benefits Mary Catherine Person, President & Chief Executive Officer 27 Corporate Hill Drive Little Rock, AR 72223 - United States PHONE: (501) 225-1551 EMAIL: mary.person@healthscopebenefits.com WEB: www.healthscopebenefits.com
HealthSCOPE Benefits is a full service claims administration and health management firm providing administrative and other support services to self-funded employers. As the fourth largest Third Party Administrator (TPA) in the country (and the largest independent TPA operating without ownership of an insurance carrier), HealthSCOPE Benefits goes beyond the offerings of a traditional administrator. Headquartered in Little Rock, AR, HealthSCOPE Benefits administers benefits in all 50 states for more than 500 clients and more than 700,000 members. The company’s 800 employees support clients in the management of greater than 1.6 billion in annual healthcare expenditures.
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www.sipconline.net
HealthSmart Ron Wozny, Vice President of Marketing
1
HealthSmart is one of the largest independent third party administrators and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workers’ compensation.
Hi-Tech Health, Inc.
Michael Carrara, President 1500 Route 517 Hackettstown, NJ 07840 - United States PHONE: (908) 813-3440 EMAIL: mcarrara@hi-techhealth.com WEB: www.hi-techhealth.com
If you’re a “startup” Third Party Administrator, just entering the self-insurance industry, an insurance company, union, large corporation, or small brokerage firm wanting control of your client’s health care claims through a turnkey, customized Claim Administration System, then your organization needs Hi-Tech Health, Inc. Please visit our website for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.
HRMP, LLC John Mange, President
300 Rosewood Drive, Suite 250 Danvers, MA 01923 - United States PHONE: (978) 762-9780 EMAIL: jmange@hrmp.com WEB: www.hrmp.com HRMP is a distinctive third-party administrator positioned to offer creative solutions to underwriters, insurance carriers, and reinsurers. Our unique solutions include back office or run-out administration, auditing services, life conversions, and more. We’ll be there for you because Our Success Can Only Follow Yours.®
Indiana Public Employers Plan (IPEP)
Patrick Downey, Executive Vice President 302 South Reed Road, P.O. Box 1247 Kokomo, IN 46903 - United States PHONE: (800) 382-8837 EMAIL: pdowney@ipep.com WEB: www.ipep.com
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
222 West Las Colinas Boulevard, Suite 500 N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: ron.wozny@healthsmart.com WEB: www.healthsmart.com
IPEP is the leading provider of health and workers comp coverage for Indiana public employers.
888.394.5688
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Insurance Program Managers Group
1
Gregg Peterson, President/Chief Executive Officer
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
For over 20 years IPMG has provided exceptional, integrated insurance services. Whether through Specialty Programs, Workers Compensation TPA, Employee Benefits TPA, Risk Management Services or integration of all, IPMG is continually seeking the most innovative approach to address your specific needs. IPMG: the right partner for the right result.
Interactive Medical Systems - IMS Eric Ludwig, President
11635 Northpark Drive, Suite 330 Wake Forest, NC 27587 - United States PHONE: (919) 882-5318 EMAIL: ELudwig@IMS-tpa.com WEB: www.IMS-tpa.com For over 35 years Interactive Medical Systems has designed benefit packages that save money while providing the best possible health care for Plan members. IMS provides services for over 200 groups, including self-funded Health, Dental & Vision Plans (RBP & PPO), and HSA, FSA, HRA, and COBRA administration.
IPCS Thomas Gilliam, President
1696 Georgetown Road, Suite B Hudson, OH 44236 - United States PHONE: (330) 283-4131 EMAIL: tgilliam@ipcs-inc.com WEB: www.ipcs-inc.com
IPCS offers physical strength evaluations allowing employers to evaluate their workforce and lower healthcare cost. IPCS determines a candidate’s physical capability for new hire positions, return to work, and the risk for certain diseases among their current employees. IPCS prevents employers from HIRING THE CLAIM!
Key Benefit Administrators Craig Frazier, Vice President, Human Resources 534 Rivercrossing Drive, Suite 200 Ft. Mill, SC 29716 - United States PHONE: (803) 396-4837 EMAIL: craig.frazier@keybenefit.com WEB: www.keybenefit.com
Key Benefit Administrators (KBA) is a nationally recognized employee benefit expert because of our competency in working with complex healthcare administration and risk management. Our process is patented by the US Patent Office, resulting in 98% of our customers experiencing a reduction in their healthcare costs in relation to the current medical trend.
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www.sipconline.net
Lucent Health Alex Arnet, Chief Commerical Officer
1
Lucent Health is committed to pushing beyond the broken and antiquated insurance structures to empower you to take control of health benefits for your employees. With customized plans, data engineering, and superior care experiences, Lucent Health provides proactive healthcare solutions for your people.
MCA Administrators, Inc. Charles Davidson, President
1910 Cochran Road, Suite 605, Manor Oak Two Pittsburgh, PA 1521520 - United States PHONE: (412) 638-3694 EMAIL: ced@mcoa.com WEB: www.mcaadministrators.com SBA Certified Small Woman Owned Business. TPA for over 40 years. Processes all lines of medical, dental, vision, FSA, HRA, Taft Hartley, UR/UM. Willing to act as subcontractor/vendor for RFPs requiring minority or women owned participation.
MCM Solutions For Better Health Tara Metzner, Director, Strategic Accounts 200 West Monroe Street, Suite 1850 Chicago, IL 60606 - United States PHONE: (503) 886-9640 EMAIL: tmetzner@medicalcost.com WEB: www.medicalcost.com
Are you positive that the health care benefits you are receiving are right for you? MCM Solutions for Better Health takes pride in our seamless implementation of progressive solutions for our clients. Our 30 years of experience consisting of utilization management, case management, disease management, and wellness programs gives our clients access to absolute optimal health care. With our history of longevity in the industry, we have established successful relationships with the best-in-class TPAs, brokers, reinsurance carriers, reference-based pricing and cost containment companies across the U.S. The ability to work closely with our vendor partners gives us the unique opportunity to create the optimum comprehensive healthcare solution for our clients. Let us do the work for you! Learn more about MCM Solutions for Better Health at www.medicalcost.com.
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
211 Commerce Street, Suite 601 Nashville, TN 37201 - United States PHONE: (612) 940-0141 EMAIL: alex.arnet@lucenthealth.com WEB: www.lucenthealth.com
Nova Healthcare Administrators Todd Martin
6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com Evolving over the last 30 years, Nova manages trend to reduce health care spend and improve health plan performance. A partnership with Nova provides clients with traditional administrative services and private-labeled solutions. Nova offers personalized service with a tailored approach to cost management and customized, actionable health plan strategies.
888.394.5688
[17]
OneArk Suite
1
Tim Sanderson, Director of US Sales
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
3340 Peachtree Road, Suite 1800 Atlanta, GA 30326 - United States PHONE: (918) 605-9544 EMAIL: tsanderson@onearksuite.com WEB: www.onearksuite.com
OneArk Suite is the new generation pharmacy claims adjudication platform. Our state-of-the-art web based proprietary technology helps PBMs to improve the overall performance and increase your client retention. This technology can be purchased as an Application Service Provider (ASP), on per claim basis. OneArk is a clinically intelligent pharmacy claim adjudicator and is very user friendly. It was designed from a clean canvas to the cloud to give ultimate flexibility but in a powerful and secure environment. With our technology you can access a wide range of reporting and analytical tools for decision support and subsequent management of quality and costs of your pharmacy benefit offering.
Pequot Health Care Kathy Kukowski, Sr. Account Executive 1 Annie George Drive Mashantucket, CT 06358 - United States PHONE: (860) 396-2058 EMAIL: kkukowski@prxn.com WEB: www.pequothealthcare.com
Comprehensive Employee Benefit and Pharmacy Benefit Administrators for Self-Funded Employers.
Planned Administrators, Inc.
Clay Kelley, Director of Sales 17 Technology Circle Columbia, SC 29203 - United States PHONE: (800) 768-4375 Ext. 3117 EMAIL: ckelley@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering flexibility and customization in benefit plan designs. PAI specializes in administration of Self-Funding, Specialty Products, ACA Compliant plans, voluntary options, Property and Casualty products and services and Population Health options. PAI is dedicated to service excellence and minimizing cost for our clients.
ProAct, Inc. David Warner, President
6333 Route 298 East Syracuse, NY 13057 - United States PHONE: (315) 413-7780 Ext. 3201 EMAIL: davewarner@proactrx.com WEB: www.proactrx.com ProAct is a pharmacy benefit management company that provides innovative, affordable and flexible solutions for clients. ProAct services a diversified client base consisting of school districts, higher education, municipalities, hospitals and healthcare providers, corporations, labor unions, not-for-profit organizations, financial institutions and manufacturers. Our unique solutions provide customized cost-effective prescription benefits.
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Renalogic
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
1
Sanus Health Corporation Maria Ana Junquera, Executive Director, International Business Development 9600 NW 38th Street, Suite #300 Doral, FL 33178 - United States PHONE: (305) 572-9756 Ext. 300 EMAIL: mjunquera@sanushealth.com WEB: www.Sanushealth.com
Sanus Health Corporation, an international TPA, offers some of the most significant discounts in the industry. Worldwide our network consist of over 10,000 hospitals, including the top 100 hospitals in the US. Sanus offers over 40 health related services including; scheduling, case management, discharge planning, bill reviews and re-pricing, audits and pharmacy.
SISCO Dick Sigwarth, Vice President and Chief Operating Officer 800 Main Street Dubuque, IA 52001 - United States PHONE: (563) 587-5285 EMAIL: dsigwarth@siscobenefits.com WEB: www.siscobenefits.com
Established in 1980, SISCO is a premier third-party administrator offering innovative cost control solutions, high quality customer service and intergrated medical management and wellness services. SISCO administers plans with expert care and diligence, carefully examining all claims prior to adjudication and encouraging frequent communication with our inhouse nursing staff.
Summit Administration Services
Michelle McGowan, Director of Account Management P.O. Box 25160 Scottsdale, AZ 85255 - United States PHONE: (888) 690-2020 EMAIL: michelle@summit-inc.net WEB: www.summit-inc.net
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
Summit Administration Services, Inc. formed in 1996 as a fully licensed Third Party Administrator. Summit provides handson, concierge-type service and benefits administration to clients in the private and public sectors, Employee Benefit Trusts, School Districts, and Tribal health plans.
888.394.5688
[19]
TCC Benefits Administrator
1
Phil Ericksen, Sr. VP and Chief Marketing Officer
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
4400 Leeds Avenue, Suite 130 North Charleston, SC 29405 - United States PHONE: (843) 722-2115 EMAIL: pericksen@tccba.com WEB: www.tccba.com
TCC Benefits Administrator is a full-service third party administrator of health and ancillary benefits. Since 1972 TCC has earned a reputation for self-funding expertise, leading edge technology, and legendary customer care. TCC is small enough that you’ll know your contacts by name, yet part of a large A+ health insurance group.
The Health Plan Richard Legg, Vice President
1110 Main Street Wheeling, WV 26003 - United States PHONE: (740) 699-6260 EMAIL: rlegg@healthplan.org WEB: www.healthplan.org We are a fast growing TPA as well as an insurance carrier, offering fully insured plans, doing government programs administration. Our clinical services are best class in the industry, along with our claims processing, customer service. We have our own Behavioral Health Unit, our own Prescription Benefit Manager.
UMR Mike Benson, Director Sales Operations 11 Scott Street Wausau, WI 54403 - United States PHONE: (715) 841-6112 EMAIL: mike.benson@umr.com WEB: www.UMR.com
UMR, UnitedHealthcare’s TPA solution, is the country’s largest third-party administrator (TPA) of health benefits, providing customized solutions, cost-effective networks and compassionate service for self-funded medical, dental, vision, disability and risk management plans.
Zelis Healthcare
Patrick O’Keefe, Chief Revenue Officier 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
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SECTION
2
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
Advanced Medical Strategies
Stacy Borans, Founder/Chief Medical Officer 50 Salem Street, Building A Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: stacy.borans@mdstrat.com WEB: www.mdstrat.com
AMS is the Industry leader in strategic intelligence software for combatting emerging high-cost claim issues. AMS provides software-enabled healthcare solutions delivering crucial insight into catastrophic diagnoses, specialty pharmaceutical, and implant price transparency through clinically vetted, predictive financial analytics with near real-time data.
Breckpoint
Annabelle Lee, Director of Marketing & Communications 8918 Spanish Ridge Avenue, Suite 200 Las Vegas, NV 89148 - United States PHONE: (800) 592-0047 EMAIL: annabelle.lee@breckpoint.com WEB: www.breckpoint.com
In an industry filled with constraints and little control or transparency, we’ve taken a different approach — and have since grown to become the leading alternative risk solutions provider. As the industry leader, we’ve developed a unique platform that offers innovative results for our clients, built on our lead together philosophy.
BSI Companies
Jane VanBergen, Director of Marketing 304 Ridgeland Drive Greenville, SC 29601 - United States PHONE: (864) 370-0711 EMAIL: jvanbergen@bsicompanies.com WEB: www.bsicompanies.com
BSI Companies is a privately held company specializing in claims administration for self-insured entities. Our team of experts has over 100 years’ experience in high deductible workers’ compensation, general liability, group health and life. We offer an exceptional level of personal service at a competitive price point, while delivering measurable savings to our clients via state of the art technology and innovative cost containment strategies. Headquartered in Greenville, SC, BSI’s commitment to customized client solutions makes us a valued partner in the industry. For more information visit www.bsicompanies.com or call 800-421-9139.
[22]
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Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
HealthSmart Ron Wozny, Vice President of Marketing
222 West Las Colinas Boulevard, Suite 500N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: ron.wozny@healthsmart.com WEB: www.healthsmart.com
HealthSmart is one of the largest independent third party administrators and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workers’ compensation.
Insurance Program Managers Group Gregg Peterson, President/Chief Executive Officer 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
For over 20 years IPMG has provided exceptional, integrated insurance services. Whether through Specialty Programs, Workers Compensation TPA, Employee Benefits TPA, Risk Management Services or integration of all, IPMG is continually seeking the most innovative approach to address your specific needs. IPMG: the right partner for the right result.
IPCS Thomas Gilliam, President
1696 Georgetown Road, Suite B Hudson, OH 44236 - United States PHONE: (330) 283-4131 EMAIL: tgilliam@ipcs-inc.com WEB: www.ipcs-inc.com
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
2
25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
IPCS offers physical strength evaluations allowing employers to evaluate their workforce and lower healthcare cost. IPCS determines a candidate’s physical capability for new hire positions, return to work, and the risk for certain diseases among their current employees. IPCS prevents employers from HIRING THE CLAIM!
888.394.5688
[23]
strength in
An IntegrAted ApproAch to Self-InSured SolutIonS
balance Experts in coverage solutions for single entities, groups and public entities, our integrated approach gives self-insureds greater stability and control over their self-funded plan. Unparalleled underwriting expertise, innovative risk management and in-house claims management, work in sync and in perfect balance for best possible outcomes.
Since 1990
800.800.4007 midlandsmgt.com selfinsured@midman.com
WORKERS’ COMPENSATION | PUBLIC ENTITY | CATASTROPHIC CLAIMS MANAGEMENT | THIRD PARTY ADMINISTRATION | EXCESS WORKERS’ COMPENSATION | AUDITS | COMMUTATION | UTILIZATION & REVIEW
Midlands Management Corporation
Richard Bird, Chief Operation Officer 3817 Northwest Expressway, Suite 1000 Oklahoma City, OK 73112 - United States PHONE: (800) 800-4007 EMAIL: rbird@midman.com WEB: www.midlandsmgt.com
Midlands Management Corp. offers a robust portfolio of insurance services, products and programs distributed through retail agents and brokers. We specialize in excess and surplus lines, Excess Workers’ Compensation and Public Entity. With Midlands, you have access to the world’s best carriers and exclusive programs.
Next Level Administrators Angela Blanch, Vice President of Business Development P.O. Box 1061 Bradenton, FL 34206 - United States PHONE: (941) 306-2393 EMAIL: ablanch@nextleveladmin.com WEB: www.nextleveladmin.com
Next Level Administrators, a national claims administrator, is upending the status quo for clients by improving their bottomline results through a culture of performance and accountability, client collaboration, and data-driven, goal-oriented solutions.
Planned Administrators, Inc.
Clay Kelley, Director of Sales 17 Technology Circle Columbia, SC 29203 - United States PHONE: (800) 768-4375 Ext. 3117 EMAIL: ckelley@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering flexibility and customization in benefit plan designs. PAI specializes in administration of Self-Funding, Specialty Products, ACA Compliant plans, voluntary options, Property and Casualty products and services and Population Health options. PAI is dedicated to service excellence and minimizing cost for our clients.
PMA Companies
Michael MacAulay, Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States PHONE: (856) 727-3157 EMAIL: Michael_MacAulay@pmagroup.com WEB: www.pmacompanies.com
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
2
PMA is a leading provider of workers’ compensation and liability Third-Party Administrator (TPA) and Risk Services to employers. Our holistic approach integrates pre-loss, loss-reduction and post-loss strategies to reduce clients’ total cost of risk. With average client retention of 98% and 95% client satisfaction, our TPAs, PMA Management Corp. and PMA Management Corp. of New England, exceed clients’ expectations.
888.394.5688
[25]
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
2
Dialysis costs aren’t inevitable. They’re avoidable. CONTACT US TODAY TO GET YOUR FREE RISK ANALYSIS
Our services include: Data Analysis and Risk Prediction Chronic Kidney Disease and Diabetes Management Dialysis Cost Containment Learn more at renalogic.com
Proud 2018 Diamond Members
Renalogic
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
The ASU Group Brad Rutgers, Chief Operation Officer 2120 University Park Drive Okemos, MI 48864 - United States PHONE: (517) 381-7923 EMAIL: dmchenry@asugroup.com WEB: www.asugroup.com
ASU has been providing Claims Management and Insurance Solutions since 1952. Expertise in TPA services for Workers’ Compensation, General Liability and Casualty, Loss Control, Field Adjusting, Catastrophe Claims, Medical Bill Review, Certificate of Insurance Tracking and Custom Software Development. 100% Employee-owned.
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Triad Group Brad Tangorra, Marketing & Account Manager
Triad is a full service Workers’ Compensation TPA Specializing.
York Risk Services Group
Michael Lundberg, Senior Vice President, Sales 101 Hudson Street, 35th Floor Jersey City, NJ 07302 - United States PHONE: (866) 391-9675 EMAIL: info@yorkrsg.com WEB: www.yorkrsg.com
York serves corporations, the insurance industry and public entities and offers integrated and customized risk solutions: claims administration, absence management, managed care and risk management. With our data-driven and compassionate approach, we deliver our mission of reducing risk and getting people and organizations back to health, work and productivity.
Zelis Healthcare
Patrick O’Keefe, Chief Revenue Officer 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
Changing the Conversation Starts With Your Culture. NLA is changing how the industry manages workers’ compensation claims. Having an outcome-based culture holds everyone in our organization accountable for achieving your program goals. Employing visual data analytics helps us identify hotspots and deploy the right resources to save you time and money before problematic trends arise.
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
2
400 Jordan Road Troy, NY 12180 - United States PHONE: (800) 337-7419 Ext. 323 EMAIL: btangorra@triadgate.com WEB: www.Triadgate.com
Contact us today to join the conversation!
941.306.2393 | E3VA@nextleveladmin.com | nextleveladmin.com
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SECTION
3
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
AccuRisk Solutions, LLC
Dan Boisvert, President & Chief Executive Officer
10 South LaSalle Street, Suite 3450 Chicago, IL 60603 - United States PHONE: (312) 857-9100 EMAIL: info@accurisksolutions.com WEB: www.accurisksolutions.com
AccuRisk Solutions, LLC is a Chicago-based Managing General Underwriter focused on providing its producers with innovative insurance products and outstanding customer service. We have partnered with leading insurance carriers and healthcare industry visionaries to provide a comprehensive array of healthcare and employee benefit solutions to meet your employer clients’ needs.
Advanced Medical Strategies Stacy Borans, Founder/Chief Medical Officer 50 Salem Street, Building A Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: stacy.borans@mdstrat.com WEB: www.mdstrat.com
AMS is the Industry leader in strategic intelligence software for combatting emerging high-cost claim issues. AMS provides software-enabled healthcare solutions delivering crucial insight into catastrophic diagnoses, specialty pharmaceutical, and implant price transparency through clinically vetted, predictive financial analytics with near real-time data.
American Fidelity Assurance Company
Diana Lee, Assistant Vice President 2000 North Classen Boulevard, 7 East Oklahoma City, OK 73106-6013 - United States PHONE: (405) 523-5635 EMAIL: diana.lee@af-group.com WEB: www.americanfidelity.com
American Fidelity Assurance Company is a privately-owned, American organization providing insurance products and financial services to employer groups, education employees, and trade association members throughout the United States and across the globe. We specialize in employer stop loss, medical excess, and supplemental benefits insurance products.
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing Project Manager 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding.Through individual attention and responsiveness, we become an invaluable partner to those we serve.
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Arbor Benefit Group Proven Solutions. Exceptional Service.
For more than 18 years we have been a trusted source
for your Stop Loss needs; Helping business maintain profitability
with customized Stop Loss products and Cost Containment services. INTEGRITY. STABILITY. DEDICATION . Arbor Benefit Group, L.P. | 860-674-9478 | www.arborbg.com
Arbor Benefit Group, L.P.
Karen Harrison, Executive Vice President 281 Farmington Avenue Farmington, CT 06032 - United States PHONE: (860) 674-9748 EMAIL: Karenh@arborbg.com WEB: www.arborbg.com
Arbor Benefit Group, L.P. is a Managing General Underwriter serving Brokers, Consultants and Third Party Administrators throughout the United States. Arbor is built on a foundation of over thirty years experience in self-funded group health plans and excess loss policies. Since 2000, Arbor has been helping business maintain profitability with customized stop loss products and cost containment services all backed by integrity, financial stability, and an unwavering dedication to personal services.
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Avalon Insurance Company
Julie Dannaway-Baer, Director, Ancillary Services 2500 Elmerton Avenue Harrisburg, PA 17177 - United States PHONE: (717) 541-6339 EMAIL: julie.dannaway-baer@avaloninsurance.com WEB: www.avaloninsurance.com
Avalon Insurance Company, a subsidiary of a Harrisburg, PA-based health insurer trusted for nearly 80 years, offers smart, practical stop loss solutions. Avalon Stop Loss is supported by a team with extensive expertise, providing cost-effective and efficient stop loss administration so you can focus on your business. For more information, visit AvalonInsurance.com.
888.394.5688
[29]
Bardon Insurance Group, Inc.
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Adam Thaler, President 8326 East Hartford Drive, Suite 100 Scottsdale, AZ 85255 - United States PHONE: (480) 682-1400 EMAIL: adam.thaler@bardon.net WEB: www.bardon.net
Bardon Insurance Group is a consistently top rated MGU whose business is built on the principles of honesty, integrity and excellence. It is our goal to form partnerships with companies like ours where these values are the top priority. We represent A.M. Best rated carriers with products aimed at 25 to 250+ life employers.
Beacon Risk Strategies An AmWINS Group Benefits Company Wright Dickinson, Principal
180 Nickerson Street, Suite 304 Seattle, WA 98109 - United States PHONE: (206) 298-0092 EMAIL: wright.dickinson@amwins.com WEB: www.beaconrisk.com Specialty underwriter and program manager for medical stop loss and other niche A&H products. Brokers, TPAs and reinsurers rely on the higher standard set by Beacon in everything we do from our underwriting expertise to our delivery of superior claims administration and customer service. Beacon specializes in giving you more.
Benefit Indemnity Corporation Rodger Bayne
The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the selffunded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
BenefitMall
Kim Johnson, Director, Business Operations 2111 East Highland Avenue, Suite B210 Phoenix, AZ 85016 - United States PHONE: (602) 308-0862 EMAIL: Kim.Johnson@benefitmall.com WEB: www.benefitmall.com
Our Self-Funded Division includes experts in the self-funded medical marketplace. BenefitMall can provide you and your clients with superior benefits plans at the most competitive rates. We also offer a customer service staff dedicated to resolving your administrative needs, such as billing, commission, claim issues and compliance.
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www.sipconline.net
INNOVATIVE STOP LOSS AND ANCILLARY SOLUTIONS
• Unbiased Expertise and Review • Initial Placement, Implementation and Renewal of Coverage • Claims Audit, Submission, Tracking, and Resolution Services • Reporting, Compliance Services and Plan Document Review • Billing and Premium Collection • Ancillary Products and Services
©2018 BenefitMall. All rights reserved.
www.benefitmall.com/Self-Funded
888.248.8952
Berkley Accident and Health Linda King, Director of Marketing
2445 Kuser Road, Suite 201 Hamilton, NJ 08690 - United States PHONE: (609) 584-6990 EMAIL: LKing@Berkleyah.com WEB: www.BerkleyAH.com Berkley Accident and Health is a risk management leader offering a creative, analytical approach to risk, plus the strong backing of our parent company, W. R. Berkley Corporation, a Fortune 500 company. We are a direct writer of Stop Loss insurance in all 50 states. Policies are issued by Berkley Life and Health Insurance Company, rated A+ (Superior) by A.M. Best. We also offer Stop Loss Group Captives, which provide small and midsize companies a gateway to self-funding.
Berkshire Hathaway Specialty Insurance
3 MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
At BenefitMall, we know that employer groups benefit most from treating their health plan as an investment rather than an expense. Our team of self funded consultants can help you succeed by offering:
John Snyder, Head of Stop Loss 300 Spectrum Center Drive, #750 Irvine, CA 92618 - United States PHONE: (213) 712-9033 EMAIL: john.snyder@bhspecialty.com WEB: www.bhspecialty.com/msl
Berkshire Hathaway Specialty Insurance’s team of highly experienced stop loss professionals delivers a broad and flexible product offering. Our name is synonymous with trust and integrity. We do the right thing for customers and business partners - including moving claim payments forward swiftly, and being there for policyholders long term.
888.394.5688
[31]
Brentwood Reinsurance Intermediaries, Inc.
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Keith Fawcett, President P.O. Box 1949 Brentwood, TN 37024 - United States PHONE: (800) 524-0604 EMAIL: brentre@bwood.com WEB: www.brentre.com
BrentRe is an independent reinsurance intermediary serving self insurers, captives, MGU’s and insurance companies. Our responsive personal service spans the spectrum of Life, Accident, Health, Casualty and Workers’ Compensation reinsurance.
Certus Management Group
Steve Butz, Executive Vice President 300 North Meridian Street, Suite 1010 Indianapolis, IN 46204 - United States PHONE: (463) 203-5127 EMAIL: steve.butz@certusmg.com WEB: www.certusmg.com
Certus Management Group, formerly IMG-Stop Loss, is a managing general underwriter of medical stop loss insurance and related lines. Since 1998, we have specialized in providing stop loss insurance protection for self-funded employee benefit plans of 11 participating lives and larger. We work with independent agents, consultants and third party administrators throughout the country to provide customized stop loss protection to their self-funded employer clients.
Chubb Accident & Health Tammie Morse, AVP, Health Risk Management 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 - United States PHONE: (732) 945-2318 EMAIL: tammie.morse@chubb.com WEB: www.chubb.com/accident
Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers Occupational Accident.
Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
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Creative Risk Underwriters, LLC Michael Remeika, President
Creative Risk Underwriters is a full-service Managing General Underwriter of Medical Stop Loss, offering an innovative approach to underwriting unique risks. We offer stop loss to self-insured single employer groups as well as multipleemployer groups, both in the MEWA and Taft-Hartley markets. At CRU, we have a strong understanding of both the PPO and Reference Based Pricing platforms, and have tools available to us to confidently underwrite risks using these platforms.
Crum & Forster
Lauren Woods, Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyds coverholder arrangement.
D.W. Van Dyke & Co., Inc. Walter Roland, President
2 Corporate Drive, Suite 642 Shelton, CT 06606 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers’ Comp, Self-Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
DHR Management, LLC
Kirstin Coppola, VP Sales & Marketing 701 White Horse Road, Suite 3 Voorhees, NJ 08043 - United States PHONE: (973) 332-5825 EMAIL: Kirstin@dhrmanagement.com WEB: www.Dhrmanagement.com
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1343 Canton Road, Suite B-1 Marietta, GA 30066 - United States PHONE: (678) 661-4634 EMAIL: mremeika@creativeuw.com WEB: www.creativeuw.com
DHR Management, LLC is a managing general underwriter specializing in Medical Stop Loss Insurance for employer groups 50+ lives with experience. We underwrite on behalf of A rated carrier partners and turn around proposals within 24 hours. We pride ourselves in exceptional service and competitive underwriting.
888.394.5688
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East Coast Underwriters, LLC
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
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Jonathan Socko, Senior Vice President, Sales & Business Development 121 West Main Street, Suite B Spartanburg, SC 29306 - United States PHONE: (864) 542-1565 EMAIL: jsocko@ecumgu.com WEB: www.ecumgu.com
East Coast Underwriters is a Managing General Underwriter providing Medical Stop Loss Insurance to employer groups with 25+ employee lives. ECU offers traditional and level funded Stop Loss products including an aggregate-only policy and a level funded specific/aggregate policy. ECU underwrites on behalf of Pan American Life and Gerber Life.
Employer Benefit Underwriters, Inc. Tina Willenborg, Area Vice President Business Development 100 LaCosta Lane, Suite 120 Daytona Beach, FL 32114 - United States PHONE: (386) 274-2600 Ext. 414 EMAIL: tina@ebu-inc.com WEB: www.ebu-inc.com
Full service Managing General Underwriter for employer medical stop loss plans to include traditional stop loss, reference based pricing and Taft Hartley programs. Industry top rated national carrier representation.
Ethos Underwriting Services Mike McDonald, President
227 West Trade Street, Suite 1600 Charlotte, NC 28202 - United States PHONE: (704) 831-2185 EMAIL: mike_mcdonald@ethosmgu.com WEB: www.programsmgu.com Ethos is a full-service MGU providing specific and aggregate medical stop loss on behalf of Chubb/ACE American Insurance Company.
Evolution Risk Strategies
Arleigh Kennedy, Sr. Vice President, Risk & Strategic Partnerships 222 W. Merchandise Mart Plaza, Suite 575 Chicago, IL 60654 - United States PHONE: (781) 929-7014 EMAIL: arleigh@evolutionrisk.com WEB: www.evolutionriskpartners.com
The name “Evolution” is drawn from the idea that the medical risk and insurance brokerage markets are changing, and will continue to change as distributors and self-funded employers evolve. Evolution Risk Partners (ERP) specializes in providing comprehensive, compelling and leading-edge solutions for the Medical Stop Loss community. An organization built with the intent of redefining partnership through a shared vision of success, we endeavor to have a highly collaborative and engaged relationship with our broker and consultant partners. Our ultimate goal is to understand your client’s needs and to utilize our experience and knowledge to provide a flexible, efficient and seamless customer experience.
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Greymatter Risk Management, LLC Jim McEntee, Executive Vice President, Sales
Greymatter Risk Management (GRM) underwrites Aggregate and Specific Excess Loss insurance with American National Insurance Company and Garden State Life Insurance Company. GRM’s niche is the labor and public sector but also underwrites groups within the corporate sector. GRM’s management team has vast experience that spans more than 50 years combined in the stop loss market.
Hi-Tech Health, Inc.
Michael Carrara, President 1500 Route 517 Hackettstown, NJ 07840 - United States PHONE: (908) 813-3440 EMAIL: mcarrara@hi-techhealth.com WEB: www.hi-techhealth.com
If you’re a “startup” Third Party Administrator, just entering the self-insurance industry, an insurance company, union, large corporation, or small brokerage firm wanting control of your client’s health care claims through a turnkey, customized Claim Administration System, then your organization needs Hi-Tech Health, Inc. Please visit our website for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.
HM Insurance Group
Tom Doran, President & Chief Operating Officer 120 Fifth Avenue Pittsburgh, PA 15222 - United States PHONE: (412) 544-2221 EMAIL: thomas.doran@hmig.com WEB: www.hmig.com
A direct writer of Stop Loss insurance, HM Insurance Group is among the top carriers nationally, protecting self-funded clients from the financial loss associated with catastrophic claims. Headquartered in Pittsburgh, HM holds licenses in 50 states and the District of Columbia, helping to guard the financial health of policyholders nationwide.
Indigo Insurance Services, LLC
Christopher Collins, Managing Director, Indigo Stop Loss 101 Huntington Avenue, Suite 1300 Boston, MA 02199 - United States PHONE: (617) 246-5939 EMAIL: christopher.collins@bcbsma.com WEB: www.indigo-insurance.com
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
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6505 East 82nd Street, Suite 206 Indianapolis, IN 46250 - United States PHONE: (770) 280-5270 EMAIL: jmcentee@greymatterrisk.com WEB: www.greymatterrisk.com
Let us show you the Indigo Advantage, Stop Loss coverage that exceeds expectations. Through expertise and innovation, we exceed employers’ ever-changing stop loss needs by providing flexible solutions that protect more than their bottom line. We only partner with A-rated carriers, and we’re a wholly-owned subsidiary of the largest commercial health insurer in Massachusetts—so we’ll be there when we’re needed the most.
888.394.5688
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Intermediary Insurance Services, Inc. (IISI)
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Jim Henry, Executive Vice President 731 Sansome Street, 2nd Floor San Francisco, CA 94111 - United States PHONE: (415) 399-6723 EMAIL: jim_henry@iisinet.com WEB: www.iisinet.com
IISI is full service MGU established in 1983. In addition to being a market leader in Reference Based Pricing, we also write traditional stop loss for groups of 50+. IISI is a subsidiary of Companion Life Insurance Company.
International Risk Consultants
Michael McGrath, President and Chief Executive Officer One Corporation Way Peabody, MA 01960 - United States PHONE: (781) 581-9800 EMAIL: MMcGrath@Irc-Ohu.com WEB: www.Irc-Inc.Org
International Risk Consultants a full service MGU has been setting the standard for Medical Stop Loss risk solutions for over 30 years. We provide brokers, consultants and third-party administrators with innovative and effective solutions to meet the evolving needs of their clients. We emphasize flexible underwriting, outstanding service and a tradition of strength and stability.
J. Allan Hall & Associates, Inc.
J. Allan Hall, President/Chief Executive Officer 55 Monument Circle, Suite 1115 Indianapolis, IN 46204 - United States PHONE: (317) 264-0020 EMAIL: jahall@jahall.com WEB: www.jahall.com
JAH is a full-service MGU and Coverholder at Lloyd’s (London) plus admitted A rated carriers. We specialize in both usual and unusual stop loss underwriting and administration. We underwrite and administer ancillary products for captives, fully insured and self-insured domestic and international group and individual products. Underwrite and administer Associations, PEOs, Health Co-ops, Agriculture, MEC, Jail and other innovative programs.
M-D Underwriting Services, Inc.
Ben Hollingsworth, National Sales Executive 1880 General George Patton Drive Franklin, TN 37067 - United States PHONE: (615) 969-3701 EMAIL: ben@mdusi.com WEB: www.mdusi.com
MDU is dedicated to providing customers with the medical excess products, expertise and service that best serves our clients. We do this by open, honest and direct communication with our customers. Since 2000, MDU has earned a reputation as a RELIABLE, INNOVATIVE and SECURE choice as your Managing General Underwriter.
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Medical Risk Managers, Inc.
Medical Risk Managers, Inc. is a stop loss consultant, underwriter and actuary. We underwrite nearly $200 million in annual premiums and have underwritten over $3 billion throughout our history. We are the largest underwriter in the country. Our services include underwriting, extensive network evaluation, consulting, stop loss claim adjudication, actuarial and accounting support.
Montgomery Management
Caroline Urbanelli, President 801 Lakeview Drive, Suite 305 Blue Bell, PA 19422 - United States PHONE: (800) 883-1500 Ext. 120 EMAIL: curbanelli@montmgmt.com WEB: www.montmgmt.com
Montgomery Management (MMC), a full service MGU, has been providing flexible, innovative stop-loss solutions since 1989. Our expertise and corporate stability make MMC an industry leader. More specifically, MMC provides a full range of services including: traditional stop-loss and captive underwriting, policy binding, contract issuance, premium collection, and claims payment.
Monumental Risk Strategies Alex Giordano, President
8445 Freeport Parkway, Suite 260 Irving, TX 75063 - United States PHONE: (516) 302-6515 EMAIL: agiordano@monumentalrisk.com WEB: www.monumentalrisk.com MRS is a full-service MGU with quoting, policy issuance, premium administration, and claims reimbursement authority. Partnering with a carrier that is A rated by AM Best, Monumental Risk Strategies provides medical stop loss coverage to employers that self-fund their employee health benefits. The stop loss product is available in 49 states. Ancillary products are also available.
Monumental Risk Strategies
3 MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
Jennifer Unsworth, Senior Vice President - Operations 1170 Ellington Road South Windsor, CT 06074 - United States PHONE: (800) 732-3248 EMAIL: junsworth@mrm-mgu.com WEB: www.mrm-mgu.com
Terri Moriarty, Executive Vice President 8445 Freeport Parkway, Suite 260 Irving, TX 75063 - United States PHONE: (317) 695-3329 EMAIL: tmoriarty@monumentalrisk.com WEB: www.monumentalrisk.com
MRS is a full-service MGU with quoting, policy issuance, premium administration, and claims reimbursement authority. Partnering with a carrier that is A rated by AM Best, Monumental Risk Strategies provides medical stop loss coverage to employers that self-fund their employee health benefits. The stop loss product is available in 49 states. Ancillary products are also available.
888.394.5688
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National Underwriting Services, Inc.
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Dana Driscoll, FLMI, Executive Vice President 14893 S.H. 16 North, Suite 1 Helotes, TX 78023 - United States PHONE: (210) 695-2381, Ext. 202 EMAIL: ddriscoll@nus1.com WEB: www.nus1.com
For over 32 years, NUS has been a trusted and valued underwriting source providing innovative and customized stop loss solutions to the self-funded marketplace. NUS is a full service MGU and has become the go-to underwriter for reference based pricing and other specialty programs including captive underwriting and administration. NUS has the experience to meet your needs.
Nationwide Specialty Insurance
Tom DeNoma, Head of Program Business Development U.S. One Nationwide Plaza, 4-06-101 Columbus, OH 43215 - United States PHONE: (614) 677-3843 EMAIL: denomat@nationwide.com WEB: www.nationwide.com
Nationwide Specialty Insurance (NSI) is an entrepreneurial arm of Nationwide that exists to serve member needs in specialized insurance markets such as Stop Loss, Gap, Dental, Travel, Legal, Limited Medical, Group Life, and Short and Long Term Disability.
NorthWind, LLC Douglas Thomas, President
3162 Phoenixville Pike Malvern, PA 19355 - United States PHONE: (610) 840-0401 Ext. 103 EMAIL: dthomas@northwindllc.com WEB: www.northwindllc.com We specialize in smaller groups (50-250) but can work on larger groups too. Our niche, partner-centered focus ensures that you will get the attention and service you need to succeed!
OneBeacon Accident & Health Christine Vago, Senior Vice President - Specialty Health Sales 1696 Georgetown Road, Suite L Hudson, OH 44236 - United States PHONE: (781) 332-7924 EMAIL: cvago@onebeacon.com WEB: www.onebeaconsphealth.com
OneBeacon is a direct stop loss carrier that is A (Excellent) rated by AM Best and recognizes the value of strong claim management practices. OneBeacon only targets employers who select a top-tier administrator and high quality cost containment vendors to actively manage their self-funded plans.
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Partners Managing General Underwriters (Partners MGU) Matt Ward, Senior Vice President Sales
11811 North Tatum Boulevard, Suite 3078 Phoenix, AZ 85028 - United States PHONE: (602) 715-0396 EMAIL: matt.ward@partnersmgu.com WEB: www.partnersmgu.com Partners MGU is an entrepreneurial organization underwriting medical Stop Loss for the self-insured marketplace. Licensed in all 50 states, our team is comprised of seasoned professionals with a long history in employee benefits. We offer a unique opportunity unlike anything in the marketplace – and only available only to our Producer-Partners.
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
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Phoenix Excess Risk Underwriters, LLC
Thomas A. (Tap) Power, Managing Member 3730 Roswell Road, Suite 275 Marietta, GA 30062 - United States PHONE: (770) 977-9601 EMAIL: thomaspower@perullc.com WEB: www.perullc.com
Phoenix Excess Risk Underwriters, LLC is a managing general underwriter offering a broad scope of stop loss reinsurance solutions to employers who elect to self-fund their group health insurance plan.
888.394.5688
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Renalogic
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
Risk & Insurance Consulting Services Jamie Brown, Vice President
5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com RICS is an independent, reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Association Health Plans, Employer Groups, and Captives. Our commitment to client-focused service enables RICS to deliver exceptional risk transfer and insurance solutions.
RxReins, LLC Crystal Williams, President
235 E. Broadway Long Beach, CA 90802 - United States PHONE: (888) 797-3467 EMAIL: Cwilliams@rxreins.com WEB: www.RxReins.com RxReins, LLC is a dedicated Managing General Underwriter (MGU) specializing in prescription drug stop loss insurance. With a variety of products to protect employers from rising prescription drug costs, we excel at Rx carve-out scenarios from both fully insured medical plans and from existing medical specific stop loss policies.
SCOR Adam Gottesman, Vice President, Sales, Group Health Reinsurance 650 Third Avenue South, Suite 1600 Minneapolis, MN 55402 - United States PHONE: (612) 656-3321 EMAIL: agottesman@scor.com WEB: www.scorgloballifeamericas.com
With an experienced team of medical reinsurance professionals, SCOR understands the changes occurring in the healthcare industry. Our Group Reinsurance team delivers innovative products and exceptional service to the medical reinsurance marketplace. As one of the largest reinsurers in the world, SCOR’s financial strength and claim paying ability are exceptional. At SCOR, we aspire to do the ordinary in an extraordinary way.
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Sextant Self Funding, LLC
Bill Lutz, Managing DIrector 6443 Ridings Road, Suite 101 Syracuse, NY 13206 - United States PHONE: (315) 433-5214 Ext: 201 EMAIL: bill.lutz@ssfllc.com WEB: www.ssfllc.com
Sextant Self Funding is a full service stop loss MGU. As a MGU, you can expect us to be responsive, creative and nimble, and due to our relationship with Greenwich Insurance Company, we carry the same strength and backing of a direct writer, thus giving you and your clients the best of both worlds!
Spectrum Underwriting Managers, Inc.
Kurt Ridder, President 41 East Washington Street, Suite 100 Indianapolis, IN 46204 - United States PHONE: (317) 692-3285 EMAIL: k.ridder@spectrumhq.com WEB: www.spectrumhq.com
Founded in 1990, Spectrum is a full-service Managing General Underwriter of specific, aggregate and integrated stop loss insurance, specializing in the prompt delivery of comprehensive and competitive products and services designed for employer groups down to 15 employee lives. Stability, experience, dependability, longevity and focus – make Spectrum’s qualities your assets.
StarLine
Bill Uzdzienski, Vice President, Underwriting & Sales 180 Teaticket Highway East Falmouth, MA 02536 - United States PHONE: (215) 315-3532 EMAIL: w.uzdzienski@starlinegroup.com WEB: www.starlinegroup.com
Approachable, Knowledgeable, Dependable—these qualities are at the core of StarLine’s Excess of Loss Self-Insurance & reinsurance offerings. From stable underwriting, to claim and compliance expertise, to our Orion Navigator medical resource, StarLine’s trusted team prides itself on offering the best underwriting management experience. We look forward to working with you.
Stop Loss Insurance Services
Gerald Gates, President 100 Front Street, Suite 600 Worcester, MA 01608 - United States PHONE: (800) 944-7659 Ext. 3073 EMAIL: gerald.gates@amwins.com WEB: www.stoploss.amwins.com
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
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Stop Loss Insurance Services leverages more than 30 years of stop-loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop Loss to SLIS.
888.394.5688
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Strategic Underwriting Solutions, LLC
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Thomas Frank, National Director of Sales and Marketing 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States PHONE: (630) 696-1875 EMAIL: tfrank@stratuw.com WEB: www.strategicunderwritingsolutions.com
Strategic Underwriting Solutions is a full-service MGU and consultant, offering unparalleled expertise and a wide range of stop-loss products and services across the full spectrum of the self-funded marketplace: to smaller employers seeking innovative level-funded solutions and assistance in transitioning from fully insured coverage as well as to larger groups in search of competitive underwriting and highest-level support for their traditional stop-loss plans. With 25+ years of experience, up-to-date technology and top-rated carrier and reinsurer partners, SUS offers “best-in-class� service and support to meet all your underwriting, compliance, and consulting needs.
Sun Life Financial Tricia Conboy
One Sun Life Financial Park Wellesley Hills, MA 02181 - United States PHONE: (781) 446-2365 EMAIL: tricia.conboy@sunlife.com WEB: www.sunlife.com/us Sun Life Financial is one of the largest group benefits providers in the U.S., with a broad product portfolio including StopLoss, Disability, Absence Management, Dental and Vision and Life insurance. We are a leading stop-loss provider with more than 30 years of experience delivering risk management solutions for self-funded employers.
Sutton Special Risk America
Barbara Klingenberg, Assistant Vice President, Stop Loss Manager 1500 District Avenue, Suite 2072 Burlington, MA 01803 - United States PHONE: (781) 270-7460 EMAIL: bklingenberg@suttonspecialrisk.com WEB: www.suttonspecialrisk.com
Since 1978, Sutton Special Risk has responded to the unique insurance needs of our clients worldwide. With our consultative approach, underwriting expertise and commitment to exceptional service, Sutton will work with you to develop the best plan for your clients. Let Sutton be your trusted Stop Loss MGU partner.
Swiss Re Corporate Solutions Mike Kemp, Head Accident & Health NA 175 King Street Armonk, NY 10504 - United States PHONE: (913) 676-3767 EMAIL: Mike_Kemp@swissre.com WEB: www.swissre.com/esl
The Accident & Health Group of Swiss Re Corporate Solutions has been providing in-depth product knowledge and solutions to customers since 1975. Our long history and continuity in this market gives both our policyholders and their trusted advisors confidence in knowing they are backed by experts who adapt to market trends and provide market-leading capacity. Our Employer Stop-Loss portfolio includes: medical stop-loss, group stop-loss captives, and an organ transplant solution program. We are a direct writer for self-insured employer groups in all 50 states and coverage is underwritten by Westport Insurance Corporation, rated A+ (Superior) by A.M. Best Company.
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Your
high expectations
Our
expert capabilities
Extra
peace of mind
We’ve got your back. Four words that anyone seeking to self-fund healthcare benefits needs to believe, particularly when contemplating the financial risks associated with catastrophic medical events. That’s why we’re firm believers at Swiss Re Corporate Solutions in building strong relationships, understanding exactly what our partners expect of us, and creating innovative ways of fulfilling those expectations. By working closely together, we combine our expertise and capabilities with our brokers, payers and advisors to provide enhanced value for your clients – not to mention extra peace of mind. When it comes to employer stop loss solutions, now, more than ever, we’ve got your back. We’re smarter together. Corporatesolutions.swissre.com/esl Insurance products underwritten by Westport Insurance Corporations and American Specialty Insurance Company. © Swiss Re 2018. All rights reserved.
Symetra
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
3
Michael Fry, Executive Vice President, Benefits Division 777 108th Avenue NE, Suite 1200 Bellevue, WA 98004 - United States PHONE: (800) 426-7784 EMAIL: michael.fry@symetra.com WEB: www.symetra.com
At Symetra, we are committed to helping groups across the country manage health care costs while providing valuable benefits to employees and their families. We earn the trust of our distribution partners and clients by following through on our promises and supporting every plan with professional, informative and responsive service.
The Union Labor Life Insurance Company
Stephanie Whalen, President 8403 Colesville Road, 13th Floor Silver Spring, MD 20910 - United States PHONE: (202) 682-6649 EMAIL: jlindsay@ullico.com WEB: www.ullico.com
Plan sponsors depend on The Union Labor Life Insurance Company to structure insurance arrangements that match their plan’s design and offer the coverage they need, including Medical Stop Loss polices that protect union and group plans, life insurance, Accidental Death and Dismemberment and Short Term Disability.
Tokio Marine HCC - Stop Loss Group
David Grider, Senior Vice President, Marketing & Sales 225 TownPark Drive, Suite 350 Kennesaw, GA 30144 - United States PHONE: (800) 447-0460 EMAIL: dgrider@tmhcc.com WEB: www.tmhcc.com/life
HCC Life Insurance Company, operating as Tokio Marine HCC – Stop Loss Group, has been leading the way in medical stop loss insurance for over 40 years. We also offer Taft-Hartley, captive and organ transplant solutions. Rated A++ (Superior) by A.M. Best Company, Tokio Marine HCC – Stop Loss Group is backed by the financial stability of its parent company, Tokio Marine HCC.
USBenefits Insurance Services, LLC
Marcus Floyd, Executive Vice President 43 Corporate Park, Suite 43 Irvine, CA 92606 - United States PHONE: (949) 468-3023 EMAIL: mf@usbenefitsins.com WEB: www.usbenefitsins.com
USBenefits is a full service MGU, providing Medical Stop Loss Reinsurance for employer groups of over 50 lives. USBenefits has total responsibility for all administration, claims and underwriting decisions pertaining to its Medical Stop Loss program. Staffing includes actuarial, claims, underwriting, administrative and marketing departments that work in concert to deliver financially stable Stop-Loss products.
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Voya Employee Benefits William K. Barrera, CEBS, Vice President, Stop Loss Distribution & Strategic Relationships
Voya Employee Benefits, a division of ReliaStar Life Insurance Company and ReliaStar Life Insurance Company of New York, has offered excess risk insurance products as one of the nation’s largest direct writers of excess risk insurance for more than 35 years. We also offer group life, voluntary, and disability income insurance products and have more than 90 years of experience in delivering group benefit solutions to employers.
Xchange Benefits, LLC
James Denison, Executive Vice President & Chief Underwriter 200 Business Park Drive, Suite 303 Armonk, NY 10504 - United States PHONE: (914) 437-7359 EMAIL: info@xbllc.com WEB: www.xbllc.com
Xchange Benefits is a leader in providing benefit solutions to our client markets throughout the U.S. and beyond. Our Medical Stop-Loss solutions successfully enable employer groups to maximize benefits while protecting their balance sheets from otherwise financially unsustainable events. We add value through thoughtfully designed and underwritten insurance programs.
XL Reinsurance America, Inc.
Steve Donnelly, Senior Vice President – Accident & Health Reinsurance Seaview House - 70 Seaview Avenue Stamford, CT 06902 - United States PHONE: (203) 964-3899 EMAIL: steve.donnelly@xlcatlin.com WEB: www.xlcatlin.com/reinsurance
With an experienced staff XL Catlin Health Reinsurance is focused on providing creative solutions to meet the demands of a dynamic Medical Reinsurance marketplace. The addition of the 49 state stop-loss policy filing of Greenwich Insurance Company provides us with an additional tool to satisfy the needs of your clients.
888.394.5688
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
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20 Washington Avenue South Minneapolis, MN 55401 - United States PHONE: (508) 641-6902 EMAIL: William.Barrera@voya.com WEB: www.Voya.com
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We can’t stop the unexpected. We can stop loss. •
More than 35 years of stop loss experience
•
Ranked number 4 among third party stop loss carriers1 in the nation
•
Consultative approach and flexible contracts that match your unique needs
Contact your local Voya Employee Benefits sales representative or call 866-566-2316.
Ranking of top stop loss providers in the United States based on yearly premium as of 03/16/2017 by MyHealthGuide Newsletter: News for the Self-Funded Community, and does not include managed health care providers. Stop Loss Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance Company of New York (Woodbury, NY). Within the State of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the Voya® family of companies. Voya Employee Benefits is a division of both companies. Product availability and specific provisions may vary by state. ©2018 Voya Services Company. All rights reserved. CN0508-42087-0519 175487-05152018 1
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MGU/EXCESS INSURANCE CARRIERS P&C/WORKERS’ COMPENSATION/CAPTIVES
Advanced Medical Strategies Stacy Borans, Founder/Chief Medical Officer 50 Salem Street, Building A Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: stacy.borans@mdstrat.com WEB: www.mdstrat.com
AMS is the Industry leader in strategic intelligence software for combatting emerging high-cost claim issues. AMS provides software-enabled healthcare solutions delivering crucial insight into catastrophic diagnoses, specialty pharmaceutical, and implant price transparency through clinically vetted, predictive financial analytics with near real-time data.
Brentwood Reinsurance Intermediaries, Inc.
Keith Fawcett, President P.O. Box 1949 Brentwood, TN 37024 - United States PHONE: (800) 524-0604 EMAIL: brentre@bwood.com WEB: www.brentre.com
BrentRe is an independent reinsurance intermediary serving self insurers, captives, MGU’s and insurance companies. Our responsive personal service spans the spectrum of Life, Accident, Health, Casualty and Workers’ Compensation reinsurance.
Chubb Accident & Health Tammie Morse, Area Vice President, Health Risk Management 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 - United States PHONE: (732) 945-2318 EMAIL: tammie.morse@chubb.com WEB: www.chubb.com/accident
Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers Occupational Accident.
Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
[47]
Midlands Management Corporation
MGU/EXCESS INSURANCE CARRIERS P&C/WORKERS’ COMPENSATION/CAPTIVES
4
Richard Bird, Chief Operating Officer 3817 Northwest Expressway, Suite 1000 Oklahoma City, OK 73112 - United States PHONE: (800) 800-4007 EMAIL: rbird@midman.com WEB: www.midlandsmgt.com
Midlands Management Corp. offers a robust portfolio of insurance services, products and programs distributed through retail agents and brokers. We specialize in excess and surplus lines, Excess Workers’ Compensation and Public Entity. With Midlands, you have access to the world’s best carriers and exclusive programs.
Midwest Employers Casualty Renee Lunceford, Assistant Vice President of Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 - United States PHONE: (636) 449-7000 EMAIL: rlunceford@mwecc.com WEB: www.mwecc.com
Midwest Employers Casualty provides tailored workers’ compensation excess insurance products to individual employers, groups and insurance companies, nationwide. Midwest Employers Casualty helps customers take greater control of their costs by providing innovative solutions that will lower their total cost of risk. A+ rated. Member Company of W.R. Berkley Corporation.
Renalogic
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
Safety National Rob Leitner, Vice President - Business Development 1832 Schuetz Road St. Louis, MO 63146 - United States PHONE: (888) 995-5300 EMAIL: rob.leitner@safetynational.com WEB: www.safetynational.com
Safety National is a multi-line specialty insurance carrier that offers risk solutions for large commercial and public entity clients, providing specialized expertise, flexible program design and unique claims proficiency supported by relationshipdriven customer service. The company is a Tokio Marine Group member and is A.M. Best rated A+, FSC XV.
[48]
www.sipconline.net
SECTION
5
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
A New World Medical Network
Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
Advanced Medical Strategies Stacy Borans, Founder/Chief Medical Officer 50 Salem Street, Building A Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: stacy.borans@mdstrat.com WEB: www.mdstrat.com
AMS is the Industry leader in strategic intelligence software for combatting emerging high-cost claim issues. AMS provides software-enabled healthcare solutions delivering crucial insight into catastrophic diagnoses, specialty pharmaceutical, and implant price transparency through clinically vetted, predictive financial analytics with near real-time data.
ASCEND
Rob Church, Vice President, Sales 6480 Technology Avenue, Suite A-103 Kalamazoo, MI 49009 - United States PHONE: (833) 200-5040 EMAIL: r.church@ascendpbm.com WEB: www.ASCENDpbm.com
Delivering innovative, patient-focused solutions, ASCEND specializes in crafting plans to meet your goals and engage your company’s culture. ASCEND’s showcased savings transforms your strategic advantage by collaborating across the healthcare continuum to align diagnostics and therapeutics with prescribing to drive better clinical outcomes and superior value for all.
Axiom Medical Consulting, LLC Holly Foxworth
8401 New Trails Drive The Woodlands, TX 77381 - United States PHONE: (281) 465-7100 EMAIL: holly.foxworth@axiomllc.com WEB: www.AxiomLLC.com Axiom Medical is a full-service provider of occupational health services that support the employee journey from pre-hire to post-separation. We offer occupational health testing which helps clients ensure a healthy workforce and 24/7 injury case management services which manage optimal outcomes for employee and employer when a workplace injury occurs.
[49]
BeneCard PBF
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
Anneke Koop, Sales Support Coordinator 28000 Spanish Wells Boulevard Bonita Springs, FL 34135 - United States PHONE: (239) 302-8944 EMAIL: anneke.koop@benecard.com WEB: www.benecardpbf.com
BeneCard PBF offers innovative solutions to control costs and enhance patient outcomes. By applying functional medicine, BeneCard PBF aims to prevent disease and treat root causes of medical problems, not just symptoms. The intention is to increase a patient’s quality of life, reduce medication dependency and reduce client pharmacy spending.
BioScrip Infusion Services Lori Logan, National Director, Managed Markets 1600 Broadway, Suite 700 Denver, CO 80202 - United States PHONE: (303) 908-0836 EMAIL: lori.logan@bioscrip.com WEB: www.bioscrip.com
BioScrip is the largest independent national provider of infusion and home care management solutions, with approximately 2,200 teammates and nearly 80 service locations across the U.S. BioScrip works with physicians, hospital systems, payors, TPAs, self-funded groups, brokers and benefit administrators.
Cancer Treatment Centers of America George Kelly, National Manager, Business Markets 500 Remington Road Schaumburg, IL 60173 - United States PHONE: (224) 339-0419 EMAIL: george.kelly@ctca-hope.com WEB: www.cancercenter.com
Cancer Treatment Centers of America is a national hospital system with a collaborative and comprehensive approach to cancer care. We are a destination facility with five hospitals nationally. We work with self-insured employers, TPA’s, Brokers and Networks through direct contracting to ensure their members have access to our cancer facilities.
CareHere, LLC Jessica Ricks, Director of Business Development 350 South Jackson Street, Apartment 331 Denver, CO 80209 - United States PHONE: (210) 668-9287 EMAIL: jwilliamson@carehere.com WEB: www.CareHere.com
CareHere is an industry leader in providing on/near-site health and wellness centers with over 200 centers nationwide. We follow a patient-centered healthcare approach to integrate primary and chronic care, case/disease and medication management, occupational healthcare, workers’ compensation and much more. We are providing companies the means to decrease claims costs and give their employees quality and cost-effective care.
[50]
www.sipconline.net
Competitive Health Kimberly Darling, Chief Executive Officer & President
Competitive Health is the premier health and ancillary care network solution provider. We aggregate national networks, regional networks, telemedicine, retail clinics, advocacy, via 1 website and 1 phone number, maximizing member utilization and ROI.
Exclusive Surgeries Solutions, LLC Suzanne Webb, Chief Executive Officer 8671 West Union Hills Suite #503 Peoria, AZ 85382 - United States PHONE: (833) 378-2583 EMAIL: suzannew@esurgeries.com WEB: www.Esurgeries.com
Our Solution is for self-insured Employers wanting to reduce planned surgical costs by 35% through pre-negotiated bundled case rates, which includes surgeon, anesthesia, facility, implants and 90 day guarantee. While utilizing local vetted providers & Ambulatory Surgical Centers.
First Health Janice Leconte
10260 Meanley Drive San Diego, CA 92131 - United States PHONE: (800) 247-2898 EMAIL: JaniceLeconte@firsthealth.com WEB: www.firsthealth.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 303-8323 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
First Health® and Cofinity® provide access to directly-contracted PPO network providers at over 1 million service locations nationally. Together, we offer multiple network solutions—primary and complementary national networks, supplemental network partners, and non-network fee negotiations—as well as the Institutes of Excellence™ Transplant Access Network by Aetna, the Aetna Dental® Administrators dental program, and medical management.
Gilsbar Doug Layman, President of Health & Life 2100 Covington Centre Covington, LA 70433 - United States PHONE: (800) 445-7227 EMAIL: gilsbarmarketing@gilsbar.com WEB: www.Gilsbar.com
For more than half a century, Gilsbar has offered services and solutions for businesses looking for happier constituents and healthier bottom lines. As one of the nation’s largest privately held health and benefits management organizations, Gilsbar delivers an unwavering commitment to partnerships guided by a corporate vision focused on the clients we serve— employers, brokers, consultants, affinity groups, insurance carriers and more. These professionals choose Gilsbar for our innovation, ingenuity, knowledge and world-class service. Our expertise makes Gilsbar the trusted choice for clients across the nation.
888.394.5688
[51]
Glooko Inc.
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
Tony Trapuzzano, Vice President of National Sales & Partnerships. Head of Employer-Consultant Channel Relations 303 Bryant Street Mountain View, CA 94041 - United States PHONE: (412) 217-8962 EMAIL: tony@glooko.com WEB: www.glooko.com Glooko is the bring-your-own-device diabetes management program that makes diabetes management easier for your employees. For employers, Glooko offers Glooko Plus, a turnkey program which includes integrated coaching that provides personalized insights to employees, highlighting opportunities for the most impactful behavior change and drives employee engagement and outcomes.
Golden Triangle Specialty Network, LLC
Scott E. Williams, Senior Vice President P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
GTSN the most trusted Dialysis cost management solution for payors nationally. Now, GTRx Specialty Pharmacy NetworkSM continues our reputation of service and guaranteed safe discounts, with a focus on your Medical Spend. Free review (single case or data dump). Nothing to lose and so much more to save!
Secure Medical Cost Management Since 2007
GTRx Specialty Pharmacy Network℠ (Medical Spend) National Dialysis Network℠ Reference Based & Medicare-Plus Claim Repricing Negotiations
Plan Carve Outs
Scott E. Williams Senior Vice President 615.712.6753 direct williamsS@gtspecnet.com
Out of Network Claims
Hy F. Byrd VP – Business Development 615.712.6289 direct byrdH@gtspecnet.com
claims@gtpsecnet.com 615.712.6831 Fax www.gtspecnet.com Golden Triangle Specialty Network, LLC. P.O. Box 272 Arrington, TN 37014 USA
[52]
www.sipconline.net
Health & Wellness Bazaar
Health & Wellness Bazaar is an elite network of Board-Certified and English-speaking doctors in Mexico contracting directly with TPAs and self-insured employers as a cost-containment solution, reducing costs up to 75% compared to average U.S. prices. The U.S.-Trained HWB Physician Advisory Committee oversees all medical providers, patient protocols and quality programs to mirror U.S. Standards.
HealthSmart Ron Wozny, Vice President of Marketing
222 West Las Colinas Boulevard, Suite 500N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: ron.wozny@healthsmart.com WEB: www.healthsmart.com HealthSmart is one of the largest independent third party administrators and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workers’ compensation.
IHS - ClaimsBridge Direct Robert Schmidt, President
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
David Mora, Chief Executive Officer 11965 Montana Avenue, Apartment 102 Los Angeles, CA 90049 - United States PHONE: (858) 283-1111 EMAIL: dmora@hwbazaar.com WEB: www.hwbazaar.com
1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States PHONE: (410) 349-3222 EMAIL: rschmidt@claimsbridge.com WEB: www.claimsbridge.com ClaimsBridge Direct provides cost containment for self-funded plans through its custom provider networks using Medicare based direct contracts customized to the self-funded plan’s medical services need. ClaimsBridge Direct reduces the self-funded employer’s medical spend and growth trend, without the financial risk of large network or reference based (“no network”) solutions.
INTERLINK COE Networks and Programs
Cassandra Van Dyke, Regional Director of Sales 4660 NE Belknap Court, Suite 209 Hillsboro, OR 97124 - United States PHONE: (503) 640-2000 EMAIL: cassandra@interlinkhealth.com WEB: www.interlinkhealth.com
Transplants are expensive and can be catastrophic. However, properly addressed, transplants are statistically predictable and financially manageable. INTERLINK COE Networks & Programs, Founded in 1995, is the “Centers of Excellence” network of choice for health plans of all types and their partners that aren’t tied to BUCA contracts and restrictions.
888.394.5688
[53]
Midlands Choice, Inc.
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
Lisa Jewell, Business Development Specialist 8420 West Dodge Road, Suite 210 Omaha, NE 68114 - United States PHONE: (402) 390-7227 EMAIL: ljewell@midlandschoice.com WEB: www.midlandschoice.com
Midlands Choice is a regional preferred provider organization (PPO) with a healthcare network of more than 34,000 physicians and other healthcare professionals, 326 hospitals, and 1,966 other healthcare facilities located in Nebraska, Iowa, South Dakota, as well as portions of Colorado, Wyoming, Kansas, Missouri, Illinois, Wisconsin and Minnesota.
MultiPlan Pam Walker, Sr. Director, Marketing and Communication 115 Fifth Avenue New York, NY 10003 - United States PHONE: (212) 780-2000 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clients’ needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
MyTelemedicine, Inc.
Rey Colon, Founder/Chief Executive Officer 214 East Louisiana Street, Suite 300 McKinney, TX 75069 - United States PHONE: (214) 449-6040 EMAIL: rey@mytelemedicine.com WEB: www.mytelemedicine.com
MyTelemedicine - HIPAA-compliant telemedicine platform built in the IBM Cloud that lets healthcare providers consult with patients remotely. Physicians can perform on-demand consultations with members anywhere via telephone and video technology. Patients get advice, recommendations and a diagnosis, which may include a prescription for common illnesses.
One Call Care Management
Ray Tamborini, Director 20 Waterview Boulevard Parsippany, NJ 07054 - United States PHONE: (973) 418-1864 EMAIL: ray_tamborini@onecallcm.com WEB: www.onecallcm.com
Since 1993, One Call has been the preferred solution for ensuring access to high-quality radiology testing at lower cost for employees and employers. As the nation’s largest diagnostic imaging network, One Call Care Group Health offers PPO access to a specialty panel of high-quality radiology imaging centers nationwide.
[54]
www.sipconline.net
OnSite Care
Bruce Bartholomew, Business Development Officer 560 South 300 East, Suite 275 Salt Lake City, UT 84095 - United States PHONE: (801) 441-1002 EMAIL: bbartholomew@onsitecareclinics.com WEB: www.onsitecareclinics.com
OnSite Care brings exceptional healthcare right to your workplace. We operate primary care workplace clinics for public and private employers, aligning the goals of employers, employees and physicians in reducing healthcare spending while improving workforce health. We integrate occupational medicine, wellness, disease management, and pharmacy in a compelling new solution.
ProviDRs Care Karen Cox, Chief Executive Officer 1102 S. Hillside Wichita, KS 67211 - United States PHONE: (316) 683-0665 EMAIL: karencox@providrscare.net WEB: www.ProviDRsCare.Net
ProviDRs Care (formerly known as WPPA, Inc.) is a physician owned PPO network serving the state of Kansas since 1985. The network, leased by insurance companies and self-funded plans, works in partnership with insurance agents, brokers, payers, employers, healthcare providers and facilities to deliver cost-effective health services.
Sanus Health Corporation Maria Ana Junquera, Executive Director, International Business Development 9600 NW 38th Street, Suite #300 Doral, FL 33178 - United States PHONE: (305) 572-9756 Ext. 300 EMAIL: mjunquera@sanushealth.com WEB: www.Sanushealth.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
Sanus Health Corporation, an international TPA, offers some of the most significant discounts in the industry. Worldwide our network consist of over 10,000 hospitals, including the top 100 hospitals in the US. Sanus offers over 40 health related services including; scheduling, case management, discharge planning, bill reviews and re-pricing, audits and pharmacy.
The Alliance
Tierney Anderson, Senior Marketing & Events Specialist 5510 Nobel Drive, Suite 200 Fitchburg, WI 53711 - United States PHONE: (608) 210-6642 EMAIL: tanderson@the-alliance.org WEB: www.the-alliance.org
An employer-owned, not-for-profit cooperative, our more than 240 members, provides coverage to more than 85,000 individuals in Wisconsin, Illinois and Iowa. We use our purchasing power to negotiate with and provide access to an extensive network of doctors and hospitals that are paid to improve quality by performing better not doing more.
888.394.5688
[55]
Visio Health and Technical Solutions, Inc.
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
5
Anthony Stanley, Vice President of Technology and Operations 711 North 108th Court, Suite 102 Omaha, NE 68154 - United States PHONE: (402) 983-9589 EMAIL: anthony@visiohts.com WEB: www.visiohts.com
Visio Health is the exclusive distributor of The Working Clinic which combines the benefits of staffed, on-site clinics with the efficiencies of telemedicine to provide on-site care to companies as small as 200 covered individuals or as large as needed.
Vision Care Direct - PHM Reid Nelson, Vice President of IPA Development P.O. Box 30789 Mesa, AZ 85275 - United States PHONE: (602) 448-8177 EMAIL: reid.nelson@visioncaredirect.com WEB: www.iecpvision.com
Credentialed Primary Eye Care network focused on medical eye health care with emphasis on finding diabetes and preventing the onset of diabetes.
Wellness Institute of Neurodevelopment
Carmen Baez Franceschi, Chief Executive Officer 5757 Woodway Drive, Suite 185 Houston, TX 77057 - United States PHONE: (787) 717-9279 EMAIL: cbf@wellneuro.com WEB: www.wellneuro.com
WIN is a pediatric private practice network focused specifically on neurodevelopment disorders. WIN offers individualized treatment options built from The Franceschi MethodTM, a unique and successful clinical treatment protocol. Founder and CEO, Dr. Carmen Baez Franceschi, and the WIN team accept patients from all over the world while maintaining offices in Texas and Puerto Rico.
Zelis Healthcare
Patrick O’Keefe, Chief Revenue Officer 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
[56]
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SECTION
6
TECHNOLOGY VENDORS
ACA GPS, LLC Trish Moynihan, Director of Public Relations, Sales & Marketing 107 Pilgrim Village Drive, Suite #100 Cumming, GA 30040 - United States PHONE: (470) 239-5524 Ext. 4050 EMAIL: trish.moynihan@acagps.com WEB: www.acagps.com
ACA GPS, LLC develops cloud based, secure software solutions to help employers, insurance companies, and government entities comply with regulatory reporting requirements and minimize exposure to penalties. SaaS solutions include Affordable Care Act Tracking and Reporting (ACA Management Tool®) and Dependent Verification Audits (DECATool®). Visit www.acagps.com to learn more.
Accresa Anne Richter, President
2508 Highlander Way, Suite 200 Carrollton, TX 75006 - United States PHONE: (469) 389-1690 EMAIL: arichter@accresa.com WEB: www.accresa.com Accresa is the first payment technology platform to make DPC and other emerging healthcare models accessible within workplace benefit plans. Through its robust payments technology and easy-to-use administrative platform, Accresa connects employers and employees with physicians, clinics, medical groups, and health systems all focused on delivering a better healthcare experience.
AdminaHealth Kathy Cravinho
1 Sound Shore Drive - Suite 100 Greenwich, CT 06830 - United States PHONE: (203) 973-7512 EMAIL: k.cravinho@salusfinance.com WEB: www.adminahealth.com AdminaHealth is a cloud-based provider of technology and financial solutions for the benefit and insurance marketplace - offering consolidated billing, reconciliation, and payment solutions to brokers, TPAs, captive managers, and employers. AdminaHealth has developed a unique financial product reducing funding volatility inherent in self-insured plans increasing accessibility to self-funded options.
Advanced Plan for Health Yvonne Daugherty, Vice President Development 1500 Solana Boulevard, Building 3, Suite 3550 Westlake, TX 76262 - United States PHONE: (972) 767-5779 EMAIL: yvonnedaugherty@mypoindexter.com WEB: www.mypoindexter.com
Advanced Plan for Health’s advanced & predictive analytics platform, Poindexter, delivers cost-saving insights & actions to help employers, TPAs & others identify & address areas of high cost & risk. Analytics (enrollment, medical / pharmacy claims, labs, biometrics, etc.) predict costs + events like ER, Admits, strokes, etc. [57]
. . . because controlling costs shouldn’t compromise the quality of the benefits employees receive.
A P O W E R F U L PAY M E N T S P L AT F O R M
enabling the delivery of a full-administration direct primary care model for employers.
BENEFITS
OPPORTUNITY
CAPTURE NEW
BRING GREATER
Employees have choice in selecting a physician from our extensive network of providers, while employers have the flexibility to offer a variety of DPC program options to both local and out-of-state employees.
Alternative payment models like DPC represent one of the biggest growth opportunities in healthcare benefits. Accresa provides the only administrative platform upon which these solutions can be easily delivered and scaled within the framework of an employersponsored health plan.
Differentiate the benefit offering and create new value for clients with a meaningful and impactful solution for managing costs, reducing high-dollar claims, and improving employee satisfaction and wellness outcomes.
OFFER AWESOME
VALUE
LEARN MORE ABOUT OUR INNOVATIVE PAYMENTS SOLUTION: ACCRESA.COM/SIPC
Benefit Indemnity Corporation Rodger Bayne
Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
Benovate
Melissa Hennessey, Director of Marketing 2829 University Avenue South East, Suite 820 Minneapolis, MN 55414 - United States PHONE: (612) 455-7123 EMAIL: mhennessey@benovate.com WEB: www.benovate.com
TECHNOLOGY VENDORS
6
The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Benovate engages, educates, & empowers Members and Employers through an evolving platform that drives meaningful use. Our patented technology and Living HRA allows us to develop a risk profile specific to the individual, and then connect them to proven cost-saving resources. Benovate is What’s Next in effective employee engagement and well-being.
Cegedim Lloyd Bishop
5308 El Dorado Drive Fort Worth, TX 76107 - United States PHONE: (817) 307-3256 EMAIL: lloyd.bishop@activus.co.uk WEB: www.cegedim-insurance.com Cegedim Insurance Solutions is a global leader in software and services across the healthcare ecosystem, from insurers and social welfare institutions to professionals, intermediaries and end users. Its end-to-end solutions suite supports 230,000 professionals and 43 million beneficiaries, with more than $3.3 billion in benefits paid and 400 million electronic data interchanges processed annually. Cegedim Insurance Solutions is a business unit of Cegedim, whose 4,200 people generated $530,000,000 in revenue in 2017.
Clarity Software Solutions, Inc. Beverly Sobran, Inside Sales Manager 92 Wall Street, Suite 1 Madison, CT 06443 - United States PHONE: (203) 453-3999 EMAIL: bsobran@clarityssi.com WEB: www.clarityssi.com
Clarity Software Solutions, Inc. provides technology driving healthcare engagement through multimodal communications. As an industry leader, Clarity assists clients to optimize customer relationships by providing custom solutions that are built within secure web-based technology, are easy to use and allow a single communication to be published to any media type.
888.394.5688
[59]
Claros Analytics
TECHNOLOGY VENDORS
6
Todd Owen, Chief Executive Officer 777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 Ext. 202 EMAIL: towen@clarosanalytics.com WEB: www.clarosanalytics.com
Claros Analytics develops cutting edge software for healthcare benefits professionals who want powerful, credible, and easy to use tools that deepen and expand their pricing and advisory capabilities for health benefits plans. Our Consulting Suite and Actuarial Advisor rating manual are used by MGUs, ACOs, re-insurers, stop-loss carriers, consulting actuaries, TPAs, and advisors. Windsor Strategy Solutions is now Claros Analytics.
Cognizant Technology Solutions
Laura Gerling, Director, Product Management 500 Frank West Burr Boulevard Teaneck, NJ 07666 - United States PHONE: (640) 428-5207 EMAIL: laura.gerling@cognizant.com WEB: www.cognizant.com
Cognizant is a leading professional services company, transforming clients’ business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run innovative and efficient businesses. Cognizant’s TriZetto Healthcare Products software solutions help enhance revenue growth, drive administrative efficiency, and improve cost and quality of care.
Competitive Health
Kimberly Darling, Chief Executive Officer & President 300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 303-8323 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
Competitive Health is the premier health and ancillary care network solution provider. We aggregate national networks, regional networks, telemedicine, retail clinics, advocacy, via 1 website and 1 phone number, maximizing member utilization and ROI.
Context 4 Healthcare David Lung, Vice President of Sales 55 Shuman Boulevard, Suite 650 Naperville, IL 60502 - United States PHONE: (630) 321-2969 EMAIL: david.lung@context4.com WEB: www.context4healthcare.com
Real-Time Payment Integrity & Medicare PPS Pricing in the cloud, UCR and healthcare data. Since 1989.
[60]
www.sipconline.net
Coriell Life Sciences Inc.
Sean Sigmon, Business Development Executive 4747 South Broad Street, Suite 222, Building 101 Philadelphia, PA 19112 - United States PHONE: (888) 415-7834 Ext. 116 EMAIL: ssigmon@coriell.com WEB: www.coriell.com
Coriell Life Sciences (CLS) is a trusted provider of genetic laboratory interpretation and reporting services. We offer the most comprehensive medication safety solution on the market. We also provide precise, gene-based diagnostic reporting. We’re leveraging the power of genomics to bring the best available information to physicians and their patients.
Deerwalk, Inc.
Tim Huke, Chief Growth Officer 430 Bedford Street, Suite 175 Lexington, MA 02420 - United States PHONE: (949) 216-5181 EMAIL: thuke@deerwalk.com WEB: www.deerwalk.com
TECHNOLOGY VENDORS
6
Deerwalk is a revolutionary Population Health Management, Data Management and Healthcare Analytics software company. Our flagship Plan Analytics software empowers our clients to make more informed decisions about their health benefit plans by providing meaningful, actionable insights on cost, quality and risk, including savings recommendations, through a modern, scalable Population Health Analytics platform.
ECHO Health, Inc. Thomas Penko, Brand Manager
868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: Info@Echohealthinc.com WEB: www.EchoHealthinc.com ECHO® offers efficient, cost-effective healthcare payment solutions for healthcare plan payers. With over 20 years of related experience, ECHO Health, Inc.’s one-of-a-kind ERISA, HIPAA and CORE compliant payment solution CONSOLIDATES multiple financial obligations into single provider payments, DELIVERS payments and EOBs electronically, and REWARDS your bottom line from day one.
Eldorado a division of Mphasis
Laurie Rupert, Executive Assistant 5353 North 16th Street, Suite 400 Phoenix, AZ 85016 - United States PHONE: (602) 604-3100 EMAIL: laurie.rupert@eldocomp.com WEB: www.javelina.mphasis.com
Eldorado offers Javelina™, an integrated benefit management platform that is a complete solution for today’s heavily regulated and consumer driven healthcare industry. As new-generation technologies continue to transform the healthcare industry, Javelina offers you the most modern, digitally enabled and scalable payer platform in the business - backed by deep experience in the self-funded payer marketplace. Please visit our booth to see how the Mphasis Front to Back ™approach has enabled clients to achieve rapid ROI and superior customer engagement.
888.394.5688
[61]
Family Care Path, Inc.
TECHNOLOGY VENDORS
6
Tim Morris, Vice President of Sales 1801 East Ninth Street, Suite 1700 Cleveland, OH 44114 - United States PHONE: (770) 256-2653 EMAIL: tmorris@familycarepath.com WEB: www.familycarepath.com
Family Care Path’s MyLegacy uses proprietary algorithms developed by the Cleveland Clinic’s Genomic Medicine Institute to stratify risk for 13 different manageable conditions to provide early identification and lower cost for self insured employers. Our Board Certified genetic counselors direct for high risk individuals and reduce genetic testing expense while providing pre-authorization for health plans, payors and TPA’s.
FormFire
Colin Ingram, Chief Executive Officer/Co-founder 1100 Superior Avenue, Suite 1650 Cleveland, OH 44114 - United States PHONE: (216) 502-2321 EMAIL: colin.ingram@formfire.com WEB: www.formfire.com
FormFire’s software platform is the preferred technology solution for selling and underwriting self-funded products. The platform allows for the end-to-end processing of self-funded programs, including MEWAs and association health plans. Whether you’re a broker or carrier, we have solutions that will help you achieve your business objectives.
Health Portal Solutions James Burkholder, President
11550 West IH-10, Suite 220 San Antonio, TX 78230 - United States PHONE: (855) 414-1014 EMAIL: sales@hpsglobal.net WEB: www.hpsglobal.net Health Portal Solutions – a provider of custom, integrated web portals – boosts Payer efficiencies by consolidating insurance, benefits, wellness, and other healthcare programs into a single portal. Payers trust HPS to organize their disparate data and vendors into a private labeled portal that helps them communicate and manage their business operations.
IHS - ClaimsBridge Direct Robert Schmidt, President
1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States PHONE: (410) 349-3222 EMAIL: rschmidt@claimsbridge.com WEB: www.claimsbridge.com ClaimsBridge Direct provides cost containment for self-funded plans through its custom provider networks using Medicare based direct contracts customized to the self-funded plan’s medical services need. ClaimsBridge Direct reduces the selffunded employer’s medical spend and growth trend, without the financial risk of large network or reference based (“no network”) solutions.
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LifeWorks Chris Janko, Vice President of Strategic Alliances
LifeWorks offers a unique well-being offering that goes beyond typical employee assistance programs that help brokers and TPAs provide new approaches to their clients to enhance employee communication, engagement, and proactive wellness. LifeWorks mobile-first well-being platform provides tools and resources that elevate culture and productivity within employers’ unique workplace environments.
Medxoom, Inc. Tito Milla, Chief Product Officer
75 5th Street, Suite 2406 Atlanta, GA 30308 - United States PHONE: (404) 660-2469 EMAIL: tito@medxoom.com WEB: www.medxoom.com
TECHNOLOGY VENDORS
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201 17th Street North West, Suite 630 Atlanta, GA 30363 - United States PHONE: (404) 883-5975 EMAIL: chris.janko@lifeworks.com WEB: www.lifeworks.com
Medxoom’s white label mobile platform helps employers lower healthcare costs by 10% or more through employee friendly Comparison Shopping, Bill Pay, and CRM. Medxoom’s technology is built to compliment and reinforce Broker, DPC, TPA, Payer, or ACO driven cost containment initiatives which depend on high employee engagement.
NTT DATA HealthCare Staffing Services Anna Mathy, HealthCare Staffing Services Director 7950 Legacy Drive Plano, TX 75024 - United States PHONE: (414) 268-6419 EMAIL: Anna.Mathy@nttdata.com WEB: www.nttdataservices.com/payer
NTT DATA Staffing Services meets your staffing needs by providing insurance-knowledgeable staff, technical and nontechnical, when and where you need them. Need assistance with business continuity issues or seasonal surges in volume? We can help! NTT provides solutions on a temp, temp to perm, direct hire and executive search level. www.nttdataservices. com/healthplans
Predictive Health Partners Jim Lewis, Founder and Chief Executive Officer 5550 Wild Rose Lane, 4th Floor West Des Moines, IA 50266 - United States PHONE: (515) 991-5900 EMAIL: jim@predictivehealthpartners.com WEB: www.predictivehealthpartners.com
Predictive Health Partners uses real-time data, predictive analytics and artificial intelligence to improve employee health and clients’ bottom lines. We provide the missing link between self-insured companies, those they insure and healthcare providers. We integrate the best of predictive analytics platforms, prescriptive rules and AI into an easy-to-use smartphone app.
888.394.5688
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NTT DATA Healthcare Staffing Services can help you enhance operational efficiency, maximize the value of care, and support membership growth and retention. • • •
Staff Augmentation Business Process Outsourcing Managed Services
For more information, contact: Anna Mathy, at (414) 248-6419 or Anna.Mathy@nttdata.com
nttdataservices.com/payer
PYF Global Telehealth Augusteen Cowan, Vice President Group Sales
We provide comprehensive Telemedicine services. We can help you expand access to specialists in primary care, specialty care, and behavior health services. We enable remote consultations in a seamless and secure environment between patients and physicians and allows for the sharing and collaboration of clinical data between all parties involved.
RedCard
Eric Schaefer, President 744 Office Parkway St. Louis, MO 63141 - United States PHONE: (314) 445-6003 EMAIL: eschaefer@redcard.com WEB: www.redcard.com
TECHNOLOGY VENDORS
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206 North Washington Street, Suite B11 Alexandria, VA 22314 - United States PHONE: (202) 246-2095 EMAIL: josh@payyourselffirst.com WEB: www.pyftelehealth.com
RedCard improves the way health plans and TPAs connect with members and providers via innovative data management systems and integrated end-to-end healthcare communications. Our industry-leading DOCS® platform and episodic technology centralize communications to improve the member and provider experience while reducing costs associated with traditional communications.
Scripta
Andrew Borden, Partner 24 West Henry Street Savannah, GA 31401 - United States PHONE: (877) 744-1801 EMAIL: andrew@scriptasavings.com WEB: www.scriptasavings.com
Working with top benefits advisers and their self-funded clients, Scripta analyzes every PBM transaction, monitoring pharmacy benefits spending on an ongoing basis. The result is transparency, cost-control, vigilance, and incredible savings for payers… as well as co-pay savings that mean employees are more likely to follow doctor’s orders.
The Phia Group, LLC Adam Russo, Esq., Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com
The Phia Group’s mission is to reduce the cost of healthcare with innovative technologies, legal expertise, and focused, flexible customer service. The Phia Group is an experienced provider of healthcare cost containment techniques, offering comprehensive recovery, plan document, and consulting services designed to control plan expenses and protect plan assets.
888.394.5688
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Virtual Benefits Administrator
TECHNOLOGY VENDORS
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Tom Witter, President
W180 N1 1711 River Lane Germantown, WI 53022 - United States PHONE: (866) 731-1571 EMAIL: twitter@vbasoftware.com WEB: www.vbasoftware.com Virtual Benefits Administrator delivers the future of benefits administration platforms with VBASoftware and VBAGateway. VBA’s cloud-based software and portal solutions allow clients to manage all lines of business on a single platform from anywhere. VBASoftware offers Real-Time Claims Payment (RTCP) and supports auto-adjudication, premium billing, and customized plans.
WC Bundled Payments Dan Telford, Vice President of Sales
18000 West Sarah Lane, Suite 310 Brookfield, WI 53045 - United States PHONE: (770) 596-7163 EMAIL: dtelford@wcbundledpayments.com WEB: www.wcbundledpayments.com WC Bundled Payments is a cloud-based marketplace of therapeutic, diagnostic and surgery providers that compete for workers’ compensation services based on bundled/flat rate reimbursements, providing an average 20-50% savings below the traditional bill review and PPO models.
Zebu Compliance Solutions
Francesca Hartop, Chief Executive Officer 609 Second Street, Suite 2 Portsmouth, OH 45662 - United States PHONE: (740) 355-9029 EMAIL: hartop@zebucompliance.com WEB: www.zebucompliance.com
Zebu Compliance Solutions - effective claim validation, scrubbing, and pricing, with full support for variable plan requirements and benefits. Retrospective claim audits for self-funded groups to review accurate claim costs. Exclusion, sanction, credentialing and licensing verification to maintain provider panel integrity. 100% in-house development, content, and support staff.
Zelis Healthcare
Patrick O’Keefe, Chief Revenue Officer 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
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THE PROSPECTIVE COST SAVINGS APPROACH It’s time for a new approach to cost savings – a prospective approach. WC Bundled Payments is bringing the episode of care/bundled payment approach to work comp, providing 20-50% savings below traditional bill review and PPO models. Through our proprietary, cloud-based technology platform we guarantee payment in less than 10 business days – attracting high quality, low cost providers throughout the country.
Intrigued? Find out more.
wcbundledpayments.com
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BROKER/CONSULTANTS
A New World Medical Network Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
Advanced Benefit Consulting & Insurance Services, Inc.
Dorothy Cociu, RHU, REBC, GBA, RPA, President 5130 East La Palma Avenue, Suite 211 Anaheim, CA 92807 - United States PHONE: (714) 693-9754; Toll Free (866) 658-3835 EMAIL: dmcociu@advancedbenefitconsulting.com WEB: www.advancedbenefitconsulting.com
We are a full-service health insurance agency and consulting firm, specializing in self-funded group health plans, including reference based pricing plans. Our senior management comes from years of experience in the self-insured TPA business. We are benefit as well as compliance consultants, including HIPAA, COBRA, ACA and other compliance issues.
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing Project Manager 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding.Through individual attention and responsiveness, we become an invaluable partner to those we serve.
Benefit Dynamics, Co.
Allison Johnson, President 5575 Tech Center Drive, #103 Colorado Springs, CO 80919 - United States PHONE: (719) 575-0411 EMAIL: ajohnson@benedyn.com WEB: www.benedyn.com
Benefit Dynamics Company is an exclusive Broker Concierge Organization. We work with the Broker/Consultant community to offer specialized programs, back office support and competitive stop loss quotes.
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Benefit Indemnity Corporation Rodger Bayne
Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the selffunded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
Canyon RE, LLC Michael J. Melnik, Managing Director 1400 Buford Highway, Suite A-3 Buford, GA 30518 - United States PHONE: (770) 614-1636 EMAIL: mmelnik@canyonre.com
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The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Canyon RE is an A&H Broker-Intermediary specializing in partially self-funded and fully insured funding methodologies for its client base.
Castelloe Partners, LLC Jerry Castelloe, Principal
6029 Sharon Road Charlotte, NC 28210 - United States PHONE: (704) 572-0730 EMAIL: jerry@castelloepartners.com WEB: www.castelloepartners.com Castelloe Partners, LLC provides Employers and Service Providers in the self-funded space assistance with navigating the complexities within the healthcare marketplace.
Connect Healthcare Collaboration Sally Pace, Chief Operating Officer 5100 Poplar Avenue, Suite 1720 Memphis, TN 38137 - United States PHONE: (901) 409-2048 EMAIL: sally.pace@chc-now.com WEB: www.chc-now.com
Connect Healthcare Collaboration is a strategies firm built to evaluate unnecessary and escalating healthcare expenses, introducing proven solutions to reduce costs and improve outcomes. Using CHC’s clinical benefits concierge services, we ensure plan member engagement through custom communications plans. Let us help you improve lives while improving your bottom line.
888.394.5688
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Considine & Associates HealthClaim Solutions®
BROKER/CONSULTANTS
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Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Consociate
Darren Reynolds, Chief Executive Officer & President 2828 North Monroe Street Decatur, IL 62526 - United States PHONE: (800) 798-2422 EMAIL: darrenr@consociate.com WEB: www.consociate.com
Consociate Health partners with employers as a trusted advisor to deliver innovative employee benefits programs, healthcare plan administration, healthcare management, and wellness initiatives. Consociate Health is a leading expert in the healthcare industry-providing high-touch, personalized service guided by proprietary data and analytics.
Crystal Clear Rx
Tim Thomas, President 19753 East Pikes Peak Avenue, #G103 Parker, CO 80138 - United States PHONE: (720) 414-2749 EMAIL: tim.thomas@crystalclearrx.com WEB: www.crystalclearrx.com
Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPAs, MGUs and others. Product expertise in Life, Accident, Workers’ Comp, Self-Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
D.W. Van Dyke & Co., Inc. Walter Roland, President
2 Corporate Drive, Suite 642 Shelton, CT 06606 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers’ Comp, Self-Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
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ECBM, LP Charlie Bernier, President
ECBM works with our clients to identify and recapture financial leakage. Our Risk Management approach is built on processes and models that reduce claim dollars and unbundle expenses, which in turn reduces costs. ECBM builds longterm relationships to help our clients achieve their business and financial objectives.
FlexScripts Administrators Patrick Bigalke
1126 South 70th Street, Suite 103 West Allis, WI 53214 - United States PHONE: (414) 531-1081 EMAIL: patrick.bigalke@flexscripts.com WEB: www.flexscripts.com
BROKER/CONSULTANTS
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1400 North Providence Road, Suite 5025 Media, PA 19063 - United States PHONE: (610) 668-7100 EMAIL: cbernier@ecbm.com WEB: www.ecbm.com
We combine Pharmacy Contracting, Consulting, Auditing & PBM Services to offer protection to employers when working with PBMs.
HCP National Insurance Services, Inc.
William Dyer, Vice President 16A Journey, Suite 150 Aliso Viejo, CA 92656 - United States PHONE: (949) 862-7400 EMAIL: service@hcpnational.com WEB: www.hcpnational.com
Since 1994, HCP National has been the “Healthcare Industry’s Insurance Broker,” helping healthcare providers, business professionals, and public entities define and minimize their risks by implementing the right insurance products at an affordable price.
Hi-Tech Health, Inc.
Michael Carrara, President 1500 Route 517 Hackettstown, NJ 07840 - United States PHONE: (908) 813-3440 EMAIL: mcarrara@hi-techhealth.com WEB: www.hi-techhealth.com
If you’re a “startup” Third Party Administrator, just entering the self-insurance industry, an insurance company, union, large corporation, or small brokerage firm wanting control of your client’s health care claims through a turnkey, customized Claim Administration System, then your organization needs Hi-Tech Health, Inc. Please visit our website for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.
888.394.5688
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Unlock
Whether you’re looking at a claims administration system for the first time or are tired of navigating the complicated maze of your current system, Hi-Tech Health can provide a customized software solution which will eliminate your frustration and put you on the right path to success.
YOUR
Claims Administration Puzzle
Your Business. Your Time. Your Way.
25 YEARS ou. ns as Individual as Y
H
i-
Te c h H e a l
t
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Soluti o
1990-2015
Whether your goal is to grow faster while competing with larger Third Party Administrators, streamline your paperwork, or simplify your billing services, we’ll work with you, one-on-one, in a fraction of the time it takes other software companies to get you started!
1500 Route 517 Suite 200 Hackettstown, NJ 07840 908.813.3440 hi-techhealth.com sales@hi-techhealth.com
Hunt Insurance Group, LLC
Tamara Volkert, Senior Vice President 3606 Maclay Boulevard S, Suite 204 Tallahassee, FL 32312 - United States PHONE: (850) 556-3069 EMAIL: tamara.volkert@huntins.com WEB: www.huntins.com
We are an industry-leading marketing and service organization for governmental entity and association clients. Our organization can provide virtually any level of insurance and risk management services. We design and manage comprehensive fully insured, self-insured and captive programs for our clients to ensure the broadest coverage at competitive pricing.
Independence Underwriting Partners, LLC
Nicholas Christos, Chief Executive Officer 101 East Lancaster Avenue, Suite 301 Wayne, PA 19087 - United States PHONE: (856) 577-8584 EMAIL: nick@iupllc.com WEB: www.iupllc.com
BROKER/CONSULTANTS
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Independence Underwriting Partners provides marketing support, consulting Services and financial and analytical support to brokers, consultants, TPA’s, carriers and customers for Employer groups with 25-20k employees. We provide a completely independent review to evaluate the “best “ option for the customer. We are not owned by a carrier or attached to a Risk model which reinforces our freedom and flexibility to lead an objective effort for the best solution.
Insurance Professionals of AZ
David Stewart, Principal 3521 East Brown Road, Suite 101 MESA, AZ 85213 - United States PHONE: (480) 981-6338 EMAIL: dkstewart@insuranceproaz.com WEB: www.insuranceproaz.com
Broker-Consultant to self-insured companies for over 40 years. Experience matters!
J. Arthur Dail, Inc.
Mitchell Bearden, Executive Vice President 6000 Fairview Road Charlotte, NC 28210 - United States PHONE: (704) 541-4711 EMAIL: mrbearden@jadail.com WEB: www.jadail.com
From the beginning, J. Arthur Dail, Inc. has focused solely on employee benefit products and services. We believe that every client is unique and, as such, has unique employee benefit challenges and opportunities. That’s why we have dedicated ourselves to finding creative solutions for each client. Our company was established over 30 years ago to be one of character, which we define as, the belief in a system of absolute right and wrong, combined with the will to do what is right no matter what the cost. We feel confident that you will find this to be true of us today and together with knowledge, proven experience, teamwork and dedicated determination, we will help you make the decisions that will produce your desired results. We specialize in a claims analytic approach to benefit recommendations for clients with 100 to 30,000 plus benefit eligible employees.
888.394.5688
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Kinder & Associates, Inc.
BROKER/CONSULTANTS
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James A. Kinder, Chairman/Chief Executive Officer 418 Terry Road Fountain Inn, SC 29644 - United States PHONE: (864) 409-8347 EMAIL: jkinder120@icloud.com
Kinder & Associates, Inc. offers consulting services to the self-insurance/alternative risk transfer community. Jim Kinder, principal of K&A, is also available to serve as an independent director to companies within the insurance/self- insurance/ alternative risk transfer community. Mr. Kinder was a founder of SIIA and served as CEO of the organization from its inception until his retirement in 2006. He currently serves as a Director of the Montana Captive Insurance Association, Inc., President/Director of Kinder Family Foundation, Inc. & Chairman/Director Self-Insurers’ Publishing Corp.
Knight International Director of Taft Hartley Ruth Gillan
30 Braintree Hill Park, Suite 203 Braintree, MA 02184 - United States PHONE: (617) 960-7637 EMAIL: rgillan@knightint.com WEB: www.knightint.com Knight International is a full service brokerage firm specializing in alternative funding products such as captives for both casualty and health benefits as well as medical stop-loss insurance. Knight is endorsed by the National Alliance of Health Care Coalitions and services hundreds of clients nationwide.
Lawley Benefits Group Thomas Revelas, Managing Partner 361 Delaware Avenue Buffalo, NY 14202 - United States PHONE: (716) 849-8252 EMAIL: bwhite@lawleyinsurance.com WEB: www.lawleyinsurance.com
Lawley Benefits Group is a large, privately-held firm, providing employee benefits brokerage and consulting services to employers. The firm provides clients an entire team of specialists within one organization. As a division of Lawley Insurance, the firm has been recognized as one of the top 100 brokers in the U.S.
New Horizon Insurance Solutions Nigel Wallbank, President
2775 North West 495h Avenue, Suite 205-354 Ocala, FL 34482-6209 - United States PHONE: (305) 632-3334 EMAIL: nigelwallbank@msn.com WEB: www.NewHorizonInsuranceSolutions.com New Horizon Insurance Solutions (NHIS) offers risk management, value-added health care insurance products and solutions to the individual and Association markets. NHIS strives to advise and guide clients to the best, most proven companies and individuals that can assist them to reach their desired goals.
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Northshore International Insurance Services, Inc. David W. Ives, CPCU, Chief Executive Officer
Consulting, due diligence and audit verifications on behalf of self-insureds, excess insurers, MGUs, reinsurers, captives and governmental entities. Claims management, litigation support, managed care, excess claims run-off services provided by US and Canadian-based professional staff experienced in all lines of Medical, Life, Workers’ Compensation and Property/ Casualty coverages.
OneArk Suite Tim Sanderson, Director of US Sales 3340 Peachtree Road, Suite 1800 Atlanta, GA 30326 - United States PHONE: (918) 605-9544 EMAIL: tsanderson@onearksuite.com WEB: www.onearksuite.com
BROKER/CONSULTANTS
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199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: dives@niis.com WEB: www.niis.com
OneArk Suite is the new generation pharmacy claims adjudication platform. Our state-of-the-art web based proprietary technology helps PBMs to improve the overall performance and increase your client retention. This technology can be purchased as an Application Service Provider (ASP), on per claim basis. OneArk is a clinically intelligent pharmacy claim adjudicator and is very user friendly. It was designed from a clean canvas to the cloud to give ultimate flexibility but in a powerful and secure environment. With our technology you can access a wide range of reporting and analytical tools for decision support and subsequent management of quality and costs of your pharmacy benefit offering.
Oxford Insurance Brokers Ltd.
Dominic Hagger, Divisional Director 6 Bevis Marks London, England, EC3A 7BA - United Kingdom PHONE: 44 (0) 20 7220 4196 EMAIL: Dominic.Hagger@OxfordInsuranceBrokers.com WEB: www.oxfordinsurancebrokers.co.uk
Oxford is a Lloyd’s Broker, part of U.S. Risk, LLC. The A&H / Casualty team has extensive experience in healthcare, including Stop Loss, Personal Accident, AD&D, Student Medical, STM, Travel and Government Programs - Medicaid, Medicare and Healthy Kids. Casualty includes Workers’ Compensation, Occupational Accident, Contingent Liability and Texas Non-Subscription.
Pancoast Benefits Inc. Pat Lund, Vice President Group Benefits 4250 Hillsboro Road Nashville, TN 37215 - United States PHONE: (615) 292-3400 EMAIL: patl@pancoastbenefits.com WEB: www.pancoastbenefits.com
Pancoast Benefits is a leading provider of benefits consulting. Our goal is to provide our clients with proven expertise in consulting with a strong commitment to administrative services and technology. You will find us committed to exceptional service with a focus on detail.
888.394.5688
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Remedy Analytics, Inc.
Mark Bingham, Chief Marketing Officer 234 West Florida Street, Suite 150 Milwaukee, WI 53204 - United States PHONE: (516) 967-0320 EMAIL: mark.bingham@remedyanalytics.com WEB: www.remedyanalytics.com
Recognizing the prescription drug chain is broken — not by accident, but by design, Remedy created PharmaLogicTM. This first-of-its-kind technology monitors 100% of Rx claims producing an “MRI” of complex Rx spend, saving millions of dollars, and uncovering actionable information for population health with zero changes to the existing benefit program.
RemedyOne
Michelle Frank, Executive Vice President, Sales 10 Front Street, Suite 102 Collinsville, CT 06022 - United States PHONE: (203) 509-7421 EMAIL: mfrank@remedy-one.com WEB: www.remedy-one.com
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RemedyOne is a strategic pharmacy services company. We focus on fixing the inefficiencies in the healthcare industry specifically with the pharmacy benefit. Our consultants have the knowledge and tools in place to save Employers 10-30+% off of their current pharmacy spend. Our services include PBM procurement, PBM renegotiation, RxOne coalition, specialty programs and more! Our services are at no cost to the broker or the Employer and we make it simple.
Renalogic
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
Resolution Reinsurance Intermediaries, LLC
Jeffrey Parrish, President 4408 Forest Drive, Suite 202 Columbia, SC 29206 - United States PHONE: (803) 738-9088 EMAIL: jparrish@resolutionre.com WEB: www.resolutionre.com
ResRe specializes in traditional A&H and property reinsurance placements. We are also a leading producer and program manager for supplemental medical plans in the United States.
888.394.5688
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Risk & Insurance Consulting Services
BROKER/CONSULTANTS
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Jamie Brown, Vice President
5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com RICS is an independent, reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Association Health Plans, Employer Groups, and Captives. Our commitment to client-focused service enables RICS to deliver exceptional risk transfer and insurance solutions.
Risk Strategies
Liz Mariner, Senior Vice President 10 South 5th Street, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.risk-strategies.com/industries/healthcare
As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
Spring Consulting Group Karin Landry, Managing Partner
30 Federal Street, 4th Floor Boston, MA 02110 - United States PHONE: (617) 589-0930 EMAIL: insight@springgroup.com WEB: www.springgroup.com Spring Consulting Group, An Alera Group Company, LLC is an employee benefits, risk management and actuarial consulting firm. Spring has continuously been recognized for helping clients effectively navigate the complicated waters of employer health plans, employee disability, captive insurance, medical stop-loss and much more. Spring combines seasoned experience with youthful creativity to bring a fresh perspective to the traditional world of insurance, and ultimately enable organizations to improve their health, wealth and productivity.
Stop Loss Insurance Brokers, Inc. Denise Doyle, President
20 Park Plaza, Suite 628 Boston, MA 02116 - United States PHONE: (617) 542-1600 EMAIL: ddoyle@stoplossins.com WEB: www.stoplossins.com Insurance Brokers specializing in the placement of Stop-Loss Insurance for Self-Funded employers. Full services include tracking, reporting and filing of all stop-loss claims.
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Strategic Underwriting Solutions, LLC
Thomas Frank, National Director of Sales and Marketing 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States PHONE: (630) 696-1875 EMAIL: tfrank@stratuw.com WEB: www.strategicunderwritingsolutions.com
Strategic Underwriting Solutions is a full-service MGU and consultant, offering unparalleled expertise and a wide range of stop-loss products and services across the full spectrum of the self-funded marketplace: to smaller employers seeking innovative level-funded solutions and assistance in transitioning from fully insured coverage as well as to larger groups in search of competitive underwriting and highest-level support for their traditional stop-loss plans. With 25+ years of experience, up-to-date technology and top-rated carrier and reinsurer partners, SUS offers “best-in-class” service and support to meet all your underwriting, compliance, and consulting needs.
The Alivint Group, LLC. Roger Roundy, Advance Business Consulting
BROKER/CONSULTANTS
7
248 South Main Street Logan, UT 84321 - United States PHONE: (801) 641-2956 EMAIL: roger@alivint.com WEB: www.alivint.com
The Alivint Group is a team of advanced business consultants. Our expertise is in assisting business owners protect against risk, mitigate taxes and develop long term financial strategies. Self-Funding, Insurance Captives, Executive Bonus Plans, Unique Buy-Sell arrangements and Ownership Transfer Strategies are just some of the valuable services offered by our team.
The Phia Group, LLC
Adam Russo, Esq., Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com
The Phia Group’s mission is to reduce the cost of healthcare with innovative technologies, legal expertise, and focused, flexible customer service. The Phia Group is an experienced provider of healthcare cost containment techniques, offering comprehensive recovery, plan document, and consulting services designed to control plan expenses and protect plan assets.
Trean Reinsurance Services, LLC Kyle Plath
150 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kplath@treancorp.com WEB: www.treanre.com Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation, and servicing; consultation to HMOs, MGUs, TPAs, and insurers on stop-loss insurance; and captive stop-loss development and implementation.
888.394.5688
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UTILIZATION REVIEW/ CASE MANAGEMENT
A New World Medical Network
Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
American Health Holding, Inc.
Carrie Jacobs, Vice President, Strategy, Product Development and Sales Support 7400 West Campus Road New Albany, OH 43054 - United States PHONE: (866) 614-4244 EMAIL: ahhinfo@ahhinc.com WEB: www.americanhealthholding.com
American Health Holding, Inc. is a URAC-accredited, national medical management company providing comprehensive, integrated solutions that support millions of members across the health care continuum. American Health delivers health care cost savings through flexible solutions, clinical expertise, leading proprietary technology and advanced reporting, while improving the quality of care.
CompAlliance Linda Van Dillen, Vice President Communications 6700 Antioch Road, Suite 460 Merriam, KS 66204 - United States PHONE: (913) 815-6162 EMAIL: lvandillen@compalliance.com WEB: www.CompAlliance.com
Building upon our core competencies of Medical Management and Data Analytics, CompAlliance and MEDVAL offer a fully integrated suite of Workers’ Compensation solutions with quantifiable ROI: Case Management, Utilization Management, Bill Review, Network Development Support, 24-Hour Injury Reporting and Medicare Set-Aside Services.
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Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Gilsbar Doug Layman, President of Health & Life 2100 Covington Centre Covington, LA 70433 - United States PHONE: (800) 445-7227 EMAIL: gilsbarmarketing@gilsbar.com WEB: www.Gilsbar.com
For more than half a century, Gilsbar has offered services and solutions for businesses looking for happier constituents and healthier bottom lines. As one of the nation’s largest privately held health and benefits management organizations, Gilsbar delivers an unwavering commitment to partnerships guided by a corporate vision focused on the clients we serve— employers, brokers, consultants, affinity groups, insurance carriers and more. These professionals choose Gilsbar for our innovation, ingenuity, knowledge and world-class service. Our expertise makes Gilsbar the trusted choice for clients across the nation.
UTILIZATION REVIEW/CASE MANAGEMENT
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25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
HealthSmart Ron Wozny, Vice President of Marketing
222 West Las Colinas Boulevard, Suite 500N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: ron.wozny@healthsmart.com WEB: www.healthsmart.com HealthSmart is one of the largest independent third party administrators and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workers’ compensation.
Hines & Associates, Inc. Anna Hansen, CSFS®, Director of Sales and Client Solutions 115 East Highland Avenue Elgin, IL 60120 - United States PHONE: (800) 735-1200 Ext. 3702 EMAIL: ahansen@hinesassoc.com WEB: www.hinesassoc.com
Hines & Associates, Inc. celebrates over 30 years! Independent, leader in Medical Management. Stop Loss preferred due to Consistent Results. Customized services. Excellence in Total Population Management. Precertification, Advocacy and Care Coordination, Specialty Case Management, Healthy Tomorrows Prevention, Chronic Condition Management, Onsite Lab and Biometric Screenings; URAC accredited.
888.394.5688
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Insurance Program Managers Group
UTILIZATION REVIEW/CASE MANAGEMENT
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Gregg Peterson, President/Chief Executive Officer 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
For over 20 years IPMG has provided exceptional, integrated insurance services. Whether through Specialty Programs, Workers Compensation TPA, Employee Benefits TPA, Risk Management Services or integration of all, IPMG is continually seeking the most innovative approach to address your specific needs. IPMG: the right partner for the right result.
MedWatch, LLC Sally Ann Polson, President
120 International Parkway, Suite 220 Lake Mary, FL 32746 - United States PHONE: (703) 419-0414 EMAIL: nancy.aguirre@urmedwatch.com WEB: www.urmedwatch.com MedWatch provides comprehensive Population Health Management Solutions, supported by our proprietary clinical/ analytics software, designed to identify the at-risk population, providing support, mitigating hospitalizations, ER-visits and other costly care. From IP/OP Care Management to Diabetic Monitoring, Telemedicine and Reference Base Pricing, MedWatch manages the care, assuring less costly, high quality outcomes.
MINES and Associates DaniĂŠl Kimlinger, Chief Executive Officer 10367 West Centennial Road Littleton, CO 80127 - United States PHONE: (800) 873-7138 EMAIL: info@minesandassociates.com WEB: www.minesandassociates.com
MINES & Associates is a national behavioral healthcare firm with over 35 years experience providing cost-saving managed care and risk management strategies. Our Specialty Network of Behavioral Health providers reduces healthcare costs for organizations of any size or industry.
Nova Healthcare Administrators Todd Martin
6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com Evolving over the last 30 years, Nova manages trend to reduce health care spend and improve health plan performance. A partnership with Nova provides clients with traditional administrative services and private-labeled solutions. Nova offers personalized service with a tailored approach to cost management and customized, actionable health plan strategies.
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Orchard Medical Consulting
Chelsea Seward, Business Development Executive 3033 North Central Avenue, Suite 800 Phoenix, AZ 85012 - United States PHONE: (602) 561-3325 EMAIL: jtincker@orchardmed.com WEB: www.orchardmed.com
Orchard Medical Consulting is an industry leader for outcome driven case management and award winning customer service in the Southwest. As an unbundled case management provider, we offer services ranging from field case management and catastrophic assignment to return to work coordination; saving our workers compensation clients valuable time and money.
Payer Compass, LLC
Ginger Barrientez, Director of Marketing 5800 Granite Parkway, Suite 450 Plano, TX 75024 - United States PHONE: (469) 215-2654 EMAIL: gbarrientez@payercompass.com WEB: www.payercompass.com
Follow the leader in innovative reimbursement strategy. From claim repricing to customized RBP Models and Bundled Payments, we are charting a course for your success. Full solutions include Patient Advocacy / Care Management with URAC-accredited Case/Health Utilization Management. Build trust with plan savings of 70%+ and <1% balance billing.
Renalogic
UTILIZATION REVIEW/CASE MANAGEMENT
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Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
Rx-Precision
Jacqueline Easley, Vice President Commercial Markets 1434 East Main Street, Suite 2C St. Charles, IL 60174 - United States PHONE: (630) 524-3661 EMAIL: jeasley@rx-precision.com WEB: www.rx-precision.com
Rx-Precision is a Precision Medicine case management and managed care firm that reduces risk, lowers costs and improves outcomes by leveraging genomics in high-risk populations. Developed around the structure of commercial-risk enterprises, weâ&#x20AC;&#x2122;re uniquely positioned to provide solutions alongside current clinical-workflows, ensuring high-risk members are on effective, personalized treatment plans.
888.394.5688
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Sanus Health Corporation
UTILIZATION REVIEW/CASE MANAGEMENT
8
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Maria Ana Junquera, Executive Director, International Business Development 9600 North West 38th Street, Suite #300 Doral, FL 33178 - United States PHONE: (305) 572-9756 Ext. 300 EMAIL: mjunquera@sanushealth.com WEB: www.Sanushealth.com
Sanus Health Corporation, an international TPA, offers some of the most significant discounts in the industry. Worldwide our network consist of over 10,000 hospitals, including the top 100 hospitals in the US. Sanus offers over 40 health related services including; scheduling, case management, discharge planning, bill reviews and re-pricing, audits and pharmacy.
WorldCare International, Inc. Tina Karas, Vice President, Marketing 7 Bulfinch Place, Suite 301 Boston, MA 02127 - United States PHONE: (617) 250-5142 EMAIL: tkaras@worldcare.com WEB: www.worldcare.com
We improve medical outcomes worldwide by connecting people to 20,000+ specialists in the top-ranked hospitals of The WorldCare Consortiumâ&#x201E;˘ to deliver medical second opinions. As the industry pioneer, our multi-disciplinary approach is unique. No one else delivers everything in one package: experience; superior level of clinical rigor and impact.
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ATTORNEYS
Greenberg Traurig, LLP Fred Karlinsky, Co-Chair, Insurance Regulatory and Transactions 401 East Las Olas Boulevard, Suite 2000 Fort Lauderdale, FL 33301 - United States PHONE: (954) 768-8278 EMAIL: karlinskyf@gtlaw.com WEB: www.gtlaw.com
Greenberg Traurig, LLP is an international, multi-practice law firm with more than 2000 attorneys serving clients from 38 offices in the United States, Latin America, Europe, Asia and the Middle East. Our Insurance Regulatory & Transactions Group meets the needs of clients from all segments of the insurance and reinsurance industry.
The Phia Group, LLC
Adam Russo, Esq., Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com
The Phia Groupâ&#x20AC;&#x2122;s mission is to reduce the cost of healthcare with innovative technologies, legal expertise, and focused, flexible customer service. The Phia Group is an experienced provider of healthcare cost containment techniques, offering comprehensive recovery, plan document, and consulting services designed to control plan expenses and protect plan assets.
Webb & Coyle, PLLC
W. Y. Alex Webb, Senior Manager 910 North Sandhills Boulevard Aberdeen, NC 28315 - United States PHONE: (910) 944-9555 EMAIL: alex@webbcoyle.com WEB: www.webbcoyle.com
Operating in one of the fastest growing domiciles in the world. Boutique law firm headed by two former Chairmen of the NCCIA (Alex Webb and Jesse Coyle). Focused on all tax aspects of business and finance, especially as relates to captive insurance companies and their owners.
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FINANCIAL SERVICES
Ansley Capital Group, LLC.
Russ Burks, Founder & Managing Director 465 West Coleman Boulevard, Suite 202 Charleston, SC 29464 - United States PHONE: (630) 579-1683 EMAIL: russburks@ansleycapital.com WEB: www.ansleycapital.com
Ansley Capital Group is a boutique investment bank with an exclusive focus on systems and services that surround the selffunded employer market. As former operators, the Ansley team provides a unique suite of services ranging from business development to recapitalization transactions with strategic partners.
Benefit Indemnity Corporation Rodger Bayne
The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
Dana Investment Advisors Dave Mazza, Director of Fixed Income Sales and Marketing 20700 Swenson Drive, Suite 400 Waukesha, WI 53186 - United States PHONE: (262) 780-6086 EMAIL: davem@danainvestment.com WEB: www.danainvestment.com
Dana Investment Advisors is an Asset Management firm that manages a broad range of public U.S. Equity and Fixed Income investment strategies for self-insured funds, corporations, foundations, family offices and individuals. Our objective is straightforward: Deliver consistent excess returns with lower risk and provide clients with exceptional, personal and timely service.
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ECHO Health, Inc. Thomas Penko, Brand Manager
ECHO® offers efficient, cost-effective healthcare payment solutions for healthcare plan payers. With over 20 years of related experience, ECHO Health, Inc.’s one-of-a-kind ERISA, HIPAA and CORE compliant payment solution CONSOLIDATES multiple financial obligations into single provider payments, DELIVERS payments and EOBs electronically, and REWARDS your bottom line from day one.
Madison Scottsdale Insurance Asset Management Anjanette Fowler, Managing Director & Portfolio Manager 8777 North Gainey Center Drive, Suite 220 Scottsdale, AZ 85258 - United States PHONE: (480) 596-3338 EMAIL: anj@madisonscottsdale.com WEB: www.madisonscottsdale.com
FINANCIAL SERVICES
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868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: Info@Echohealthinc.com WEB: www.EchoHealthinc.com
With more than 25 years in managing investments solely for insurance entities, Madison Scottsdale’s team of seasoned Portfolio Managers brings a combined 115 years of experience in managing Fixed Income, Equity, and Alternative investments for insurance companies, SIG’s, Captives, RRG’s and other risk transfer entities.
Medxoom, Inc. Tito Milla, Chief Product Officer
75 5th Street, Suite 2406 Atlanta, GA 30308 - United States PHONE: (404) 660-2469 EMAIL: tito@medxoom.com WEB: www.medxoom.com Medxoom’s white label mobile platform helps employers lower healthcare costs by 10% or more through employee friendly Comparison Shopping, Bill Pay, and CRM. Medxoom’s technology is built to compliment and reinforce Broker, DPC, TPA, Payer, or ACO driven cost containment initiatives which depend on high employee engagement.
Opus Investment Mangement Kevin Seabury
440 Lincoln Street Worcester, MA 01653 - United States PHONE: (508) 855-3112 EMAIL: kseabury@opusinvestment.com WEB: www.opusinvestment.com Opus Investment Management is dedicated to consistent investment performance, tailored to the specific needs and risk appetite of the clients we serve. Opus strives to empower its clients to become strong advocates for their portfolios, while we navigate operating constraints, regulatory issues, and rating agency considerations.
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Excellence in Insurance Asset Management
Comprehensive investment solutions customized to fit your needs.
Expertise in managing for all types and sizes of insurance companies or risk related entities
Fixed income, equity and alternatives expertise
Enterprise Risk Management focused solutions
Direct interface with portfolio managers
Additional investment related services and support
24/7 online investment and statutory accounting
800-767-8020 | 480-596-3338 info@madisonscottsdale.com | madisonscottsdale.com Madison Scottsdale is the insurance asset management division of Madison Investment Advisors, LLC.
Opus MedStrategies
Heather Ingram, Director of Marketing Oak View I, Suite 260, 1165 Sanctuary Parkway Alpharetta, GA 30009 - United States PHONE: (877) 746-6535 EMAIL: heather.ingram@opusmedstrategies.com WEB: www.opusmedstrategies.com
Opus is moving healthcare forward by assisting people along the patient journey to navigate the complex healthcare ecosystem. We emphasize client service to deliver innovative tools for access to quality, affordable medical care. Opus gets people to the Right Place at the Right Time for the Right Care at the Right Cost with Directional Care, Care Insights and Cost of Care strategies.
Sage Advisory Services
Gregory H. Cobb, Investment Strategy 5900 Southwest Parkway, Building 1, Suite 100 Austin, TX 78735 - United States PHONE: (512) 327-5530 EMAIL: gcobb@sageadvisory.com WEB: www.sageadvisory.com
FINANCIAL SERVICES
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Sage is an independent and employee-owned investment advisory firm providing comprehensive investment and reporting programs for the insurance industry. Our more strategic, consultative and customized approach ensures that investment portfolios are continuously and properly aligned with each company’s specific business objectives.
United Claim Solutions Joshua Carder, President/Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (866) 762-4455 EMAIL: jcarder@unitedclaim.com WEB: www.UnitedClaimSolutions.com
United Claim Solutions is an innovative payment integrity solutions company providing customizable solutions for TPAs, self-funded groups, labor / trust organizations, stop-loss carriers and health plans. UCS places emphasis on quality service, optimal savings and timely solutions for its clients, which generates additional savings, supports client retention and facilitates business growth.
Zelis Healthcare
Patrick O’Keefe, Chief Revenue Officer 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.
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ACTUARIES/ACCOUNTANTS/ AUDITORS
Carr, Riggs & Ingram, LLC Phyllis Ingram, Partner
7550 Halcyon Summit Drive Montgomery, AL 36117-7761 - United States PHONE: (334) 386-5250 EMAIL: pingram@cricpa.com WEB: www.CRIcpa.com Stretching from New Mexico to North Carolina, Carr, Riggs & Ingram CPAs & Advisors (CRI) is a top 20 nationally ranked full service accounting and advisory firm offering innovative tax, accounting, audit, consulting, and advisory services derived from “big firm” expertise and delivered locally by partners you trust.
Carr, Riggs & Ingram, LLC
Steven Williams, Partner 7550 Halcyon Summit Drive Montgomery, AL 36117-7761 - United States PHONE: (334) 386-5219 EMAIL: swilliams@cricpa.com WEB: www.CRIcpa.com
Stretching from New Mexico to North Carolina, Carr, Riggs & Ingram CPAs & Advisors (CRI) is a top 20 nationally ranked full service accounting and advisory firm offering innovative tax, accounting, audit, consulting, and advisory services derived from “big firm” expertise and delivered locally by partners you trust.
Corporate Benefit Audits, a division of Risk Strategies Company
Kevin Egan, Vice President 21 High Street, Suite 202 North Andover, MA 01845 - United States PHONE: (508) 847-6000 EMAIL: kegan@getcba.com WEB: www.getcba.com
CBA provides health claim auditing services within the medical stop loss, managed care and small group health fully insured markets. For over 25 years we have saved millions of claim dollars for our regarded client base. Clients include Reinsurers, Carriers, MGU’s, TPA’s & Employer groups.
GPW Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States PHONE: (602) 200-6900 EMAIL: lprudhomme@gpwa.com WEB: www.gpwa.com
GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and selfinsurers. GPW provides financial, actuarial, tax and regulatory compliance services to assist clients in the efficient and cost effective management of their risk and insurance issues.
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Johnson Lambert LLP
Johnson Lambert LLP is one of the nation’s largest insurance-focused CPA and consulting firms; we provide audit, tax, and advisory services to a nationwide client base, which includes 500+ insurance entity clients.
Merlinos & Associates, Inc. Scott Wellham
3274 Medlock Bridge Road Peachtree Corners, GA 30092 - United States PHONE: (678) 684-4871 EMAIL: swellham@merlinosinc.com WEB: www.merlinosinc.com Merlinos & Associates is a leading actuarial consulting firm providing expert insurance and risk advice to insurers/reinsurers, regulators, captives, risk retention groups, law firms, audit firms, brokers, agencies, municipalities, self-insured entities, and more.
Milliman, Inc. Steve DiCenso, Consulting Actuary
11 ACTUARIES/ACCOUNTANTS/AUDITORS
Adam Dubuque, Partner One Lawson Lane, P.O. Box 525 Burlington, VT 05402 - United States PHONE: (802) 383-4812 EMAIL: adubuque@johnsonlambert.com WEB: www.johnsonlambert.com
80 Lamberton Road Hartford, CT 06095 - United States PHONE: (860) 687-0160 EMAIL: stephen.dicenso@milliman.com WEB: www.milliman.com Milliman is among the world’s largest independent actuarial and consulting firms. The firm employs over 3,500 people, including a professional staff of over 1,600 qualified actuaries and consultants in 60 offices around the world. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations.
Northshore International Insurance Services, Inc. David W. Ives, CPCU, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: dives@niis.com WEB: www.niis.com
Consulting, due diligence & audit verifications on behalf of self-insureds, excess insurers, MGUs, reinsurers, captives and governmental entities. Claims management, litigation support, managed care, excess claims run-off services provided by US and Canadianbased professional staff experienced in all lines of Medical, Life, Workers’ Compensation and Property/Casualty coverages.
Oliver Wyman Actuarial Consulting Chad Wischmeyer, FCAS, MAAA, CFA, Managing Partner, Actuarial 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 - United States PHONE: (404) 239-6411 EMAIL: chad.wischmeyer@oliverwyman.com WEB: www.oliverwyman.com
Since 1986, Oliver Wyman’s actuarial practice has assisted clients with all aspects of managing P&C, Health, and Life risks. We maintain actuarial offices across North America and Europe and employ over 120 actuaries with credentials from the CAS, the SOA or the CIA. Oliver Wyman Group employs more than 4,500 employees worldwide.
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Perr & Knight
ACTUARIES/ACCOUNTANTS/AUDITORS
11
Dean Ferdico, Principal & Director of Business Development 3 Second Street, Suite 1202 Jersey City, NJ 07311 - United States PHONE: (201) 963-1550 Ext. 2101 EMAIL: dferdico@perrknight.com WEB: www.PerrKnight.com
Founded in 1994, Perr & Knight provides insurance consulting and software solutions to the property & casualty and accident & health industries. Services include actuarial consulting, product development, insurance policy and forms consulting, regulatory compliance, state filings, licensing, technology consulting, statistical reporting, data services, and predictive analytics. Software includes StateFilings.com, a leading cloud-based state filings management solution. With offices in Santa Monica, Boca Raton, the New York Metro Area and Fort Worth and more than 100 insurance professionals, Perr & Knight is among the largest independent actuarial and insurance consulting firms in the United States.
Pinnacle Actuarial Resources, Inc. Julie Calmès, Manager of Communications 3109 Cornelius Drive Bloomington, IL 61704 - United States PHONE: (309) 807-2300 EMAIL: jcalmes@pinnacleactuaries.com WEB: www.pinnacleactuaries.com
Pinnacle Actuarial Resources is one of the largest property/casualty actuarial consulting firms in the U.S. Our expertise, communication and customer service help you drive better business decisions. Experts in program design, funding and loss reserve analyses, we serve self-insured clients, group captives, enterprise risk captives, RRGs and many others.
SGRisk, LLC E. James Stergiou, Chairman & Chief Executive Officer 1050 Wall Street West - Suite 610 Lyndhurst, NJ 07071 - United States PHONE: (201) 935-3434 EMAIL: santalucia@sgrisk.com WEB: www.sgrisk.com
SGRisk, a national independent actuarial top 15 firm since 1980, provides loss reserve analyses and regulatory certifications, profitability projections, financial forecasting, rate development, reinsurance purchase recommendations, underwriting and claims auditing and management reports for all coverages to a variety of clients â&#x20AC;&#x201C; mathematical and understandable! We make sense from your statistics!
TaylorChandler, LLC
Edward Chandler, Audit Manager 5151 Hampstead High Street, Suite 200 Montgomery, AL 36116 - United States PHONE: (334) 260-7774 EMAIL: echandler@taylorchandler.com WEB: www.taylorchandler.com
TaylorChandler is nationally recognized as a leader in the insurance industry. TC delivers broad accounting, audit, tax, and consulting solutions to all types of insurance entites, including captives, mutuals, RRGs, and self insurance funds.
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Total Claims Management, LLC Randy Scott, President
TCM specializes in audit, claim review and consulting services for the self-insurance industry. Our clients are Brokers, Carriers, Consultants, MGUs, Reinsurers and Self-funded employers. We offer our Specific claim review services on a temporary or permanent basis. Our staffâ&#x20AC;&#x2122;s experience allows us to provide the highest quality of review.
Trilogy Consulting Group, Inc. Kathy Martin-Smith, Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States PHONE: (630) 953-6278 EMAIL: kathymartinsmith@msn.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for self-funded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!
ACTUARIES/ACCOUNTANTS/AUDITORS
11
55 Monument Circle, Suite 1122 Indianapolis, IN 46204 - United States PHONE: (317) 423-2334 EMAIL: rscott@tcm4u.com
Willis Towers Watson
Jeremy Benson, Senior Consultant 101 South Hanley Road, Suite 900 St. Louis, MO 63105 - United States PHONE: (314) 714-6032 EMAIL: jeremy.benson@willistowerswatson.com WEB: www.willistowerswatson.com
Willis Towers Watson is a leading global professional services company with decades of experience in providing actuarial consulting services, reinsurance brokerage services and stop-loss manual/software tools (HealthMAPS) to stop-loss carriers, MGUs and reinsurers. Willis Towers Watson also provides health benefits consulting services and private exchange solutions.
Windsor Strategy Partners, Inc. David Wilson, President
777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 EMAIL: dwilson@wspactuaries.com WEB: www.wspactuaries.com Windsor Strategy Partners provides actuarial, underwriting, and strategic planning services to a wide variety of clients who assume risk. We have expertise in all forms of healthcare, life, disability, and property and casualty coverage. We excel at developing software tools, building stochastic models and the analysis and interpretation of health care data.
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CONSUMER DRIVEN HEALTH CARE SERVICES
AccessOnTime
Melven Nehleber, President 3210 Lake Emma Road, Suite 2000 Lake Mary, FL 32746 - United States PHONE: (888) 748-7575 EMAIL: mnehleber@accessontime.com WEB: www.accessontime.com
AccessOnTime provides language services including interpretation in-person/over-the-phone, recorded statements, document translation and transcription and non-emergency medical logistics nationwide. Our core competency is in the workers’ compensation arena, but we offer our language services across all business sectors. Our company prides itself on integrity, quality, passion and commitment to providing the best service we possibly can.
Advanced Risk Managers, LLC
Mimi Choi, Founder and President 298 4th Avenue, #398 San Francisco, CA 94118 - United States PHONE: (415) 854-0800 EMAIL: mimichoi@advanrm.com WEB: www.advanrm.com
ARM is the industry’s leading catastrophic claims specialist company. Using a unique approach with propriety tools, ARM’s clinically trained analysts identify, project, and manage high cost claims. From medical underwriting risk assessment to transplant case management, ARM has long, proven track record in transforming the bottom lines of its clients.
b.well Connected Health
Sheri Kitchin, Vice President, Business Development 875 Hollins Street Baltimore, MD 21201 - United States PHONE: (443) 676-9155 EMAIL: sheri@icanbwell.com WEB: www.icanbwell.com
The b.well platform puts consumers and families at the center of their healthcare. We empower our customers managing risk with data transparency and real-time dashboards, while delivering a cohesive health experience today’s consumer demands. The solution transforms an overly complex and expensive industry to a simple, on-demand experience.
Benefit Indemnity Corporation Rodger Bayne
The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
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Competitive Health
CONSUMER DRIVEN HEALTH CARE SERVICES
12
Kimberly Darling, Chief Executive Officer & President 300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 303-8323 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
Competitive Health is the premier health and ancillary care network solution provider. We aggregate national networks, regional networks, telemedicine, retail clinics, advocacy, via 1 website and 1 phone number, maximizing member utilization and ROI.
Crum & Forster
Lauren Woods, Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyds coverholder arrangement.
Deborah Heart and Lung Center Yvonne DiLauro, Captive Insurance Director/Insurance Specialist 200 Trenton Road Browns Mills, NJ 08015 - United States PHONE: (609) 893-1200 Ext. 5291 EMAIL: dilauroy@deborah.org WEB: www.deborah.org
Deborah Medical Associates is a Captive Insurance Company wholly owned by Deborah Heart and Lung Center.
GemCare Wellness Adrienna Frazer
5640 Hudson Industrial Parkway Hudson, OH 44236 - United States PHONE: (330) 655-8367 EMAIL: afrazer@gemcarewellness.com WEB: www.gemcarewellness.com Leaders in diabetes management offering wholesale mail-order diabetes testing supplies, personalized health coaching by RDs and CDEs, and generic medications at wholesale pricing through our mail-order pharmacy. For more than 25 years, GemCare Wellness has been helping employees take control of their health while providing employers customizable cost containment solutions.
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Gilsbar Doug Layman, President of Health & Life
For more than half a century, Gilsbar has offered services and solutions for businesses looking for happier constituents and healthier bottom lines. As one of the nation’s largest privately held health and benefits management organizations, Gilsbar delivers an unwavering commitment to partnerships guided by a corporate vision focused on the clients we serve— employers, brokers, consultants, affinity groups, insurance carriers and more. These professionals choose Gilsbar for our innovation, ingenuity, knowledge and world-class service. Our expertise makes Gilsbar the trusted choice for clients across the nation.
Medxoom, Inc. Tito Milla, Chief Product Officer
75 5th Street, Suite 2406 Atlanta, GA 30308 - United States PHONE: (404) 660-2469 EMAIL: tito@medxoom.com WEB: www.medxoom.com Medxoom’s white label mobile platform helps employers lower healthcare costs by 10% or more through employee friendly Comparison Shopping, Bill Pay, and CRM. Medxoom’s technology is built to compliment and reinforce Broker, DPC, TPA, Payer, or ACO driven cost containment initiatives which depend on high employee engagement.
OptiMed Health Partners
CONSUMER DRIVEN HEALTH CARE SERVICES
12
2100 Covington Centre Covington, LA 70433 - United States PHONE: (800) 445-7227 EMAIL: gilsbarmarketing@gilsbar.com WEB: www.Gilsbar.com
Rusti Greis, Director, Industry Relations & Market Access 6480 Technology Avenue, Suite A Kalamazoo, MI 49009 - United States PHONE: (269) 250-8000 EMAIL: rgreis@optimedhealthpartners.com WEB: www.optimedhealthpartners.com
We deliver more than just medicine. We optimize health outcomes and quality of life through personalized, coordinated care and excellent service. OptiMed maximizes your impact with tangible solutions for cost containment at the patient and plan level while developing ongoing steps to detect, monitor, support, and improve the patient journey.
ScriptSourcing LLC
Gary C. Becker, Chief Executive Officer 6080 Falls Road, Suite 201 Baltimore, MD 21209 - United States PHONE: (410) 902-7313 EMAIL: gary@scriptsourcing.com WEB: www.scriptsourcing.com
ScriptSourcing empowers employees to be great consumers of name brand and specialty medications. We make available $0 Rx co-pays to health plan members while saving employers 70-90% on prescription spend.
888.394.5688
[97]
SelfHelpWorks
CONSUMER DRIVEN HEALTH CARE SERVICES
12
[98]
Bryan Noar, Vice President Strategic Partnerships 2727 Camino del Rio South, Suite 110 San Diego, CA 92108 - United States PHONE: (619) 296-6001 EMAIL: bnoar@selfhelpworks.com WEB: www.selfhelpworks.com
Improve productivity and reduce health spend by creating a happier, healthier workforce. SelfHelpWorks online video interventions eliminate deeply-rooted unhealthy behaviors that resist standard wellness programming. Employees love them! Obesity, unhealthy eating, smoking, stress, inactivity, alcohol abuse, poor sleep, diabetes. Turbocharge current wellness programs or use us as a stand-alone.
Wellness Institute of Neurodevelopment
Carmen Baez Franceschi, Chief Executive Officer 5757 Woodway Drive, Suite 185 Houston, TX 77057 - United States PHONE: (787) 717-9279 EMAIL: cbf@wellneuro.com WEB: www.wellneuro.com
WIN is a pediatric private practice network focused specifically on neurodevelopment disorders. WIN offers individualized treatment options built from The Franceschi Methodâ&#x201E;˘, a unique and successful clinical treatment protocol. Founder and CEO, Dr. Carmen Baez Franceschi, and the WIN team accept patients from all over the world while maintaining offices in Texas and Puerto Rico.
www.sipconline.net
SECTION
13
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
A New World Medical Network Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
Active Captive Management Michael McKahan, Chief Operations Officer 24422 Avenida de la Carlota, Suite 400 Laguna Hills, CA 92653 - United States PHONE: (949) 727-0155 EMAIL: mmckahan@activecaptive.com WEB: www.activecaptive.com
Since 2005, Active Captive Management has assisted companies like yours design and develop alternative risk transfer solutions in multiple industries. Whether your needs are better suited to a domestic captive or an offshore entity; Active Captive Management’s team can provide a turnkey captive solution.
Advantage Insurance Management
Les Boughner, Chairman 263 King Street, Suite C Charleston, SC 29401 - United States PHONE: (312) 315-3166 EMAIL: l.boughner@aihusa.com WEB: www.aihusa.com
Advantage’s Business Insurance group specializes in the creation of customized risk finance, risk protection and risk transfer solutions for domestic and international businesses using captive insurers, Risk Retention Groups, and other alternative risk transfer methods. Advantage has offices in Charleston, SC, Burlington, Vermont, Phoenix, AZ, Cayman and Puerto Rico.
Aon-Risk, Retirement and Health
Bob Black, Executive Managing Director 200 East Randolph Street, 11th Floor Chicago, IL 60601 - United States PHONE: (312) 381-5344 EMAIL: Robert.Black@AonBenfield.com WEB: www.aon.com
Aon delivers risk, capital and partnership solutions across the healthcare landscape. Driven by data and analytics, we help insurers, MGUs, TPAs, captives and health plans/systems develop health strategies, including Employer Stop Loss, by analyzing exposures and designing optimal structures to manage risk levels and achieve growth objectives.
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Arsenal Insurance Management LLC
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Norman Chandler, President 5151 Hampstead High Street, Suite 200 Montgomery, AL 36116 - United States PHONE: (855) 250-5550 EMAIL: nchandler@captivesusa.com WEB: www.captivesusa.com
Arsenal is nationally recognized as a leader in the captive industry. In 2016, Arsenal was named Independent Captive Manager of the Year in the US Captive Service Awards. Arsenal delivers broad customer solutions in risk management for captives, mutuals, RRGs, and other insurance entities through office locations in Alabama, Georgia, Florida, Tennessee, and Texas.
Artex Risk Solutions Christine Mikel, Vice President Marketing & Promotion 2850 Golf Road Rolling Meadows, IL 60008 - United States PHONE: (630) 438-1560 EMAIL: christine_mikel@artexrisk.com WEB: www.artexrisk.com
Artex is a solutions company providing a full range of alternative risk management solutions created for our clientsâ&#x20AC;&#x2122; individual challenges. Artex operates in over 30 domiciles and has staff in 15 international offices. We have the proven capacity to continue to supply a needed alternative to the traditional insurance market.
Atlas Insurance Management
Martin Eveleigh, Chairman 7301 Carmel Executive Park Charlotte, NC 28226 - United States PHONE: (704) 945-6620 EMAIL: jellington@atlascaptives.com WEB: www.atlascaptives.com
As a leading independent insurance management firm, Atlas Insurance Management focuses on creating innovative captive insurance strategies for all kinds of companies and on delivering superior personal service in all the domiciles in which we operate. Enthusiasm, depth of experience and consistent performance are hallmarks of Atlasâ&#x20AC;&#x2122;s captive management services.
Berkley Accident and Health Linda King, Director of Marketing
2445 Kuser Road, Suite 201 Hamilton, NJ 08690 - United States PHONE: (609) 584-6990 EMAIL: LKing@Berkleyah.com WEB: www.BerkleyAH.com Berkley Accident and Health is a risk management leader offering a creative, analytical approach to risk, plus the strong backing of our parent company, W. R. Berkley Corporation, a Fortune 500 company. We are a direct writer of Stop Loss insurance in all 50 states. Policies are issued by Berkley Life and Health Insurance Company, rated A+ (Superior) by A.M. Best. We also offer Stop Loss Group Captives, which provide small- and midsize companies a gateway to self-funding.
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Blue Ridge Captive Solutions
Jonathan Socko, Senior Vice President, Sales & Business Development 121 West Main Street, Suite B Spartanburg, SC 29306 - United States PHONE: (864) 542-1565 EMAIL: jsocko@ecumgu.com WEB: www.ecumgu.com
Blue Ridge Captive Solutions is a captive program underwritten by East Coast Underwriters. BRCS offers individual employer groups the opportunity to participate in a profit sharing industry best practices captive cell with no risk. TPA’s, Agents, and groups may also lease their own customizable captive cell.
Breckpoint
Annabelle Lee, Director of Marketing & Communications 8918 Spanish Ridge Avenue, Suite 200 Las Vegas, NV 89148 - United States PHONE: (800) 592-0047 EMAIL: annabelle.lee@breckpoint.com WEB: www.breakpoint.com
In an industry filled with constraints and little control or transparency, we’ve taken a different approach — and have since grown to become the leading alternative risk solutions provider. As the industry leader, we’ve developed a unique platform that offers innovative results for our clients, built on our lead together philosophy.
Capstone Associated Services, Ltd. Lance McNeel - CPCU, ARM, Vice President of Business Development 1980 Post Oak Boulevard - Suite 1950 Houston, TX 77056 - United States PHONE: (800) 500-3190 EMAIL: info@CapstoneAssociated.com WEB: www.CapstoneAssociated.com
Capstone Associated Services, Ltd. is one of the most integrated and comprehensive providers of captive insurance services for mid-market businesses. In association with The Feldman Law Firm LLP, Capstone administers captive property & casualty insurance companies that provide alternative risk financing throughout the U.S.
Capterra Risk Solutions, LLC
Sandra Fenters, President 310-330 Grant Street, Suite 1320 Pittsburgh, PA 15219 - United States PHONE: (412) 802-2600 EMAIL: sfenters@capterrarisk.com WEB: www.capterrarisk.com
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Capterra Risk Solutions, LLC offers an unparalleled level of risk management and underwriting expertise to firms desiring to expand insurance coverage, control losses, harness profits, and preserve assets through captive insurance planning and other alternative risk solutions. We provide feasibility studies, business plan development, corporate governance, and underwriting services.
888.394.5688
[101]
Captive Alternatives, LLC
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Mark Sims, Vice President of Sales P.O. Box 467519 Atlanta, GA 31146 - United States PHONE: (404) 826-6200 EMAIL: msims@captivealternatives.com WEB: www.captivealternatives.com
Captive Alternatives is an insurance consultancy that helps business owners convert their insurance premiums into financial assets that can be grown and tapped for their benefit. CapAlt’s pioneering business model, the Protected Captive™, enables businesses and organizations to self-insure selected risks, transfer high exposure to third parties, and financially reward themselves for effective risk management.
Captive Planning Associates, LLC.
John Capasso, President Five Greentree Centre, 525 Route 73 North, Suite 218 Marlton, NJ 08053 - United States PHONE: (800) 305-8889 EMAIL: jcapasso@captiveplanning.com WEB: www.captiveplanning.com
Captive Planning Associates is a boutique captive management firm specializing in innovative alternative risk solutions to closely-held family-owned businesses and large corporations. The firm is known for its holistic approach to the design, formation and implementation of captive insurance companies. CPA manages a variety of captive structures in various industries.
CaptiveOne Advisors
Harry Tipper, Chief Operating Officer 1035 State Road 7, Suite 215 Wellington, FL 33414 - United States PHONE: (800) 781-4301 EMAIL: h.tipper@captiveone.com WEB: www.captiveone.com
CaptiveOne is a family of companies that offers captive assessment, formation, and management services.Our team brings together the best and brightest minds in the field of captive insurance to establish US-domiciled captives. Our experienced captive insurance professionals take care of every detail in order to obtain the maximum benefits available from captive ownership.
Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
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Elevate Captives, LLC
Jerry Messick, Chief Executive Officer 1103 Sovereign Row, Suite D Oklahoma City, OK 73108 - United States PHONE: (405) 673-5603 EMAIL: jm@elevatecaptives.com WEB: www.elevatecaptives.com
Elevate Captives specializes in assisting both clients and their advisors through the entire process of creating, managing and owning a captive insurance company. Elevateâ&#x20AC;&#x2122;s team brings over 100 years of combined experience from the worldâ&#x20AC;&#x2122;s leading experts. Elevate has a national and international presence with offices in Arizona, Hawaii, Oklahoma and New York.
ICG Captive Services, LLC
Andrew Rhea, Managing Director 401 Commerce Street, Suite 740 Nashville, TN 37219 - United States PHONE: (615) 467-7211 EMAIL: arhea@icgcaptive.com WEB: www.icgcaptive.com
ICG Captive Services, LLC is a consultant and manager for captive insurance companies. Our team of professional advisors, with years of experience in the insurance, legal and accounting industries, builds customized programs which provide substantial risk management and financial benefits to our clients.
Insurance Program Managers Group Gregg Peterson, President/Chief Executive Officer 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
For over 20 years IPMG has provided exceptional, integrated insurance services. Whether through Specialty Programs, Workers Compensation TPA, Employee Benefits TPA, Risk Management Services or integration of all, IPMG is continually seeking the most innovative approach to address your specific needs. IPMG: the right partner for the right result.
Intuitive Captive Solutions LLC
Rick Eldridge, President 8400 East Prentice Avenue Greenwood Village, CO 80111 - United States PHONE: (720) 431-7112 EMAIL: reldridge@intuitivecompanies.com WEB: www.intuitivecaptivesolutions.com
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Intuitive designs, builds and manages captive insurance companies for large privately held and publicly traded companies. With over 31 years of underwriting and insurance management experience and offices in Colorado, Delaware and Vermont.
888.394.5688
[103]
JLT Insurance Management
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Anne Marie Towle, Executive Vice President, Captive Consulting Practice Leader 1105 Yellowwood Circle Noblesville, IN 46062 - United States PHONE: (317) 922-4390 EMAIL: annemarie_towle@jltimusa.com WEB: www.im.jlt.com
JLT Insurance Management (JLTIM) is a full-service captive insurance management and consulting firm dedicated to providing alternative risk solutions that meet diverse needs worldwide. We service RRGs, RPGs, captives and alternative risk platforms.
Kinder & Associates, Inc.
James A. Kinder, Chairman/Chief Executive Officer 418 Terry Road Fountain Inn, SC 29644 - United States PHONE: (864) 409-8347 EMAIL: jkinder120@icloud.com
Kinder & Associates, Inc. offers consulting services to the self-insurance/alternative risk transfer community. Jim Kinder, principal of K&A, is also available to serve as an independent Director to companies within the insurance/self- insurance/ alternative risk transfer community. Mr. Kinder was a founder of SIIA and served as CEO of the organization from its inception until his retirement in 2006. He currently serves as a director of the Montana Captive Insurance Association, Inc., President/Director of Kinder Family Foundation, Inc. & Chairman/Director Self-Insurersâ&#x20AC;&#x2122; Publishing Corp.
Medical Captive Underwriters Donald McCully, President
845 North State Street, Suite 2902 Chicago, IL 60610 - United States PHONE: (703) 966-9797 EMAIL: don@medicalcaptive.com WEB: www.medicalcaptive.com Program manage a 50 state medical stop-loss group captive. Accessible and transparent operating platform. Effectively and consistently lower the overall cost of health insurance while smoothing renewals using the law of large numbers. Above average premium distributions in part due to lower cost structure allowing more premium in the employers shared layer. We provide the tools for the agent/consultant/advisor or claims administrator to communicate our message in their words. We keep it simple and straightforward.
National Underwriting Services, Inc.
Dana Driscoll, FLMI, Executive Vice President 14893 S.H. 16 North, Suite 1 Helotes, TX 78023 - United States PHONE: (210) 695-2381, Ext. 202 EMAIL: ddriscoll@nus1.com WEB: www.nus1.com
For over 32 years, NUS has been a trusted and valued underwriting source providing innovative and customized stop loss solutions to the self-funded marketplace. NUS is a full service MGU and has become the go-to underwriter for reference based pricing and other specialty programs including captive underwriting and administration. NUS has the experience to meet your needs.
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Pro Group Captive Management Services, Inc. Robert Vogel, President
575 South Saliman Road Carson City, NV 89701 - United States PHONE: (775) 887-2480 EMAIL: tanyaolson@pgmnv.com WEB: www.pgmnv.com Pro Group offers a suite of award-winning services specializing in analysis, design, implementation and ongoing management of captive insurance companies. A diverse, extensive and experienced team for business owners who demand the best, we provide services to individual companies, employers, agencies, associations, and groups that require solutions for their insurance needs.
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Renalogic
Jim Wachtel, Executive Vice President, Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (623) 594-3060 EMAIL: solutions@renalogic.com WEB: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
888.394.5688
[105]
Risk & Insurance Consulting Services
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)
13
Jamie Brown, Vice President
5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com RICS is an independent, reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Association Health Plans, Employer Groups, and Captives. Our commitment to client-focused service enables RICS to deliver exceptional risk transfer and insurance solutions.
Risk Management Advisors, Inc. Jarid Beck
444 West Ocean Boulevard, Suite 1250 Long Beach, CA 90802-8131 - United States PHONE: (562) 472-2846 EMAIL: jbeck@riskmgmtadvisors.com WEB: www.riskmgmtadvisors.com Risk Management Advisors is a national firm specializing in the design, implementation and management of captive insurance companies and self-insured plans. Our partners collectively have over 50 years of experience and are backed by a national network of world class professionals. Risk Management Advisors provides a comprehensive, integrated approach for our clients to manage their risk and protect the business they have worked so hard to build.
River Oak Risk, LLC. Doug MacGinnitie, Chief Eexecutive Officer 3300 Cumberland Boulevard, Suite 325 Atlanta, GA 30339 - United States PHONE: (404) 902-5738 EMAIL: dmacginnitie@riveroakrisk.com WEB: www.riveroakrisk.com
River Oak Risk is an independent captive management company offering innovative and flexible options to deliver a full range of alternative risk transfer strategies to the middle market. We bring Fortune 500 expertise to the middle market and to maximize the business ownerâ&#x20AC;&#x2122;s financial well-being long term.
Strategic Risk Solutions, Inc.
Wendy Dine, Associate Director Damon Mill Square, 9 Pond Lane - #4A Concord, MA 01742 - United States PHONE: (202) 629-2742 EMAIL: wendy.dine@strategicrisks.com WEB: www.strategicrisks.com
Strategic Risk Solutions is a leading independent captive management firm with representation in all major onshore and offshore domiciles. It provides financial reporting, regulatory compliance and underwriting management services to existing and prospective captive insurance companies.
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SECTION
14
REINSURANCE
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing Project Mananger 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
Aon-Risk, Retirement and Health
Bob Black, Executive Managing Director 200 East Randolph Street, 11th Floor Chicago, IL 60601 - United States PHONE: (312) 381-5344 EMAIL: Robert.Black@AonBenfield.com WEB: www.aon.com
Aon delivers risk, capital and partnership solutions across the healthcare landscape. Driven by data and analytics, we help insurers, MGUs, TPAs, captives and health plans/systems develop health strategies, including Employer Stop Loss, by analyzing exposures and designing optimal structures to manage risk levels and achieve growth objectives.
Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Crum & Forster
Lauren Woods, Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product 107] capabilities through its Lloyds coverholder arrangement.
At AmWINS Group Benefits our team of specialists wakes up every morning committed to bringing your team innovative solutions to the opportunities and challenges you and your self-funded clients face. Thatâ&#x20AC;&#x2122;s the competitive advantage you get with AmWINS Group Benefits.
amwins.com
D.W. Van Dyke & Co., Inc. Walter Roland, President
Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers’ Comp, Self-Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
Excess Risk Reinsurance/Ironshore Insurance Service LLC
REINSURANCE
14
2 Corporate Drive, Suite 642 Shelton, CT 06606 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
David Johnson, Marketing Manager P.O. Box 1170 Ridgeland, MS 39158 - United States PHONE: (601) 427-0235 EMAIL: david.johnson@ironshore.com WEB: www.Ironshore.com
Excess Risk Reinsurance - subsidiary of Ironshore, Inc. (a Liberty Mutual Company) is a direct carrier with a A excellent rating with A.M. Best.
Hannover Re
Miriam Kaufman, Assistant Vice President, Health & Special Risk 112 Main Street, 2nd Floor East Rockaway, NY 11518 - United States PHONE: (516) 593-9733 EMAIL: miriam.kaufman@hlramerica.com WEB: www.hannover-re.com
Hannover Life Reassurance Company of America (Hannover Re US) is the North American subsidiary of the Hannover Re Group, one of the largest reinsurance groups in the world. The New York office offers a diverse portfolio of health, life, and special risk products including: Medical Specific & Aggregate, Medical Excess, Managed Care, Gap/Limited Medical, Specialty Carve-outs, Accident Medical, Student A&H, Critical Illness, Disability, Dental, Group Life and Accident.
Midwest Employers Casualty Renee Lunceford, Assistant Vice President of Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 - United States PHONE: (636) 449-7000 EMAIL: rlunceford@mwecc.com WEB: www.mwecc.com
Midwest Employers Casualty provides tailored workers’ compensation excess insurance products to individual employers, groups and insurance companies, nationwide. Midwest Employers Casualty helps customers take greater control of their costs by providing innovative solutions that will lower their total cost of risk. A+ rated. Member Company of W.R. Berkley Corporation.
888.394.5688
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Contact us to learn more about our expert reinsurance solutions
Hannover Re’s New York office is a leading provider of reinsurance solutions for medical plans: medical excess, medical specific and aggregate stop loss, and managed care (HMO and provider excess). Backed by a global reinsurance powerhouse, Hannover Re Group, we have considerable financial strength while remaining flexible and responsive to our clients’ needs. We also offer a diverse portfolio of traditional and niche reinsurance solutions including:
• Limited Medical – Hospital Indemnity, Mini Med and Gap Products • Accident Medical • Specialty Carve-outs • Student Accident and Health
• Critical Illness • Disability • Dental • Group Life • Accident
We partner with direct carriers, intermediaries, managing general underwriters (MGUs), specialty insurance marketers, accountable care organizations (ACOs) and captives.
Hannover Life Reassurance Company of America 112 Main Street, 2nd Floor East Rockaway, NY 11518 Tel. 516-593-9733 Miriam Kaufman, miriam.kaufman@hlramerica.com www.hannover-re.com Member of the Hannover Re Group
Navigators Re Joann DeBlasis, President, Accident & Health
Navigators Re is a division of Navigators Management Company and a part of Navigators Group Inc. (rated A by AM Best). The management and underwriting team have over 60+ years in A&H insurance and reinsurance. Our focus is on quota share and excess of loss health and ancillary products.
Northshore International Insurance Services, Inc.
REINSURANCE
14
83 Wooster Heights Road Danbury, CT 06810 - United States PHONE: (203) 546-2851 EMAIL: jdeblasis@navg.com WEB: www.navg.com
David W. Ives, CPCU, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: dives@niis.com WEB: www.niis.com
Consulting, due diligence and audit verifications on behalf of self-insureds, excess insurers, MGUs, reinsurers, captives and governmental entities. Claims management, litigation support, managed care, excess claims run-off services provided by US and Canadian-based professional staff experienced in all lines of Medical, Life, Workersâ&#x20AC;&#x2122; Compensation and Property/ Casualty coverages.
OdysseyRe
Paul Skrtich, Senior Vice President 300 First Stamford Place Stamford, CT 06902 - United States PHONE: (203) 977-8031 EMAIL: pskrtich@odysseyre.com WEB: www.odysseyre.com
Odyssey Reinsurance Company consistently offers quality service, security and innovative solutions to our clients. Our experienced Accident & Health team offers a variety of reinsurance coverage within the U.S. Our expertise lies within four product lines: Excess Medical; Quota Share Medical; Accidental Death & Dismemberment; and Personal and Student Accident.
PartnerRe America Insurance Company Tasha Barbour, Managing Underwriter, Managed Care Reinsurance 450 Sansome Street, Suite 400 San Francisco, CA 94111 - United States PHONE: (415) 354-1584 EMAIL: ali.duerr@partnerre.com WEB: www.partnerre.com/health
PartnerRe continues its strong tradition of providing tailored, effective risk solutions for medical exposures through the Health Division. Its broad portfolio of products and services includes HMO and medical reinsurance, employer, provider, and ACO excess of loss insurance, international medical reinsurance and its PULSE + Plusâ&#x201E;˘ Program.
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Partners Managing General Underwriters (Partners MGU)
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Matt Ward, Senior Vice President Sales
11811 North Tatum Boulevard, Suite 3078 Phoenix, AZ 85028 - United States PHONE: (602) 715-0396 EMAIL: matt.ward@partnersmgu.com WEB: www.partnersmgu.com Partners MGU is an entrepreneurial organization underwriting medical Stop Loss for the self-insured marketplace. Licensed in all 50 states, our team is comprised of seasoned professionals with a long history in employee benefits. We offer a unique opportunity unlike anything in the marketplace and itâ&#x20AC;&#x2122;s available only to our Producer-Partners.
Professional Reinsurance Marketing Services, Inc. Thomas Belding, President
10917 Old River Trail Edmond, OK 73013 - United States PHONE: (405) 771-5115 EMAIL: tom.belding@coxinet.net We provide marketing services representing a number of quality established MGUâ&#x20AC;&#x2122;s and Reinsurance Carriers assisting Third Party Administrators in placing Medical Stop-Loss Insurance. We partner with various cost containment vendors to ensure they are saving their clients Claims Dollars thereby reducing the overall costs to their Plans. We also are General Agents for a number of carriers assisting Brokers with their Life, AD&D, Dental, STD, LTD and Vision Plans.
RenaissanceRe
Umme Hassan, Assistant Vice President 140 Broadway Suite 4200 New York, NY 11501 - United States PHONE: (212) 238-9281 EMAIL: uhassan@renre.com WEB: www.renre.com
Established in 1993, RenaissanceRe is a leading global provider of reinsurance and insurance with offices in Bermuda, Ireland, Singapore, Switzerland, the U.K. and the U.S. The company specializes in matching well-structured risk with efficient capital and is known for its management expertise, disciplined underwriting approach, sophisticated risk models and responsive client service.
Resolution Reinsurance Intermediaries, LLC
Jeffrey Parrish, President 4408 Forest Drive, Suite 202 Columbia, SC 29206 - United States PHONE: (803) 738-9088 EMAIL: jparrish@resolutionre.com WEB: www.resolutionre.com
ResRe specializes in traditional A&H and property reinsurance placements. We are also a leading producer and program manager for supplemental medical plans in the United States.
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With an experienced team of medical reinsurance professionals, SCOR understands the changes occurring in the healthcare industry. Our Group Reinsurance team delivers innovative products and exceptional service to the medical reinsurance marketplace. As one of the largest reinsurers in the world, SCOR’s financial strength and claim paying ability are exceptional. At SCOR, we aspire to do the ordinary in an extraordinary way.
www.scor.com
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Let’s face the unexpected together
Risk & Insurance Consulting Services
REINSURANCE
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Jamie Brown, Vice President
5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com RICS is an independent, reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Association Health Plans, Employer Groups, and Captives. Our commitment to client-focused service enables RICS to deliver exceptional risk transfer and insurance solutions.
Risk Strategies
Liz Mariner, Senior Vice President 10 South 5th Street, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.risk-strategies.com/industries/healthcare
As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
SCOR Adam Gottesman, Vice President, Sales, Group Health Reinsurance 650 Third Avenue South, Suite 1600 Minneapolis, MN 55402 - United States PHONE: (612) 656-3321 EMAIL: agottesman@scor.com WEB: www.scorgloballifeamericas.com
With an experienced team of medical reinsurance professionals, SCOR understands the changes occurring in the healthcare industry. Our Group Reinsurance team delivers innovative products and exceptional service to the medical reinsurance marketplace. As one of the largest reinsurers in the world, SCOR’s financial strength and claim paying ability are exceptional. At SCOR, we aspire to do the ordinary in an extraordinary way.
Stop Loss Insurance Services
Gerald Gates, President 100 Front Street, Suite 600 Worcester, MA 01608 - United States PHONE: (800) 944-7659 Ext. 3073 EMAIL: gerald.gates@amwins.com WEB: www.stoploss.amwins.com
Stop Loss Insurance Services leverages more than 30 years of stop-loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop Loss to SLIS.
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Trean Reinsurance Services, LLC Kyle Plath
Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation, and servicing; consultation to HMOs, MGUs, TPAs, and insurers on stop-loss insurance; and captive stop-loss development and implementation.
REINSURANCE
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150 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kplath@treancorp.com WEB: www.treanre.com
XL Reinsurance America, Inc.
Steve Donnelly, Senior Vice President â&#x20AC;&#x201C; Accident & Health Reinsurance Seaview House - 70 Seaview Avenue Stamford, CT 06902 - United States PHONE: (203) 964-3899 EMAIL: steve.donnelly@xlcatlin.com WEB: www.xlcatlin.com/reinsurance
With an experienced staff XL Catlin Health Reinsurance is focused on providing creative solutions to meet the demands of a dynamic Medical Reinsurance marketplace. The addition of the 49 state stop-loss policy filing of Greenwich Insurance Company provides us with an additional tool to satisfy the needs of your clients.
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INTERNATIONAL
Considine & Associates HealthClaim Solutions® Jim Considine, MD, MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Crum & Forster
Lauren Woods, Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyds coverholder arrangement.
Northshore International Insurance Services, Inc. David W. Ives, CPCU, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: dives@niis.com WEB: www.niis.com
Consulting, due diligence and audit verifications on behalf of self-insureds, excess insurers, MGUs, reinsurers, captives and governmental entities. Claims management, litigation support, managed care, excess claims run-off services provided by US and Canadian-based professional staff experienced in all lines of Medical, Life, Workers’ Compensation and Property/Casualty coverages.
Risk Strategies
Liz Mariner, Senior Vice President 10 South 5th Street, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.risk-strategies.com/industries/healthcare
As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
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Rx Manage Casey Macpherson
4/31 Apollo Drive Auckland, 632 - New Zealand PHONE: (833) 479-6482 EMAIL: casey@globalrxmanage.com WEB: www.rxmanage.com Rx Manage specializes in pharmaceutical cost containment for self-funded employer groups. We provide plan sponsors the opportunity to save up to 70% on prescription costs by offering plan members a voluntary, zero co-pay, mail order prescription benefit through our network of licensed international pharmacies.
Sanus Health Corporation Maria Ana Junquera, Executive Director, International Business Development 9600 North West 38th Street, Suite #300 Doral, FL 33178 - United States PHONE: (305) 572-9756 Ext. 300 EMAIL: mjunquera@sanushealth.com WEB: www.Sanushealth.com
Sanus Health Corporation, an international TPA, offers some of the most significant discounts in the industry. Worldwide our network consist of over 10,000 hospitals, including the top 100 hospitals in the US. Sanus offers over 40 health related services including; scheduling, case management, discharge planning, bill reviews and re-pricing, audits and pharmacy.
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SUBROGATION
International Subrogation Management Richard M. Ives, President
24402 West Lockport Street, Suite 227 Plainfield, IL 60544 - United States PHONE: (815) 267-5000 EMAIL: rives@niis.com WEB: www.ismsubro.com ISM’s experienced staff are dedicated to recovering Medical Benefit payments, overpayments, Property Damage, Trucking and Workers’ Compensation benefits made on behalf of the self-funded and insurance markets; our clients include self-funded groups, TPAs, MGUs, Excess (Stop Loss) Carriers, Managed Care Organizations, Reinsurers, Lloyd’s and London Markets. Additionally, ISM offers Property/Casualty recovery services for Municipal Pools.
Law Office Of Bryan B. Davenport, P.C.
Bryan Davenport, Attorney 160 Fairway Lakes Drive Franklin, IN 46131-8300 - United States PHONE: (317) 738-9540 EMAIL: bdavenport@erisasubro.com WEB: www.erisasubro.com
The Law Office of Bryan B. Davenport, P.C. provides subrogation and reimbursement recovery services to self-insured plans and medical stop loss carriers, aggregate and specific stop loss overpayment recovery services and handles appeal issues in complex claim denial cases.
Northshore International Insurance Services, Inc. David W. Ives, CPCU, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: dives@niis.com WEB: www.niis.com
Consulting, due diligence and audit verifications on behalf of self-insureds, excess insurers, MGUs, reinsurers, captives and governmental entities. Claims management, litigation support, managed care, excess claims run-off services provided by US and Canadian-based professional staff experienced in all lines of Medical, Life, Workers’ Compensation and Property/Casualty coverages.
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Rathbone Group
Kimberly Rathbone, Partner 1100 Superior Ave E Ste 1850 Cleveland, OH 44114-2544 - United States PHONE: (800) 870-5521 Ext.3027 EMAIL: krathbone@rathbonegroup.com WEB: www.rathbonegroup.com
Rathbone Group is a national subrogation law firm handling recovery of auto, property, workers’ comp, and health claims when a third party is responsible. RG handles claims pre-suit with claims adjusters to save clients money. If litigation is desired, RG’s extensive experience in litigation management maximizes recoveries while minimizing costs.
The Phia Group, LLC
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Adam Russo, Esq., Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com
The Phia Group’s mission is to reduce the cost of healthcare with innovative technologies, legal expertise, and focused, flexible customer service. The Phia Group is an experienced provider of healthcare cost containment techniques, offering comprehensive recovery, plan document, and consulting services designed to control plan expenses and protect plan assets.
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LOSS PREVENTION/ CONTROL SERVICES
A New World Medical Network
Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
Breckpoint
Annabelle Lee, Director of Marketing & Communications 8918 Spanish Ridge Avenue, Suite 200 Las Vegas, NV 89148 - United States PHONE: (800) 592-0047 EMAIL: annabelle.lee@breckpoint.com WEB: www.breckpoint.com
In an industry filled with constraints and little control or transparency, we’ve taken a different approach — and have since grown to become the leading alternative risk solutions provider. As the industry leader, we’ve developed a unique platform that offers innovative results for our clients, built on our lead together philosophy.
ClaimDOC Timothy Hyde, President
506 3rd Street, Suite 200 Des Moines, IA 50309 - United States PHONE: (501) 779-6708 EMAIL: Ben@Claim-DOC.com WEB: www.Claim-DOC.com Your third party claim auditing and member advocacy firm. We offer our services as co-fiduciary to plan sponsors. Appeal and balance bill handling as well as litigation defense and support.
Equian
Ramon Gonzalez, Director, Clinical Bill Review/Negotiations 600 12th Street, Suite 300 Golden, CO 80401 - United States PHONE: (305) 671-5127 EMAIL: rgonzalez@equian.com WEB: www.Equian.com
Equian is a leading end-to-end payment integrity organization. The company manages over $300 billion in claims data annually on their innovative platform designed to assist clients by avoiding, identifying, pricing, analyzing clinical codes, in and out of network bill review/ negotiations and ultimately recovering inaccurate transactions in the complex environments of healthcare, workers’ compensation, and property & casualty markets.
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Reference Based Pricing programs are not all the same. What makes us different? Our proven results.
Visit claim-doc.com or call (888) 330-7295
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H.H.C. Group Bob Serber, Director of Marketing and Special Projects 438 North Frederick Avenue, #200A Gaithersburg, MD 20877 - United States PHONE: (301) 963-0762 EMAIL: sales@hhcgroup.com WEB: www.hhcgroup.com
H.H.C. Group is a national cost-containment company dedicated to ensuring its clients pay only the appropriate amounts for healthcare services. HHC combines customized cost-reducing solutions, bulldog tenacity and personalized customer service to deliver the savings our clients demand and the service they deserve. A URAC accredited Independent Review Organization.
Health Cost Control
David Winters, Executive Vice President 922 14th Street North Texas City, TX 77590 - United States PHONE: (614) 429-8578 EMAIL: dwinters@healthcostcontrol.com WEB: http://healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions. Drawing from a range of services, weâ&#x20AC;&#x2122;ll create a customized program to deliver outstanding results. HCC provides specialized services including Medical Bill Review, Reference Based Pricing, Dialysis Claim Review, Fee Negotiation, In Network Claim Review, and Patient Advocacy.
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Insurance Program Managers Group
LOSS PREVENTION/CONTROL SERVICES
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Gregg Peterson, President/Chief Executive Officer 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
For over 20 years IPMG has provided exceptional, integrated insurance services. Whether through Specialty Programs, Workers Compensation TPA, Employee Benefits TPA, Risk Management Services or integration of all, IPMG is continually seeking the most innovative approach to address your specific needs. IPMG: the right partner for the right result.
IPCS Thomas Gilliam, President
1696 Georgetown Road, Suite B Hudson, OH 44236 - United States PHONE: (330) 283-4131 EMAIL: tgilliam@ipcs-inc.com WEB: www.ipcs-inc.com IPCS offers physical strength evaluations allowing employers to evaluate their workforce and lower healthcare cost. IPCS determines a candidate’s physical capability for new hire positions, return to work, and the risk for certain diseases among their current employees. IPCS prevents employers from HIRING THE CLAIM!
For over 20 years, IPMG has proven to be a committed partner to independent agents brokers and their clients. Building trust, delivering on promises and achieving optimal results have placed IPMG in the very fortunate position of being a “go-to” resource for those who do business with us. PROGRAM MANAGEMENT UNDERWRITING & WHOLESALE BROKERAGE EMPLOYEE BENEFIT SERVICES CLAIMS MANAGEMENT SERVICES PUBLIC ENTITY EXPERTISE SENIOR CARE SERVICES RISK MANAGEMENT SERVICES
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MultiPlan Pam Walker, Sr. Director, Marketing and Communication
MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clients’ needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
National Bill Audit Services, LLC Jeremy Perkinson, Chief Operating Officer 5999 Central Avenue, Suite 401 St. Petersburg, FL 33710 - United States PHONE: (800) 719-6227 EMAIL: jperkinson@nbasaudits.com WEB: www.nbasaudits.com
NBAS is an independent medical bill auditing firm providing Billing Error Review, Reasonable & Customary Review, Medicare Based Pricing, Claims Negotiation and other cost containment solutions. Our experienced team works with health plans, insurance companies, TPAs, MGUs and reinsurance carriers, auditing large dollar hospital and physician claims. Over 99% of our findings are upheld through NBAS’s support.
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115 Fifth Avenue New York, NY 10003 - United States PHONE: (212) 780-2000 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
Nova Healthcare Administrators Todd Martin
6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com Evolving over the last 30 years, Nova manages trend to reduce health care spend and improve health plan performance. A partnership with Nova provides clients with traditional administrative services and private-labeled solutions. Nova offers personalized service with a tailored approach to cost management and customized, actionable health plan strategies.
PMA Companies
Michael MacAulay, Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States PHONE: (856) 727-3157 EMAIL: Michael_MacAulay@pmagroup.com WEB: www.pmacompanies.com
PMA is a leading provider of workers’ compensation and liability Third-Party Administrator (TPA) and Risk Services to employers. Our holistic approach integrates pre-loss, loss-reduction and post-loss strategies to reduce clients’ total cost of risk. With average client retention of 98% and 95% client satisfaction, our TPAs, PMA Management Corp. and PMA Management Corp. of New England, exceed clients’ expectations.
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Specialty Care Management
LOSS PREVENTION/CONTROL SERVICES
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Craig Clemente, Chief Operating Officer 5860 Lower York Road - Building 3, Suite G Lahaska, PA 47715 - United States PHONE: (267) 544-0351 EMAIL: cclemente@specialtycm.com WEB: www.specialtycm.com
SCM takes a new approach to high-cost claims with a complete risk solution that normalizes claim costs and brings them under control. Specializing in programs for renal claims, cancer management, transplants, clinical underwriting consulting and negotiation services, SCM doubles your savings compared to typical network discounts, always delivering maximized savings.
United Claim Solutions Joshua Carder, President/Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (866) 762-4455 EMAIL: jcarder@unitedclaim.com WEB: www.UnitedClaimSolutions.com
United Claim Solutions is an innovative payment integrity solutions company providing customizable solutions for TPAs, self-funded groups, labor/trust organizations, stop-loss carriers and health plans. UCS places emphasis on quality service, optimal savings and timely solutions for its clients, which generates additional savings, supports client retention and facilitates business growth.
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PUBLICATIONS/ RESOURCES
The Phia Group, LLC
Adam Russo, Esq., Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com
The Phia Groupâ&#x20AC;&#x2122;s mission is to reduce the cost of healthcare with innovative technologies, legal expertise, and focused, flexible customer service. The Phia Group is an experienced provider of healthcare cost containment techniques, offering comprehensive recovery, plan document, and consulting services designed to control plan expenses and protect plan assets.
Trilogy Consulting Group, Inc. Kathy Martin-Smith, Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States PHONE: (630) 953-6278 EMAIL: kathymartinsmith@msn.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for self-funded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!
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TRADE ASSOCIATIONS
Automotive Wholesalers Association of New England (AWANE) Philip Healy, Executive Director
4 Main Street Peterborough, NH 03458 - United States PHONE: (800) 258-5318 EMAIL: amaini@rtconsultingllc.com WEB: www.awane.com AWANE is the Automotive Wholesalers Association of New England. We are a group of automotive, road, and fuel-related businesses who together form a trade association. By joining AWANE, members receive better employee benefit plan options and group buying power, a voice in legislative issues, administrative support, and much more.
Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 20 F Street NW, Suite 700 Washington, DC 20001 - United States PHONE: (888) 302-4232 EMAIL: info@dccaptives.org WEB: www.dccaptives.org
The Captive Insurance Council of the District of Columbia, Inc. (CIC-DC) was formed in 2001 and represents the corporate and association community interested in operating captive insurance companies in the District of Columbia. CIC-DC was formed to advance the District of Columbia’s presence in the captive marketplace, especially as it relates to professional and industry trade associations by educating the public about the role of captives through educational programs and conferences.
Delaware Bureau of Captive & Financial Insurance Products Kathy Jo Robbins, Marketing Specialist II 1007 Orange Street, Suite 1010 Wilmington, DE 19801 - United States PHONE: (302) 674-6265 EMAIL: kathyjo.robbins@state.de.us WEB: www.captive.delaware.gov
In order to regulate captives, you must understand captives. Delaware’s captive insurance regulators follow this simple rule. That is why 80 percent of Delaware’s financial analysts hold the Associate in Captive Insurance designation and why Delaware is only one of four captive insurance domiciles that is ICCIE Trained.
Delaware Captive Insurance Association, Inc. (DCIA) 4023 Kennett Pike, Box 801 Wilmington, DE 19807 - United States PHONE: (888) 413-7388 EMAIL: ggrote@delawarecaptive.org WEB: www.delawarecaptive.org
DCIA supports the development and growth of the captive industry and the Delaware domicile through legislative initiatives, representation, marketing, and educational networking events.
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Health Care Administrators Association
Carol Berry, Chief Executive Officer 5353 Wayzata Boulevard, Suite 350 Minneapolis, MN 55416 - United States PHONE: (818) 340-7668 EMAIL: cberry@hcaa.org WEB: www.hcaa.org
For almost 40 years, HCAA (Health Care Administrators Association), a national membership-based trade organization has fulfilled its core purpose, to improve the quality and cost effectiveness of health care benefit administration, by providing its members education, information, resources and a forum to freely exchange ideas.
Montana Captive Insurance Association, Inc. (MCIA) 1302 24th Street West, #303 Billings, MT 59102-3861 - United States PHONE: (866) 388-6242 EMAIL: info@mtcaptives.org WEB: www.mtcaptives.org
TRADE ASSOCIATIONS
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The Montana Captive Insurance Association, Inc. (MCIA) is a trade association solely dedicated to promoting a vibrant captive insurance industry in the state of Montana.The association furthers the interests of its members by keeping them up to date on the latest industry impacting news and regulation, producing educational conferences and seminars and offering unparalleled networking opportunities.
Self-Insurance Institute of America, Inc. (SIIA) P.O.Box 1237 Simpsonville, SC 29681 - United States PHONE: (800) 851-7789 EMAIL: info@siia.org WEB: www.siia.org
The Self-Insurance Institute of America, Inc. (SIIA) is a non-profit trade association focused on protecting the business interests of its members who are involved in the self-insurance marketplace. Major membership constituencies include self-insured entities, third party administrators, stop-loss insurance carriers/MGUs, captive managers, brokers/advisors and key industry service providers.
Tennessee Captive Insurance Association, Inc. (TCIA) Justin Miller, Executive Director
4636 Lebanon Pike, Box 207 Nashville, TN 37076-1316 - United States PHONE: (888) 668-3188 EMAIL: jmiller@tncaptives.org WEB: www.tncaptives.org The Tennessee Captive Insurance Association, Inc. (TCIA) is a not-for-profit trade association focused on building a successful captive insurance domicile in Tennessee. Consistent with this objective,TCIA invites captive insurance industry professionals to join the association so they can be part of this exciting initiative while receiving valuable membership benefits. If you intend to do captive insurance business in Tennessee, then TCIA membership is a must.
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20 REFERENCE BASED PRICING SERVICES
6 Degrees Health Rob Ray, Executive Vice President
1600 NW Compton Drive, Suite 208 Beaverton, OR 97006 - United States PHONE: (503) 640-9933 EMAIL: robray@6degreeshealth.com WEB: www.6degreeshealth.com 6 Degrees Health is a complex care specialty network and cost containment organization. The 6 Degrees MediVI™ software platform is an industry leading source of transparent hospital financial and quality data. By utilizing objective claims data and hospital financial metrics, 6 Degrees negotiates fixed rate and referenced based contracts, in addition to employing defensible methodologies on retrospective medical claims.
A New World Medical Network
Cathy M. Nenninger, MBA, Chief Executive Officer 29 South Country Road Westhampton Beach, NY 11978 - United States PHONE: (800) 475-7284 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
U.S. Medical Travel saves an average of 50% off procedures, cancer care, and ground-breaking mental illness diagnostic tools with a solid cost inclusive of travel provided annually: “One-Price-Healthcare.” 14 quality facilities across the U.S. A win-win without PEPM and savings get shared with the employees to thank them for going out of their way.
Advanced Benefit Consulting & Insurance Services, Inc.
Dorothy Cociu, RHU, REBC, GBA, RPA, President 5130 East La Palma Avenue, Suite 211 Anaheim, CA 92807 - United States PHONE: (714) 693-9754; Toll Free (866) 658-3835 EMAIL: dmcociu@advancedbenefitconsulting.com WEB: www.advancedbenefitconsulting.com
We are a full-service health insurance agency and consulting firm, specializing in self-funded group health plans, including reference based pricing plans. We are benefit as well as compliance consultants, including HIPAA, COBRA, ACA and other compliance issues. We offer full service evaluations of reference based pricing options to self-funded employers.
ClaimDOC Timothy Hyde, President
506 3rd Street, Suite 200 Des Moines, IA 50309 - United States PHONE: (501) 779-6708 EMAIL: Ben@Claim-DOC.com WEB: www.Claim-DOC.com Your third party claim auditing and member advocacy firm. We offer our services as co-fiduciary to plan sponsors. Appeal and balance bill handling as well as litigation defense and support.
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ClearHealth Strategies Brian Wroblewski, Executive Vice President - Sales & Marketing
ClearHealth Strategies enables self-insured organizations to shift to Medicare-based pricing through a robust program with risk mitigation and appeal management to maximize savings and minimize member disruption. This approach is used for out-of-network or PPO replacement plans, and can be combined with traditional supplemental network and claim negotiation programs. ClearHealth is your best choice in a Medicare-based (reference-based) pricing partner.
Context 4 Healthcare David Lung, Vice President of Sales 55 Shuman Boulevard Naperville, IL 60502 - United States PHONE: (630) 321-2969 EMAIL: david.lung@context4.com WEB: www.context4healthcare.com
Real-Time Payment Integrity & Medicare PPS Pricing in the cloud, UCR and healthcare data. Since 1989.
REFERENCE BASED PRICING SERVICES
20
27299 Riverview Boulevard, Suite 100 Bonita Springs, FL 34134 - United States PHONE: (414) 899-4100 EMAIL: bwroblewski@clearhealthstrategies.com WEB: www.clearhealthstrategies.com
Creative Risk Underwriters, LLC Michael Remeika, President
1343 Canton Road Marietta, GA 30066 - United States PHONE: (678) 661-4634 EMAIL: mremeika@creativeuw.com WEB: www.creativeuw.com Creative Risk Underwriters is a full-service Managing General Underwriter of Medical Stop Loss, offering an innovative approach to underwriting unique risks. We offer stop loss to self-insured single employer groups as well as multipleemployer groups, both in the MEWA and Taft-Hartley markets. At CRU, we have a strong understanding of both the PPO and Reference Based Pricing platforms, and have tools available to us to confidently underwrite risks using these platforms.
ELAP Services
Theresa Yockey, Executive Coordinator 1550 Liberty Ridge Drive, Suite 330 Wayne, PA 19087 - United States PHONE: (610) 249-0631 EMAIL: tyockey@elapservices.com WEB: www.elapservices.com
ELAP Services is a leading reference-based pricing solution for self-funded employers, offering unparalleled cost savings and advocacy services. ELAPâ&#x20AC;&#x2122;s program works with a companyâ&#x20AC;&#x2122;s health plan to promote the responsible and sustainable management of healthcare costs. Since 2007, ELAP has helped organizations in the US reduce spend by as much as 30%.
888.394.5688
[129]
Golden Triangle Specialty Network, LLC
REFERENCE BASED PRICING SERVICES
20
Scott E. Williams, Senior Vice President P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
GTSN the most trusted Dialysis cost management solution for payors nationally. Now, GTRx Specialty Pharmacy NetworkSM continues our reputation of service and guaranteed safe discounts, with a focus on your Medical Spend. Free review (single case or data dump). Nothing to lose and so much more to save!
Health Cost Control
David Winters, Executive Vice President 922 14th Street North Texas City, TX 77590 - United States PHONE: (614) 429-8578 EMAIL: dwinters@healthcostcontrol.com WEB: http://healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions. Drawing from a range of services, weâ&#x20AC;&#x2122;ll create a customized program to deliver outstanding results. HCC provides specialized services including Medical Bill Review, Reference Based Pricing, Dialysis Claim Review, Fee Negotiation, In Network Claim Review, and Patient Advocacy.
HealthSmart Ron Wozny, Vice President of Marketing
222 West Las Colinas Boulevard, Suite 500N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: ron.wozny@healthsmart.com WEB: www.healthsmart.com HealthSmart is one of the largest independent third party administrators and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workersâ&#x20AC;&#x2122; compensation.
Homestead Smart Health Plans
William J. Green, Chief Executive Officer 50 South 16th Street, Suite 2710 Philadelphia, PA 19102 - United States PHONE: (844) 307-3788 EMAIL: bill.green@homesteadplans.com WEB: www.homesteadplans.com
Homestead offers health coverage solutions enabling quality care at the lowest possible cost. We save employers up to 30% and employees up to 50% through our proprietary auditing and repricing solution. Contact us to learn more about a win-win full BUCA replacement, a slice offering, or out-of-network solution.
[130]
www.sipconline.net
LOOKING FOR HIGHER SAVINGS AND LESS HEADACHES? We can help. Health Cost Control offers industryleading cost containment solutions for health plans, third party administrators, insurance companies, employer groups, HMOâ&#x20AC;&#x2122;s and non-subscribers.
Drawing from a range of services, weâ&#x20AC;&#x2122;ll create a customized program designed to deliver outstanding results. Our knowledge of the industry and depth of expertise in clinical documentation and coding, appeals practices, and plan documentation, will lower your costs and increase client retention.
Referenced-based Pricing Plus
In-network bill review (19% average savings)
Out-of-network bill review (69% average savings)
Dialysis claim review (88% average savings)
Fee negotiation
Patient advocacy
Partner with us at Health Cost Control and experience the difference. Contact us for a free test claim
dwinters@healthcostcontrol.com
866-751-1599
HealthCostControl.com
YOU ALREADY CHANGE IS COMING. Now you know who is leading it. Itâ&#x20AC;&#x2122;s no secret that employers are struggling with the expense of offering their employees quality health benefits. And employees are becoming increasingly frustrated with the costs and restrictions of a broken system. But all that is changing because we have a better way. Homestead makes your health plan a Smart Health Plan. We save employers as much as 30%, but not by shifting cost to employees. In fact, we are saving employees over 50% of what they currently spend on employee contributions and patient responsibility. All without the restrictions of a network-based system. Our proprietary pricing and audit system Claim Watcher gives TPAs a powerful tool for auditing and re-pricing. Together, we can provide full BUCA replacement, run in tandem as a slice offering, or provide your out of network solution. With Homestead, you get happy customers, happy employees and happy employers. Which creates a win, all around.
Change is coming and weâ&#x20AC;&#x2122;re the ones bringing it to you. Let us show you how good it can be with Homestead Smart Health Plans.
Find our booth at SIIA.
844-307-3788 info@homesteadplans.com www.homesteadplans.com
Hopewell Risk Strategies, LLC
Leo Oliver, Director 18090 Kings Row Houston, TX 77058 - United States PHONE: (800) 293-1397 EMAIL: leo.oliver@hopewellgrp.com WEB: www.hopewellrsk.com
Hopewellâ&#x20AC;&#x2122;s bill review product is designed to provide significant reductions in medical claim costs in concurrence with timely and accurate payment recommendations. Hopewell Risk Strategy provides industry leading medical claim review services. We provide state-of-the-art bill review and repricing solutions for group health medical claims.
MultiPlan Pam Walker, Senior Director, Marketing and Communication 115 Fifth Avenue New York, NY 10003 - United States PHONE: (212) 780-2000 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clientsâ&#x20AC;&#x2122; needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
REFERENCE BASED PRICING SERVICES
20
Payer Compass, LLC
Ginger Barrientez, Director of Marketing 5800 Granite Parkway, Suite 450 Plano, TX 75024 - United States PHONE: (469) 215-2654 EMAIL: gbarrientez@payercompass.com WEB: www.payercompass.com
Follow the leader in innovative reimbursement strategy. From claim repricing to customized RBP Models and Bundled Payments, we are charting a course for your success. Full solutions include Patient Advocacy/Care Management with URAC-accredited Case/Health Utilization Management. Build trust with plan savings of 70%+ and <1% balance billing.
WellRithms, Inc.
John Hennessy, Chief Business Development Officer 3718 Sout West Condor Avenue, Suite 100 Portland, OR 97239 - United States PHONE: (913) 907-7605 EMAIL: jhennessy@wellrithms.com WEB: www.wellrithms.com
WellRithms is a full-service cost containment company. We first review bills for fraud and abuse. Then, using second generation reference based pricing, we incorporate the only legally defensible methodology: What providers actually accept as payment. With decades of medical, legal, and technical expertise, we provide financial wellness using proven algorithms.
888.394.5688
[133]
SECTION
21
OTHER
Advantria, LLC Larry Taylor, President & Chief Marketing Officer 5625 Alpinista Circle Reno, NV 89511 - United States PHONE: (866) 756-8666 Ext. 200 EMAIL: ltaylor@advantria.net WEB: www.advantria.net
Catastrophic Claim Negotiations, Dialysis Claim Solutions, MLR for Native American Indian Organizations.
Benovate Melissa Hennessey, Director of Marketing
2829 University Avenue South East, Suite 820 Minneapolis, MN 55414 - United States PHONE: (612) 455-7123 EMAIL: mhennessey@benovate.com WEB: www.benovate.com Benovate engages, educates, & empowers Members and Employers through an evolving platform that drives meaningful use. Our patented technology and Living HRA allows us to develop a risk profile specific to the individual, and then connect them to proven cost-saving resources. Benovate is What’s Next in effective employee engagement and well-being.
Caris Life Sciences Annemarie Benton, Director, Managed Care 4610 South 44th Place Phoenix, AZ 85040 - United States PHONE: (602) 792-2402 EMAIL: abenton@carisls.com WEB: www.carismolecularintelligence.com
Caris Life Sciences® is a leading innovator in molecular science focused on fulfilling the promise of precision medicine. Caris Molecular Intelligence®, the company’s Comprehensive Genomic Profiling Plus testing service, assesses DNA, RNA and proteins, microsatellite instability, tumor mutational burden, and PD-L1, to guide more precise and personalized treatment decisions.
Competitive Health Kimberly Darling, Chief Excutive Officer & President 300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 303-8323 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
Competitive Health is the premier health and ancillary care network solution provider. We aggregate national networks, regional networks, telemedicine, retail clinics, advocacy, via 1 website and 1 phone number, maximizing member utilization and ROI.
[134]
www.sipconline.net
CPR Risk Management
Mary Pozuelo, President 9329 Blind Pass Road St. Petersburg, FL 33706 - United States PHONE: (203) 667-8093 EMAIL: mpozuelo@cpr-rm.com WEB: www.cpr-rm.com
OTHER
21
CPR Risk Management provides an independent assessment of medical risk. We have registered nurses working with underwriters to provide claim projections for prospective and renewal cases. Our mission is to combine our knowledge of insurance, risk management and medical best practices in order to assist our clients to evaluate and assess risk from a business and medical perspective.
CPR Strategic Marketing Communications Laura Carabello, Principal and Founder
777 Terrace Avenue Hasbrouck Heights, NJ 07604 - United States PHONE: (201) 641-1911 Ext. 12 EMAIL: lcarabello@cpronline.com WEB: www.cpronline.com CPR Strategic Marketing Communications (CPR) serves emerging healthcare-focused companies and not-for-profit organizations to effectively position them for growth and expansion, industry leadership and market success. Recognized for delivering innovative, multifaceted approaches and leveraging global networking opportunities, CPR develops and implements integrated strategies and content that deliver cost-effective branding and communications. Visit www.cpronline.com.
CPR breathes new life into healthcare marketing, communications & positioning.
CPRonline.com 201-641-1911 x 12
888.394.5688
[135]
ECHO Health, Inc.
OTHER
21
Thomas Penko, Brand Manager
868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: Info@Echohealthinc.com WEB: www.EchoHealthinc.com ECHO® offers efficient, cost-effective healthcare payment solutions for healthcare plan payers. With over 20 years of related experience, ECHO Health, Inc.’s one-of-a-kind ERISA, HIPAA and CORE compliant payment solution CONSOLIDATES multiple financial obligations into single provider payments, DELIVERS payments and EOBs electronically, and REWARDS your bottom line from day one.
First Health National PPO
Rhett Crosby, Regional Sales Director 9709 South 43rd Lane Laveen, AZ 85339 - United States PHONE: (480) 646-6227 EMAIL: crosbyr@firsthealth.com WEB: www.firsthealth.com
First Health is a leading national rental PPO with access to over 1 million provider locations across all 50 states. We work with Health Plans, TPA’s, Brokers, Consultants and self-funded/ self-administered groups to identify the best solutions. Also, through our parent company Aetna, sister companies AHH and Cofinity PPO we offer a host of additional alternative cost containment solutions that can save our clients millions more: Medical Management, Supplemental Networks, Bill Review & Negotiations.
Health Cost Control
David Winters, Executive Vice President 922 14th Street North Texas City, TX 77590 - United States PHONE: (614) 429-8578 EMAIL: dwinters@healthcostcontrol.com WEB: http://healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions. Drawing from a range of services, we’ll create a customized program to deliver outstanding results. HCC provides specialized services including Medical Bill Review, Reference Based Pricing, Dialysis Claim Review, Fee Negotiation, In Network Claim Review, and Patient Advocacy.
Magellan Rx Management
Veronica Vance, Sales Coordination Director 15950 North 76th Street, Suite 200 Scottsdale, AZ 85260 - United States PHONE: (480) 624-9244 EMAIL: VAVance@magellanhealth.com WEB: www.magellanrx.com
Magellan Rx Management is a next-generation PBM that specializes in solving complex pharmacy challenges by leveraging our industry-leading expertise to move beyond the traditional volume-focused market and deliver true value-driven solutions. We are passionate about partnering with our clients and leaning into the challenges facing our industry to uncover opportunities that lead humanity to healthy, vibrant lives.
[136]
www.sipconline.net
Maguire Innovations, LLC
Aaron Maguire, Inventor 6201 South Doral Trail Sioux Falls, SD 57108 - United States PHONE: (605) 595-8823 EMAIL: aaron@portionpros.com WEB: www.portionclip.com
Provide an educational and wellness solution for portion control to help employees get and eat healthy!
OTHER
21
New Benefits
Marti Powles, Chief Operating Officer 14240 Proton Road Dallas, TX 75244 - United States PHONE: (800) 800-8304 EMAIL: mpowles@newbenefits.com WEB: www.NewBenefits.com
New Benefits is the leading provider of non-traditional benefits. Since 1990, we have delivered best-in-class benefits, technology, print services, and unbeatable customer service. We serve brokerage/consulting firms, employers, associations, and affinity groups throughout the country.
One Contact Center Inc. Mary Antonette Claire Suaverdez, Director of Client Services 1550 Erwin Street Suite 4007 Van Nuys, CA 91411 - United States PHONE: (818) 988-8091 EMAIL: claire@onecontactcenter.com WEB: www.onecontactcenter.com
One Contact Center can significantly improve your customer service experience and, cut your operating cost by up to 60%. We ranked #1 in a Customer Service benchmark study for two years in a row as attested by a prestigious 3rd party research company based in NYC.
OptiMed Health Partners Rusti Greis, Director, Industry Relations & Market Access 6480 Technology Avenue, Suite A Kalamazoo, MI 49009 - United States PHONE: (269) 250-8000 EMAIL: rgreis@optimedhealthpartners.com WEB: www.optimedhealthpartners.com
We deliver more than just medicine. We optimize health outcomes and quality of life through personalized, coordinated care and excellent service. OptiMed maximizes your impact with tangible solutions for cost containment at the patient and plan level while developing ongoing steps to detect, monitor, support, and improve the patient journey.
888.394.5688
[137]
Script Care, Ltd.
OTHER
21
Tab Bryan, Vice President of Sales & Marketing 6380 Folsom Drive Beaumont, TX 77706 - United States PHONE: (800) 880-9902 EMAIL: tbryan@scriptcare.com WEB: www.scriptcare.com
Script Care, Ltd. is the longest operating privately held Pharmacy Benefit Manager in the industry and is fully URAC PBM accredited. Through various business lines - PBM, Managed Care, Correctional Services, Outsourced Business Services, as well as our sister company SCL 340B CARE - we offer innovative solutions for a wide range of clients.
Teladoc
Kristin Ringdahl, Senior Marketing Manager 5350 East High Street, Suite 350 Phoenix, AZ 85254 - United States PHONE: (480) 719-6880 EMAIL: kringdahl@teladoc.com WEB: www.teladoc.com
Teladoc is the global leader in virtual care, successfully expanding access to high quality healthcare, lowering costs and improving outcomes around the world. The company’s award winning, integrated clinical solutions are inclusive of telehealth, expert medical opinions, and analytics. The organization is transforming care delivery by partnering with thirdparty administrators, employers, health systems, and insurers.
Independent Full Service Pharmacy Benefit Manager (PBM) • Innovative clinical programs that drive adherence, lower drug costs, and improve outcomes
• Award winning specialty pharmacy
• Lowest Net Cost/Industry Leading Drug Trend • Fully integrated retail pharmacy network
• Flexible, transparent and traditional pricing models
• High capacity mail order prescription services
• Plan design customization and flexibility
• Outsourced pharmacy services
• Personalized service for clients and members
• Comprehensive reporting and analytics capabilities
Every Little Thing Brings BIG OUTCOMES. 888.479.2000
[138]
www.sipconline.net
www.WellDyneRx.com
Tenet Diagnostics Al Pantaleone
OTHER
21
629 Springfield Road Kenilworth, NJ 07033 - United States PHONE: (844) 762-9522 EMAIL: al.pantaleone@tenetdiagnostics.com WEB: www.tenetdiagnostics.com Tenet Diagnostics is a full-service laboratory dedicated to serving the unique needs of mental health medicine. Offering diagnostic expertise in synthetic opioids, pharmacogenetics and polypharmacy, ASAM guidelines, and the full array of chemistry testing. You are dedicated to your patients; we are dedicated to you. How can we serve you?
WellDyneRx Mark SantaCroce, Chief Commerical Officer 500 Eagles Landing Drive Lakeland, FL 33810 - United States PHONE: (863) 241-6746 EMAIL: msantacroce@WellDyneRx.com WEB: www.WellDyneRx.com
WellDyneRx, a full-service, independent pharmacy benefit manager that makes the little things matter for our clients, partners, and members. Our flexible, customizable services focus on lowest net cost, disease management, and proactive trend management. We optimize every health plan, prescription fill, and interaction we have - no matter how small.
888.394.5688
[139]
SECTION
22 INDEX
6 Degrees Health 128 A New World Medical Network 6, 49, 68, 80, 99, 120, 128 ACA GPS, LLC 57 AccessOnTime 94 Accresa 57, 58 AccuRisk Solutions, LLC 28 ACS Benefit Services, LLC 6 Active Captive Management 99 AdminaHealth 57 Advance Benefit Management Systems, Inc. 6 Advanced Benefit Consulting & Insurance Services, Inc. 68, 128 Advanced Medical Strategies 6, 22, 28, 47, 49 Advanced Plan for Health 57 Advanced Risk Managers, LLC 94 Advantage Insurance Management 99 Advantria, LLC 134 Affordable Benefit Administrators, Inc. 7 Allegiance Benefit Plan Management, Inc. 7 American Fidelity Assurance Company 28 American Health Holding, Inc. 80 AmeriHealth Administrators 7 AmWINS Group Benefits 7, 28, 68, 107, 108 Ansley Capital Group, LLC. 86 Aon-Risk, Retirement and Health 99, 107 Arbor Benefit Group, L.P. 29 Arsenal Insurance Management LLC 100 Artex Risk Solutions 100 ASCEND 49 Atlas Insurance Management 100 AudioNet America, Inc. 8 Automotive Wholesalers Association of New England (AWANE) 126 Avalon Insurance Company 29 AvMed 8 Axiom Medical Consulting, LLC 49 b.well Connected Health 94 Bardon Insurance Group, Inc. 30 Beacon Risk Strategies An AmWINS Group Benefits Company 30 BeneCard PBF 50 Benefit Dynamics, Co. 68 Benefit Indemnity Corporation 30, 59, 69, 86, 94, 95 Benefit Management Administrators 8 Benefit Plan Administrators, Inc. 8 BenefitMall 30, 31 Benovate 59, 134 Berkley Accident and Health 31, 100 Berkshire Hathaway Specialty Insurance 31 BioScrip Infusion Services 50 Blue Ridge Captive Solutions 101
[140]
www.sipconline.net
Breckpoint 22, 101, 120 Brentwood Reinsurance Intermediaries, Inc. 32, 47 BSI Companies 9, 22 Cancer Treatment Centers of America 50 Canyon RE, LLC 69 Capstone Associated Services, Ltd. 101 Capterra Risk Solutions, LLC 101 Captive Alternatives, LLC 102 Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 126 Captive Planning Associates, LLC. 102 CaptiveOne Advisors 102 CareHere, LLC 50 Caris Life Sciences 134 Carr, Riggs & Ingram, LLC 90 Castelloe Partners, LLC 69 Cegedim 59 Certus Management Group 32 Chubb Accident & Health 32, 47 ClaimDOC 120, 121, 128 Clarity Software Solutions, Inc. 59 Claros Analytics 60 ClearHealth Strategies 129 Cognizant Technology Solutions 9, 60 CompAlliance 80 Competitive Health 51, 60, 96, 134 Complete Benefit Administration, Inc. 9 Connect Healthcare Collaboration 69 Considine & Associates HealthClaim SolutionsÂŽ 9, 23, 32, 47, 70, 81, 102, 107, 116 Consociate 10, 70 Consolidated Health Plans 10 Context 4 Healthcare 60, 129 CoreSource 10 Coriell Life Sciences Inc. 61 Corporate Benefit Audits, a division of Risk Strategies Company 90 CPR Risk Management 135 CPR Strategic Marketing Communications 135 Creative Risk Underwriters, LLC 33, 129 Crum & Forster 33, 96, 107, 116, 117 Crystal Clear Rx 70 Custom Design Benefits 10 D.W. Van Dyke & Co., Inc. 33, 70, 109 DAKOTACARE Administrative Services, Inc. (DAS) 11 Dana Investment Advisors 86 Deborah Heart and Lung Center 96 Deerwalk, Inc. 61 Delaware Bureau of Captive & Financial Insurance Products 126 Delaware Captive Insurance Association, Inc. (DCIA) 126 Delta Health Systems 11
Interactive Medical Systems â&#x20AC;&#x201C; IMS 16 INTERLINK COE Networks and Programs 53 Intermediary Insurance Services, Inc. (IISI) 36 International Risk Consultants 36 International Subrogation Management 118 Intuitive Captive Solutions LLC 103 IPCS 16, 23, 122 J. Allan Hall & Associates, Inc. 36 J. Arthur Dail, Inc. 73 JLT Insurance Management 104 Johnson Lambert LLP 91 Key Benefit Administrators 16 Kinder & Associates, Inc. 74, 104 Knight International Director of Taft Hartley 74 Law Office of Bryan B. Davenport, P.C. 118 Lawley Benefits Group 74 LifeWorks 63 Lucent Health 17 M-D Underwriting Services, Inc. 36 Madison Scottsdale Insurance Asset Management 87, 88 Magellan Rx Management 136 Maguire Innovations, LLC 137 MCA Administrators, Inc. 17 MCM Solutions For Better Health 17 Medical Captive Underwriters 104 Medical Risk Managers, Inc. 37 MedWatch, LLC 82 Medxoom, Inc. 63, 87, 97 Merlinos & Associates, Inc. 91 Midlands Choice, Inc. 54 Midlands Management Corporation 24, 25, 48 Midwest Employers Casualty 48,109 Milliman, Inc. 91 MINES and Associates 82 Montana Captive Insurance Association, Inc. (MCIA) 127 Montgomery Management 37 Monumental Risk Strategies 37 MultiPlan 54,123, 133 MyTelemedicine, Inc 54 National Bill Audit Services, LLC 123 National Underwriting Services, Inc. 38, 104, 105 Nationwide Specialty Insurance 38 Navigators Re 111 New Benefits 137 New Horizon Insurance Solutions 74 Next Level Administrators 25, 27 Northshore International Insurance Services, Inc. 75, 91, 111, 116, 118 NorthWind, LLC 38, 39 Nova Healthcare Administrators 17, 82, 123 NTT DATA HealthCare Staffing Services 63, 64 OdysseyRe 111 Oliver Wyman Actuarial Consulting 91 One Call Care Management 54 One Contact Center Inc. 137 OneArk Suite 18, 75, 76 OneBeacon Accident & Health 38 OnSite Care 55 OptiMed Health Partners 97, 137 Opus Investment Mangement 87
888.394.5688
21 OTHER
DHR Management, LLC 33 Direct Care Administrators 11 Diversified Group 11 East Coast Underwriters, LLC 34 ECBM, LP 71 ECHO Health, Inc. IFC, 61, 87, 136 ELAP Services 129 Eldorado a division of Mphasis 61 Elevate Captives, LLC 103 Employee Plans, LLC 12 Employer Benefit Underwriters, Inc. 34 Equian 120 Ethos Underwriting Services 34 Evolution Risk Strategies 34 Exceedent 12 Excess Risk Reinsurance/Ironshore Insurance Service LLC 109 Exclusive Surgeries Solutions, LLC 51 Family Care Path, Inc. 62 First Health 51 First Health National PPO 136 FlexScripts Administrators 71 FormFire 62 GemCare Wellness 96 Gilsbar 12, 51, 81, 97 Global Benefits Group (GBG) 12 Glooko Inc. 52 Golden Triangle Specialty Network, LLC 13, 52, 130 GPW 90 Greenberg Traurig, LLP 85 Greymatter Risk Management, LLC 35 Group & Pension Administrators, Inc. 13 H.H.C. Group 121 Hannover Re 109, 110 Hawaii-Mainland Administrators 13 HCP National Insurance Services, Inc. 71 Health & Wellness Bazaar 53 Health Care Administrators Association 127 Health Cost Control 121, 130, 131, 136 Health One Alliance 13 Health Plans, Inc. 14 Health Portal Solutions 62 Healthcare Management Administrators 14 HealthComp 14 HealthSCOPE Benefits 14 HealthSmart 15, 23, 53, 81, 130 Hi-Tech Health, Inc. 15, 35, 71, 72 Hines & Associates, Inc. 81 HM Insurance Group 35 Homestead Smart Health Plans 130,132 Hopewell Risk Strategies, LLC 133 HRMP, LLC 15 Hunt Insurance Group, LLC 73 ICG Captive Services, LLC 103 IHS - ClaimsBridge Direct 53, 62 Independence Underwriting Partners, LLC 73 Indiana Public Employers Plan (IPEP) 15 Indigo Insurance Services, LLC 35 Insurance Professionals of AZ 73 Insurance Program Managers Group 16, 23, 82, 103, 122
[141]
OTHER
21
[142]
Opus MedStrategies 89 Orchard Medical Consulting 83 Oxford Insurance Brokers Ltd 75 Pancoast Benefits Inc. 75 PartnerRe America Insurance Company 111 Partners Managing General Underwriters (Partners MGU) 39, 112 Payer Compass, LLC 83, 133 Pequot Health Care 18 Perr & Knight 92 Phoenix Excess Risk Underwriters, LLC 39 Pinnacle Actuarial Resources, Inc. 92 Planned Administrators, Inc. 18, 25 PMA Companies 25, 123 Predictive Health Partners 63 Pro Group Captive Management Services, Inc. 105 ProAct, Inc. 18 Professional Reinsurance Marketing Services, Inc. 112 ProviDRs Care 55 PYF Global Telehealth 65 Rathbone Group 119 RedCard 65 Remedy Analytics, Inc. 77 RemedyOne 77 RenaissanceRe 112 Renalogic 19, 26, 40, 48, 77, 83, 105 Resolution Reinsurance Intermediaries, LLC 77, 112 Risk & Insurance Consulting Services 40, 78, 106, 114 Risk Management Advisors, Inc. 106 Risk Strategies 78, 114, 116 River Oak Risk, LLC. 106 Rx Manage 117 Rx-Precision 83 RxReins, LLC 40 Safety National 48 Sage Advisory Services 89 Sanus Health Corporation 19, 55, 84, 117 SCOR 40, 113, 114 Script Care, Ltd. 138 Scripta 65 ScriptSourcing LLC 97 Self-Insurance Institute of America, Inc. (SIIA) 127 SelfHelpWorks 98 Sextant Self Funding, LLC 41 SGRisk, LLC 92 SISCO 19 Specialty Care Management 124 Spectrum Underwriting Managers, Inc. 41 Spring Consulting Group 78 StarLine 41 Stop Loss Insurance Brokers, Inc. 78 Stop Loss Insurance Services 41, 114 Strategic Risk Solutions, Inc. 106 Strategic Underwriting Solutions, LLC 42, 79 Summit Administration Services 19 Sun Life Financial 42 Sutton Special Risk America 42 Swiss Re Corporate Solutions 42, 43 Symetra 44
www.sipconline.net
TaylorChandler, LLC 92 TCC Benefits Administrator 20 Teladoc 138 Tenet Diagnostics 139 Tennessee Captive Insurance Association, Inc. (TCIA) 127 The Alivint Group, LLC. 79 The Alliance 55 The ASU Group 26 The Health Plan 20 The Phia Group, LLC 65, 79, 85, 119, 125 The Union Labor Life Insurance Company 44 Tokio Marine HCC - Stop Loss Group 44 Total Claims Management, LLC 93 Trean Reinsurance Services, LLC 79, 115 Triad Group 27 Trilogy Consulting Group, Inc. 93, 125 UMR 20, 21 United Claim Solutions 89, 124, OBC USBenefits Insurance Services, LLC 44 Virtual Benefits Administrator 66 Visio Health and Technical Solutions, Inc. 56 Vision Care Direct â&#x20AC;&#x201C; PHM 56 Voya Employee Benefits 45, 46 WC Bundled Payments 66, 67 Webb & Coyle, PLLC 85 WellDyneRx 138, 139 Wellness Institute of Neurodevelopment 56, 98 WellRithms, Inc 133 Willis Towers Watson 93 Winsdor Strategy Partners, Inc. 93 WorldCare International, Inc. 84 Xchange Benefits, LLC 45 XL Reinsurance America, Inc. 45, 115 York Risk Services Group 27 Zebu Compliance Solutions 66 Zelis Healthcare 20, 27, 56, 66, 89, IBC
IS 1 TRILLION
DOLLARS
in annual healthcare waste & abuse too much?
YES. At Zelis Healthcare, weâ&#x20AC;&#x2122;ve combined our technology, expertise, and services to pull waste from the system, improve workflow and deliver industry leading levels of service and performance. Every Network. Every Claim. Every Payment. Every Day. In fact, over 85% of the time, we identify additional savings other companies are unable to find.1
Contact Zelis today at 888.311.3505 or visit zelis.com to find out how our pre-payment solutions are helping control the rising cost of healthcare.
Better Service. Better Performance.
zelis.com Copyright 2018 Zelis Healthcare. All rights reserved.
Data on File. Zelis Healthcare. 2018.
1
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