T HE S E LF -IN SURAN C E
DIRECTORY
2022 35T H ED I T I ON
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Page Number
90 Degree Benefits 140 AccuRisk Solutions, LLC 57 AmWINS Group Benefits 15 Benefit Indemnity Corporation 90 BenefitMall 118 Claim Watcher/Homestead Smart Health Plans 120 Considine & Associates HealthClaim Solutions® 35 Crum & Forster 77 Deerwalk, A Cedar Gate Technologies Company 53 ECHO Health, Inc. Inside Front Cover Exclusive Surgeries Network LLC 55 EZaccessMD 37 FormFire 108 Hannover Re 98 HealthSmart 81 Healthvue 110 Hi-Tech Health, Inc. 30 HOMELINK 44 Insurance Program Managers Group (IPMG) 135 Madison Scottsdale 22 Northshore: A Davies Company 9 NorthWind, LLC 64 Paradigm 144 PharmPix Corp 84 Pinnacle Claims Management 129 Ringmaster Technologies, Inc. 46 Rx Help Centers 42 Specialty Care Management 94 Summit Reinsurance Services, Inc. 79 Swiss Re Corporate Solutions 67 UMR 133 Vālenz 88 VBA Outside Back Cover Vive Benefits, Inc. 47 Voya Employee Benefits 71 Western Skies MGU 74 Zelis Inside Back Cover
CONTENTS Attorneys, Actuaries, Accountants, & Auditors______________________ 5 Broker/Consultants/Advisors___________________________________ 13 Captive Management Services__________________________________ 25 Cost Containment/Medical Management_________________________ 32 Direct Primary Care____________________________________________ 44 Financial Services_____________________________________________ 45 Medical Provider Networks_____________________________________ 48 Medical Travel_________________________________________________ 52 MGU/Medical Stop-Loss Carriers Life and Health/ Employee Benefits_____________________________________________ 56 MGU/Excess Insurance Carriers P&C/Workers’ Compensation/ Captives______________________________________________________ 77 Onsite Clinics_________________________________________________ 80 Pharmacy Benefit Managers____________________________________ 82 Provider Direct Contracting_____________________________________ 86 Reference Based Pricing_______________________________________ 89 Reinsurance__________________________________________________ 96 Subrogation__________________________________________________103 Technology Products/Services_________________________________ 104 Third Party Administrators (TPA) Life and Health/ Employee Benefits____________________________________ 115 Third Party Administrators (TPA) P&C/Workers’ Compensation/ Captives_____________________________________________________ 134 Trade Association_____________________________________________ 137 Utilization Review/Case Management___________________________ 139 Other________________________________________________________146
PRESIDENT Erica Massey
Index________________________________________________________ 151
EDITOR Jennifer Ivy
Notes________________________________________________________154
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
©2021/2022 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 • Captives • Workers’ Compensation • International SIIA DELIVERS MEMBERSHIP
PROTECTING & PROMOTING
SERVICES IN FIVE MAIN AREAS:
SELF-INSURANCE/CAPTIVES ON
I. Legislative/Regulatory Representation
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 The 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.
V. Canoe
SIIA’s online learning stream has been developed as an educational hub for SIIA members and self-insurance industry stakeholders. www.siiacanoe.org.
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CAPITOL HILL 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:
• 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.
Attorneys, Actuaries, Accountants, & Auditors
Actuarial Advantage, Inc. Kyle Mrotek N63W23524 Silver Spring Drive, Upper Level Sussex, WI 53089 - United States PHONE: (610) 627-0702 EMAIL: kmrotek@taa-inc.com WEB: www.taa-inc.com
Boutique property & casualty actuarial and insurance firm bringing value, flexibility, commitment, independence, clarity, and enthusiasm.
Alaffia Health TJ Ademiluyi, Chief Executive Officer 245 8th Avenue, Unit 1049 New York, NY 10011 - United States PHONE: (443) 841-6983 EMAIL: tj@alaffiahealth.com WEB: www.alaffiahealth.com
Alaffia Health is a healthtech company that uses machine learning and artificial intelligence to detect and eliminate fraud, waste, and abuse in healthcare claims. We partner with self-funded employers, TPAs, health plans, and reinsurers to significantly lower costs for members.
alliantgroup, LP Steven Miller, National Director of Tax 3009 Post Oak Boulevard, Suite 2000 Houston, TX 77056 - United States PHONE: (844) 898-3280 EMAIL: steve.miller@alliantgroup.com WEB: www.alliantgroup.com
alliantgroup’s mission is to help U.S. companies and the CPA firms that advise them to take full advantage of federal and state tax credits, incentives, and deductions. Our government has legislated these powerful programs to help businesses grow and successfully compete both in the U.S. and abroad.
Bauknight Pietras & Stormer, P.A. Bryan Hudson, Audit Partner 1501 Main Street, Suite 600 Columbia, SC 29202 - United States PHONE: (803) 771-8943 EMAIL: bhudson@bpscpas.com WEB: www.bpscpas.com
Bauknight Pietras & Stormer, P.A. is a dynamic accounting firm that focuses on providing superior financial statement and internal control (SOC) assurances, tax, and consulting services to the insurance industry in domiciles thoughout the United States. We serve commercial carriers, self insurance funds, and alternative risk vehicles including captive insurance companies, risk retention groups, mutuals, and reciprocals.
888.394.5688
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Brady, Connolly & Masuda, P.C. Peter Stavropoulos, Attorney at Law 10 South LaSalle Street, Suite 900 Chicago, IL 60603 - United States PHONE: (312) 425-3131 EMAIL: pstavropoulos@bcm-law.com WEB: www.bcm-law.com
Brady, Connolly & Masuda, P.C. provides aggressive representation for self-insureds defending workers’ compensation and civil litigations claims in Illinois, Missouri, and Wisconsin. Our Medicare Compliance team handles Medicare and Medicaid Set Asides (MSAs) nationwide.
Brown Smith Wallace Alan Fine, Partner 6 CityPlace Drive, Suite 900 St. Louis, MO 63141 - United States PHONE: (314) 983-1292 EMAIL: afine@bswllc.com WEB: www.bswllc.com
Midwest based accounting firm with a dedicated team specializing in the captive insurance industry. We consult with our clients to help them better manage their risk profile.
Casualty Actuarial Consultants, Inc. Ed Costner, President 7000 Executive Center Drive, Suite 312 Brentwood, TN 37027 - United States PHONE: (615) 371-5339 Ext. 3100 EMAIL: ecostner@caci1.com WEB: www.caci1.com
CACI is an independent provider of casualty actuarial services to the self-insurance community. We specialize in loss forecasts and reserve analyses for self-insured groups, individual self-insured organizations and governments, and insurance companies including captives and risk retention groups.
ClaimInformatics Stephen Carrabba, President 811 Blue Hills Avenue Bloomfield, CT 06002 - United States PHONE: (860) 305-3130 EMAIL: s.carrabba@claiminformatics.com WEB: www.claiminformatics.com
ClaimInformatics improves payment integrity with secure, transparent technology. Our fully-integrated, cloud-based platform provides speedy, granular forensic reviews and integrates with claim payment systems. We have four hundred proprietary algorithms in categories including billing & coding, payment guideline, summary plan description, contracted rates, episode of care, and fraud, waste & abuse.
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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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Contribution Health Rick Burd, President 930 Red Rose Court, Suite 102 Lancaster, PA 17601 - United States PHONE: (717) 475-5705 EMAIL: rburd@contributionhealth.com WEB: www.contributionhealth.com
Contribution Health helps employers manage the high cost and complexity of providing employee benefits by offering specialty actuarial, software, and compliance services for employer consortiums, data analysis, legal compliance, and stop loss purchasing strategies. We work with licensed producers and brokers, human resources consultants, ACO’s, risk pools, and third party administrators as their behind-the-scenes employee benefit subject matter experts providing compliance and actuarial services.
Corporate Benefit Audits, a division of Risk Strategies Company Stella Chung, Senior Producer 21 High Street, Suite 202 North Andover, MA 01854 - United States PHONE: (240) 461-4430 EMAIL: schung@getcba.com WEB: www.getcba.com
CBA saves millions of claim dollars for our regarded client base via health auditing services within the medical stop loss, managed care and small group health fully insured markets. For over 30 yrs we have provided superior savings and service to Reinsurers, Carriers, MGU’s, Captives, TPA’s & Employer groups.
Dickinson Wright PLLC Kevin Doherty, Attorney 424 Church Street, Suite 800 Nashville, TN 37219 - United States PHONE: (615) 974-2587 EMAIL: kdoherty@dickinson-wright.com WEB: www.dickinson-wright.com
At Dickinson Wright, we define success by our clients’ metrics. Across our 40 practice areas, our team of over 475 lawyers has an unwavering focus on providing unmatched client service and the highest quality legal advice. We are proactive and accessible, providing practical solutions and actionable advice. We are always mindful that we must earn our reputation each and every day by delivering results that speak for themselves.
888.394.5688
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Greenberg Traurig, LLP Fred E. Karlinsky, Co- Chair, Insurance Regulatory & 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 (GT) has approximately 2200 attorneys in 41 locations in the United States, Latin America, Europe, Asia, and the Middle East. To learn about our Insurance Regulatory and Transactions Capabilities, Insurance Litigation Team, and our Government Law & Policy Practice please contact Fred Karlinsky.
Johnson Lambert LLP Adam Dubuque, Partner One Lawson Lane Burlington, VT 05402 - United States PHONE: (802) 383-4812 EMAIL: adubuque@johnsonlambert.com WEB: www.johnsonlambert.com
Johnson Lambert LLP is one of the nation’s largest insurance-focused CPA firms. We provide audit, tax, and consulting services to 500+ insurance clients, including hundreds of captives.
Merlinos & Associates, Inc. Scott Wellham 5550 Peachtree Parkway, Suite 600 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. John Herzfeld, Principal 201 Edgewater Drive, Suite 289 Wakefield, MA 01880 - United States PHONE: (781) 213-6261 EMAIL: john.herzfeld@milliman.com WEB: www.milliman.com
Milliman is among the world’s largest providers of actuarial, risk management, and related technology and data solutions. Our consulting and advanced analytics capabilities encompass healthcare, property and casualty insurance, life insurance and financial services, and employee benefits. The firm employs over 3,000 people in offices worldwide. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations.
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Strengthening your risk-assumption capabilities with extensive market analysis & practical experience.
Through our subsidiaries Northshore and Wakely, we enhance capacity and improve efficiency in an ever-changing marketplace with tailored analysis, reporting and consulting services. Our market experts work in partnership with risk bearers to: •
Enhance financial performance with tailored audits for clients’ specific needs
•
Complete technical reviews of excess managed care, medical stop loss, workers compensation and professional liability claims including verification of eligibility, reporting requirements and all coverage terms and conditions
•
Prepare reserve numbers, annual statement exhibits, cash flow testing, and actuarial opinions to file with regulatory authorities
•
Deliver cost-controlling subrogation recovery
•
Make informed decisions and develop strategies that fit their business needs
•
Use actuarial modelling to track metrics to report to internal management
Get in touch Steve Murphy, CEO of Northshore - A Davies Company, Steve.Murphy@davies-group.com Ben Cohen, Head of Actuarial Solutions, Ben.Cohen@davies-group.com
davies-group.com/insurance
@Davies_Group
Davies Group
888.394.5688
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Moore Ingram Johnson & Steele, LLP Matthew Howard, Partner 326 Roswell Street, Suite 100 Marietta, GA 30060 - United States PHONE: (770) 795-5022 EMAIL: mjhoward@mijs.com WEB: www.mijs.com
Moore Ingram Johnson & Steele, LLP is a full-service law firm providing legal advice in Captive Insurance Company Formation and Management; Civil Litigation; Commercial Litigation; Commercial Real Estate, Zoning and Land Use; Corporate Law; Estate Planning; Family Law; Insurance Defense; Intellectual Property; Mergers & Acquisitions; Taxation; and Workers’ Compensation.
Northshore: A Davies Company Stephen V. Murphy, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: tstevens@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.
Oliver Wyman Actuarial Consulting Chad Wischmeyer, FCAS, MAAA, CFA, Managing Partner, Actuarial 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 - United States PHONE: (404) 239-6422 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 200 actuaries with credentials from the CAS, the SOA, the CIA or the DAV. Oliver Wyman Group employs more than 5,000 employees worldwide.
Pinnacle Actuarial Resources, Inc. Laura Fromme, Marketing Communications Specialist 3109 Cornelius Drive Bloomington, IL 61704 - United States PHONE: (309) 807-2300 EMAIL: marketing@pinnacleactuaries.com WEB: www.pinnacleactuaries.com
Pinnacle Actuarial Resources is one of the largest independent property/casualty actuarial consulting firms in the U.S. Our expertise, communication and service help our clients make 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.
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SGRisk, LLC Emanuel Stergiou, Chairman & Chief Executive Officer 1050 Wall Street West, Suite 202 Lyndhurst, NJ 07071 - United States PHONE: (201) 723-3174 EMAIL: thesterg@aol.com WEB: www.sgrisk.com
We perform actuarial studies using the client's own loss experience, and recognize the unique nature of each client's loss experience, risk management and loss control procedures, exposures and claims handling and reserving practices.
Shores Tagman Butler & Company PA William Shores, President 17 South Magnolia Avenue Orlando, FL 32801 - United States PHONE: (407) 872-0744 EMAIL: jjordan@shorescpa.com WEB: www.shorescpa.com
Shores, Tagman, Butler & Company, P.A. has been providing service to the self insurance industry for over 43 years in over 30 states. Our services include audits; tax preparation, compliance & minimization; NAIC Annual Statements, assistance & preparation; management consultation; expert witness; & regulatory matters.
Spring Consulting Group Karin Landry, Managing Partner 30 Federal Street Boston, MA 02110 - United States PHONE: (857) 239-1241 EMAIL: karin.landry@springgroup.com WEB: www.springgroup.com
Spring provides a full range of strategic and technical employee benefit consulting and actuarial services to employers; strategy and product development advice to insurance and financial institutions; and overall financing and funding solutions for benefit programs, including the use of captive insurance vehicles.
Total Claims Management, LLC Randy Scott, President 720 Executive Park Drive, Suite 3000C Greenwood, IN 46143 - United States PHONE: (317) 423-2334 EMAIL: rscott@tcm4u.com
TCM specializes in audit and claim reviews (Captive, Reinsurance & Stop Loss) for the self-insurance industry. Our clients are Carriers, Consultants, MGUs, and Reinsurers. We offer our Aggregate and Specific claim review services on a temporary or permanent basis. Our staff's experience allows us to provide the highest quality of review.
888.394.5688
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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: kmartin-smith@trilogy-consulting.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews of all types - self-funded, excess loss and fully insured. Trilogy’s clients include group employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook.
Windsor Strategy Partners, Inc. Paul Fallisi, President 777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 EMAIL: pfallisi@wspactuaries.com WEB: www.wspactuaries.com
Windsor Strategy Partners is a leading healthcare actuarial firm specializing in Pricing, Program Evaluation, Product Development, and Portfolio Risk Management. For over 30 years our actuaries and executives have been the firm of choice for helping companies successfully enter the healthcare business, design creative new products and position their programs for success. Companies already in the Health Care market rely on Windsor to help them design and launch new products or extend and enhance their current product offerings.
Womble Bond Dickinson (US) LLP Jeffrey Simpson, Partner 1313 North Market Street, 12th Floor E Wilmington, DE 19801 - United States PHONE: (302) 252-4371 EMAIL: jeff.simpson@wbd-us.com WEB: www.womblebonddickinson.com
Womble Bond Dickinson is a transatlantic law firm with more than 1,100 lawyers based in 26 UK and US office locations serving clients across every business sector. The firm provides core legal services including: Commercial, Corporate, Employment, Dispute Resolution and Litigation, Finance, Banking, Restructuring, Insolvency, IP, Technology and Data, Private Wealth, Projects, Construction and Infrastructure, Real Estate and Regulatory Law.
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Broker/Consultants/Advisors
Acrisure Re Jamie Brown, Senior Account Manager 521 Boone Station Drive, Suite 101 Burlington, NC 27215 - United States PHONE: (770) 935-9228 EMAIL: jbrown@acrisurere.com WEB: www.acrisure.com/reinsurance
The A&H Reinsurance division of Acrisure provides advisory, portfolio and reinsurance solutions to achieve risk management goals for our MGU, Carrier, TPA, MEWA, and Captive partners. We work as a team with a reputation for innovative reinsurance placements to improve the efficiency and value of every reinsurance program. Acrisure Re is a member of the Acrisure family of companies, the fastest growing insurance broker in the World.
Advanced Benefit Consulting & Insurance Services, Inc. Dorothy Cociu, 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.
Advanced Benefits Jean-Paul JP Dupin, Chief Strategy Officer 2448 North Merritt Creek Loop Coeur d'Alene, ID 83814 - United States PHONE: (208) 664-3482 EMAIL: jp@trustab.com WEB: www.trustab.com
Established in 1993, Advanced Benefits is an independently-owned business focusing on relationships, advocacy and education, and cost containment solutions. We offer comprehensive employee benefits programs, HR and Compliance Services, and Corporate Wellbeing services. We work with businesses across the country to formulate proactive, sustainable strategies for offering employee benefits.
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing. [13]
Allegeant LLC Edward Dukehart, President 15 South Hanson Street Easton, MD 21601 - United States PHONE: (410) 819-0663 Ext. 2 EMAIL: ndukehart@allegeant.net WEB: www.allegeant.net
Allegeant is a solution-driven, results-oriented employee benefit advisory and claims paying administrator on a mission to bring employers accountability, transparency and actionable insight to their health plans. We do not stop at strategy; we get into the trenches with our clients and execute.
Alpha Isle Solutions, LLC Anne Trupiano, Principal 18 Pleasant Street, Unit C Gloucester, MA 01930 - United States PHONE: (978) 479-1939 EMAIL: annet@alphaisleservices.com WEB: www.alphaisleservices.com
Alpha Isle Services, LLC (AIS) offers consultative services providing a high-level comprehensive suite of claim solutions that assists clients in achieving and maintaining superior results. AIS provides services from claims review to cost containment strategies. We can assist in the implementation of Best Practices in the Claim administration space.
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing 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 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) 560-1824 EMAIL: robert.black@aonbenfield.com WEB: www.aon.com
Aon, driven by data and analytics, helps insurers, MGUs, TPAs, captives, providers and health plans/systems develop optimal risk, capital and partnership solutions in Employer Stop Loss and all other Accident, Health and Life product lines. Aon’s unmatched resources and industry expertise drives results, growth (including M&A) and overall client success. Broker/Consultants/Advisors
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amwins.com
Benefits are an endlessly evolving landscape. Stop-loss. Skyrocketing prices. Administrative challenges. Shock claims. Amwins is your group benefits lifeline—whether you need help navigating the chaos, solving for the unique or simply looking for additional options. Our purpose is simple: Find and deliver the specialty products you want coupled with the administrative solutions you need. Broker, consultant or carrier, let us make your life easier through custom programs and expanded capabilities. Amwins has the relationships and insights to tackle what comes next.
Bring on the future – we’ll cover it. 888.394.5688
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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
We are an exclusive Broker Concierge Organization. We work with the Broker/Consultant community to offer competitive stop loss quotes, specialized programs and back office support.
Benefit Indemnity Corporation Rodger Bayne, President/Chief Executive Officer 303 Allegheny Road Towson, MD 21204 - United States PHONE: (443) 275-7415 EMAIL: dana.thomas@benefitindemnity.co WEB: www.benefitindemnity.co
BIC tirelessly dedicates its talents to providing the greatest value possible in health care and related benefits for the broker and TPA communities, and their consumers.
Blue General Partners, LLC Mary Catherine Person, President 3220 Greenbrier Drive Dallas, TX 75225 - United States PHONE: (703) 629-6760 EMAIL: marycatherine@bluegeneral.net WEB: www.bluegeneral.net
Innovative consultant with nearly thirty years of deep and intensive knowledge of the healthcare payer and self-funded employer.
Borislow Insurance Jennifer Borislow, President 1 Griffin Brook Drive Methuen, MA 01844 - United States PHONE: (978) 689-8200 EMAIL: colleen@borislow.com WEB: www.borislow.com
Borislow Insurance is a 39-year-old brokerage firm that uses a long-term strategic consulting model to provide a wide array of benefits to its clients, including Captivated Health, their proprietary health care captive. With an average client life of over 15 years, the practice is highly relationship based.
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BXS Insurance Dana Michell 4041 Essen Lane, Suite 400 Baton Rouge, LA 70809 - United States PHONE: (225) 336-5312 EMAIL: dana.michell@bxsi.com WEB: www.bxsi.com
As the healthcare landscape becomes increasingly complex, our Employee Benefits (EB) team plays a fundamental role in ensuring employers maintain high-quality benefits while containing costs, communicating with employees, ensuring compliance and more. Through a data-driven model of managing benefits, the EB team informs employers’ strategic benefits decisions and achieves macro-level results – such as improving health outcomes and driving down medical and pharmacy costs, to name a few – by making micro-level changes.
Canyon RE, LLC Michael Melnik, Managing Director 1400 Buford Highway, Suite A-3 Buford, GA 30518 - United States PHONE: (770) 614-1636 EMAIL: mmelnik@canyonre.com
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 provides strategic advisory services to employers, TPAs, stop loss underwriters and many other service providers in the self-funded industry. Castelloe Partners is deeply experienced in all aspects of self-funding and has been an industry advocate for many years.
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
888.394.5688
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CPR Risk Management Mary Pozuelo, President 6308 Pasadena Point Boulevard South Gulfport, FL 33707 - United States PHONE: (203) 667-8093 EMAIL: mpozuelo@cpr-rm.com WEB: www.cpr-rm.com
CPR provides an independent assessment of medical risk. CPR can work as the only resource for risk projections or can provide back up to clients with nursing staff to cover sick days, and overflow during the busy times of the year. Due to the size of our blocks of business, we have credible claims information/history. CPR has national clients, so able to identify trends and costs more-so than a single entity with only their information. CPR also performs reserve assessments and 50%/trigger reviews. CPR now has a Medical Director on staff.
D.W. Van Dyke & Co. Walter Roland, President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 Ext. 312 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
A&H Reinsurance Intermediary that works with carriers, reinsurers, distributors, MGUs, TPAs. We identify and secure reinsurance partners for insurers and MGUs. Product expertise in multiple lines with particular strengths in the ESL business and other healthcare finance. Annually conduct carrier and MGU Survey, includes $5+Billion annual premium.
DSG Benefits Group, LLC David Goldfarb, Chief Executive Officer 12221 Merit Drive, #1015 Dallas, TX 75251 - United States PHONE: (972) 842-9490 EMAIL: dgoldfarb@dsgbenefits.com WEB: www.dsgbenefits.com
DSG Benefits Group is an employee benefits consulting firm committed to helping organizations design and manage sustainable benefit programs that are in alignment with corporate objectives. The benefit programs are built to last with many underlying safeguards in place to mitigate often overlooked risks.
ECBM, LP Charlie Bernier, President 1400 North Providence Road, Suite 5025 Media, PA 19063 - United States PHONE: (610) 668-7100 EMAIL: cbernier@ecbm.com WEB: www.ecbm.com
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 long-term relationships to help our clients achieve their business and financial objectives.
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ELMCRx Solutions, LLC Mary Ann Carlisle, Chief Operating Officer 190 West Germantown Pike, Suite 200 East Norriton, PA 19401 - United States PHONE: (484) 433-1412 EMAIL: mcarlisle@elmcgroup.com WEB: www.elmcgroup.com/elmcrxsolutions
ELMCRx focuses solely on assisting plan sponsors in managing Prescription Drug Benefits. Built on a foundation of superior clinical management and PBM consulting expertise, our strategic approach delivers meaningful cost savings to clients of all sizes. Our Cost Containment programs are the vehicle of choice for employers and TPAs.
EPIC Re Peter Robinson, Managing Principal One California Street, Suite 400 San Francisco, CA 94111 - United States PHONE: (415) 298-4596 EMAIL: peter.robinson@epicbrokers.com WEB: www.epicbrokers.com
We are experts in traditional and non-traditional risks in commercial, Medicare, Medicaid and specialty populations. Our clients include carriers, MGUs, reinsurers, captive owners and healthcare providers. We have deep expertise in all forms of population health risk. EPIC Re’s mission is to exceed the offering of a traditional reinsurance intermediary.
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.
Hub International Anthony Nyers, Sales Executive 17535 Generations Drive South Bend, IN 46635-1589 - United States PHONE: (574) 876-9608 EMAIL: tony.nyers@hubinternational.com WEB: www.hubinternational.com
Hi, we're HUB. We advise businesses and individuals on how to reach their goals. When you partner with us, you’re at the center of a vast network of risk, insurance, employee benefits, retirement and wealth management specialists that bring clarity to a changing world with tailored solutions and unrelenting advocacy. So you’re ready for tomorrow.
888.394.5688
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Hub International Insurance Services Steve Purkapile, Regional Director of Financial Consulting 9200 Ward Parkway, Suite 500 Kansas City, MO 64114 - United States PHONE: (303) 909-6501 EMAIL: steve.purkapile@hubinternational.com WEB: www.hubinternational.com
A competitive employee benefits package is a critical element in attracting and retaining employees, but staying on top of rising costs while quickly adapting to workforce changes can challenge any organization. The key to ensuring your organization thrives for the long term is to develop a road map that addresses today’s issues and ensures tomorrow’s goals are achieved.
HUB International Northwest Nicole Floyd, Regional Director of Business Development, Employee Benefits 835 North Post Street, #203 Spokane, WA 99201 - United States PHONE: (509) 462-7876 EMAIL: nicole.floyd@hubinternational.com WEB: www.hubinternational.com
HUB is one of the largest insurance brokers in the world, and, we're right in your community. Our consultative engagement creates a multi-year strategy supported by our specialty practices focused on Technology, Compliance, Communications, Health & Performance. The end result is optimized benefits solutions designed to meet your unique needs.
Intermediary Services LLC Susan Kruger, President 333 South State Street, Suite V #283 Lake Oswego, OR 97034 - United States PHONE: (503) 699-6838 EMAIL: susan@intermediary-services.com
We are industry leaders for self-insured employer groups of all sizes. Let us provide you with the very best in stop loss, thirdparty administration and pharmacy benefit manager services. With over 30 years experience, our office has the resources, compliance and technical skills to build and maintain a solid health plan benefit. Intermediary Services LLC is the missing piece to your jigsaw puzzle.
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/employee-benefits/health-insurance-captive
Lawley’s health insurance captive program gives you transparency in claims data and the potential to save on healthcare costs you don’t use. Members of our health insurance captive program gain Lawley’s in-house expertise in strategic planning, underwriting, analytics, reporting, health care reform, compliance, health management, corporate wellness and more.
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Leadenhall LLC Nigel Wallbank, Principal 2775 Northwest 49th Avenue, 205-354 Ocala, FL 34482-6212 - United States PHONE: (305) 632-3334 EMAIL: nigelwallbank@gmail.com
Risk Management, Insurance Solutions, Board of Directors, S.I.E.F. Best Life Insurance. Formerly served as President and Chairman of S.I.I.A.
Madison Scottsdale Don Miller, Head of Insurance Solutions, 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
Madison Scottsdale has been dedicated to managing investments for insurance companies, self-insurance groups, captives, and RRG's for over 25 years. Our Insurance Solutions team averages over 30 years of insurance portfolio management experience with services that include investment strategy and policy development, asset-liability management, cash flow modeling, and tax optimization.
Northshore: A Davies Company Stephen V. Murphy, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: tstevens@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.
Northwell Direct Nick Stefanizzi, Chief Executive Officer 130 East 59th Street, 15th Floor New York, NY 10022 - United States PHONE: (516) 344-4128 EMAIL: nstefanizzi@northwell.edu WEB: www.northwell.edu/direct
Northwell Direct provides direct-to-employer healthcare solutions at a sustainable cost. Our network of nearly 20,000 providers connects employees to high-quality care, across every specialty, while saving businesses up to 20%. Our customizable workplace solutions include wellness programs, flu shots and COVID-19 services – all delivered from New York’s trusted health experts.
888.394.5688
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Over 25 Years of Excellence in Insurance Asset Management
SCOT TSDALE
Investment Solutions Tailored to Fit Your Needs Enterprise Risk balanced strategies Participate & Protect Philosophy® Fixed income, equity and alternatives expertise
800.767.8020 | 480.596.3338 info@madisonscottsdale.com | madisonscottsdale.com Madison Scottsdale is the insurance asset management division of Madison Investment Advisors, LLC. Madison’s expectation is that investors will participate in market appreciation during bull markets and be protected during bear markets compared with investors in portfolios holding more speculative and volatile securities. There is no assurance that Madison’s expectations will be realized. Past performance is not a guarantee of future results. “Madison” and/or “Madison Investments” is the unifying tradename of Madison Investment Holdings, Inc., Madison Asset Management, LLC (“MAM”), and Madison Investment Advisors, LLC (“MIA”), which also includes the Madison Scottsdale office. MAM and MIA are registered as investment advisers with the U.S. Securities and Exchange Commission. Madison Funds are distributed by MFD Distributor, LLC. MFD Distributor, LLC is registered with the U.S. Securities and Exchange Commission as a broker-dealer and is a member firm of the Financial Industry Regulatory Authority. The home office for each firm listed above is 550 Science Drive, Madison, WI 53711. Madison’s toll-free number is 800-767-0300.
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Pancoast Benefits, Inc. Pat Lund, Vice President Large Group Consulting 4250 Hillsboro Road Nashville, TN 37215 - United States PHONE: (615) 292-3400 EMAIL: patl@pancoastbenefits.com WEB: www.pancoastbenefits.com
Pancoast is more than a brokerage and consulting service. We partner with clients to lower the cost of benefits and provide services that reduce the time and expense of benefit administration. Companies large and small benefit from Pancoast’s attention to detail and commitment to unparalleled service. Such dedication shows – 4 out of every 5 clients have been with Pancoast for 10 years or more.
Professional Reinsurance Marketing Services, Inc. Thomas Belding, President 10917 Old River Trail Edmond, OK 73013 - United States PHONE: (405) 257-0020 Ext. 1 EMAIL: tom.belding@premsinc.net
We provide marketing services representing a number of quality established MGU's and Reinsurance Carriers assisting Third Party Administrators and Brokers 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.
Risk Strategies Company Taylor Krahn, Administrative Assistant 10 5th Street South, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9781 EMAIL: tkrahn@risk-strategies.com WEB: www.risk-strategies.com
We are 100% focused on the life, health, accident, special risk, and disability business. Whether you need a strategic partner to help you grow your business or are concerned about the appropriate level of risk, the Risk Strategies Reinsurance team will help you develop the right partnerships for your needs.
Spring Consulting Group Karin Landry, Managing Partner 30 Federal Street Boston, MA 02110 - United States PHONE: (857) 239-1241 EMAIL: karin.landry@springgroup.com WEB: www.springgroup.com
Spring provides a full range of strategic and technical employee benefit consulting and actuarial services to employers; strategy and product development advice to insurance and financial institutions; and overall financing and funding solutions for benefit programs, including the use of captive insurance vehicles.
888.394.5688
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Sterling Seacrest Pritchard Brian Olsen, Client Advisor, Key Accounts - Employee Benefits 950 East Paces Ferry Road, Suite 2000 Atlanta, GA 30326 - United States PHONE: (404) 832-8641 EMAIL: bolsen@pjins.com WEB: www.sspins.com
At Sterling Seacrest Pritchard we take a strategic, proactive approach to risk management and insurance for companies of all sizes. We have a high-visibility process, experienced people, and forward-thinking resources that make your broker experience one that you would recommend to your peers.
Tatum Reinsurance Intermediary, LLC Dominic Hagger, President 331 Newman Springs Road, Building 1, 4th Floor, Suite 143 Red Bank, NJ 07701 - United States PHONE: (732) 672-7752 EMAIL: dhagger@tatumreinsurance.com WEB: www.tatumreinsurance.com
Tatum RE is a Reinsurance Intermediary specializing in the Program Business arena for Accident & Health and Casualty Business. With our knowledge, experience and industry relationships, we can assist you in structuring and developing your Program, as well as placing reinsurance, including specialist Captive advice.
The Benecon Group Matthew Kirk, President 201 East Oregon Road, Suite 100 Lititz, PA 17543 - United States PHONE: (717) 723-4600 EMAIL: mkirk@benecon.com WEB: www.benecon.com
Benecon provides self-funded medical benefit programs, offering a full suite of actuarial, compliance, finance and technology services to thousands of public and private sector employers and hundreds of thousands of employees across the United States.
Tribal Healthcare Services Monica Gruia 3 North Court Street Crown Point, IN 46307 - United States PHONE: (701) 446-8282 EMAIL: monica@tribal-care.com WEB: www.tribalhealthcareservices.com
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Captive Management Services
Acrisure Re Jamie Brown, Senior Account Manager 521 Boone Station Drive, Suite 101 Burlington, NC 27215 - United States PHONE: (770) 935-9228 EMAIL: jbrown@acrisurere.com WEB: www.acrisure.com/reinsurance
The A&H Reinsurance division of Acrisure provides advisory, portfolio and reinsurance solutions to achieve risk management goals for our MGU, Carrier, TPA, MEWA, and Captive partners. We work as a team with a reputation for innovative reinsurance placements to improve the efficiency and value of every reinsurance program. Acrisure Re is a member of the Acrisure family of companies, the fastest growing insurance broker in the World.
Advantage Insurance Management Les Boughner, Chairman 12 Gillon Street Charleston, SC 29401 - United States PHONE: (312) 315-3166 EMAIL: l.boughner@aihusa.com WEB: www.aihusa.com
Advantage is an international company headquartered in Puerto Rico. It’s Business Insurance Division manages over 90 Risk Retention Groups, Protected Cell Companies and Pure Captives from offices in San Juan, Puerto Rico, Grand Cayman, Burlington, Vermont and Charleston, South Carolina. Premium Volumes of our captives undermanagement range from $200,000 to over $60 million.
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
888.394.5688
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Aon - Risk, Retirement and Health Bob Black, Executive Managing Director 200 East Randolph Street, 11th Floor Chicago, IL 60601 - United States PHONE: (312) 560-1824 EMAIL: robert.black@aonbenfield.com WEB: www.aon.com
Aon, driven by data and analytics, helps insurers, MGUs, TPAs, captives, providers and health plans/systems develop optimal risk, capital and partnership solutions in Employer Stop Loss and all other Accident, Health and Life product lines. Aon’s unmatched resources and industry expertise drives results, growth (including M&A) and overall client success.
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 trusted leader and provider of diverse alternative risk solutions. Established in more than 30 domiciles internationally, our global team provides creative thinking and expertise in the (re)insurance and ILS marketplace to help our clients make empowered decisions, reduce total cost of risk and improve return on capital. We believe in finding you a better way.
Atlas Insurance Management Alyssa Preidt, Underwriting & Claims Specialist 7301 Carmel Executive Park Drive, Suite 101 Charlotte, NC 28226 - United States PHONE: (704) 945-6615 EMAIL: apreidt@atlascaptives.com WEB: www.atlascaptives.com
Atlas Insurance Management is a leader in the formation and management of captive insurance companies for diverse clientele in major U.S. and offshore domiciles. Atlas creates custom captive insurance models for the efficient financing of risk and matches innovative techniques to the client’s strategic business objectives and appetite for risk.
Berkley Accident and Health Brad Nieland, President 2445 Kuser Road Hamilton Square, NJ 08690 - United States PHONE: (609) 584-6990 EMAIL: contact@BerkleyAH.com WEB: www.berkleyah.com
Berkley Accident and Health is a risk management expert that offers a creative, analytical approach to risk and 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 with a gateway to self-funding.
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Bradley Arant Boult Cummings, LLP Davis Smith, Partner 445 Dexter Avenue, Suite 9075 Montgomery, AL 36111 - United States PHONE: (334) 956-7619 EMAIL: dhsmith@bradley.com WEB: www.bradley.com
Bradley counsels finance clients on their unique and particularly complex legal needs, whether these pertain to litigation, regulations and compliance, or other corporate and tax matters. Representing a broad range of banks, lenders, insurance carriers, captive insurance companies and financial services institutions across the United States, we provide experienced, proactive guidance on a broad spectrum of legal issues, including regulatory compliance, governmental investigations, risk assessments, audit and exam support, business transactions, litigation, and multi-state settlements.
Capterra Risk Solutions, LLC Sandra Fenters, President 842 5th Avenue Coraopolis, PA 15108 - United States PHONE: (412) 802-2610 EMAIL: sfenters@capterrarisk.com WEB: www.capterrarisk.com
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.
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
We are a boutique captive management firm specializing in innovative single-source, turn-key alternative risk solutions. Through our inter-disciplinary approach to risk management, we provide preliminary analysis of your company’s current state, to preparing in-depth feasibility studies incorporating independent actuarial risk assessment, to implementation of corporate best practices risk mitigation programs.
CaptiveOne Advisors Harry Tipper, Chief Operating Officer - Insurance 1035 State Road 7, #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 professionals take care of every detail to obtain the maximum benefits available from captive ownership.
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CIC Services, LLC Bryan Ridgway, Managing Partner 9721 Cogdill Road, Suite 202 Knoxville, TN 37932 - United States PHONE: (865) 248-3044 EMAIL: bryan@cicservicesllc.com WEB: www.captivatingthinking.com
CIC Services, LLC is a risk management and consulting firm, specializing in the formation and operation of captive insurance companies for our clients nationwide. As an independent captive manager, CICS provides unparalleled solutions to small and mid sized businesses in all industry sectors. CICS has been helping businesses setup and own their own insurance companies for nearly two decades, and currently manages nearly 130 captive insurance companies from our headquarters in Knoxville, TN.
East Coast Underwriters, LLC Kody Parker 121 West Main Street, Suite B Spartanburg, SC 29306 - United States PHONE: (813) 326-3373 EMAIL: kparker@ecumgu.com WEB: www.ecumgu.com
East Coast Underwriters is a Managing General Underwriter providing Medical Stop Loss to employer groups with 25+ enrolled lives. ECU offers traditional and level funded Stop Loss products for benefit consultants and TPA’s in all 50 states. ECU underwrites on behalf of Pan American Life and Gerber Life (A+ rated).
Elevate Risk Solutions, LLC Jerry Messick, Chief Executive Officer 1103 Sovereign Row, Suite D Oklahoma City, OK 73108 - United States PHONE: (405) 673-5603 EMAIL: jerry@elevaterisk.solutions WEB: www.elevaterisk.solutions
The Elevate Risk Solutions Team brings over 100 years of combined experience from the world's leading experts. Elevate specialized in assisting both clients and their advisors through the entire process of creating, managing, and owning a captive insurance company.
GPW and Associates, Inc. Lawrence Prudhomme, CPA, ACI, Senior Vice President 3101 North Central Avenue, Suite 400 Phoenix, AZ 85012 - United States PHONE: (602) 200-6900 EMAIL: lprudhomme@gpwa.com WEB: www.gpwa.com
GPW is a captive insurance management and actuarial services firm providing innovative and comprehensive risk management solutions in many areas including property and casualty, health insurance, and warranty-related products. The GPW team of expert advisors includes Actuaries, CPAs, and Associates in Captive Insurance.
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Health Solutions LLC (by Global Access Administrators, LLC) Bernardo Baraya, General Manager 2001 Timberloch Place, Suite 500 The Woodlands, TX 77380 - United States PHONE: (832) 717-1166 EMAIL: bbaraya@healthsolutionsga.com WEB: www.healthsolutionsga.com
Health Solutions LLC is a company specialized and certified in the management of International Medicine. We assure our patients and companies, both fully-insured and self-insured, a selection of the best alternatives for the provision of health services abroad. With our extensive knowledge of the health sector, experience and solid network of international allies, Health Solutions promises our clients quality, affordability, transparency and effectiveness.
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.
Northshore: A Davies Company Stephen V. Murphy, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: tstevens@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.
Pro Group Captive Management Services, Inc. Renea Louie, Vice President 575 South Saliman Road Carson City, NV 89701 - United States PHONE: (775) 283-4237 EMAIL: renealouie@pgmnv.com WEB: www.Pgmnv.com
Pro Group is a respected national Captive Manager specializing in alternative risk transfer solutions for businesses of all sizes and types and serves most all on shore domiciles. For sophisticated and superior service, with expertise from formation to operations, financial reporting, statutory compliance and much more, we have the team to serve you.
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Risk Strategies Company Taylor Krahn, Administrative Assistant 10 5th St South, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9781 EMAIL: tkrahn@risk-strategies.com WEB: www.risk-strategies.com
We are 100% focused on the life, health, accident, special risk, and disability business. Whether you need a strategic partner to help you grow your business or are concerned about the appropriate level of risk, the Risk Strategies Reinsurance team will help you develop the right partnerships for your needs.
The Intuitive Companies Rick Eldridge, President 7400 East Orchard Road, Suite 4060 N Greenwood Village, CO 80111 - United States PHONE: (720) 431-7112 EMAIL: reldridge@intuitivecompanies.com WEB: www.intuitivecaptivesolutions.com
Intuitive designs, builds and manages captive insurance companies for large privately held and publicly traded companies. Intuitive is also an underwriting manager and reinsurance administrator for captives. After all, the world needs more captives!
Total Claims Management, LLC Randy Scott, President 720 Executive Park Drive, Suite 3000C Greenwood, IN 46143 - United States PHONE: (317) 423-2334 EMAIL: rscott@tcm4u.com
TCM specializes in audit and claim reviews (Captive, Reinsurance & Stop Loss) for the self-insurance industry. Our clients are Carriers, Consultants, MGUs, and Reinsurers. We offer our Aggregate and Specific claim review services on a temporary or permanent basis. Our staff's experience allows us to provide the highest quality of review.
Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
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Cost Containment/Medical Management
6 Degrees Health Heath Potter, Chief Growth Officer 5800 North East Pinefarm Court, Suite 200 Hillsboro, OR 97124 - United States PHONE: (503) 640-9933 EMAIL: heathpotter@6degreeshealth.com WEB: www.6degreeshealth.com
6 Degrees Health is built to bring equity and fairness back into the healthcare reimbursement equation. Our RBP solution, MediBridge, is a customizable suite of services designed to be your network replacement option that leverages technology and defensible data, providing objectivity and transparency to medical claim reimbursement. MediBridge focuses on the member experience with robust patient advocacy, provider contracting, and experienced claims repricing and claims negotiation to provide a high-performance solution for all clients. 6 Degrees Health uses its data-driven analytical tool, MediVI, to bridge the gap between specialty contracting such as transplant, cancer, and dialysis claims with traditional cost containment, OON, Large Claim, and RBP.
90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: Gene.Rodgers@90degreebenefits.com WEB: www.90DegreeBenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
aequum LLC Christine Cooper, Chief Executive Officer 1111 Superior Avenue East, Suite 2500 Cleveland, OH 44114 - United States PHONE: (216) 539-9370 EMAIL: ccooper@aequumhealth.com WEB: www.aequumhealth.com
aequum LLC protects self-insured plan participants against unreasonable out-of-network and reference-based pricing billings by medical providers, achieving savings of 97.2% off disputed charges. aequum partners with Koehler Fitzgerald LLC, a law firm with a national practice, to provide comprehensive advocacy services to plan participants from negotiation to trials and appeals.
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Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
Alaffia Health TJ Ademiluyi, Chief Executive Officer 245 8th Avenue, Unit 1049 New York, NY 10011 - United States PHONE: (443) 841-6983 EMAIL: tj@alaffiahealth.com WEB: alaffiahealth.com
Alaffia Health is a healthtech company that uses machine learning and artificial intelligence to detect and eliminate fraud, waste, and abuse in healthcare claims. We partner with self-funded employers, TPAs, health plans, and reinsurers to significantly lower costs for members.
Amalgamated Medical Care Management Erin Linney, Director of Marketing 8C Industrial Way Salem, NH 03079 - United States PHONE: (914) 367-5826 EMAIL: elinney@amalgamatedbenefits.com WEB: www.amalgamatedbenefits.com/amalgamated-medical-care-management
A national leading resource for a comprehensive suite of high quality care management services; which include URACAccredited Utilization Management, Case Management, Nurse Helpline/Health Information and Independent Review. The company offers other vital services ranging from Disease, Disability, Readmission, and Maternity Management, to Medical Claims Review and Network Referrals.
AscellaHealth Darcey McDermott 1055 Westlakes Drive, Suite 175 Berwyn, PA 19312 - United States PHONE: (877) 389-9040 EMAIL: darcey.mcdermott@ascellahealth.com WEB: www.ascellahealth.com
AscellaHealth is a global Specialty Pharmacy and Healthcare Services organization serving payers, providers, life sciences, and patients, offering a comprehensive portfolio of customized, tech-enabled specialty pharmaceutical and medical management services. Our proprietary programs and services help ensure optimal outcomes and enhanced quality of life for individuals with complex chronic conditions.
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Avande Dr. Norm Kato, Chief Executive Officer 7013 Evans Town Center Boulevard, Suite 302 Evans, GA 30809 - United States PHONE: (818) 377-3777 EMAIL: nskato@avande.net WEB: www.avande.net
Backed by over 30 years of experience in the healthcare industry and cutting edge systems, Avande delivers the most innovative enterprise class medical management services available for medical claims processing. We enable healthcare organizations to make better decisions and improve the quality of health care outcomes through operational efficiency and state-of-the-art cloud computing technology.
Avande Dr. Luke Burchard, Medical Director 7013 Evans Town Center Boulevard, Suite 302 Evans, GA 30809 - United States PHONE: (706) 631-4175 EMAIL: lburchard@avande.net WEB: www.avande.net
Backed by over 30 years of experience in the healthcare industry and cutting edge systems, Avande delivers the most innovative enterprise class medical management services available for medical claims processing. We enable healthcare organizations to make better decisions and improve the quality of health care outcomes through operational efficiency and state-of-the-art cloud computing technology.
CareMoat Henry Juszkiewicz, Chief Executive Officer 2 International Plaza, Suite 101 Nashville, TN 37217 - United States PHONE: (629) 777-5401 EMAIL: henry@caremoat.com WEB: www.caremoat.com
Reduces health benefit costs and provides wellness services for self-insured employers.
ClaimLogiq Scott Strent, Senior Vice President, Growth & Business Development 710 Johnnie Dodds Boulevard, Suite 100 Mt. Pleasant, SC 29464 - United States PHONE: (678) 895-3083 EMAIL: scott.strent@claimlogiq.com WEB: www.claimlogiq.com
ClaimLogiq is a software technology company that hosts a customizable payer-facing environment that maximizes cost avoidance, increases savings, and produces measurable ROI through clear analytics and real-time metrics. ClaimLogiq’s appeal rate of <1%, average of 12% savings, and proactive approach to payment integrity enable new revenue streams and cost savings.
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ClearHealth Strategies Brian Wroblewski, Executive Vice President - Sales & Marketing P.O. Box 366667 Bonita Springs, FL 34136 - United States PHONE: (414) 899-4100 EMAIL: bwroblewski@clearhealthstrategies.com WEB: www.clearhealthstrategies.com
ClearHealth Strategies provides leading technology and services for reference-based pricing, out of network, supplemental network, and surprise billing programs. The market-leading technology allows clients to define and design the program with a turnkey approach whereby ClearHealth manages profile building, claim pricing, balance billing, hold harmless, and arbitration (IDR) processes. Contact ClearHealth for a technology demo today!
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
888.394.5688
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ELAP Services, LLC Steve Kelly, Chairman/Co-Founder 1550 Liberty Ridge Drive, Suite 330 Wayne, PA 19087 - United States PHONE: (610) 321-1030 EMAIL: skelly@elapservices.com WEB: www.elapservices.com
ELAP Services has been the nation’s leading provider of reference-based pricing solutions since 2007. ELAP’s full-service program offers unparalleled cost savings and advocacy services. ELAP’s total health plan solution delivers deep savings to clients and members through a combination of reference-based pricing, direct contracts, expert administrative services and proprietary care navigation.
ELMCRx Solutions, LLC Mary Ann Carlisle, Chief Operating Officer 190 West Germantown Pike, Suite 200 East Norriton, PA 19401 - United States PHONE: (484) 433-1412 EMAIL: mcarlisle@elmcgroup.com WEB: www.elmcgroup.com/elmcrxsolutions
ELMCRx focuses solely on assisting plan sponsors in managing Prescription Drug Benefits. Built on a foundation of superior clinical management and PBM consulting expertise, our strategic approach delivers meaningful cost savings to clients of all sizes. Our Cost Containment programs are the vehicle of choice for employers and TPAs.
Emerging Therapy Solutions Ashley Hume 2001 Killebrew Drive, Suite 240 Bloomington, MN 55425 - United States PHONE: (651) 249-9530 EMAIL: ashley.hume@emergingtherapies.com WEB: www.emergingtherapies.com
Emerging Therapy Solutions® (ETS) helps reinsurance and stop-loss payers, health plans and self-funded employers manage the risks associated with high-cost therapies for rare and complex conditions. We offer a comprehensive suite of services for solid organ and bone marrow transplants, cell and gene therapies, and other highly specialized therapies.
Exclusive Surgeries Network LLC Kelly Webb, Vice President Sales and Marketing 8671 West Union Hills Drive Peoria, AZ 85382 - United States PHONE: (833) 378-2583 EMAIL: ingo@esurgeries.com WEB: www.esurgeries.com
Exclusive Surgeries Network is the leader for self-funded employers. It utilizes bundled claims with pre-negotiated terms, and full transparency with nationwide board-certified surgeons for your clients’ surgery. Our value-based plans, eliminate waste, have unprecedented access to board certified surgeons, that extend lives and create better outcomes. Healthcare you deserve.
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Focus on healthcare cost impact without compromising quality.
On-demand At home care & diagnostic testing Employer-focused pricing
EZaccessMD combines traditional telemedicine with a mobile urgent care service to deliver high quality care at a lower cost and a better patient experience. Our ability to send a mobile team to the home to gather diagnostics for the telephysician ensures continuity of care and a more cost-effective care path.
EZaccessMD.com I 855-OUR-EZMD 888.394.5688
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EZaccessMD Jamie McNally, Director of Sales 1465 Jefferson Road Henrietta, NY 14623 - United States PHONE: (585) 230-7728 EMAIL: jmcnally@ezaccessmd.com WEB: www.ezaccessmd.com
EZaccessMD combines traditional telemedicine with a mobile urgent care service to deliver high quality care at a lower cost and a better patient experience. Our ability to send a mobile team to the home to gather diagnostics for the telephysician ensures continuity of care and a more cost-effective care path.
Genomic Life Bob Malone, National Sales Director 4330 La Jolla Village Drive, #230 San Diego, CA 92122 - United States PHONE: (212) 203-1006 EMAIL: bob.malone@genomiclife.com WEB: www.genomiclife.com
Everyone has a unique genome that impacts health risk and the course of disease. Treatment happens with limited insight into an individual’s genetic profile. Cancer Guardian by Genomic Life™ accelerates the transition to genomics to deliver proactive health for everyone. This is a first-of-its-kind cancer support program enabling access to clinical-grade genomic testing and oncology nurse navigators who provide trusted answers and resources for managing and treating cancer.
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, Inc. Carl Papp, President 168 Forest Lane Northwest, Marietta, GA 30064 - United States PHONE: (770) 827-2537 EMAIL: cpapp@healthcostcontrol.com WEB: www.healthcostcontrol.com
Medical Bill Review/Cost Containment for all Out of Network claims. Specializing in Air Ambulance and Renal Dialysis with cutting edge cost analysis not seen before in our industry.
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Health Payer Consortium Heather Ingram, Director of Sales & Marketing 2337 Weldon Parkway St. Louis, MO 63146 - United States PHONE: (314) 704-2036 EMAIL: heather.ingram@hpcmembers.com WEB: www.healthpayerconsortium.com
HPC lowers your annual claims expense by applying the appropriate cost management solution for each type of claim. We streamline the process with a unique hands-on approach blended with automation, to increase profitability and ensure claim integrity. We identify savings that other companies may have overlooked or simply passed up.
Healthcare Highways Mitch McCauley, Vice President, Business Development 1 Cowboys Way, Suite 290 Frisco, TX 75034 - United States PHONE: (469) 850-2131 EMAIL: mitch.mccauley@healthcarehighways.com WEB: www.healthcarehighways.com
Healthcare Highways is a company that develops and distributes best-in-class products, services, and solutions to companies and individuals including: health plans, high performance provider networks, pharmacy benefits, and benefit plan administration. Our mission is to deliver measurable healthcare value to employers, members, and providers by delivering customer-centric solutions.
Hines & Associates, Inc. Anna Hansen, CSFS, Vice President of Sales & 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
Through Global Excel’s acquisition of Hines, Opus MedStrategies and Hines have launched a comprehensive cost avoidance and cost management solution that includes: Proactive Healthcare Management; Concierge Services; Directional Care; Provider Networks; and Negotiations. The comprehensive solution will serve as an innovative alternative to traditional Primary PPO Networks and RBP Programs.
HMC HealthWorks Janis DiMonaco, Advisor 181 Commodore Drive Jupiter, FL 33477 - United States PHONE: (714) 803-0284 EMAIL: jdimonaco@hmcebs.com WEB: www.hmchealthworks.com
A health care management company with over 40 years of experience in Multi Employer Plans, public sector and self insured employers.
888.394.5688
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ImpaxRx Cara Abraham, National Sales Advisor 791 Park of Commerce Boulevard, Suite 201 Boca Raton, CA 33487 - United States PHONE: (916) 952-6724 EMAIL: cara.abraham@impaxrx.com WEB: www.impaxrx.com
ImpaxRx is a Patient Advocacy Service Program matching target members with available manufacturer-sponsored Prescription Assistance Programs (PAP), resulting in the complete removal of the costly drug from plan spend. Inclusion of our program does not require PBM, TPA, or formulary changes. A service fee is charged based on drug delivery and savings, no PEPM.
MedWatch, LLC Tim Guzinski, Vice President of Marketing & Business Development 400 Colonial Center Parkway, Suite 320 Lake Mary, FL 32746 - United States PHONE: (321) 249-9180 EMAIL: tim.guzinski@urmedwatch.com WEB: www.urmedwatch.com
MedWatch, a proven leader & single source solution for population health management & cost containment. URAC Accredited Utilization, Case & Disease Management. Innovative solutions include Concierge Services, Reference Based Pricing & Support, Kidney Care & ESRD Programs, Dialysis Claim Repricing, Diabetic Monitoring, Bundled Pharmaceutical Treatments & Surgical Procedures, Medical Transportation Cost Management, & more.
MultiPlan Pamela Walker, Sr. Director, Marketing and Communication 45 Lake Street Wakefield, MA 01880 - United States PHONE: (617) 633-4427 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, MultiPlan interprets clients’ needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. MultiPlan is a trusted partner to over 700 healthcare payors in the commercial health, government, property and casualty and markets. For more information, visit multiplan.com.
National Bill Audit Services, LLC Jeremy Perkinson, Chief Operating Officer 9075 Seminole Boulevard St. Petersburg, FL 33772 - United States PHONE: (800) 719-6227 EMAIL: jperkinson@nbasaudits.com WEB: www.nbasaudits.com
NBAS celebrated its 20th anniversary in 2020 as an independent medical bill auditing firm providing Claims Negotiation, Billing Error Review, NICU Review, Reasonable & Customary Review, Reference-Based Pricing and other cost containment solutions. NBAS works with health plans, insurance companies, TPAs, MGUs and reinsurance carriers, auditing large dollar claims. Over 99% of client savings are upheld through NBAS’s support.
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Nova Healthcare Administrators Todd Martin, Chief Sales Officer 6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: sfluskey@novahealthcare.com WEB: www.novahealthcare.com
Nova is an innovative health plan solutions company that out-thinks the competition — we use flexibility and creativity to improve holistic health plan performance and build a better experience. Nova’s flexibility includes DPC and RBP leveraging in-house medical management, HSA, FSA and HRA products and a variety of private-labeled solutions.
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
Payer Compass is restoring rationality and transparency to healthcare pricing, reflecting the true cost of care. Our comprehensive reference based pricing solution, Innovate360, drives down employers’ costs for claims reimbursement, lowers out- of-pocket costs for employees, puts an emphasis on proactive patient advocacy, and minimizes balance bill rates, and noise.
Payer Matrix, LLC Jason Cofone, Chief Executive Officer 1400 North Providence Road, Suite 300 Media, PA 19063 - United States PHONE: (877) 305-6202 EMAIL: jason.cofone@payermatrix.com WEB: www.payermatrix.com
Payer Matrix is a Specialty Drug Cost Containment company who partners with self-insured plans to address the rising cost of specialty medications. Our advocacy model produces significant savings while providing excellent customer service to members.
Renalogic Mark Masson, President 22601 North 19th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 316-9094 EMAIL: mmasson@renalogic.com WEB: www.renalogic.com
Renalogic protects health plans against risk associated with chronic kidney disease (CKD) and dialysis. Our proprietary methodology and was validated as a safe harbor for health plans that rely on a multiple of Medicare for dialysis repricing. Our tailored CKD intervention helps members avoid dialysis, improving their health and vitality.
888.394.5688
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We saved our clients over
70 MILLION
$
last year alone. Choose a partner who advocates for the right reasons. Our focus is to save employers, and their employees significant money on their medications, using a fee based patient prescription advocacy program that puts clients first.
Welcome to real prescription cost savings. Contact us today at 866-478-9593 or email us at quotes@rxhelpcenters.com for a proposal request today.
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Rx Help Centers William Stafford, President & Chief Operating Officer 3905 Vincennes Road, Suite 200 Indianapolis, IN 46268 - United States PHONE: (866) 478-9593 EMAIL: bill@rxhelpcenters.com WEB: www.rxhelpcenters.com
Rx Help Centers is a leading fee-based prescription advocacy company that works with individuals, employers, brokers, thirdparty administrators and advisors to mitigate escalating prescription drug costs. We focus all of our efforts toward helping people fill the financial voids that are left from their prescription coverage or no coverage at all.
Specialty Care Management Craig R. Clemente, President & Chief Operating Officer P.O. Box 732 Lahaska, PA 18931 - United States PHONE: (267) 544-0351 EMAIL: cclemente@specialtycm.com WEB: www.specialtycm.com
Specialty Care Management goes further than cost containment providing clients a full risk management approach to catastrophic claims. Specialty Care Management can be implemented when a case is active and specializes in stabilizing futures claims, making them both manageable and predictable.
Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
Zelis Valerie Bauer, Director, Performance Marketing 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: marketingteam@zelis.com WEB: www.zelis.com
Zelis is the leading healthcare payments company, helping to price, pay and explain healthcare transactions for payers, providers, and consumers. Zelis serves more than 700 payers, 1.5 million providers and millions of consumers in pursuit of making healthcare more affordable and transparent for us all.
888.394.5688
[43]
Direct Primary Care
Amalgamated Medical Care Management Erin Linney, Director of Marketing 8C Industrial Way Salem, NH 03079 - United States PHONE: (914) 367-5826 EMAIL: elinney@amalgamatedbenefits.com WEB: www.amalgamatedbenefits.com/amalgamated-medical-care-management
A national leading resource for a comprehensive suite of high quality care management services; which include URACAccredited Utilization Management, Case Management, Nurse Helpline/Health Information and Independent Review. The company offers other vital services ranging from Disease, Disability, Readmission, and Maternity Management, to Medical Claims Review and Network Referrals.
EZaccessMD Jamie McNally, Director of Sales 1465 Jefferson Road Henrietta, NY 14623 - United States PHONE: (585) 230-7728 EMAIL: jmcnally@ezaccessmd.com WEB: www.ezaccessmd.com
EZaccessMD combines traditional telemedicine with a mobile urgent care service to deliver high quality care at a lower cost and a better patient experience. Our ability to send a mobile team to the home to gather diagnostics for the telephysician ensures continuity of care and a more cost-effective care path.
She doesn’t know how her mom got better. She just knows she’s back. There’s nothing “ancillary” about helping people get back to their work and life. It’s personal. Behind every claim is a person who just wants to be there for those they love.
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That’s why we do what we do.
S E R V I C E O R G A N I Z AT I O N S
800.482.1993 • vgmhomelink.com • homelinkreferrals@vgm.com
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Financial Services
ECHO Health, Inc. Thomas Davis, Executive Vice President, Business Development & Strategy 810 Sharon Drive Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@EchoHealthinc.com WEB: www.EchoHealthinc.com
ECHO® is a leading provider of electronic healthcare payment solutions, connecting payers, vendors, providers and plan members. ECHO’s patented, ERISA, HIPAA and CORE compliant solution addresses the hurdles payers face: connection, compliance, efficiency and ease of use. ECHO now processes 300+ million claims and over $60 billion in payments annually.
Imperial PFS Andy Roderique 22562 Hinspeter Drive Frankfort, IL 60423 - United States PHONE: (630) 917-1481 EMAIL: andy.roderique@ipfs.com WEB: www.ipfs.com
Imperial PFS is the industry leader in commercial premium financing. We provide short-term loans for businesses and individuals to obtain property and casualty insurance coverage, thus freeing up capital and allowing them to obtain appropriate insurance coverage.
Jefferson Health Plan George Ash 2023 Sunset Boulevard Steubenville, OH 43952 - United States PHONE: (740) 283-3347 Ext. 154 EMAIL: gash@thejeffersonhealthplan.org WEB: www.thejeffersonhealthplan.org
The Jefferson Health Plan (JHP) was established in 1985 to serve public entities and afford them an opportunity to share in the benefits of better healthcare. The JHP was founded as a partially self-insured health benefits program, and today provides healthcare and related employee benefit programs to over 200 public employer member organizations throughout the country.
Madison Scottsdale Don Miller, Head of Insurance Solutions, Portfolio Manager 8777 North Gainey Center Drive, Suite 220 Scottsdale, AZ 85258 - United States PHONE: (480) 596-3338 EMAIL: info@madisonscottsdale.com WEB: www.madisonscottsdale.com
Madison Scottsdale has been dedicated to managing investments for insurance companies, self-insurance groups, captives, and RRG's for over 25 years. Our Insurance Solutions team averages over 30 years of insurance portfolio management experience, with services that include investment strategy and policy development, asset-liability management, cash flow modeling, and tax optimization. [45]
Unlock the Power of Stop-Loss Automation At Ringmaster, our transformative solutions simplify the complexity and substantially improve the efficiency of the entire Stop-Loss procurement cycle from market to bind to administer to renew. And because we know the value of client relationships, we are committed to helping you make them even stronger.
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Connect with us today to learn how our suite of products will significantly improve your Stop-Loss process. 330.648.3700 • rmtsales@ringmastertech.com • www.ringmastertech.com
The New Generation of Healthcare Stop-Loss Business Process Automation
Paytient Sanjay Srinivasan, Director of Partnerships 1601 South Providence Road Columbia, MO 65211 - United States PHONE: (480) 560-9645 EMAIL: sanjay@paytient.co WEB: www.paytient.co
Paytient is an employer-sponsored benefit that allows employees to pay for out-of-pocket healthcare expenses over time without interest or fees. In doing so, Paytient helps members better access and afford care, is a cost-effective tool for employers to manage premiums, and drives member growth and retention for health plan administrators.
Ringmaster Technologies, Inc. Todd Roberti, Chief Executive Officer/Founder 5200 Town Center Circle, Suite 540 Boca Raton, FL 33486 - United States PHONE: (917) 710-6963 EMAIL: troberti@ringmastertech.com WEB: www.ringmastertech.com
Ringmaster is a cloud-based healthcare solutions provider created to simplify and enhance administrative processes by utilizing cutting edge technologies. Combining over a decade of expertise in both the healthcare and technology industries, Ringmaster offers the first Fully Automated Workflow Optimization Solution that will drastically reduce processing time and complexity while minimizing the turnaround time for Stop-Loss quoting, contracting, and policy administration. Whether you’re on the buy-side or the sell-side, Ringmaster is committed to modernizing Stop-Loss administration and creating optimal cost savings, value and growth to your organization. Visit www.ringmastertech.com.
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Vive Benefits, Inc. Joel Kempner, Vice President Health Plan BD and Sales 3031 Tisch Way San Jose, CA 95128 - United States PHONE: (855) 472-4090 EMAIL: joel@vivebenefits.com WEB: www.vivebenefits.com
Vive offers an immediate financial line-of-credit to employees to help pay for medical expenses all with no interest, no credit check, and a 36-month term. We are your simply seamless payroll secured lender.
Zelis Valerie Bauer, Director, Performance Marketing 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: marketingteam@zelis.com WEB: www.zelis.com
Zelis is the leading healthcare payments company, helping to price, pay and explain healthcare transactions for payers, providers, and consumers. Zelis serves more than 700 payers, 1.5 million providers and millions of consumers in pursuit of making healthcare more affordable and transparent for us all.
888.394.5688
[47]
Medical Provider Networks
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
Deerwalk, A Cedar Gate Technologies Company Gina Ford, Vice President of Marketing & Communications One Sound Shore Drive, Suite 300 Greewich, CT 06830 - United States PHONE: (203) 930-5500 EMAIL: annissa.jones@cedargate.com WEB: www.cedargate.com
Cedar Gate’s Health & Benefits Management applications empower employers and their advisors to control the ever-increasing cost of healthcare benefits. Our unified technology platform enables managers of self-funded health plans to realize healthcare economics that only the Fortune 50 could achieve.
First Health Michael Moravec, Product Management/Development Manager 10260 Meanley Drive San Diego, CA 92131 - United States PHONE: (800) 247-2898 EMAIL: firsthealthsales@firsthealth.com WEB: www.firsthealth.com
First Health® and Cofinity® provide access to directly-contracted PPO network providers at over 1.5 million service locations nationally. Together, we offer multiple medical network solutions—primary and complementary national networks, supplemental network partners, and non-network fee negotiations—as well as the Aetna Dental® Administrators dental program.
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Healthcare Highways Mitch McCauley, Vice President, Business Development 1 Cowboys Way, Suite 290 Frisco, TX 75034 - United States PHONE: (469) 850-2131 EMAIL: mitch.mccauley@healthcarehighways.com WEB: www.healthcarehighways.com
Healthcare Highways is a company that develops and distributes best-in-class products, services, and solutions to companies and individuals including: health plans, high performance provider networks, pharmacy benefits, and benefit plan administration. Our mission is to deliver measurable healthcare value to employers, members, and providers by delivering customer-centric solutions.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
Hines & Associates, Inc. Anna Hansen, CSFS, Vice President of Sales & 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
Through Global Excel’s acquisition of Hines, Opus MedStrategies and Hines have launched a comprehensive cost avoidance and cost management solution that includes: Proactive Healthcare Management; Concierge Services; Directional Care; Provider Networks; and Negotiations. The comprehensive solution will serve as an innovative alternative to traditional Primary PPO Networks and RBP Programs.
HOMELINK Teri Smith, Credentialing Director 1111 West San Marnan Drive Waterloo, IA 50701 - United States PHONE: (319) 274-6557 EMAIL: teri.smith@vgm.com WEB: www.vgmhomelink.com
HOMELINK is an innovative, national provider of integrated ancillary services to the healthcare and workers compensation industries. As a privately held, employee-owned company, our associates are naturally motivated to help the payors, patients and providers we service achieve great outcomes.
888.394.5688
[49]
Javelina from Mphasis TJ Ruesch, Vice President, Mphasis Healthcare 5353 N 16th Street, Suite 400 Phoenix, AZ 85016 - United States PHONE: (602) 604-3100 EMAIL: tj.ruesch@eldocomp.com WEB: www.javelina.mphasis
At Mphasis, engineering is in our DNA. We lead with design and architecture to deliver a portfolio of next-generation offerings and services that blend our deep domain expertise with cutting-edge technology and customer centric experience. Mphasis has a 30+ year history in providing solutions across the healthcare ecosystem with unparalleled depth and presence in the selffunded market.
MediOrbis Jonathan Wiesen, MD 30575 Bainbridge Road, Suite 200 Cleveland, OH 44139 - United States PHONE: (216) 762-0777 EMAIL: jwiesen@myspecialistmd.com WEB: www.mediorbis.com
MediOrbis is a global specialty telehealth company that provides innovative specialty services, such as chronic disease management, medical weight loss and integrated specialty care worldwide.
MultiPlan Pamela Walker, Senior Director, Marketing and Communication 45 Lake Street Wakefield, MA 01880 - United States PHONE: (617) 633-4427 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, MultiPlan interprets clients’ needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. MultiPlan is a trusted partner to over 700 healthcare payors in the commercial health, government, property and casualty and markets. For more information, visit multiplan.com.
OccuNet John Crumpton, Chief Strategy Officer 1800 South Washington, Suite 300 Amarillo, TX 79102 - United States PHONE: (914) 319-0449 EMAIL: john.crumpton@occunet.com WEB: www.occunet.com
OccuNet offers industry-unique cost containment healthcare solutions and customizable technology that helps payers manage and reduce their rising healthcare costs. Founded in 1998, OccuNet has decades of experience in strategic cost management and building comprehensive cost-containment solutions. OccuNet consistently delivers industry-leading results and customer service levels on a national basis.
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The Alliance Mike Roche, Director of Business Development 5510 Nobel Drive, Suite 200 Fitchburg, WI 53711 - United States PHONE: (800) 356-2644 Ext. 6645 EMAIL: mroche@the-alliance.org WEB: www.the-alliance.org
As the voice for self-funded employers, The Alliance gives its 285 clients the control they seek by using deep data mining and analytics to uncover savings that others can't — or won't. We offer custom Smarter Networks to deliver high-quality, affordable care to employers and their employees and family members.
Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
888.394.5688
[51]
Medical Travel
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
CPR Strategic Marketing Communications Laura Carabello, Principal and Founder 300-B Route 17 South Mahwah, NJ 07430 - United States PHONE: (201) 641-1911 Ext. 12 EMAIL: lcarabello@cpronline.com WEB: www.cpronline.com
Headquartered in NY-metro area and serving national and international markets, CPR Strategic Marketing Communications is provides a full range of integrated marketing and communications services to the healthcare industry: Life Sciences/Biotech, Medical Device, managed care/specialty pharmacy benefit management, healthcare IT and digital health solutions, global medical travel, laboratory/imaging services, hospitals/providers, telehealth/telemedicine and other health-related sectors.
Exclusive Surgeries Network LLC Kelly Webb, Vice President Sales and Marketing 8671 West Union Hills Drive Peoria, AZ 85382 - United States PHONE: (833) 378-2583 EMAIL: info@esurgeries.com WEB: www.esurgeries.com
Exclusive Surgeries Network provides access to its network for self-insured companies for elective Bariatric surgery with a center of excellence program. There are bundled claim rates that address cost and quality. This access also applies for Behavioral Health Residential Treatment programs for opioid addiction, trauma, fears phobia, utilizing bundled claims.
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888.394.5688
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Health Solutions LLC (by Global Access Administrators, LLC) Bernardo Baraya, General Manager 2001 Timberloch Place, Suite 500 The Woodlands, TX 77380 - United States PHONE: (832) 717-1166 EMAIL: bbaraya@healthsolutionsga.com WEB: www.healthsolutionsga.com
Health Solutions LLC is a company specialized and certified in the management of International Medicine. We assure our patients and companies, both fully-insured and self-insured, a selection of the best alternatives for the provision of health services abroad. With our extensive knowledge of the health sector, experience and solid network of international allies, Health Solutions promises our clients quality, affordability, transparency and effectiveness.
IndusHealth Rajesh Rao, Chief Executive Officer 7413 Six Forks Road, #362 Raleigh, NC 27613 - United States PHONE: (919) 345-9673 EMAIL: rrao@indushealth.com WEB: www.indushealth.com
IndusHealth is a leading medical travel administrator serving US self-insured employers and their members. IndusHealth partners with leading international and domestic medical centers, and coordinates related planning, travel and risk management. IndusHealth's program delivers outstanding results and generates annual cost-savings of up to $400K per 1,000 employees.
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Stabilize your business with our value based direct contracts with board certified surgeons nationwide. As a broker your business can be exposed, but we can help put your business on solid ground. We uncomplicate healthcare, and as surgery experts guide your clients in the right direction. Our bundled surgical claims provide, transparency with no balance billing. It’s healthcare you deserve!
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MGU/Medical Stop-Loss Carriers Life and Health/ Employee Benefits
AccuRisk Solutions, LLC Daniel Boisvert, Chief Executive Officer, AccuRisk Holdings, LLC 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.
Acrisure Re Jamie Brown, Senior Account Manager 521 Boone Station Drive, Suite 101 Burlington, NC 27215 - United States PHONE: (770) 935-9228 EMAIL: jbrown@acrisurere.com WEB: www.acrisure.com/reinsurance
The A&H Reinsurance division of Acrisure provides advisory, portfolio and reinsurance solutions to achieve risk management goals for our MGU, Carrier, TPA, MEWA, and Captive partners. We work as a team with a reputation for innovative reinsurance placements to improve the efficiency and value of every reinsurance program. Acrisure Re is a member of the Acrisure family of companies, the fastest growing insurance broker in the World.
Amalgamated Life Insurance Company Erin Linney, Director of Marketing 333 Westchester Avenue White Plains, NY 10604 - United States PHONE: (914) 367-5826 EMAIL: elinney@amalgamatedbenefits.com WEB: www.amalgamatedbenefits.com/amalgamated-life
Since 1943, we have delivered financial protection to working men and women with our high quality, affordable group insurance, medical stop loss and voluntary benefits, along with excellent service and fiscal integrity as evidenced by our consistent A.M. Best “A” (Excellent) ratings. Licensed in all 50 states and DC.
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American Fidelity Assurance Company Diana Lee, Assistant Vice President 9000 Cameron Parkway Oklahoma City, OK 73114 - United States PHONE: (405) 523-5635 EMAIL: diana.lee@americanfidelity.com WEB: www.americanfidelity.com
American Fidelity Assurance Company is a third-generation, family-owned organization providing insurance products and financial services to education employees, trade association members and employer groups 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 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 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.
Anthem Stop Loss Thy Colquitt, Director, Business Planning 5850 Opus Parkway, Suite 130 Minnetonka, MN 55343 - United States PHONE: (404) 783-4821 EMAIL: t.colquitt@anthem.com WEB: www.stoploss.anthem.com
Anthem Stop Loss is a full-service claims administration and health management firm, providing administrative and other support services to self-funded employers. With nearly 40 million members insured through its affiliated health plans, Anthem brings an experienced, dedicated clinical team and industry-leading analytics to our robust network of community connections.
Arbor Benefit Group, L.P. Leah Boucher, Administrative Assistant 281 Farmington Avenue Farmington, CT 06010 - United States PHONE: (860) 674-9748 EMAIL: leahb@arborbg.com WEB: www.arborbg.com
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 businesses maintain profitability with customized stop loss products and cost containment services all backed by integrity, financial stability, and unwavering dedication to personal service.
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Archway Health David Konrad, Vice President Sales 545 Boylston Street, 10th Floor Boston, MA 02116 - United States PHONE: (216) 469-1285 EMAIL: dkonrad@archwayha.com WEB: www.archwayhealth.com
We help providers and employers with stop-loss insurance. Powered by Archway Analytics, we leverage national value-based care program data and advanced data science, allowing us to provide customized solutions and competitive premiums. Our philosophy, members receive the right care, at the right time, and in the right setting.
AST Risk, LLC Craig Phillips, Executive Director 7272 East Indian School Road, Suite 203 Scottsdale, AZ 85251 - United States PHONE: (475) 529-6781 EMAIL: cphillips@astrisk.com WEB: www.astrisk.com
AST Risk is a Managing General Underwriter that specializes in the small group, level-funded market. Through its proprietary pricing and underwriting process, along with guidance and training on all aspects of level-funded administration, AST Risk enables its TPA partners to create a unique competitive advantage in their respective markets.
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.beacon.amwins.com
Beacon is a specialty underwriter, distributor and program manager for A&H products, including stop loss, limited benefit and Gap plans. Brokers, TPAs and reinsurers rely on the higher standard set by Beacon through our underwriting expertise, superior claims administration, innovative cost containment programs and customer service. Our goal is to deliver solutions, service, and insights to our clients that can't be found anywhere else.
Benefit Indemnity Corporation Rodger Bayne, President/Chief Executive Officer 303 Allegheny Road Towson, MD 21204 - United States PHONE: (443) 275-7415 EMAIL: dana.thomas@benefitindemnity.co WEB: www.benefitindemnity.co
BIC tirelessly dedicates its talents to providing the greatest value possible in health care and related benefits for the broker and TPA communities, and their consumers.
888.394.5688
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BenefitMall Kim Johnson, Director of Business Operations 2111 East Highland Avenue, Suite B-210 Phoenix, AZ 85016 - United States PHONE: (888) 248-8952 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.
Berkley Accident and Health Brad Nieland, President
2445 Kuser Road Hamilton Square, NJ 08690 - United States PHONE: (609) 584-6990 EMAIL: contact@BerkleyAH.com WEB: www.berkleyah.com Berkley Accident and Health is a risk management expert that offers a creative, analytical approach to risk and 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 with a gateway to self-funding.
Berkshire Hathaway Specialty Insurance Phil Gardham, Senior Vice President, Accident & Health, U.S.- Head of Medical Stop Loss 1 Lincoln Street, 23rd Floor Boston, MA 02111 - United States PHONE: (803) 917-5681 EMAIL: phil.gardham@bhspeicalty.com WEB: www.bhspecialty.com/msl
Berkshire Hathaway Specialty Insurance’s experienced team delivers a broad array of products and services to provide solutions to our self-funded customer. We are rated A++ (Superior) by AM Best and “Claims is our Business”. This is a relationship industry, and our goal is to work closely with our customers and business partners with a focus on the long term.
Certus Management Group Steven 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 is a Managing General Underwriter of medical stop loss insurance and related lines. Since 1998, we have been providing certainty of stop loss protection to self-funded employee benefit plans in a wide array of sizes and applications.
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Companion Life Insurance Company Merri James, Manager, Marketing Communications 1308 Gervais Street, Suite 900 Columbia, SC 29201 - United States PHONE: (800) 753-0404 EMAIL: merri.james@companiongroup.com WEB: www.companionlife.com
Companion Life Insurance Company and its affiliates, rated A+ by AM Best, provide innovative stop loss solutions to selffunded clients in 49 states and the District of Columbia. Companion Life’s partnership with its Managing General Underwriters has created a strong distribution channel focused on superior customer service and competitively priced stop loss products and solutions.
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Crum & Forster Lauren Woods, SVP, Marketing, Communications & Business Development, A&H Division 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The C&F Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Medical Excess, Fixed Indemnity, Short-Term Medical, Medicare Supplement, Critical Illness & All Ancillary, Retail/Wholesale Travel, International Travel Medical, K-12 Accident/K-12 Cat, Intercollegiate Sports, Blanket Special Risk, Occupational Accident, and Pet, along with international product capabilities through it’s A.M. Best A-rated captive and Lloyds coverholder arrangement.
D.W. Van Dyke & Co. Walter Roland, President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 Ext. 312 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
A&H Reinsurance Intermediary that works with carriers, reinsurers, distributors, MGUs, TPAs. We identify and secure reinsurance partners for insurers and MGUs. Product expertise in multiple lines with particular strengths in the ESL business and other healthcare finance. Annually conduct carrier and MGU Survey, includes $5+Billion annual premium.
888.394.5688
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East Coast Underwriters, LLC Kody Parker 121 West Main Street, Suite B Spartanburg, SC 29306 - United States PHONE: (813) 326-3373 EMAIL: kparker@ecumgu.com WEB: www.ecumgu.com
East Coast Underwriters is a Managing General Underwriter providing Medical Stop Loss to employer groups with 25+ enrolled lives. ECU offers traditional and level funded Stop Loss products for benefit consultants and TPA’s in all 50 states. ECU underwrites on behalf of Pan American Life and Gerber Life (A+ rated).
ELMC Risk Solutions, LLC Richard Fleder, President and Chief Executive Officer 135 East 57th Street, Suite 1903 New York, NY 10022 - United States PHONE: (917) 750-7340 EMAIL: rfleder@elmcgroup.com WEB: www.elmcgroup.com
ELMC Risk Solutions delivers innovative stop loss, reinsurance and Rx consulting solutions designed to help our partners meet today’s challenges and anticipate those of the future. Our companies include IOA Re, ELMCRx Solutions, Sequoia Reinsurance Services, RxReins and Rockport Benefits. Let’s discuss how we can help your business.
Ethos Underwriting Services Michael McDonald, President 214 North Tryon Street, Suite 2300 Charlotte, NC 28202 - United States PHONE: (704) 208-3505 EMAIL: mike_mcdonald@ethosmgu.com WEB: www.crcgroup.com
Ethos is a full-service MGU providing specific and aggregate medical stop loss for those companies that self-insure their employee health benefits. We work with brokers, consultants and TPA's to help them address the reinsurance needs of their self-funded clients.
Evolution Risk Partners, LLC George Lemmon, President 3501 North Southport Avenue, #194 Chicago, IL 60657 - United States PHONE: (312) 961-2557 EMAIL: george@evolutionrisk.com WEB: www.evolutionrisk.com
Evolution Risk Partners (ERP) is a full service MGU that 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 needs and to utilize our experience and knowledge to provide a flexible, efficient and seamless customer experience.
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Excess Reinsurance Underwriters, Inc. Brian Zidek, President 48 North Broad Street Woodbury, NJ 08096 - United States PHONE: (856) 251-2280 EMAIL: cmustac@excessre.com WEB: www.excessre.com
Excess Re is a national, full service managing general underwriter specializing in employer stop-loss insurance, referenced based pricing, MEC and MVP coverage, consortium and coalition programs, and captive reinsurance solutions. Excess Re's history, reputation, and innovative underwriting enable it to deliver products and services to meet the needs of an evolving industry.
Excess Risk Solutions, Inc. Charles Osborne, President 1523 Dale Mabry Highway, Suite 102 Lutz, FL 33548 - United States PHONE: (813) 289-2464 EMAIL: cosborne@ExcessRiskSolutions.com WEB: www.ExcessRiskSolutions.com
Excess Risk Solutions Inc. provides Pre-Underwritng, Marketing, Sales Assistance to our MGU/Carrier stop-loss partners through our preferred TPA relationships around the US. With over 40+ years of self-funding experience, we continue to be an Industry Leader that Builds and Maintains Trusted Legacy Relationships.
Granular Insurance Company Robert Howard, Vice President, Sales and Marketing 269 East Grande Avenue South San Francisco, CA 94080 - United States PHONE: (610) 639-6088 EMAIL: rhoward@granularinsurance.com WEB: www.granularinsurance.com
Granular Insurance provides intelligent employer benefit risk sharing through data-driven insights and predictive analytics. Through its proprietary Precision Risk approach, Granular Insurance is able to segment risk, reduce variability and deliver a more accurate assessment of a client’s exposure. With its unique multi year rate and benefit guarantees, Granular is able to provider meaningful, long term financial predictability.
Group Marketing Services, Inc. James Kaiser, President P.O. Box 19040 Kalamazoo, MI 49019-0040 - United States PHONE: (800) 354-4768 EMAIL: jbk@groupmarketingservices.com WEB: www.groupmarketingservices.com
Group Marketing Services, Inc. has been offering group benefits to small and medium businesses since 1972. With offices in Kalamazoo and Grand Rapids, MI, we are able to serve your group insurance needs throughout Michigan, Indiana, Ohio and the entire Midwest. We offer and administer self-funded and fully-insured Major Medical, Dental, Vision, Life and Disability insurance. We also offer COBRA and Flexible Spending Account administration. We pride ourselves in customer service and our ability to customize solutions to meet each employer's group benefit needs.
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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 Mark Lawrence, President 120 Fifth Avenue Pittsburgh, PA 15222 - United States PHONE: (412) 544-1156 EMAIL: mark.lawrence@hminsurancegroup.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.
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iiSi, A Division of Companion Life Insurance Company Jim Henry, Executive Vice President 731 Sansome Street, 2nd Floor San Francisco, CA 94104 - United States PHONE: (415) 399-6723 EMAIL: jim_henry@iisinet.com WEB: www.iisinet.com
iiSi is a full service stop loss MGU and a division of Companion Life Insurance Company. Founded in 1983, iiSi has an established history of serving their clients and producers and is a recognized leader in the reference based pricing market.
Intact Insurance Accident & Health Christine Vago, Senior Vice President - Specialty Health Sales 44 Whippany Road Morristown, NJ 07962 - United States PHONE: (781) 332-7924 EMAIL: cvago@onebeacon.com WEB: www.intactspecialty.com/specialty-health
Intact Insurance Accident & Health is a direct stop loss carrier that is A+ (Superior) rated by AM Best and recognizes the value of strong claim management practices. Intact Insurance only targets employers who select a top-tier administrator and high quality cost containment vendors to actively.
IOA Re, LLC John O. Parker, President and Chief Executive Officer 190 West Germantown Pike, Suite 200 East Norriton, PA 19401 - United States PHONE: (610) 940-9000 EMAIL: joparker@ioare.com WEB: www.elmcgroup.com/ioare
IOA Re has 40 years of experience in the MSL marketplace and 20 years in the MC space. Small employer groups with IHQ’s to America’s largest employers, from HMO’s to capitation arrangements our team will design a solution for your risk mitigation needs. Please call on us today.
Kismet Risk Management Associates Manjusha Sheobaran, President 2464 Byron Station Drive South West Byron Center, MI 49315-7401 - United States PHONE: (860) 810-4186 EMAIL: msheobaran@kismetrisk.com WEB: www.kismetrisk.com
Kismet Risk Management Associates, LLC (KRMA) is a Managing General Underwriter (MGU) of Medical Stop Loss on behalf of our AM Best rated A (Excellent) carriers. We provide stop loss insurance solutions tailored to each of our customer's needs and preferences by focusing on patient and plan advocacy methodologies.
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Liberty Mutual Karthik Mohan, Vice President, Sales, Distribution & Marketing 157 Berkeley Street Boston, MA 02216 - United States PHONE: (774) 217-9549 EMAIL: karthik.mohan@libertymutual.com WEB: www.business.libertymutual.com/commercial-solutions/specialty/stop-loss
Liberty Mutual Stop Loss provides financial protection from unpredictable, catastrophic claims to entities taking on health care financial risk. We are responsive, innovative and have significant expertise in Stop Loss. Products are written on Liberty International Underwriters (LIU) and backed by the financial strength of Liberty Mutual. Liberty Mutual is rated ‘A’ by AM Best and S&P, ‘A2’ by Moody’s.
Medical Captive Underwriters Don McCully, President 620 North LaSalle Drive, Suite 201 Chicago, IL 60654 - United States PHONE: (703) 966-9797 EMAIL: don@medicalcaptive.com WEB: www.medicalcaptive.com
Medical Captive Underwriters provides solutions to smooth and lower employer insurance costs, both accident and health and property and casualty. Our primary focus is health insurance for employees and their family members. By utilizing alternative risk transfer tools, including group and single parent captives, we can lower medical trend and medical spend. Our solutions are distributed through independent agencies nationally. Medical Captive Underwriters operates independently from insurance carriers, insurance agencies and claims administrators on behalf of the employer working though the employer’s trusted advisor.
Medical Risk Managers, Inc. Jennifer Unsworth, Senior Vice President - Marketing & Business Development 1170 Ellington Road South Windsor, CT 06074 - United States PHONE: (800) 732-3248 EMAIL: junsworth@mrmstoploss.com WEB: www.mrmstoploss.com
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.
Nevaeh Insurance Solutions, LLC Tom DeNoma 709 Augusta Boulevard, #4 Naples, FL 34113 - United States PHONE: (614) 561-9904 EMAIL: tom.denoma@nevaehinsurance.com WEB: www.nevaehinsurance.com
Nevaeh Insurance Solutions is an external facility performing functions on behalf of insurance carriers, such as underwriting, product development, business acquisition, sales, and program management. We focus on all group A&H lines of business, We work with MGU's not only to underwrite their portfolio but remarket their services to our distribution channels.
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Corporate Solutions You want unparalleled customer service. Employers need the right stop loss coverage. At Swiss Re Corporate Solutions, we deliver both. We combine cutting-edge risk knowledge with tech-driven solutions and a commitment to put our customers first. We make it easy to do business with us and relentlessly go above and beyond to make stop loss simpler, smarter, faster and better. We’re addressing industry inefficiencies and customer pain points, moving the industry forward – rethinking employer stop loss coverage with you in mind. corporatesolutions.swissre.com/esl
Employer Stop Loss: Limit Health Care Exposure. Advancing Self-funding Together. Insurance products underwritten by Westport Insurance Corporations and North American Specialty Insurance Company. © Swiss Re 2021. All rights reserved.
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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!
One80 Intermediaries | Vista Underwriting Michelle Heffernan, Director of Operations 1400 North Providence Road Media, PA 19063 - United States PHONE: (484) 448-6078 EMAIL: mheffernan@vistaunderwriting.com WEB: www.one80intermediaries.com
One80 Intermediaries is a full-service Managing General Underwriter of Medical Stop Loss. We have full in-house binding authority to manage stop loss insurance across the United States on behalf of our leading carriers and reinsurers. Backed by a team of experienced professionals we provide best-in-class products and services to our partners and clients.
Optum Stop Loss Kurt Haag, President 11000 Optum Circle Eden Prairie, MN 55344 - United States PHONE: (704) 442-4102 EMAIL: kurt.haag@optum.com WEB: www.optum.com
Optum Stop Loss is a dedicated team within UnitedHealth Group, ranked 5th on the Fortune 500 list, that focuses on protecting the assets of small, mid-size and large employers. We have a variety of product offerings that will assist an employer in their budget and risk balance requirements.
Phoenix Excess Risk Underwriters, LLC 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
Our goal at Phoenix Excess Risk Underwriters is to provide our clients with the best self-funded health insurance plan choice for their employees. We clearly pinpoint the needs of our clients and deliver creative solutions for your most challenging risks.
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Prodigy Health Insurance John Youngs, Chief Executive Officer 1660 Layton Road Freeland, WA 98249 - United States PHONE: (360) 331-3700 EMAIL: jyoungs@prodigystoploss.com WEB: prodigystoploss.com
At Prodigy, we deliver innovative solutions based on time-tested principles and in-depth knowledge of medical risk management and loss mitigation. In addition to traditional stop loss, we offer experience and expertise in level funded, trust and captive insurance solutions, all designed to help make quality healthcare more affordable and accessible.
QBE Ed Wadhams, Vice President, Accident & Health National Partnerships 123 Pleasant Street, 3rd Floor Marblehead, MA 01945 - United States PHONE: (770) 883-1357 EMAIL: amy.sandusky@us.qbe.com WEB: www.qbe.com/us/ah
QBE North America is part of QBE Insurance Group Limited, one of the largest insurers and reinsurers worldwide. Our Accident & Health division provides exemplary coverage and services to support the specialized needs of self-insured employers, as a leading direct-writing provider of medical stop loss.
Reunion Health Services David Johnson, Director of Marketing 576 Highland Colony Park, Suite 210 Ridgeland, MS 39157 - United States PHONE: (601) 531-4141 EMAIL: djohnson@reunionhs.com WEB: www.reunionhs.com
Reunion Health Services is a MGU that writes on behalf of Sirius America with full authority to underwrite medical stop loss.
Ringmaster Technologies, Inc. Todd Roberti, Chief Executive Officer/Founder 5200 Town Center Circle, Suite 540 Boca Raton, FL 33486 - United States PHONE: (917) 710-6963 EMAIL: troberti@ringmastertech.com WEB: www.ringmastertech.com
Ringmaster is a cloud-based healthcare solutions provider created to simplify and enhance administrative processes by utilizing cutting edge technologies. Combining over a decade of expertise in both the healthcare and technology industries, Ringmaster offers the first Fully Automated Workflow Optimization Solution that will drastically reduce processing time and complexity while minimizing the turnaround time for Stop-Loss quoting, contracting, and policy administration. Whether you’re on the buy-side or the sell-side, Ringmaster is committed to modernizing Stop-Loss administration and creating optimal cost savings, value and growth to your organization. Visit www.ringmastertech.com.
888.394.5688
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Rockport Benefits Amy Argeros, Managing Director 100 Cummings Center, Suite 213C Beverly, MA 01915 - United States PHONE: (978) 969-0658 EMAIL: aargeros@rockportbenefits.com WEB: www.elmcgroup.com/rockportbenefits
Offering 20+ years of expertise combined with a full suite of Underwriting, Claims and Risk Management Services, Rockport Benefits strives to balance our rich historical perspective with an energized and informed approach to today’s industry. We pride ourselves on sharing our consulting capabilities, creativity and decades of market experience.
Roundstone Insurance Terri White, Director of Marketing 15422 Detroit Avenue Lakewood, OH 44107 - United States PHONE: (347) 216-0117 EMAIL: twhite@roundstoneinsurance.com WEB: www.roundstoneinsurance.com
Roundstone founded the first medical captive to transform health insurance from an uncontrolled cost to a manageable expense for small and mid-size organizations. Our self-funded solution gives employers quality care with transparency and control. We save customers an average of 20 percent annually, including a return of unused premiums.
Skyward Accident & Health Matthew Paul, Senior Vice President Sales 600 TownPark Lane, Suite 500 Kennesaw, GA 30144 - United States PHONE: (484) 328-8022 EMAIL: ah-sales@skywardinsurance.com WEB: www.skywardinsurance.com
Skyward A&H is a direct writer of Medical Stop Loss that brings creative underwriting solutions to our TPA, Broker & Consulting partners. We pride ourselves on our collaborative and consultative approach with producers who want to provide high performance medical and prescription drug solutions to their clients.
Spectrum - a division of Companion Life Insurance Company Kurt Ridder, President 429 North Pennsylvania Street, Suite 103 Indianapolis, IN 46204 - United States PHONE: (317) 692-3285 EMAIL: k.ridder@spectrumhq.com WEB: www.spectrumhq.com
Spectrum, a division of Companion Life Insurance Company, is a full-service Managing General Underwriter of specific, aggregate, integrated and captive 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.
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Stop Loss that does more than stop loss Looking for an insurance carrier that does more than identify trends? At Voya Employee Benefits, we take the next step, providing in-depth insights into what’s driving costs. Our proprietary data and analytics tools reveal the solutions that help your self-funded clients manage risk better—and protect assets over time.
40+ years of Stop Loss experience
Among the top 3 Stop Loss carriers in the U.S.1
Known for consultative broker relationships
For Stop Loss insurance that does more, contact your local Voya Employee Benefits sales representative or to download our latest proprietary insights visit voyastoploss.com.
1 Ranking of top stop loss providers in the United States based on yearly premium as of 06/09/2018 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 NewYork, 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. ©2019 Voya Services Company. All rights reserved. WLT 5539752-848104 205914 - 07012019
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StarLine Michael Ann Johnson, Executive Sales Director, National Markets 804 Main Street, Suite 2A Osterville, MA 02655 - United States PHONE: (425) 739-1185 EMAIL: m.johnson@starlinegroup.com WEB: www.linkedin.com/company/star-line-group
StarLine is a collaborative, dedicated group, recognized as trusted partners and industry leaders. Founded in 2000, we are an Underwriting Management Company accessible to Brokers, Consultants, Third Party Administrators and Regional Health Plans. We offer smart, sustainable solutions for Employer Stop Loss, Managed Care and Personal Accident Products.
Stealth Partner Group Sarah Ruckno Cleary, Senior Marketing Manager 18940 North Pima Road, Suite 210 Scottsdale, AZ 85255 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.stealthpartnergroup.com
Stealth Partner Group, an Amwins Company, offers stop loss and ancillary benefit solutions to Brokers, Consultants and ThirdParty Administrators. With an exclusive focus on these specialty products, Stealth is able to devote 100% of our time and energy to delivering robust and competitive solutions within these specialty businesses.
Strategic Underwriting Solutions - A Division of Worldwide Facilities LLC ( SUS) Paul Hathway 3154 Mercedes Drive Green Bay, WI 54313 - United States PHONE: (920) 425-3690 EMAIL: phathway@stratuw.com WEB: www.strategicunderwritingsolutions.com
Strategic Underwriting Solutions, with its 25+ years of experience, brings unsurpassed expertise to the level funded & traditional Stop Loss Marketplace. With a wide range of products, services and top rated partners, SUS is uniquely qualified to assist all size employer groups with their self- funded and consulting needs.
Summit Reinsurance Services, Inc. Tammy Davis, AVP, Director of Marketing Communications 7030 Pointe Inverness Way, Suite 350 Fort Wayne, IN 46804 - United States PHONE: (260) 407-3977 EMAIL: tdavis@summit-re.com WEB: www.summit-re.com
Summit Re is a managing general underwriter and reinsurance advisor working with self-funded employers, TPAs, health insurers, provider groups, and managed care organizations, throughout the US. We help our customers analyze, manage, and transfer risk to protect their financial stability.
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Sun Life Valerie Labrecque, Associate Director, Stop-Loss & Health Marketing One Sun Life Executive Park Wellesley, MA 02481 - United States PHONE: (978) 852-8510 EMAIL: valerie.labrecque@sunlife.com WEB: www.sunlife.com/us/en
Sun Life is proud to be the leading independent carrier of stop-loss. Over the past 35+ years, we have listened closely to what our clients want from us and continue to deliver the coverage, insights, and client experience to be the best partner in stop-loss.
Swiss Re Corporate Solutions Ken Gumbiner, Head A&H Sales, North America 1670 Magnavox Way Fort Wayne, IN 46804 - United States PHONE: (260) 435-8368 EMAIL: Ken_Gumbiner@swissre.com WEB: www.swissre.com/esl
Our Swiss Re Corporate Solutions 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 and North American Specialty Insurance Company, both rated A+ (Superior) by A.M. Best Company.
Symetra Jeremy Freestone, Senior Vice President, Stop Loss 777 108th Avenue North East, Suite 1200 Bellevue, WA 98004 - United States PHONE: (800) 426-7784 EMAIL: kimberly.khan@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.
Tokio Marine HCC David Grider, Senior Vice President, Marketing & Sales 225 TownPark Drive, Suite 350 Kennesaw, GA 30144 - United States PHONE: (770) 693-6492 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 45 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.
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Referenced Based Pricing, PPO Traditional Medical Stop-Loss ~ Starts at 25 covered lives ~ 25,000 min deductible ~ A rated carriers ~ Responsive Underwriting and Service
For more information: rfp@wsmgu.com www.westernskiesmgu.com
Assessing Risk. Delivering Value.
A Full Service MGU Program Manager
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TPAC Underwriters, Inc. John Nelson, President 3810 Pheasant Ridge Drive North East Minneapolis, MN 55449 - United States PHONE: (612) 940-7976 EMAIL: john.nelson@tpac.com WEB: www.tpac.com
For 30 years, TPAC has worked to change the way healthcare is financed, disclosed and delivered. Our partners trust us to develop thoughtful solutions with total transparency and long-term savings. We write creative business in Medical Stop-Loss through Specific, Aggregate, Spaggregate® SmartShare® and capitated drug card programs with our trusted partners. Discover for yourself how TPAC does stop loss differently.
USBenefits Insurance Services, LLC Joseph Dore 43 Corporate Park, Suite 101 Irvine, CA 92606 - United States PHONE: (949) 468-3022 EMAIL: jd@usbstoploss.com WEB: www.usbstoploss.com
USBenefits is a Medical Stop Loss MGU providing reinsurance to employer groups since 2007. We have complete responsibility for all Administration, Claims and Underwriting decisions pertaining to our program. Our Claims, Underwriting, Administrative and Marketing departments work in concert with our customers to deliver the best possible outcome.
Voya Employee Benefits William Barrera, CEBS, Vice President, Stop Loss Distribution & Strategic Relationships 20 Washington Avenue South Minneapolis, MN 55401 - United States PHONE: (508) 641-6902 EMAIL: william.barrera@voya.com WEB: www.voya.com
We have been offering consultative expertise as a direct writer of stop loss insurance through our insurers for over 40 years. Voya Employee Benefits also offers an array of traditional group insurance products and supplemental health insurance, as well as leave management, financial wellness, and health savings and spending products.
Western Skies MGU Daniel Smith, President 9300 Sun City Boulevard, Suite 105 Las Vegas, NV 89134 - United States PHONE: (702) 685-2074 EMAIL: daniel.smith@wsmgu.com WEB: www.wsmgu.com
Western Skies is a full service MGU with solid carrier relationships and dedicated to providing superior service from the quote to the timely paying of claims.
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Xchange Benefits, LLC Kenneth Zieden-Weber, Executive Vice President & Chief Operating Officer 200 Business Park Drive, Suite 303 Armonk, NY 10504 - United States PHONE: (914) 437-7362 EMAIL: kziedenweber@xbllc.com WEB: www.xbllc.com
Employer Groups from coast to coast are taking a more self-deterministic view of their benefit plans as costs continue to rise and legislation remains in flux. XB can help. In the appropriate circumstance and with quality administration, self-funding is a clear and viable option with reduced costs and more control over coverages and plan design. Through trusted administrators, consultants and brokers, Xchange Benefits™ delivers medical stop-loss coverage to self-funded clients across the nation on behalf of A.M. Best ‘A’ rated insurance carrier partners. Our expert team of underwriters can assist with even the toughest placements exceeding service expectations and deliver creative underwriting solutions tailor-made for the underlying plan.
XL Reinsurance America, Inc. Steve Donnelly, Senior Vice President - Health Reinsurance Seaview House - 70 Seaview Avenue Stamford, CT 06902 - United States PHONE: (203) 964-3899 EMAIL: steve.donnelly@axaxl.com WEB: www.axaxl.com/reinsurance
With an experienced staff the Health team at XL Reinsurance America 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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MGU/Excess Insurance Carriers P&C/Workers’ Compensation/Captives 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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
International Re Nate Reznicek, Head of US Distribution The Gherkin, 30 St. Mary Axe – Floor 28 London, EC3A 8BF - United Kingdom PHONE: +01 316 213 6609 EMAIL: nate@i-re.insure WEB: www.i-re.insure
I-RE provides turn key fronting, reinsurance for brokers and captive managers high-performing small and mid-market clients. We underwrite WC, GL, Auto, XS/UMB and Property for single parent captives, on behalf of A rated carriers, in all 50 states.
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Midlands Management Corporation 3817 Northwest Expressway, Suite 1000 Oklahoma City, OK 73112 - United States PHONE: (800) 800-4007 EMAIL: info@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.
Nevaeh Insurance Solutions, LLC Tom DeNoma 709 Augusta Boulevard, #4 Naples, FL 34113 - United States PHONE: (614) 561-9904 EMAIL: Tom.DeNoma@NevaehInsurance.com WEB: www.nevaehinsurance.com
Nevaeh Insurance Solutions is an external facility performing functions on behalf of insurance carriers, such as underwriting, product development, business acquisition, sales, and program management. We focus on all group A&H lines of business, We work with MGU's not only to underwrite their portfolio but remarket their services to our distribution channels.
Prodigy Health Insurance John Youngs, Chief Executive Officer 1660 Layton Road Freeland, WA 98249 - United States PHONE: (360) 331-3700 EMAIL: jyoungs@prodigystoploss.com WEB: www.prodigystoploss.com
At Prodigy, we deliver innovative solutions based on time-tested principles and in-depth knowledge of medical risk management and loss mitigation. In addition to traditional stop loss, we offer experience and expertise in level funded, trust and captive insurance solutions, all designed to help make quality healthcare more affordable and accessible.
Summit Reinsurance Services, Inc. Tammy Davis, Area Vice President, Director of Marketing Communications 7030 Pointe Inverness Way, Suite 350 Fort Wayne, IN 46804 - United States PHONE: (260) 407-3977 EMAIL: tdavis@summit-re.com WEB: www.summit-re.com
Summit Re is a managing general underwriter and reinsurance advisor working with self-funded employers, TPAs, health insurers, provider groups, and managed care organizations, throughout the US. We help our customers analyze, manage, and transfer risk to protect their financial stability.
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When you take the risk... Summit Re brings ReSults, a customizable portfolio of services designed to help clients implement healthcare risk solutions in the self-funded market. ReSults offers a full range of services, from traditional employer stop loss coverage to designing and administering your own stop loss product—and everything in between. ReSults from Summit Re can help you maintain your competitive advantage, no matter how you choose to participate in the stop loss market. Product design
Medical case management
Underwriting services
Innovative captive strategies
Pricing and operations support
Fronting services
Actuarial and pricing evaluation
Small group solutions
Get ReSults. Contact us to learn more: Summit Reinsurance Services, Inc. 7030 Pointe Inverness Way, Suite 350 • Fort Wayne, IN 46804 260.469.3000 • www.summit-re.com
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Onsite Clinics
90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: gene.rodgers@90degreebenefits.com WEB: www.90degreebenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
Premise Health/CareHere JeNelle Gouvas, Director, Business Developement 5500 Virginia Way, Suite 100 Brentwood, TN 37027 - United States PHONE: (615) 618-0608 EMAIL: jenelle.gouvas@premisehealth.com WEB: www.PremiseHealth.com
Premise Health operates health and wellness centers for large employers, serving their employees and dependents. We are the largest direct healthcare company, operating 800+ wellness centers in 45 states and Guam. We work with some of the world’s most innovative and respected employers to deliver healthcare through physical (onsite and nearsite wellness centers, mobile units, and events) and digital (24/7 virtual care, remote monitoring, and connected devices) access models. We offer nearly 30 products including primary care, occupational health, pharmacy, fitness, and wellness, removing barriers to care and helping people be healthier while lowering costs for employers.
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Smart healthcare solutions made simple
INNOVATIVE, CUSTOMIZABLE SOLUTIONS TO REDUCE HEALTHCARE COSTS WHILE TREATING MEMBERS WITH DIGNITY AND RESPECT.
Reference Based Pricing | Benefits Administration | Care Management Pharmacy Benefit Management | Network Solutions
sales@HealthSmart.com www.HealthSmart.com
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Pharmacy Benefit Managers
AEBRx Erin Linney, Director of Marketing 333 Westchester Avenue White Plains, NY 10604 - United States PHONE: (914) 367-5826 EMAIL: elinney@amalgamatedbenefits.com WEB: www.aebrx.com
By leveraging our extensive benefits administration experience, AEBRx helps your plan and its members realize significant cost-savings through its unique programs for managing high-cost specialty drugs by applying clinical protocols and providing alternative payer sources. These programs save Plan Sponsors significant costs while ensuring the most appropriate medications are prescribed.
Broadreach Medical Resources, Inc. Timothy Teen, President 1350 Broadway, Suite 410 New York, NY 10018 - United States PHONE: (212) 220-0080 EMAIL: tim@bmr-inc.com WEB: www.bmr-inc.com
BMR delivers aligned interests through the most innovative, service-first, Rx Management and Administration Solutions. Acting in a fiduciary-like capacity we are devoted to providing full transparency and lowest net costs. Our clients value having us as a partner and Members love the outstanding experience we deliver.
Drexi, an AMPS Company Anthony Masotto, Vice President 2700 North Central Avenue, Suite 1110 Phoenix, AZ 85004 - United States PHONE: (949) 246-7094 EMAIL: amasotto@amps.com WEB: www.drexi.com
Drexi, an AMPS company, is not a typical pharmacy benefit manager (PBM). There are no hidden costs, 100% of rebates received go back to the sponsor, and there is transparency in the claims data. Plus, extensive reporting allows for organizing data to understand how benefits are being leveraged and the impact that has on plan savings.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
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ImpaxRx Cara Abraham, National Sales Advisor 791 Park of Commerce Boulevard, Suite 201 Boca Raton, CA 33487 - United States PHONE: (916) 952-6724 EMAIL: cara.abraham@impaxrx.com WEB: www.impaxrx.com
ImpaxRx is a Patient Advocacy Service Program matching target members with available manufacturer-sponsored Prescription Assistance Programs (PAP), resulting in the complete removal of the costly drug from plan spend. Inclusion of our program does not require PBM, TPA, or formulary changes. A service fee is charged based on drug delivery and savings, no PEPM.
Magellan Rx Management Veronica Vance, Sales Coordination Director 4801 East Washington Street, Suite 100 Phoenix, AZ 85034 - United States PHONE: (480) 624-9244 EMAIL: vavance@magellanhealth.com WEB: www.magellanrx.com
Magellan Rx Management is a full-service, next-generation PBM and pharmacy solutions expert that can unlock the possibilities to solve your most complex pharmacy challenges in today’s rapidly evolving healthcare environment. We connect you to the people, technology, and information you need to make smarter healthcare decisions and achieve better outcomes.
PharmPix Corp Carmen Mendez, Sales Director 1400 Corporate Drive, Suite 225 Irving, TX 75038 - United States PHONE: (404) 566-2000 EMAIL: cmendez@pharmpix.com WEB: www.pharmpix.com
PharmPix Corp is a pharmacy benefit management(PBM) company offering services to health plans, insurers, employers and union groups, government health programs and to Pharmacy Benefit Managers. The company is focused on controlling pharmacy benefit costs, and impacting medical cost through applied clinical expertise, using our state-of-the-art proprietary technology called OneArk. This claims adjudication and ancillary PBM applications platform is the key for PharmPix’s proactive and preventive approach that is triggered at the point-of-sale, even before the prescription is dispensed, generating accurate alerts, which address the inefficiencies inherent in most PBM offerings. This is the most efficient and effective quality and cost control approach. Find out how we have changed the way PBM's do business.
Phoenix Benefits Management James Giesler, Vice President of Sales 410 Peachtree Parkway, Building 400, Suite 4225 Cumming, GA 30041 - United States PHONE: (678) 208-6252 EMAIL: jim.giesler@phoenixpbm.com WEB: www.phoenixpbm.com
Phoenix is a modern PBM company that helps brokers, TPAs, and consumers benefit from scalable, individualized pharmacy plans that saves money on prescription medications. We believe in empowering our clients to have a say in their healthcare spend, regain control of costs, and truly understand the benefits they are paying for.
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Being Powerful. Being Human. Being PharmPix.
Partnership is within your grasp.
Discover why PharmPix has been revolutionizing PBM since 2009. Schedule a personalized demo at www.pharmpix.com or call 404-566-2000.
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Rx Manage Casey Macpherson 4/31 Apollo Drive Auckland, New Zealand, 00632 - New Zealand PHONE: (833) 479-6482 EMAIL: casey@globalrxmanage.com WEB: www.rxmanage.com
Rx Manage contributes toward a healthier and happier workforce by providing employers the opportunity to offer their employees a prescription program with zero-dollar copays. Self-funded employers save up to 70% on prescription claims costs and give their employees a chance to save money on a critical health benefit, which is a win/win for everyone.
Script Care, Ltd. Tab Bryan, Chief Product Officer 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 Solutions, as well as our sister company SCL 340B CARE - we offer innovative solutions for a wide range of clients.
SHARx Paul Pruitt, Chief Executive Officer 600 Mason Ridge Center Drive, FL2 St. Louis, MO 63141 - United States PHONE: (314) 451-3555 x106 EMAIL: paul@sharedhealthalliance.com WEB: www.sharxplan.com
SHARx (pronounced sharks) provides concierge support for members taking high cost medications by eliminating their cost share and improving the member experience. SHARx uses alternate funding and drug sourcing options to provide plan sponsors with a net savings of $1,100 per enrolled employee.
True Rx Health Strategists Lisa Witte, Business Development Coordinator 7 Williams Brothers Drive Washington, IN 47501 - United States PHONE: (812) 639-3200 EMAIL: lisaw@truerx.com WEB: www.truerx.com
True Rx Health Strategists cultivates health, integrity, innovation, and care to transcend pharmacy benefit solutions for employers and patients. Our pharmacists and strategists deliver proven programs that find maximum savings and minimum disruption by creating a benefits plan that fits the unique needs of clients and patients. As a fourth-generation pharmacist-led company, we protect companies against waste in health care spending and work hard to improve the health of employees every day.
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Provider Direct Contracting
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
Cleveland Clinic Nikki Burkons, Strategic Marketing Manager 9500 Euclid Avenue Cleveland, OH 44195 - United States PHONE: (216) 644-2753 EMAIL: burkonn@ccf.org WEB: www.clevelandclinic.org/employers
Cleveland Clinic is consistently named as one of the nation’s best hospitals by US News & World Report. Through experience and best practices, Cleveland Clinic has developed programs to give employers a proven means to manage costs, improve their employees’ quality of care and challenge the way today’s healthcare delivery system is organized.
Exclusive Surgeries Network LLC Kelly Webb, Vice President Sales and Marketing 8671 West Union Hills Drive Peoria, AZ 85382 - United States PHONE: (833) 378-2583 EMAIL: info@esurgeries.com WEB: www.esurgeries.com
Exclusive Surgeries Network has value-based direct contracts with nationwide Board-Certified Surgeons with pre-negotiated bundled rates, full transparency for your clients’ surgery. Less than 1% infection rates at Ambulatory Surgery Centers with an RN on staff results in better outcomes with low infection rates. Healthcare you deserve. Full Continuum of care.
EZaccessMD Jamie McNally, Director of Sales 1465 Jefferson Road Henrietta, NY 14623 - United States PHONE: (585) 230-7728 EMAIL: jmcnally@ezaccessmd.com WEB: www.ezaccessmd.com
EZaccessMD combines traditional telemedicine with a mobile urgent care service to deliver high quality care at a lower cost and a better patient experience. Our ability to send a mobile team to the home to gather diagnostics for the telephysician ensures continuity of care and a more cost-effective care path.
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Hemophilia Alliance Roland Lamy, Vice President -Payer Relations 1758 Allentown Road Lansdale, PA 19446 - United States PHONE: (603) 225-6633 EMAIL: roland@hemoalliance.org WEB: www.hemoalliance.org
The Hemophilia Alliance is an association of federally qualified hemophilia treatment centers providing comprehensive clinical care and integrated pharmacy programs to effectively manage high cost patients with bleeding disorders.Through its own network - Hemophilia Alliance Network Services (HANS) it can contract directly with Payers, PBMs and Employers.
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
Payer Compass is restoring rationality and transparency to healthcare pricing, reflecting the true cost of care. Our comprehensive reference based pricing solution, Innovate360, drives down employers’ costs for claims reimbursement, lowers out- of-pocket costs for employees, puts an emphasis on proactive patient advocacy, and minimizes balance bill rates, and noise.
Provider Network of America Jeremy Ramsland, Director, Managed Care 1600 West Broadway Road, Suite 300 Tempe, AZ 85282 - United States PHONE: (800) 472-2636 Ext. 3214 EMAIL: jramsland@pnoa-ppo.com WEB: www.pnoa-ppo.com
Provider Network of America (PNOA) is a directly contracted provider network that partners with hospitals, ancillary facilities, and providers nationwide. With a presence in all 50 states, PNOA has has achieved aggressive discounts with all Provider types in an effort to service its large membership base. Clientele includes cost containment companies, self-funded groups, health plans, Taft-Hartley business, Tribal plans, workers compensation and auto carriers.
Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
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Quality
Utilization
Cost
Bring balance to your health plan Improve Quality, Manage Utilization, Reduce Cost
The long-term financial security of your medical benefit plan depends on managing much more than the cost of care. Let Vālenz® lead you to the perfect balance between quality, utilization and cost. By gathering and analyzing millions of data points within the Valenz ecosystem, we enable you to make better decisions that control costs while empowering members to lead strong, vigorous and healthy lives. We help you manage the full continuum — from pre-claim losses through post-claim resolution — offering transparent, data-driven collaboration with members, providers and payers to keep you on the path to smarter, better, faster healthcare. Visit valenzhealth.com or call (866) 762-4455 to bring balance to your medical benefit plan.
23048 N 15th Ave., Phoenix, AZ 85027 • (866) 762-4455 • valenzhealth.com Proud to be a Diamond Member
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Reference Based Pricing
90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: gene.rodgers@90degreebenefits.com WEB: www.90degreebenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
Advanced Benefit Consulting & Insurance Services, Inc. Dorothy Cociu, 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.
Advanced Medical Pricing Solutions (AMPS) Lawrence Thompson, Chief Revenue and Strategy Officer 2700 Central Avenue, Suite 1110 Phoenix, AZ 85004 - United States PHONE: (972) 951-6607 EMAIL: lthompson@advancedpricing.com WEB: www.amps.com
AMPS provides market leading healthcare cost containment solutions serving self-funded employers, brokers, TPAs, health systems, health plans, Taft Hartley plans, and reinsurers. AMPS mission is to help clients attain their goals of reducing medical and pharmacy costs while keeping members satisfied with quality healthcare benefits. AMPS leverages its 15+ years of experience and data in auditing and pricing medical claims to deliver fair for all pricing, while offering detailed analytics and transparency to provide clients with insights based on plan performance.
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BAS, a HealthComp Division Thomas Martel, Chief Growth Officer 17475 Jovanna Street, Suite 1B Homewood, IL 60430 - United States PHONE: (559) 312-2360 EMAIL: tmartel@healthcomp.com WEB: www.bashealth.com
BAS is HealthComp's Center of Excellence for reference-based pricing plan administration. Having administered RBP plans since 2013, BAS offers a mature solution that brings together proactive engagement, concierge-level support, transparency, and in-house care management to provide a best-in-class member experience. We also offer cost containment programs that supplement RBP savings.
Benefit Indemnity Corporation Rodger Bayne, President/Chief Executive Officer 303 Allegheny Road Towson, MD 21204 - United States PHONE: (443) 275-7415 EMAIL: dana.thomas@benefitindemnity.co WEB: www.benefitindemnity.co
BIC tirelessly dedicates its talents to providing the greatest value possible in health care and related benefits for the broker and TPA communities, and their consumers.
Claim Watcher/Homestead Smart Health Plans Nancy Link, Chief of Staff 50 South 16th Street, Suite 2710 Philadelphia, PA 19102 - United States PHONE: (215) 636-0660 EMAIL: ndlink@homesteadplans.com WEB: www.homesteadplans.com
Homestead Smart Health Plans is the only comprehensive RBP solution on the market, offering everything you need under one roof: claims auditing and repricing, an in-house TPA, and stop-loss reinsurance to bear risk. We also deliver an enhanced member experience and full and free legal protection against balance bills.
ClearHealth Strategies Brian Wroblewski, Executive Vice President - Sales & Marketing P.O. Box 366667 Bonita Springs, FL 34136 - United States PHONE: (414) 899-4100 EMAIL: bwroblewski@clearhealthstrategies.com WEB: www.clearhealthstrategies.com
ClearHealth Strategies provides leading technology and services for reference-based pricing, out of network, supplemental network, and surprise billing programs. The market-leading technology allows clients to define and design the program with a turnkey approach whereby ClearHealth manages profile building, claim pricing, balance billing, hold harmless, and arbitration (IDR) processes. Contact ClearHealth for a technology demo today!
888.394.5688
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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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Fairos, powered by OccuNet Chase Fairly, Vice President of Business Development 1800 South Washington, Suite 300 Amarillo, TX 79102 - United States PHONE: (806) 236-1181 EMAIL: chase.fairly@fairos.com WEB: www.fairos.com
Fairos is a proven nationwide RBP solution powered by decades of industry-leading medical bill contracting experience. Selffunded employers use Fairos to take control of their rising healthcare costs. Fairos takes a proactive approach with medical providers, resulting in fewer balance bills, faster resolution, and an unparalleled member experience.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
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.
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HST Ryan Day 3857 Birch Street, Suite 586 Newport Beach, CA 92660 - United States PHONE: (949) 719-9017 EMAIL: rday@hstechnology.com WEB: www.hstechnology.com
HST has redefined reference-based pricing with technology that objectively determines the value of medical services and equips plan members to make optimal use of their plan benefits. Now a part of MultiPlan, HST enables Value-Driven Health Plans. This solution is designed with accountability, technology, quality and transparency in mind.
MultiPlan Pamela Walker, Sr. Director, Marketing and Communication 45 Lake Street Wakefield, MA 01880 - United States PHONE: (617) 633-4427 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, MultiPlan interprets clients’ needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. MultiPlan is a trusted partner to over 700 healthcare payors in the commercial health, government, property and casualty and markets. For more information, visit multiplan.com.
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
Payer Compass is restoring rationality and transparency to healthcare pricing, reflecting the true cost of care. Our comprehensive reference based pricing solution, Innovate360, drives down employers’ costs for claims reimbursement, lowers out- of-pocket costs for employees, puts an emphasis on proactive patient advocacy, and minimizes balance bill rates, and noise.
Specialty Care Management Craig R. Clemente, President & Chief Operating Officer P.O. Box 732 Lahaska, PA 18931 - United States PHONE: (267) 544-0351 EMAIL: cclemente@specialtycm.com WEB: www.specialtycm.com
Specialty Care Management goes further than cost containment providing clients a full risk management approach to catastrophic claims. Specialty Care Management can be implemented when a case is active and specializes in stabilizing futures claims, making them both manageable and predictable.
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Navigating high-cost healthcare claims can be confusing and costly. That’s why you work with an expert. Specialty Care Management specializes in normalizing active claims and making future claims predictable.
Renal Dialysis | Oncology | Air Ambulance | Predictive Anlaysis | Transplants | Negotiation | Clinical Underwriting
specialtycm.com [94]
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Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
Zelis Valerie Bauer, Director, Performance Marketing 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: marketingteam@zelis.com WEB: www.zelis.com
Zelis is the leading healthcare payments company, helping to price, pay and explain healthcare transactions for payers, providers, and consumers. Zelis serves more than 700 payers, 1.5 million providers and millions of consumers in pursuit of making healthcare more affordable and transparent for us all.
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Reinsurance
Acrisure Re Jamie Brown, Senior Account Manager 521 Boone Station Drive, Suite 101 Burlington, NC 27215 - United States PHONE: (770) 935-9228 EMAIL: jbrown@acrisurere.com WEB: www.acrisure.com/reinsurance
The A&H Reinsurance division of Acrisure provides advisory, portfolio and reinsurance solutions to achieve risk management goals for our MGU, Carrier, TPA, MEWA, and Captive partners. We work as a team with a reputation for innovative reinsurance placements to improve the efficiency and value of every reinsurance program. Acrisure Re is a member of the Acrisure family of companies, the fastest growing insurance broker in the World.
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing 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 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) 560-1824 EMAIL: robert.black@aonbenfield.com WEB: www.aon.com
Aon, driven by data and analytics, helps insurers, MGUs, TPAs, captives, providers and health plans/systems develop optimal risk, capital and partnership solutions in Employer Stop Loss and all other Accident, Health and Life product lines. Aon’s unmatched resources and industry expertise drives results, growth (including M&A) and overall client success.
AXIS Capital Andrea Sinisi 111 South Wacker Drive, 3500 Chicago, IL 60606 - United States PHONE: (312) 956-5100 EMAIL: andrea.sinisi@axiscapital.com WEB: www.axiscapital.com
AXIS Capital, through its operating subsidiaries, is a global provider of specialty lines insurance and treaty reinsurance.
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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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Crum & Forster Lauren Woods, SVP, Marketing, Communications & Business Development, A&H Division 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com
The C&F Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Medical Excess, Fixed Indemnity, Short-Term Medical, Medicare Supplement, Critical Illness & All Ancillary, Retail/Wholesale Travel, International Travel Medical, K-12 Accident/K-12 Cat, Intercollegiate Sports, Blanket Special Risk, Occupational Accident, and Pet, along with international product capabilities through it’s A.M. Best A-rated captive and Lloyds coverholder arrangement.
D.W. Van Dyke & Co. Walter Roland, President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 Ext. 312 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
A&H Reinsurance Intermediary that works with carriers, reinsurers, distributors, MGUs, TPAs. We identify and secure reinsurance partners for insurers and MGUs. Product expertise in multiple lines with particular strengths in the ESL business and other healthcare finance. Annually conduct carrier and MGU Survey, includes $5+Billion annual premium.
Hannover Re Miriam Kaufman, Vice President, Marketing 499 Chestnut Street, Suite 215 Cedarhurst, NY 11516 - United States PHONE: (516) 341-0321 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.
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Contact us to learn more about our expert reinsurance solutions
Responsible, flexible & efficient 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 499 Chestnut Street, Suite 215 Cedarhurst, NY 11516 Contact: Miriam Kaufman Tel. +1 516 341 0321 miriam.kaufman@hlramerica.com www.hannover-re.com Member of the Hannover Re Group
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Midwest Employers Casualty Renee Lunceford, Assistant Vice President, Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 - United States PHONE: (636) 449-7000 EMAIL: rlunceford@mecasualty.com WEB: www.mecasualty.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.
Northshore: A Davies Company Stephen V. Murphy, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: tstevens@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.
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 Ali Duerr, Area Vice President, Marketing & Communications 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 risk solutions for medical exposures through the Health Division. Its broad portfolio of products and services includes HMO and Medical Reinsurance, Employer Stop Loss, Provider Stop Loss, DCE coverage and its PULSE + Plus™ Program.
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Ringmaster Technologies, Inc. Todd Roberti, Chief Executive Officer/Founder 5200 Town Center Circle, Suite 540 Boca Raton, FL 33486 - United States PHONE: (917) 710-6963 EMAIL: troberti@ringmastertech.com WEB: www.ringmastertech.com
Ringmaster is a cloud-based healthcare solutions provider created to simplify and enhance administrative processes by utilizing cutting edge technologies. Combining over a decade of expertise in both the healthcare and technology industries, Ringmaster offers the first Fully Automated Workflow Optimization Solution that will drastically reduce processing time and complexity while minimizing the turnaround time for Stop-Loss quoting, contracting, and policy administration. Whether you’re on the buy-side or the sell-side, Ringmaster is committed to modernizing Stop-Loss administration and creating optimal cost savings, value and growth to your organization. Visit www.ringmastertech.com.
Risk Strategies Company Taylor Krahn, Administrative Assistant 10 5th Street South, Suite 900 Minneapolis, MN 55402 - United States PHONE: (612) 766-9781 EMAIL: tkrahn@risk-strategies.com WEB: www.risk-strategies.com
We are 100% focused on the life, health, accident, special risk, and disability business. Whether you need a strategic partner to help you grow your business or are concerned about the appropriate level of risk, the Risk Strategies Reinsurance team will help you develop the right partnerships for your needs.
RiverStone Matt Kunish, Chief Business Development Officer 250 Commercial Street, Suite 5000 Manchester, NH 03101 - United States PHONE: (603) 656-2572 EMAIL: matt_kunish@trg.com WEB: www.trg.com
RiverStone is a group of insurance, reinsurance, and service companies specialized in the acquisition and management of non-core commercial and alternative risk liabilities. Run-off transactions are becoming commonplace as business needs and markets change. RiverStone offers the expertise and proven strategies to provide sustainable exit solutions companies can count on.
Sequoia Reinsurance Services, LLC Dan Bolgar, President and Chief Executive Officer 15800 32nd Avenue North, Suite 120 Plymouth, MN 55447 - United States PHONE: (952) 221-7770 EMAIL: dbolgar@sequoiaris.com WEB: www.elmcgroup.com/sequoia
Sequoia Reinsurance Services delivers risk solutions to the US health reinsurance market, with a focus on HMO reinsurance, provider excess, medical excess, captive reinsurance, and specialized employer stop-loss. We serve brokers and their clients with best-in-class underwriting, actuarial, cost containment, claims, and reinsurance-based risk management services.
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StarLine Michael Ann Johnson, Executive Sales Director, National Markets 804 Main Street, Suite 2A Osterville, MA 02655 - United States PHONE: (425) 739-1185 EMAIL: m.johnson@starlinegroup.com WEB: www.linkedin.com/company/star-line-group
StarLine is a collaborative, dedicated group, recognized as trusted partners and industry leaders. Founded in 2000, we are an Underwriting Management Company accessible to Brokers, Consultants, Third Party Administrators and Regional Health Plans. We offer smart, sustainable solutions for Employer Stop Loss, Managed Care and Personal Accident Products.
Stealth Partner Group Sarah Ruckno Cleary, Senior Marketing Manager 18940 North Pima Road, Suite 210 Scottsdale, AZ 85255 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.stealthpartnergroup.com
Stealth Partner Group, an Amwins Company, offers stop loss and ancillary benefit solutions to Brokers, Consultants and ThirdParty Administrators. With an exclusive focus on these specialty products, Stealth is able to devote 100% of our time and energy to delivering robust and competitive solutions within these specialty businesses.
Summit Reinsurance Services, Inc. Tammy Davis, Area Vice President, Director of Marketing Communications 7030 Pointe Inverness Way, Suite 350 Fort Wayne, IN 46804 - United States PHONE: (260) 407-3977 EMAIL: tdavis@summit-re.com WEB: www.summit-re.com
Summit Re is a managing general underwriter and reinsurance advisor working with self-funded employers, TPAs, health insurers, provider groups, and managed care organizations, throughout the US. We help our customers analyze, manage, and transfer risk to protect their financial stability.
Tatum Reinsurance Intermediary, LLC Dominic Hagger, President 331 Newman Springs Road, Building 1, 4th Floor, Suite 143 Red Bank, NJ 07701 - United States PHONE: (732) 672-7752 EMAIL: dhagger@tatumreinsurance.com WEB: www.tatumreinsurance.com
Tatum RE is a Reinsurance Intermediary specializing in the Program Business arena for Accident & Health and Casualty Business. With our knowledge, experience and industry relationships, we can assist you in structuring and developing your Program, as well as placing reinsurance, including specialist Captive advice.
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Trean Reinsurance Services, LLC Kyle Plath 150 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kyle.plath@trean.com WEB: www.treanre.com
Trean Re is set apart as an intermediary in connecting Trean Insurance Group's A rated carriers to its clients. 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.
XL Reinsurance America, Inc. Steve Donnelly, Senior Vice President - Health Reinsurance Seaview House - 70 Seaview Avenue Stamford, CT 06902 - United States PHONE: (203) 964-3899 EMAIL: steve.donnelly@axaxl.com WEB: www.axaxl.com/reinsurance
With an experienced staff the Health team at XL Reinsurance America 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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Subrogation
International Subrogation Management, a Davies Company ("ISM") Richard Ives, President 24402 West Lockport Street, Suite 227 Plainfield, IL 60544 - United States PHONE: (815) 267-5000 EMAIL: rives@niis.com WEB: www.ism.niis.com
ISM's dedicated staff recover Medical Benefit Payments, Overpayments, Property Damage, Trucking and Workers’ Compensation claims made by our clients on behalf of self-funded and insurance markets; our clients include Self-Funded groups, Self-Insureds, TPAs, MGUs, Excess Carriers, Managed Care Organizations, Reinsurers, Lloyd's/London Markets. ISM offers Property/Casualty recovery services for Municipal Pools.
MultiPlan Pamela Walker, Senior Director, Marketing and Communication 45 Lake Street Wakefield, MA 01880 - United States PHONE: (617) 633-4427 EMAIL: pamela.walker@multiplan.com WEB: www.multiplan.com
MultiPlan is committed to helping healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics and a team rich with industry experience, MultiPlan interprets clients’ needs and customizes innovative solutions that combine its payment integrity, network-based and analyticsbased services. MultiPlan is a trusted partner to over 700 healthcare payors in the commercial health, government, property and casualty and markets. For more information, visit multiplan.com.
Northshore: A Davies Company Stephen V. Murphy, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States PHONE: (978) 745-6655 EMAIL: tstevens@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.
The Phia Group, LLC Matthew Painten, Marketing Manager 40 Pequot Way Canton, MA 02021 - United States PHONE: (781) 535-5651 EMAIL: mpainten@phiagroup.com WEB: www.phiagroup.com
The Phia Group, LLC is an experienced provider of healthcare cost containment techniques offering comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs and protect plan assets. [103]
Technology Products/ Services ACA GPS, LLC Trish Moynihan, Vice President 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 develops cloud based, secure software solutions to help employers, insurance companies, and government entities comply with reporting requirements and minimize exposure to penalties. Solutions include Affordable Care Act Tracking and Reporting (ACA Management Tool®) and Dependent Verification Audits (DECATool®). Visit www.acagps.com to learn more.
AdminaHealth® Jennifer Collinson, Director, Marketing & Communications 1700 East Putnam Avenue, Suite 201 Greenwich, CT 06870 - United States PHONE: (203) 973-7520 EMAIL: j.collinson@adminahealth.com WEB: www.AdminaHealth.com
AdminaHealth® is a cloud-based provider of the industry-recognized AdminaHealth Billing Suite supporting healthcare, insurance, and voluntary benefits. Our SaaS platform automates invoice consolidation and reconciliation and streamlines payment management. We integrate with leading Enrollment and Benefit Administration systems to ensure accurate premium billing resulting in significant operational efficiencies.
Advanced Plan for Health (Now a Virgin Pulse Company) Tony Guevara, Project Manager 1500 Solana Boulevard, Suite 3550 Westlake, TX 76262 - United States PHONE: (972) 767-5753 EMAIL: tonyguevara@mypoindexter.com WEB: www.mypoindexter.com
Poindexter provides Third Party Administrators (TPAs) with a complete client reporting, advanced analytics, predictive modeling and care management solution that helps their clients control health risks and costs at multiple levels.
Alaffia Health TJ Ademiluyi, Chief Executive Officer 245 8th Avenue, Unit 1049 New York, NY 10011 - United States PHONE: (443) 841-6983 EMAIL: tj@alaffiahealth.com WEB: www.alaffiahealth.com
Alaffia Health is a healthtech company that uses machine learning and artificial intelligence to detect and eliminate fraud, waste, and abuse in healthcare claims. We partner with self-funded employers, TPAs, health plans, and reinsurers to significantly lower costs for members.
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Baseload, Inc. Amanda Beach, Senior Sales Executive 498 Lakeshore Parkway Rock Hill, SC 29730 - United States PHONE: (704) 424-9889 EMAIL: kandrews@baseload.com WEB: www.baseload.com
BASELoad & W-9 Corrections is a provider data service vendor - focused on enhancing provider matching rates by cleaning, validating, and fulfilling medical provider information. During BASELoads 20 plus years in the health industry, custom solutions have been created to achieve 99% provider matching accuracy.
Bento Matt Meehan, Director, Business Development 1058 East Paul Avenue Fresno, CA 93710 - United States PHONE: (559) 999-6602 EMAIL: mmeehan@bento.net WEB: www.bento.net
Bento’s award winning, modern, flexible, AI-based digital technology changes the way employers and groups offer self-insured dental coverage to their populations. Bento’s platform replaces the traditional insurance company plans, allowing for seamless care and a better overall member experience, while saving time and money for all.
Carrot Fertility Mitch Ronnei, Head of Health Plan Partnerships 101 Jefferson Drive, 1st Floor Menlo Park, CA 94025 - United States PHONE: (319) 415-1224 EMAIL: mitch@get-carrot.com WEB: www.get-carrot.com
Carrot is the only global fertility solution that guides members to best-in-class clinical care while reducing the need for IVF by up to 30%.
ClaimLogiq Scott Strent, Senior Vice President, Growth & Business Development 710 Johnnie Dodds Boulevard, Suite 100 Mt. Pleasant, SC 29464 - United States PHONE: (678) 895-3083 EMAIL: scott.strent@claimlogiq.com WEB: www.claimlogiq.com
ClaimLogiq is a technology company that uniquely offers healthcare payers its solution as SaaS, Services, or a Hybrid. Payers enjoy real-time and historical access into the status of every claim on our HITRUST CSF cloud-based software platform. Review and track correspondence, medical records, clinical rationale, claim workflows, and more.
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Clarity Software Solutions, Inc. Beverly Sobran, Sales Executive 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.
Claros Analytics Daniel Wolsk, Chief Revenue Officer 777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 EMAIL: dwolsk@clarosanalytics.com WEB: www.clarosanalytics.com
Claros Analytics provides next-generation analytics to model, price and predict health benefits cost. Clients, including stop-loss carriers, underwriters, reinsurers, benefits advisors, and service providers, are achieving competitive advantage by pricing risk, modeling health plan changes, defining self-funded opportunities, and budgeting self-funded plan costs using our sophisticated predictive algorithms.
Competitive Health Kimberly Darling, Chief Executive Officer & President 300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 888-2511 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
INC 5000 recipient 4 years in row, Competitive Health is the nation’s largest digital health marketplace with over 22 virtual health specialties including behavioral health, chronic care and maternity. Our core competency is providing custom solutions that demonstrate engagement and ROI via mobile applications and private-label web solutions.
Complete Health Systems, LC Carolyn Jonker, Vice President 200 West Douglas Street, Suite 360 Wichita, KS 67202 - United States PHONE: (800) 524-2327 Ext. 103 EMAIL: carolynj@completehealthsys.com WEB: www.completehealthsys.com
Complete Health Systems takes the complexity out of self-insured health plan administration. Since 1991, we have provided scalable technology solutions supplemented with top-notch customer service and training for health plans of all sizes. We offer secure, HIPAA compliant hosted or on-premise installations. Ask about our i3 engine process. Visit us at http:// completehealthsys.com
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Deerwalk, A Cedar Gate Technologies Company Gina Ford, Vice President of Marketing & Communications One Sound Shore Drive, Suite 300 Greewich, CT 06830 - United States PHONE: (203) 930-5500 EMAIL: annissa.jones@cedargate.com WEB: www.cedargate.com
Cedar Gate’s Health & Benefits Management applications empower employers and their advisors to control the ever-increasing cost of healthcare benefits. Our unified technology platform enables managers of self-funded health plans to realize healthcare economics that only the Fortune 50 could achieve.
ECHO Health, Inc. Thomas Davis, Executive Vice President, Business Development & Strategy 810 Sharon Drive Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@echoHealthinc.com WEB: www.echoHealthinc.com
ECHO® is a leading provider of electronic healthcare payment solutions, connecting payers, vendors, providers and plan members. ECHO’s patented, ERISA, HIPAA and CORE compliant solution addresses the hurdles payers face: connection, compliance, efficiency and ease of use. ECHO now processes 300+ million claims and over $60 billion in payments annually.
Enrollment123 Christopher Lewis, Sales Operatoins 26081 Merit Circle, Suite 102 Laguna Hills, CA 92653 - United States PHONE: (800) 385-8363 Ext.2 EMAIL: clewis@enrollment123.com WEB: www.Enrollment123.com
Enrollment123 is a software platform that provides efficient management of your products, people, & payments all in one location. We provide recurring billing and CRM solutions that allow you to easily manage members and agents. With 20 years' experience, we support over 236,000 selling agents providing 14,500 products to millions of members.
EZaccessMD Jamie McNally, Director of Sales 1465 Jefferson Road Henrietta, NY 14623 - United States PHONE: (585) 230-7728 EMAIL: jmcnally@ezaccessmd.com WEB: www.ezaccessmd.com
EZaccessMD combines traditional telemedicine with a mobile urgent care service to deliver high quality care at a lower cost and a better patient experience. Our ability to send a mobile team to the home to gather diagnostics for the telephysician ensures continuity of care and a more cost-effective care path.
888.394.5688
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FormFire Colin Ingram, Chief Executive Officer and Cofounder 1100 Superior Avenue, Suite 1650 Cleveland, OH 44114 - United States PHONE: (216) 357-7400 EMAIL: info@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 a fully remote end-to-end processing of self-funded programs, including MEWAs and association health plans. Whether you’re a broker or a carrier, we have solutions that will help you achieve your business objectives.
Gradient AI Stan Bowers, Marketing 321 Summer Street, Floor 6 Boston, MA 02210 - United States PHONE: (978) 273-2489 EMAIL: stan.bowers@gradientai.com WEB: www.gradientai.com
Gradient A.I. provides artificial intelligence-driven SaaS solutions exclusively for the insurance industry. We can improve your company's underwriting by helping you more accurately identify the risks inherent in new and renewal applications, and we can improve your claims management by helping you more accurately identify the claims that pose the most risk.
Health Portal Solutions James Burkholder, President 11550 IH-10 West, Suite 220 San Antonio, TX 78230 - United States PHONE: (210) 641-7715 EMAIL: sales@hpsglobal.net WEB: www.hpsglobal.net
Healthcare Payers struggle to manage the various moving parts of health plan administration. Health Portal Solutions helps Payers consolidate their data, vendors, and business processes into one, privately-branded portal. This lets Payers organize the different pieces of plan administration in one place, boosting their efficiencies and growth.
Healthvue James Patton, Chief Executive Officer 3806 Bunny Run Austin, TX 78746 - United States PHONE: (512) 633-5166 EMAIL: jpatton@healthvue360.com WEB: www.healthvue360.com
Healthvue’s claims administrative platform is built on Salesforce.com infrastructure. We focus on automating your business processes to decrease costs while delivering one-of-kind customer experiences. Best in class UI / UX; world-class security; intelligent reporting; 6,500+ APIs; and advanced AI & BI provide our customers with increased revenues while removing costs.
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Claims Administration Platform Your Digital Claims Platform to build a better tomorrow
Our Technology We've seen what the future can be. Built on Salesforce Application Platform The very best UI and UX World-class security, API access and analytics True-cloud real-time integrated platform
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.
JMS and Associates Shana Boley, Vice President of Sales 37735 Enterprise Court, Suite 400 Farmington Hills, MI 48331 - United States PHONE: (877) 489-8881 Ext. 207 EMAIL: shanab@jmsassoc.com WEB: www.jmsassoc.com
JMS and Associates, is a global information management company that supports various Professional, Administrative and Technical services for the healthcare community. From Plan Building, managing Claims Adjudication and Auditing Services, to Data Conversion to EDI and 1099 validation. We are the go-to for your resource augmentation and co-sourcing requirements.
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MacroHealth David Angelone, Chief Commercial Officer 5209 Lake Washington Boulevard North East, Suite 100 Kirkland, WA 98033 - United States PHONE: (786) 210-2585 EMAIL: david.angelone@macrohealth.com WEB: www.macrohealth.com
MacroHealth’s secure, cloud-based platform enables Plan Sponsors to optimize the buying of healthcare services. Our analytics and market benchmarking help Payers design national/regional provider network solutions optimized for each unique member group. With a single implementation onto our platform, we connect Payers with optimized Provider Networks and industry Partners.
MDDirect Sam Moen, President | Chief Operating Officer 2025 Woodlane Drive Woodbury, MN 55125 - United States PHONE: (651) 456-8479 EMAIL: sam@gomddirect.com WEB: www.gomddirect.com
MDDirect provides telemedicine and virtual orthopedic care to thousands of employees. Employees get access to the nation’s best orthopedic surgeons, immediately to an expert. We saved employers 40%+ in orthopedic claims by changing employee and surgeon behavior. We train on-site or near site employer clinics and coordinate the most efficient orthopedic treatment.
Medefy Jenn Maley, Sales Executive 15 E 5th Street, 27th Floor Tulsa, OK 74103 - United States PHONE: (928) 232-0843 EMAIL: jmaley@medefy.com WEB: www.medefy.com
Medefy provides personalized benefit plan guidance at scale. Employees can make high quality, low cost care choices in-themoment with guidance from a live, human expert on their unique benefit plan. Self-funded benefit plans are simplified at the user level with real-time connection in 35-seconds. Medefy, a centralized benefits navigation platform.
Medxoom James Walsh, Executive Vice President Strategy & Growth 75 5th Street North West, Suite 2090 Atlanta, GA 30308 - United States PHONE: (404) 308-1238 EMAIL: jwalsh@medxoom.com WEB: www.medxoom.com
Medxoom unifies the health benefits experience. We make it easy for Members to navigate their benefits to make better healthcare choices - saving time, money and hassles.
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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
Payer Compass is restoring rationality and transparency to healthcare pricing, reflecting the true cost of care. Our comprehensive reference based pricing solution, Innovate360, drives down employers’ costs for claims reimbursement, lowers out- of-pocket costs for employees, puts an emphasis on proactive patient advocacy, and minimizes balance bill rates, and noise.
PharmPix Corp Carmen Mendez, Sales Director 1400 Corporate Drive, Suite 225 Irving, TX 75038 - United States PHONE: (404) 566-2000 EMAIL: cmendez@pharmpix.com WEB: www.pharmpix.com
PharmPix Corp is a pharmacy benefit management (PBM) company offering services to health plans, insurers, employers and union groups, government health programs and to Pharmacy Benefit Managers. The company is focused on controlling pharmacy benefit costs, and impacting medical cost through applied clinical expertise, using our state-of-the-art proprietary technology called OneArk. This claims adjudication and ancillary PBM applications platform is the key for PharmPix’s proactive and preventive approach that is triggered at the point-of-sale, even before the prescription is dispensed, generating accurate alerts, which address the inefficiencies inherent in most PBM offerings. This is the most efficient and effective quality and cost control approach. Find out how we have changed the way PBM's do business.
Ringmaster Technologies, Inc. Todd Roberti, Chief Executive Officer/Founder 5200 Town Center Circle, Suite 540 Boca Raton, FL 33486 - United States PHONE: (917) 710-6963 EMAIL: troberti@ringmastertech.com WEB: www.ringmastertech.com
Ringmaster is a cloud-based healthcare solutions provider created to simplify and enhance administrative processes by utilizing cutting edge technologies. Combining over a decade of expertise in both the healthcare and technology industries, Ringmaster offers the first Fully Automated Workflow Optimization Solution that will drastically reduce processing time and complexity while minimizing the turnaround time for Stop-Loss quoting, contracting, and policy administration. Whether you’re on the buy-side or the sell-side, Ringmaster is committed to modernizing Stop-Loss administration and creating optimal cost savings, value and growth to your organization. Visit www.ringmastertech.com.
RxSense® Gordon Romanas, Vice President Business Development 99 High Street, Floor 28 Boston, MA 02110 - United States PHONE: (858) 395-6367 EMAIL: marketing@rxsense.com WEB: www.rxsense.com
RxSense® is a healthcare technology company known for our industry-leading, enterprise platform solution, RxAgile®, along with its integrated analytics environment, RxIQ® that brings transparency, flexibility and efficiency to pharmacy benefit administration. We are not a PBM. We are the back-office technology solution that enables you to private-label your PBM business.
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Teladoc Health Paul Kowalski, Vice President, TPA Reseller Sales 2 Manhattanville Road, 2nd Floor Purchase, NY 10577 - United States PHONE: (813) 326-2396 EMAIL: sbakos@teladochealth.com WEB: www.teladochealth.com
Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives. Recognized as the world leader in whole-person virtual care, Teladoc Health leverages more than a decade of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals.
VBA Jessica Lockhart, Executive Vice President of Sales & Marketing W 180 N11711 River Lane Germantown, WI 53022 - United States PHONE: (262) 374-6021 EMAIL: jlockhart@vbasoftware.com WEB: www.vbasoftware.com
Virtual Benefits Administrator (VBA) is a proactive, leading edge software company providing comprehensive solutions for healthcare administration. Delivered on a secure, cloud-based architecture, VBA provides one-common-architecture for benefit administration, user engagement, business insight and more.
Verikai Ellie Newby, Marketing Manager 2443 Fillmore Street, #380-16030 San Francisco, CA 94115 - United States PHONE: (206) 734-6874 EMAIL: ellie.newby@verikai.com WEB: www.verikai.com
Verikai is a predictive data and risk tool for the health insurance industry. Our machine learning database includes more than 5,000 behavior attributes for 250+ million people in the US and provides deep insight into these individuals’ true health risks. We help insurance companies improve underwriting precision, speed, and efficiency.
Vital Incite Mary Delaney, President 250 West 96th Street, Suite 350 Indianapolis, IN 46260 - United States PHONE: (317) 663-8302 EMAIL: mdelaney@vitalincite.com WEB: www.vitalincite.com
Vital Incite combines advanced analytical tools with diverse clinical expertise to evaluate the historical and prospective risks in a population. We build a comprehensive picture of employee health and strategically design programs to meet the specific needs of the population, eliminate medical spending waste, and improve employee health.
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WellRight Madeline Phillips 600 West Van Buren, Suite 800 Chicago, IL 60607 - United States PHONE: (312) 724-6906 EMAIL: mphillips@wellright.com WEB: www.wellright.com
WellRight delivers an innovative wellness platform that creates a habit-forming environment, driving behavior change across the six dimensions of holistic health: physical, emotional, financial, social, occupational, and purpose. With our uniquely configurable platform, health plans and TPAs are able to completely white label our solution to add value for their members, as well as for their employer groups.
Zelis Valerie Bauer, Director, Performance Marketing 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: marketingteam@zelis.com WEB: www.zelis.com
Zelis is the leading healthcare payments company, helping to price, pay and explain healthcare transactions for payers, providers, and consumers. Zelis serves more than 700 payers, 1.5 million providers and millions of consumers in pursuit of making healthcare more affordable and transparent for us all.
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Third Party Administrators (TPA) Life and Health/ Employee Benefits 90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: gene.rodgers@90degreebenefits.com WEB: www.90degreebenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
ACS Benefit Services, LLC Diane McMahon, Market Analyst 5660 University Parkway, Suite 5 Winston-Salem, NC 27105 - United States PHONE: (336) 759-2013 EMAIL: dmcmahon@acsbenefitservices.com WEB: www.acsbenefitservices.com
ACS offers innovative products and services available in the employee benefits marketplace. Over the past four decades, we are proud to have grown into a leading TPA by focusing on the future of the industry and creating long-term health plan solutions for our employer groups that consistently deliver improved outcomes.
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
Affordable Benefit Administrators, LLC Marie Ackad, Marketing Operations Manager 1612 West Olive Avenue, Suite 201 Burbank, CA 91506 - United States PHONE: (800) 350-0148 EMAIL: m_ackad@benefitsaba.com WEB: www.benefitsaba.com
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. [115]
Aither Health Lisa TRUE, Cofounder & Co-CEO P.O. Box 1408 Buffalo, NY 14226 - United States PHONE: (833) 408-4080 EMAIL: ltrue@aitherhealth.com WEB: www.aitherhealth.com
Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers.
Allegiance Benefit Plan Management, Inc. Dirk Visser, Chief Executive Officer 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 the 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 Roberta Salisbury 1900 Market Street, Suite 500 Philadelphia, PA 19103 - United States PHONE: (215) 830-2747 EMAIL: roberta.salisbury@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 www.ahatpa.com.
AmWINS Group Benefits Sarah Ruckno Cleary, Senior Marketing 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 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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Assured Benefits Administrators Todd Archer, Executive Vice President & Chief Marketing Officer 8150 North Central Expressway, Suite 1700 Dallas, TX 75206 - United States PHONE: (214) 269-9198 EMAIL: tarcher@abadmin.com WEB: www.abadmin.com
ABA is one of six affiliated domestic and international health service-related companies who are independently owned and managed by decision makers who know and understand those we serve. Leveraging a wealth of financial resources and more than 500 professionals to provide unmatched service and cost control.
Auxiant Steve Chapman, Chief Operations Officer 424 1st Avenue North East Cedar Rapids, IA 52401 - United States PHONE: (319) 398-3283 EMAIL: schapman@auxiant.com WEB: www.auxiant.com
Professional health benefits administrator dedicated to superior service in order to maximize savings while ensuring quality and appropriateness of care. A powerful advantage for any self-funded employer group. Auxiant is known for its innovation and technology, constantly evolving to meet the needs of our clients.
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 service, affordable solutions and self-funded programs that maximize coverage, minimize hassles, improve health and keep costs under control. We tailor our programs to meet the needs of Employers, encouraging employees to live healthier lives and providing a Better Member Health Experience.
Benefit & Risk Management Services Paul Schafer, Executive Vice President 80 Iron Point Circle Folsom, CA 95630 - United States PHONE: (916) 934-3075 EMAIL: maureen.enright@brmsonline.com WEB: www.brmsonline.com
BRMS leads the industry as a TPA of self insured employer health plans. Established in 1993, our specialized technology and people set us apart from the competition. We manage your benefits from start to finish with personalized service while also giving the client the tools to manage their benefits as well.
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INNOVATIVE STOP LOSS AND ANCILLARY SOLUTIONS 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: • Reporting, Compliance Services and Plan Document Review • Billing and Premium Collection • Ancillary Products and Services • Unbiased Expertise and Review • Initial Placement, Implementation and Renewal of Coverage • Claims Audit, Submission, Tracking, and Resolution Services
©2021 BenefitMall. All rights reserved.
www.benefitmall.com
888.248.8952
Benefit Indemnity Corporation Rodger Bayne, President/Chief Executive Officer 303 Allegheny Road Towson, MD 21204 - United States PHONE: (443) 275-7415 EMAIL: dana.thomas@benefitindemnity.co WEB: www.benefitindemnity.co
BIC tirelessly dedicates its talents to providing the greatest value possible in health care and related benefits for the broker and TPA communities, and their consumers.
Boon-Chapman Kevin Chapman, Chairman P.O. Box 9201 Austin, TX 78766 - United States PHONE: (512) 233-7118 EMAIL: kevinc@boonchapman.com WEB: www.boonchapman.com
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Bright HealthCare Sarah Rockholt-Bullock, Marketing Communications Specialist 8000 Norman Center Drive, Suite 1200 Bloomington, MN 55437 - United States PHONE: (952) 454-5978 EMAIL: srockholt-bullock@brighthealthgroup.com WEB: www.brighthealthcare.com
At Bright Health, our philosophy is straightforward. We think healthcare should be simple, personal, and affordable. We know health insurance can be complicated and confusing-we want to change all that through our technology-supported, benefitpacked options for businesses.
Centivo Gillian Printon, Head of Sales 307 Cayuga Road, Suite 170 Buffalo, NY 14225 - United States PHONE: (833) 236-8486 EMAIL: info@centivo.com WEB: www.centivo.com
Centivo is a new type of health plan anchored around leading providers of value-based care. Centivo saves self-funded employers 15% or more compared to traditional insurance carriers and is easy to use. And we bring lower cost, high quality care to Americans struggling to pay their healthcare bills.
ClaimChoice Administrators Brett Wilkinson, President/Chief Sales Officer 26622 Woodward Avenue, Suite 100 Royal Oak, MI 48067 - United States PHONE: (248) 816-9017 EMAIL: bwilkinson@claimchoice.com WEB: www.claimchoice.com
ClaimChoice leverages technology to create a smarter self-funded plan taking care of members and employer plan assets by offering the ultimate in member experience through our care directives and engagement. ClaimChoice drives simplicity and transparency, putting members in control of their healthcare experience.
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
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info@homesteadplans.com • homesteadplans.com
Third-party administration service
INTEGRATION. TRANSPARENCY. PARTNERSHIP. MEMBER EXPERIENCE.
proprietary reference-based pricing and auditing system
Everything but the kitchen sink. We know the current health benefits system is broken. At Homestead Smart Health Plans, we don’t just spend time talking about the problem—we deliver the products and services that fix it,
all under one roof.
Don’t settle for a traditional health benefits plan What are you waiting for?
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an insurance company bearing risk
Consociate Health Darren Reynolds, JD, CBWA, President & Chief Executive Officer 2828 North Monroe Street Decatur, IL 62526 - United States PHONE: (217) 451-9101 EMAIL: darrenr@consociate.com WEB: www.consociatehealth.com
Consociate Health objectives are to treat your health plans as performing assets by simplifying the supply chain of Five Rights: Care Site/Timing/Quality/Diagnoses/Price, customizing plan design and benefits, and providing critical data. Most importantly, we integrate the member experience across all point solutions like a traffic light on a healthcare intersection.
Custom Design Benefits Amanda Guinan, Vice President, Business Development & Compliance 5589 Cheviot Road Cincinnati, OH 45247 - United States PHONE: (800) 598-2929 EMAIL: bcarmack@customdesignbenefits.com WEB: www.customdesignbenefits.com
Custom Design Benefits (CDB), founded in 1991, is Cincinnati's largest, independent Third Party Administrator of self-funded health benefits 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.
D.W. Van Dyke & Co. Walter Roland, President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 Ext. 312 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
A&H Reinsurance Intermediary that works with carriers, reinsurers, distributors, MGUs, TPAs. We identify and secure reinsurance partners for insurers and MGUs. Product expertise in multiple lines with particular strengths in the ESL business and other healthcare finance. Annually conduct carrier and MGU Survey, includes $5+Billion annual premium.
DAKOTACARE Administrative Services, Inc. (DAS) Ann De Weerd, Director - Self-funded Products 5300 South Broadband Lane Sioux Falls, SD 57108 - United States PHONE: (605) 504-3241 EMAIL: ann.deweerd@dakotacare.com WEB: www.dakotacare.com
DAS has more than 30 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.
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Delta Health Systems Patrick McTighe, Chief Experience Officer 3244 Brookside Road Stockton, CA 95219 - United States PHONE: (209) 939-3489 EMAIL: patrick.mctighe@deltatpa.com WEB: www.deltatpa.com
Delta Health Systems is a one-of-a-kind, privately owned, Third Party Administrator (TPA) unsurpassed with 50+ years experience. Delta’s product suite is unique with a robust wellness program, a data and analytics platform powered by Deerwalk, and Delta Navigator, an industry-first program that combines elements of concierge, coaching and provider steerage.
Diversified Group Brooks Goodison, President 369 North Main Street Marlborough, CT 06447 - United States PHONE: (888) 322-2524 EMAIL: asearles@diversifiedgb.com WEB: www.dgb-online.com
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 over 50 years. Our experience allows us to provide comprehensive and cost effective approaches to healthcare.
Edison Health Solutions, LLC Richard Hardin, President 100 South Riverfront Drive, Suite 400 Jenks, OK 74037 - United States PHONE: (800) 967-2077 EMAIL: rhardin@edisonehs.com WEB: www.edisonehs.com
Eliance Health Solutions Eric Buck, President & Chief Executive Officer 480 New Holland Avenue, Suite 7203 Lancaster, PA 17602 - United States PHONE: (717) 560-9290 EMAIL: ebuck@eliancehealthsolutions.org WEB: www.eliancehealthsolutions.org
Eliance Health Solutions is a self-funded health plan backed by Penn Medicine Lancaster General Health. Our health plan offering was created for Lancaster businesses with the goal of reducing health plan costs for employers and improving the health of employees. Our health plan brings employers, providers and members together for better health and smarter spending.
Employee Plans, LLC Deb Eovaldi, Vice President 1111 Chestnut Hills Parkway Fort Wayne, IN 46814 - United States PHONE: (260) 625-7347 EMAIL: deb.eovaldi@employeeplansllc.com WEB: www.employeeplansllc.com
Employee Plans places the health of the employee and your business first. We are the benefits administrator that employees, employers and brokers trust for creative benefit solutions and superior personal service.
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Flume Health Grant Parker, Head of Sales & Marketing 1351 North Highland Avenue Northeast Atlanta, GA 30306 - United States PHONE: (770) 624-7724 EMAIL: grant.parker@flumehealth.com WEB: www.flumehealth.com
Flume creates plans for self-insured employers who demand seamless, sustainable healthcare. We removed barriers in traditional insurance to unlock better outcomes at a fraction of the price.
Gilsbar Kim Randazzo, Senior Director of Client Services 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 & solutions for businesses looking for happier constituents & healthier bottom lines. As one of the nation's largest privately held health & 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, & more. These professionals choose Gilsbar for our innovation, integrity, ingenuity, knowledge, & world-class service.
Gravie Gravie Marketing, Marketing 10 South 5th Street Minneapolis, MN 55402 - United States PHONE: (612) 355-1590 EMAIL: info@gravie.com WEB: www.gravie.com
Gravie improves the way people purchase and access healthcare. Gravie’s solutions include ICHRA with Gravie, a pre-tax individual market option, and Comfort – the first-of-its-kind health plan that offers 100% coverage on most common healthcare services. Gravie partners with brokers to deliver ICHRA with Gravie and Comfort to employers across the nation.
Group & Pension Administrators, LLC dba GPA Kathy Enochs, Chief Executive Officer 12770 Merit Drive, Suite 200 Dallas, TX 75251 - United States PHONE: (972) 238-7900 EMAIL: kathye@gpatpa.com WEB: www.gpatpa.com
GPA is the largest independently owned third-party administrator (TPA) in the Southwest. Our success is built on providing self-insured employers a truly personalized approach to healthcare. Our approach relies on combining industry-leading technology with high-touch patient care to deliver the healthiest employees and a better bottom line.
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Group Benefit Services, Inc. (GBS) James Deren, President/Chief Executive Officer 1736 East Sunshine Street, #200 Springfield, MO 65804-1328 - United States PHONE: (417) 883-8088 EMAIL: jamesderen@gbsitpa.com WEB: www.gbs-tpa.com
Established in 1992, Group Benefit Services (GBS) was founded with a central focus: to administer sustainable self-funded health plans while providing informed guidance to employers and compassionate service to members.
Group Marketing Services, Inc. James Kaiser, President P.O. Box 19040 Kalamazoo, MI 49019-0040 - United States PHONE: (800) 354-4768 EMAIL: jbk@groupmarketingservices.com WEB: www.groupmarketingservices.com
Group Marketing Services, Inc. has been offering group benefits to small and medium businesses since 1972. With offices in Kalamazoo and Grand Rapids, MI, we are able to serve your group insurance needs throughout Michigan, Indiana, Ohio and the entire Midwest. We offer and administer self-funded and fully-insured Major Medical, Dental, Vision, Life and Disability insurance. We also offer COBRA and Flexible Spending Account administration. We pride ourselves in customer service and our ability to customize solutions to meet each employer's group benefit needs.
Health Solutions LLC (by Global Access Administrators, LLC) Bernardo Baraya, General Manager 2001 Timberloch Place, Suite 500 The Woodlands, TX 77380 - United States PHONE: (832) 717-1166 EMAIL: bbaraya@healthsolutionsga.com WEB: www.healthsolutionsga.com
Health Solutions LLC is a company specialized and certified in the management of International Medicine. We assure our patients and companies, both fully-insured and self-insured, a selection of the best alternatives for the provision of health services abroad. With our extensive knowledge of the health sector, experience and solid network of international allies, Health Solutions promises our clients quality, affordability, transparency and effectiveness.
Healthcare Highways Mitch McCauley, Vice President, Business Development 1 Cowboys Way, Suite 290 Frisco, TX 75034 - United States PHONE: (469) 850-2131 EMAIL: mitch.mccauley@healthcarehighways.com WEB: www.healthcarehighways.com
Healthcare Highways is a company that develops and distributes best-in-class products, services, and solutions to companies and individuals including: health plans, high performance provider networks, pharmacy benefits, and benefit plan administration. Our mission is to deliver measurable healthcare value to employers, members, and providers by delivering customer-centric solutions.
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HealthComp Keri Dixon, Executive 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
For more than 25 years, HealthComp has been dedicated to transforming benefits administration. Bringing together conciergelevel service, operational excellence, powerful analytics and cost management, HealthComp has built a solution that integrates seamlessly with any benefits ecosystem. HealthComp has offices in California, Illinois, West Virginia and Pennsylvania. Visit healthcomp.com.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
Healthvue James Patton, Chief Executive Officer 3806 Bunny Run Austin, TX 78746 - United States PHONE: (512) 633-5166 EMAIL: jpatton@healthvue360.com WEB: www.healthvue360.com
Healthvue’s claims administrative platform is built on Salesforce.com infrastructure. We focus on automating your business processes to decrease costs while delivering one-of-kind customer experiences. Best in class UI / UX; world-class security; intelligent reporting; 6,500+ APIs; and advanced AI & BI provide our customers with increased revenues while removing costs.
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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HMA Lindsay Harris, President 10700 Northup Way, Suite 100 Bellevue, WA 98004 - United States PHONE: (425) 462-1000 EMAIL: lindsay.harris@accesstpa.com WEB: www.accesshma.com
HMA provides data-driven health benefit services for self-funded organizations. Grounded in 35 years of expertise, our peoplefirst, highly-skilled professionals pair innovation, and top-tier network access, to deliver the highest quality services at unrivaled value, striking the right balance between cost and quality of healthcare. Proving What’s Possible in Healthcare®.
HRMP, LLC John Mange, President 300 Rosewood Drive, Suite 250 Danvers, MA 01923 - United States PHONE: (978) 762-9780 EMAIL: jim.mange@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.®
Insurance Program Managers Group (IPMG) Gregg Peterson, Chief Executive Officer & President 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
IPMG is a multi-faceted insurance services organization. We are built around serving the independent adviser community and their clients. We have a vast array of services that can help your organization set itself apart from your competition and bring meaningful services and resources to your clients.
Key Benefit Administrators Craig Frazier, Vice President, Human Resources 360 Kingsley Park Drive, Suite 200 Ft. Mill, SC 29715 - United States PHONE: (803) 396-4837 EMAIL: craig.frazier@keybenefit.com WEB: www.keybenefit.com
Key Benefit Administrators was founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical plans. Since that time the Key Family has grown to become one of the country's largest independently owned third party administrators, supporting a wide variety of group benefit plans.
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Leading Edge Administrators, Inc. Tom Cardwell, Director of Business Development 14 Wall Street, Suite 5B New York, NY 10005 - United States PHONE: (224) 532-8613 EMAIL: tcardwell@leadingedgeadmin.com WEB: www.leadingedgeadmin.com
Large East Coast TPA doing business nationally. Committed to developing self funded solutions for clients that save money while enhancing the member experience.
Maestro Health Joe Meyer, Senior Vice President of Sales and Marketing 500 West Madison, Suite 1250 Chicago, IL 60657 - United States PHONE: (312) 517-3500 EMAIL: jmeyer@maestrohealth.com WEB: www.maestrohealth.com
Maestro Health is a tech-enabled third-party administrator (TPA) for employee health and benefits. Our solution is built around the three core components of an innovative self-funded health plan‚ administrative services, clinical care management and cost management. Our offerings allow employers and advisors to optimize their benefits plans to drive better health outcomes at a lower cost.
Marpai Health Laurie Gardner, Senior Director Sales Enablement and Marketing 5701 East Hillsborough Avenue, Suite 1417 Tampa, FL 33610 - United States PHONE: (813) 210-8201 EMAIL: lgardner@marpaihealth.com WEB: www.marpaihealth.com
Marpai Health uses deep learning, the most advanced AI, to drive greater outcomes, reduce costs and better plan ROI for self-insured companies. Marpai’s SMART health plan services system predicts and intervenes to reduce chronic conditions and costly procedures helping save lives, better lives, and radically reduce healthcare costs.
MedBen Brian Fargus, Vice President of Sales and Marketing 1975 Tamarack Road Newark, OH 43055 - United States PHONE: (888) 627-8683 EMAIL: bfargus@medben.com WEB: www.medben.com
MedBen is a Midwest leader in Third Party Administration for self-funded plans. We provide unique, proven cost-saving solutions including medical, Rx, wellness/disease management, FSA/HRA plans, COBRA administration, plan analytics and stop-loss brokerage services. Self-funding Saves and MedBen Delivers.
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Member Benefits Nicklaus Trefry, Chief Executive Officer 10739 Deerwood Park Boulevard, Suite 200B Jacksonville, FL 32256 - United States PHONE: (904) 396-3696 EMAIL: ntrefry@memberbenefits.com WEB: www.memberbenefits.com
Member Benefits (MB) is a nationally licensed TPA focused on providing solutions to member-based organization programs such as associations, affinity groups, franchise, and branded multiple employer programs. MB provides total program management, product development, marketing, call-center, business processing, sales, administration, premium/billing, enrollment, database, and business workflow automation technology solutions. Program focus includes association group health insurance, association health plans, MEWAs, life, dental, vision, disability, accident, and DTC e-commerce shopping platforms. MB works closely with leading brokers and administrators on national and state based member benefits programs.
Meritain Health Sales Department, Regional Vice President of Sales 300 Corporate Parkway Amherst, NY 14226 - United States PHONE: (800) 242-6226 EMAIL: sales@meritain.com WEB: www.meritain.com
At Meritain Health®, we are your Advocates for Healthier Living. By listening to and understanding our clients’ needs, we offer flexible, cost-effective and easy-to-use healthcare solutions. We’re dedicated to providing compassionate support and guidance to help our members be active participants in their health.
Nova Healthcare Administrators Todd Martin, Chief Sales Officer 6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: sfluskey@novahealthcare.com WEB: www.novahealthcare.com
Nova is an innovative health plan solutions company that out-thinks the competition — we use flexibility and creativity to improve holistic health plan performance and build a better experience. Nova’s flexibility includes DPC and RBP leveraging in-house medical management, HSA, FSA and HRA products and a variety of private-labeled solutions.
PharmPix Corp Carmen Mendez, Sales Director 1400 Corporate Drive, Suite 225 Irving, TX 75038 - United States PHONE: (404) 566-2000 EMAIL: cmendez@pharmpix.com WEB: www.pharmpix.com
PharmPix Corp is a pharmacy benefit management(PBM) company offering services to health plans, insurers, employers and union groups, government health programs and to Pharmacy Benefit Managers. The company is focused on controlling pharmacy benefit costs, and impacting medical cost through applied clinical expertise, using our state-of-the-art proprietary technology called OneArk. This claims adjudication and ancillary PBM applications platform is the key for PharmPix’s proactive and preventive approach that is triggered at the point-of-sale, even before the prescription is dispensed, generating accurate alerts, which address the inefficiencies inherent in most PBM offerings. This is the most efficient and effective quality and cost control approach. Find out how we have changed the way PBM's do business.
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Scalable Solutions for Self-Funded Employers We’re a leading third party administrator for self-funded employers of all sizes, in all industries. Driven by the unique needs of our employers and brokers, our proprietary technology systems enable us to administer cost-effective plan designs that match the needs of your organization. Full Suite of Solutions
In addition to claims and benefi ts administration, we offer pharmacy benefi t management, health management and wellness programs, stop-loss insurance, and print and payment solutions. Seamless Integration
We offer a broader range of services compared with other TPAs and administer solutions that seamlessly integrate with your vendors. See What Pinnacle Can Do For You
866.930.PCMI Quotes@pinnacleTPA.com www.PinnacleTPA.com
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Pinnacle Claims Management Pinnacle Sales 15525 Sand Canyon Avenue Irvine, CA 92618 - United States PHONE: (866) 930-PCMI EMAIL: quotes@pinnacletpa.com WEB: www.pinnacletpa.com
Pinnacle Claims Management is a leading, all-inclusive third-party administrator (TPA) that provides a full-suite of comprehensive health benefits administration services to self-funded employers in all industries. We work with you to tailor health plans that best serve your needs. Contact us today to see what Pinnacle can do for you.
Planned Administrators, Inc. PJ Rescigno, Area Vice President of Sales and Marketing 17 Technology Circle, Suite E2AG Columbia, SC 29203 - United States PHONE: (800) 768-4375 Ext. 3187 EMAIL: prescigno@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering benefit plan design flexibility and customization. PAI specializes in Self-funded major medical health plans, voluntary Specialty Products for part time and hourly employees, Property and Casualty products, and Population Health options. PAI is known for service excellence and minimizing cost for clients.
Populytics, Inc. Stacey Asbell, Vice President, Operations & Health Plan Management 707 Hamilton Street, 6th Floor Allentown, PA 18101 - United States PHONE: (866) 733-6158 EMAIL: stacey.asbell@lvhn.org WEB: www.populytics.com
Populytics is a population health management and analytics company that transforms health insurance claims and clinical data into actionable information. We are built on a foundation of legacy TPA experience and three decades of employer health plan management. Our full suite of offerings includes benefits administration/consulting, care coordination, and well-being services.
Ringmaster Technologies, Inc. Todd Roberti, Chief Executive Officer/Founder 5200 Town Center Circle, Suite 540 Boca Raton, FL 33486 - United States PHONE: (917) 710-6963 EMAIL: troberti@ringmastertech.com WEB: www.ringmastertech.com
Ringmaster is a cloud-based healthcare solutions provider created to simplify and enhance administrative processes by utilizing cutting edge technologies. Combining over a decade of expertise in both the healthcare and technology industries, Ringmaster offers the first Fully Automated Workflow Optimization Solution that will drastically reduce processing time and complexity while minimizing the turnaround time for Stop-Loss quoting, contracting, and policy administration. Whether you’re on the buy-side or the sell-side, Ringmaster is committed to modernizing Stop-Loss administration and creating optimal cost savings, value and growth to your organization. Visit www.ringmastertech.com.
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SISCO Dick Sigwarth, Senior 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
Independent and privately held TPA with unique service plans that include self funded administration with fully integrated admin for insured ancillary benefits and a licensed call center for professional member support. Simplify Benefits - Maximize Value.
Southern Premier Administrators Lynn Smith, President 4609 Bee Caves Road, Suite 200 Austin, TX 78746 - United States PHONE: (512) 329-7028 EMAIL: smithl@southernpremieradmin.com WEB: www.southernpremieradmin.com
Southern Premier Administrators is a non-risk assuming, full-service TPA, delivering the highest quality of service. Through our team of dedicated Customer Care Specialists and Benefit Advisors/Analysts, we are committed to providing you with the worry free, cost effective service that you deserve.
Summit Administration Services, Inc. Alfred Gregory P.O. Box 25160 Scottsdale, AZ 85255 - United States PHONE: (480) 505-0400 EMAIL: alfred@summit-inc.net WEB: www.summit-inc.net
25 years experience Self-funded Health and Workers' Compensation Programs.
The Health Plan Richard Legg, Senior Vice President 1110 Main Street Wheeling, WV 26003 - United States PHONE: (740) 699-6260 EMAIL: rlegg@healthplan.org WEB: www.healthplan.org
501c-4 not-for-profit corporation headquartered in Wheeling, WV. Serving clients for 42 years with employees in all 50 states. Staff of over 550 employees, licensed as a TPA in all 50 states. Providing Administrative Services to over 450 clients nationwide. Administrative Services include: Medical, Dental, Vision, Cobra, Clinical Services, PBM RX, Consumer Directed Plans (HRA, HSA, FSA) Telemedicine/Nurse Line all performed in-house. Unique Medical Plans, Value Based Pricing, Level Funded Plans, High Performance Network Plans, Direct Contracted Plans.
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Trustmark Health Benefits Erin Polis, Senior Director, Marketing 400 North Field Drive Lake Forest, IL 60045 - United States PHONE: (847) 283-2496 EMAIL: epolis@trustmarkbenefits.com WEB: www.trustmarkhb.com
Trustmark Health Benefits’ 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, Trustmark Health Benefits designs personalized and comprehensive benefit plans — all aimed at reducing clients’ healthcare spend without sacrificing access and quality of care.
UMR Mike Benson, Director Sales Operations 150 West Wausau Avenue Wausau, WI 54401 - 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 and disability plans.
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Third Party Administration (TPA) P&C/Workers’ Compensation/Captives Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
Insurance Program Managers Group (IPMG) Gregg Peterson, Chief Executive Officer & President 225 Smith Road St. Charles, IL 60174 - United States PHONE: (888) 377-5845 EMAIL: gregg.peterson@ipmg.com WEB: www.ipmg.com
IPMG is a multi-faceted insurance services organization. We are built around serving the independent adviser community and their clients. We have a vast array of services that can help your organization set itself apart from your competition and bring meaningful services and resources to your clients.
Planned Administrators, Inc. PJ Rescigno, Area Vice President of Sales and Marketing 17 Technology Circle, Suite E2AG Columbia, SC 29203 - United States PHONE: (800) 768-4375 Ext. 3187 EMAIL: prescigno@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering benefit plan design flexibility and customization. PAI specializes in Self-funded major medical health plans, voluntary Specialty Products for part time and hourly employees, Property and Casualty products, and Population Health options. PAI is known for service excellence and minimizing cost for clients.
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THE IPMG DIFFERENCE EASY, EFFICIENT AND ENCOMPASSING PLANS TO SIMPLIFY IMPLEMENTATION SEAMLESS EXPERIENCE VIA INTEGRATED SERVICE OPERATIONS ENHANCED BENEFITS AND COST CONTAINMENT FEATURES IPMG’s Employee Benefits Services (EBS) division is a full-service TPA, bringing together a dedicated service team, innovative technology solutions and a focus on serving the total health needs of participants while providing industry leading client and member service. While operating from a foundation of strong operational and technology capabilities, the EBS team’s primary focus is always on serving our clients and their members. We offer an array of self-funded benefit plan designs and products, including claims administration and all related supporting functions. IPMG is committed to delivering innovative, cost effective benefits solutions and exemplary service.
THE IPMG EBS SERVICE OFFERINGS INCLUDE: ADMINISTRATION SERVICES
COST CONTAINMENT SERVICES
CLINICAL SERVICES
ADVANCED ONLINE CAPABILITIES
WWW.IPMGBENEFITS.COM 888.377.5845 888.394.5688
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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 Companies is a leading provider of workers’ compensation, liability, auto and property 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%, our TPAs, PMA Management Corp. and PMA Management Corp. of New England, exceed clients’ expectations.
Pro Group Management, Inc. Robert Vogel, President 575 South Saliman Road Carson City, NV 89701 - United States PHONE: (775) 887-2480 EMAIL: tanyaolso@pgmnv.com WEB: www.pgmnv.com
Pro Group Management oversees operations for management and investment strategies, as well as claims management of five Self Insured Workers’ Comp Groups insuring over 2,800 employers with 5,000 business locations and 80,000 Nevada employees. The Nevada Self Insured Groups and their employer members represent over $2.5 billion in Tangible Net Worth.
RiverStone Matt Kunish, Chief Business Development Officer 250 Commercial Street, Suite 5000 Manchester, NH 03101 - United States PHONE: (603) 656-2572 EMAIL: matt_kunish@trg.com WEB: www.trg.com
RiverStone is a group of insurance, reinsurance, and service companies specialized in the acquisition and management of non-core commercial and alternative risk liabilities. Run-off transactions are becoming commonplace as business needs and markets change. RiverStone offers the expertise and proven strategies to provide sustainable exit solutions companies can count on.
Safety National Safety National 1832 Schuetz Road St. Louis, MO 63146 - United States PHONE: (888) 995-5300 EMAIL: info@safetynational.com WEB: www.safetynational.com
Safety National is the market leader in excess workers’ compensation for self-insured employers and groups nationwide and a leading multi-line provider of risk solutions for large commercial and public entity clients. The company is a Tokio Marine Group member and is A.M. Best rated A++, FSC XV.
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Trade Association
Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 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 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.
HCAA Carol Berry, CSFS, Chief Executive Officer 1015 Grupp Road, #31373 St. Louis, MO 63131 - United States PHONE: (818) 340-0486 EMAIL: cberry@hcaa.org WEB: www.hcaa.org
For over 40 years, the Health Care Administrators Association (HCAA), a national membership-based trade organization, has fulfilled its core purpose by providing a collegial and inclusive environment through education and networking that focuses on the success of health benefit administrators. Our mission is to improve the quality, sustainability and value of self funding and health care benefit administration.
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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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
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) 883 Northeast Main Street, 2nd Floor 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.
South Carolina Captive Insurance Association Annie Wilson, Executive Director P.O. Box 1763 Columbia, SC 29202 - United States PHONE: (803) 779-6677 EMAIL: awilson@capconsc.com WEB: www.sccia.org
The SCCIA promotes the formation and growth of captives in SC. The SCCIA is an important resource for organizations that have or are considering a captive or providing professional services to those that do. The SCCIA holds numerous events annually including our conference, webinars, and the Friendly Society Restored breakfasts.
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Utilization Review/Case Management 90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: gene.rodgers@90degreebenefits.com WEB: www.90degreebenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
Aeromedevac, Inc. Air Ambulance Michael Weiland, Director of Business Development 1860 Joe Crosson Drive, Hangar I El Cajon, CA 92020 - United States PHONE: (800) 462-0911 EMAIL: michael@aeromedevac.com WEB: www.aeromedevac.com
Nationwide & worldwide air medical transportation. Air ambulance and airline medical escort services. Specialist in MCS (Mechanical Circulatory Support), infectious diseases, ventilator dependent, brain & spinal trauma, burns, acute medical & surgical care. FAA Air Carrier, Air Charter / Air Ambulance certificates. All jet fleet. EURAMI, NAAMTA accreditation. Quotes are fully inclusive of all services and in writing.
Amalgamated Medical Care Management Erin Linney, Director of Marketing 8C Industrial Way Salem, NH 03079 - United States PHONE: (914) 367-5826 EMAIL: elinney@amalgamatedbenefits.com WEB: www.amalgamatedbenefits.com/amalgamated-medical-care-management
A national leading resource for a comprehensive suite of high quality care management services; which include URACAccredited Utilization Management, Case Management, Nurse Helpline/Health Information and Independent Review. The company offers other vital services ranging from Disease, Disability, Readmission, and Maternity Management, to Medical Claims Review and Network Referrals.
American Health Holding, Inc. Nichole Jones, Sales and Strategy Consultant 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. [139]
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ClaimLogiq Scott Strent, Senior Vice President, Growth & Business Development 710 Johnnie Dodds Boulevard, Suite 100 Mt. Pleasant, SC 29464 - United States PHONE: (678) 895-3083 EMAIL: scott.strent@claimlogiq.com WEB: www.claimlogiq.com
ClaimLogiq is a HITRUST CSF certified healthcare technology company giving all size payers real-time access into communications, rules, edits and results through our customizable software solution, TrueCost. Our intuitive user experience makes any reviewer an expert and enables client-driven control over the entire claim review process for controlled results.
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Deerwalk, A Cedar Gate Technologies Company Gina Ford, Vice President of Marketing & Communications One Sound Shore Drive, Suite 300 Greewich, CT 06830 - United States PHONE: (203) 930-5500 EMAIL: annissa.jones@cedargate.com WEB: www.cedargate.com
Cedar Gate’s Health & Benefits Management applications empower employers and their advisors to control the ever-increasing cost of healthcare benefits. Our unified technology platform enables managers of self-funded health plans to realize healthcare economics that only the Fortune 50 could achieve.
ELMCRx Solutions, LLC Mary Ann Carlisle, Chief Operating Officer 190 West Germantown Pike, Suite 200 East Norriton, PA 19401 - United States PHONE: (484) 433-1412 EMAIL: mcarlisle@elmcgroup.com WEB: www.elmcgroup.com/elmcrxsolutions
ELMCRx focuses solely on assisting plan sponsors in managing Prescription Drug Benefits. Built on a foundation of superior clinical management and PBM consulting expertise, our strategic approach delivers meaningful cost savings to clients of all sizes. Our Cost Containment programs are the vehicle of choice for employers and TPAs.
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eQHealth Solutions Carol Brown, Director Sales Solutions 8440 Jefferson Highway, Suite 101 Baton Rouge, LA 70809 - United States PHONE: (225) 248-7885 EMAIL: cbrown@eqhs.com WEB: www.eqhs.com
eQHealth Solutions is a Population Health Management partner providing self-insured entities and TPAs with a comprehensive Utilization and Care Management platform including extensive data integration capabilities and machine learning analytics. eQSuite® proactively identifies high-risk, high-cost members and prevents avoidable costs. eQSuite® complements our URAC accredited UM and CM service offerings.
HealthSmart Ron Wozny, Senior Vice President, 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 a leading third-party administrator and the premier provider of innovative, customizable and scalable healthcare and claims solutions for employers, brokers and payers. We partner with plan sponsors to provide every service they need to reduce healthcare costs and manage members with dignity and respect.
Hines & Associates, Inc. Anna Hansen, CSFS, Vice President of Sales & 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
An Independent Leader since 1987. Medical Management. Stop Loss Preferred. Consistent Results. Customized Services. Excellence in Total Population Management. Precert/Utilization Management, Advocacy, Care Coordination, Specialty Case Management, Behavioral Health Management, Healthy Tomorrows Prevention and Chronic Condition Management, RBP/ Network Alternative Coordination, Biometric Screenings. URAC Accredited. A Global Excel Family Company.
Medical Review Institute of America, LLC (MRIoA) Dawn Maloney, Vice President of Marketing 2875 South Decker Lake Drive Salt Lake City, UT 84119 - United States PHONE: (303) 709-0531 EMAIL: dawn.maloney@mrioa.com WEB: www.mrioa.com
Medical Review Institute of America (MRIoA) is a technology enabled provider of clinical insights to payers and patients through analytics and evidence-based clinical opinions derived from independent specialty reviews and virtual 2nd opinion solutions that empower better decision-making. MRIoA is your technology-enabled utilization and clinical review solution partner.
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MINES and Associates, Inc. Dani Kimlinger, Chief Executive Officer 10367 West Centennial Road Littleton, CO 80127 - United States PHONE: (800) 873-7138 EMAIL: dckimlinger@minesandassociates.com WEB: www.minesandassociates.com
MINES & Associates is a national behavioral healthcare firm with over 40 years of 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, Chief Sales Officer 6400 Main Street, Suite 210 Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: sfluskey@novahealthcare.com WEB: www.novahealthcare.com
Nova is an innovative health plan solutions company that out-thinks the competition — we use flexibility and creativity to improve holistic health plan performance and build a better experience. Nova’s flexibility includes DPC and RBP leveraging in-house medical management, HSA, FSA and HRA products and a variety of private-labeled solutions.
Paradigm Nikki Neukomm, Marketing Manager 1277 Treat Boulevard, Suite 800 Walnut Creek, CA 94597 - United States PHONE: (925) 357-3517 EMAIL: nikki.neukomm@paradigmcorp.com WEB: www.paradigmcorp.com
Paradigm is an accountable care management organization that improves the lives of complex and catastrophically injured patients. Since 1991, we have offered value-based care, deep clinical expertise, high-value specialty networks, behavioral health support, payment integrity solutions, and robust data analytics to generate the best outcomes for patients, payers, and providers.
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
Payer Compass is restoring rationality and transparency to healthcare pricing, reflecting the true cost of care. Our comprehensive reference based pricing solution, Innovate360, drives down employers’ costs for claims reimbursement, lowers out- of-pocket costs for employees, puts an emphasis on proactive patient advocacy, and minimizes balance bill rates, and noise.
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30 Years of Life-Changing Outcomes Through Innovation Since 1991, Paradigm has been a pioneer in value-based solutions for the most challenging workplace injuries. Our continuously innovative care model incorporates deep clinical expertise, best-in-class provider networks, behavioral health support, and robust data analytics to achieve the very best outcomes for injured workers, their families, and our clients. Learn more at: paradigmcorp.com/paradigm22
© 2022 Paradigm. All rights reserved.
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ProgenyHealth Linda Smith, Vice President, Marketing & Communications 450 Plymouth Road, Suite 200 Plymouth Meeting, PA 19462 - United States PHONE: (610) 832-2001 EMAIL: lsmith@progenyhealth.com WEB: www.progenyhealth.com
ProgenyHealth helps protect your employees and your business from a common, costly medical claim: NICU cases. For nearly 18 years, our comprehensive utilization management, case management, and payment validation and assurance solutions have proven effective in positively influencing both the cost of care and health outcomes for premature and medically complex infant populations nationwide.
Renalogic Mark Masson, President 22601 North 19th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 316-9094 EMAIL: mmasson@renalogic.com WEB: www.renalogic.com
Renalogic protects health plans against risk associated with chronic kidney disease (CKD) and dialysis. Our proprietary methodology and was validated as a safe harbor for health plans that rely on a multiple of Medicare for dialysis repricing. Our tailored CKD intervention helps members avoid dialysis, improving their health and vitality.
Vālenz Rob Gelb, Chief Executive Officer 23048 North 15th Avenue Phoenix, AZ 85027 - United States PHONE: (602) 792-5377 EMAIL: rgelb@valenzhealth.com WEB: www.valenzhealth.com
Vālenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Vālenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes.
Zelis Valerie Bauer, Director, Performance Marketing 2 Crossroads Drive Bedminster, NJ 07921 - United States PHONE: (888) 311-3505 EMAIL: marketingteam@zelis.com WEB: www.zelis.com
Zelis is the leading healthcare payments company, helping to price, pay and explain healthcare transactions for payers, providers, and consumers. Zelis serves more than 700 payers, 1.5 million providers and millions of consumers in pursuit of making healthcare more affordable and transparent for us all.
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other
90 Degree Benefits Gene Rodgers, Chief Operations Officer Corporate Office - 450 Riverchase Parkway East Birmingham, AL 35244 - United States PHONE: (833) RGT.TURN - (833) 748-8876 EMAIL: gene.rodgers@90degreebenefits.com WEB: www.90degreebenefits.com
90 Degree Benefits believes the right health plan does more than just provide benefits. It provides peace of mind for employers and employees, contributing to the organization’s success. Since each path to success is unique, we design and administer custom benefit plans that exceed our clients’ expectations.
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
Cost containment company focused on Dialysis Claim Solutions and Catastrophic Claim Solutions.
ChoiceLegal, Inc. Jeffrey Baker, Senior Vice President of Sales 9204 King Palm Drive Tampa, FL 33619 - United States PHONE: (631) 708-6026 EMAIL: jeffrey.baker@choicelegal.com WEB: www.choicelegal.com
Nationwide Record Retrieval Services on litigated and non litigated claims.
ClaimLogiq Scott Strent, Senior Vice President, Growth & Business Development 710 Johnnie Dodds Boulevard, Suite 100 Mt. Pleasant, SC 29464 - United States PHONE: (678) 895-3083 EMAIL: scott.strent@claimlogiq.com WEB: www.claimlogiq.com
ClaimLogiq provides Healthcare Payers of all sizes an all-in-one cloud-based software solution called TrueCost to audit complex claim reviews in hours, even minutes. We offer full services, SaaS and Hybrid options to suit the specific payment integrity goals of every Payer pre or post-pay with unmatched accuracy and consistency for maximum results.
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Competitive Health Kimberly Darling, Chief Executive Officer & President 300 Spectrum Center Drive, Suite 400 Irvine, CA 92618 - United States PHONE: (949) 888-2511 EMAIL: kdarling@competitivehealth.com WEB: www.competitivehealth.com
INC 5000 recipient 4 years in row, Competitive Health is the nation’s largest digital health marketplace with over 22 virtual health specialties including behavioral health, chronic care and maternity. Our core competency is providing custom solutions that demonstrate engagement and ROI via mobile applications and private-label web solutions.
Connect Healthcare Collaboration Sally Pace, Chief Executive Officer 240 Madison Avenue, 7th Floor Memphis, TN 38103 - United States PHONE: (901) 409-2048 EMAIL: sally.pace@chc-now.com WEB: www.thegranitelist.com
The Granite List is a solid resource to search and compare benefits solutions. Simply create a profile and begin searching. Powered by Connect Healthcare Collaboration, The Granite List helps employers and brokers find the right solution at the right time, compare those solutions against one another and read user reviews.
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® performs physician specialist audit and hospital/facility bill review services to ERISA groups, TPAs, health plans, MGUs and stop loss carriers. Hospital bill audit and negotiation is provided on a flat fee basis - customized by case. We also provide DRG Record Validation and Medicare repricing.
Deerwalk, A Cedar Gate Technologies Company Gina Ford, Vice President of Marketing & Communications One Sound Shore Drive, Suite 300 Greewich, CT 06830 - United States PHONE: (203) 930-5500 EMAIL: annissa.jones@cedargate.com WEB: www.cedargate.com
Cedar Gate’s Health & Benefits Management applications empower employers and their advisors to control the ever-increasing cost of healthcare benefits. Our unified technology platform enables managers of self-funded health plans to realize healthcare economics that only the Fortune 50 could achieve.
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ECHO Health, Inc. Thomas Davis, Executive Vice President, Business Development & Strategy 810 Sharon Drive Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@echohealthinc.com WEB: www.echohealthinc.com
ECHO® is a leading provider of electronic healthcare payment solutions, connecting payers, vendors, providers and plan members. ECHO’s patented, ERISA, HIPAA and CORE compliant solution addresses the hurdles payers face: connection, compliance, efficiency and ease of use. ECHO now processes 300+ million claims and over $60 billion in payments annually.
HRA Simple (ICHRA Administration) Mark Mixer, Chief Executive Officer 201 West Waught Street, 3rd Floor Dalton, GA 30720 - United States PHONE: (706) 403-5672 EMAIL: mmixer@hrasimple.com WEB: www.hrasimple.com
Individual Coverage HRA consulting and administrative firm that wrote one of the first and largest ICHRAs in the country. Our unique services include an immersive shopping experience and premium payments for employees. There is no cost for analysis. Broker/salesperson compensation is accommodated.
ImpaxRx Cara Abraham, National Sales Advisor 791 Park of Commerce Boulevard, Suite 201 Boca Raton, CA 33487 - United States PHONE: (916) 952-6724 EMAIL: cara.abraham@impaxrx.com WEB: www.impaxrx.com
ImpaxRx is a Patient Advocacy Service Program matching target members with available manufacturer-sponsored Prescription Assistance Programs (PAP), resulting in the complete removal of the costly drug from plan spend. Inclusion of our program does not require PBM, TPA, or formulary changes. A service fee is charged based on drug delivery and savings, no PEPM.
Midwest Employers Casualty Renee Lunceford, Assistant Vice President, Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 - United States PHONE: (636) 449-7000 EMAIL: rlunceford@mecasualty.com WEB: www.mecasualty.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.
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National HealthCare Corporation Donna Miller, Area Vice President, Partner Benefits 100 East Vine Street Murfreesboro, TN 37130 - United States PHONE: (615) 890-2020 EMAIL: dmiller@nhccare.com WEB: www.nhccare.com
NHC operates 75 skilled nursing centers, 24 assisted living communities, a behavioral health hospital, five retirement communities, and 35 homecare agencies. Other services include memory care, long-term care pharmacies, hospital, rehabilitation services and management and accounting services to third parties.
Ocozzio Zach Swenson, Vice President, Business Development 1030 Stevens Creek Road Augusta, GA 30907 - United States PHONE: (706) 922-1912 EMAIL: zswenson@ocozzio.com WEB: www.ocozzio.com
Ocozzio’s team of self-funded experts use industry knowledge and experience to identify opportunities, solve problems and generate business. From marketing intelligence and strategy to messaging, execution and reporting, Ocozzio is the marketing department you’ve always dreamed of but never thought you could afford.
Rx Help Centers William Stafford, President & Chief Operations Officer 3905 Vincennes Road, Suite 200 Indianapolis, IN 46268 - United States PHONE: (866) 478-9593 EMAIL: bill@rxhelpcenters.com WEB: www.rxhelpcenters.com
Rx Help Centers is a leading fee-based prescription advocacy company that works with individuals, employers, brokers, thirdparty administrators and advisors to mitigate escalating prescription drug costs. We focus all of our efforts toward helping people fill the financial voids that are left from their prescription coverage or no coverage at all.
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: kmartin-smith@trilogy-consulting.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews of all types - self-funded, excess loss and fully insured. Trilogy’s clients include group employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook.
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Trinity Safety Group Michael Fackler, Vice President - Sales 8770 Purdue Road Indianapolis, IN 46268 - United States PHONE: (502) 492-5484 EMAIL: mfackler@trinitysafetygroup.com WEB: www.trinitysafetygroup.com
Trinity Safety Group has been providing loss control and safety management services to clients across the US for more than 20 years. Trinity has experience across a broad array of industries including manufacturing, construction, automotive, healthcare, pharmaceuticals, oil and gas, mining, and others. We specialize in putting safety at the heart of every worker, every decision, every action, so that everyone returns home safe and sound.
VBA Jessica Lockhart, Executive Vice President of Sales & Marketing W 180 N11711 River Lane Germantown, WI 53022 - United States PHONE: (262) 374-6021 EMAIL: jlockhart@vbasoftware.com WEB: www.vbasoftware.com
Virtual Benefits Administrator (VBA) is a proactive, leading edge software company providing comprehensive solutions for healthcare administration. Delivered on a secure, cloud-based architecture, VBA provides one-common-architecture for benefit administration, user engagement, business insight and more.
WellSpark Health David Myatt, Vice President, National Business Development 195 Scott Swamp Road Farmington, CT 06032 - United States PHONE: (224) 213-4251 EMAIL: dmyatt@wellsparkhealth.com WEB: www.wellsparkhealth.com
WellSpark reduces high cost claims and medical spend.
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index
Company Page Number(s)
6 Degrees Health 32 90 Degree Benefits 32, 80, 89, 115, 139, 140, 146 ACA GPS, LLC 104 AccuRisk Solutions, LLC 56, 57 Acrisure Re 13, 25, 56, 96 ACS Benefit Services, LLC 115 Actuarial Advantage, Inc. 5 AdminaHealth® 104 Advanced Benefit Consulting & Insurance Services, Inc. 13, 89 Advanced Benefits 13 Advanced Medical Pricing Solutions (AMPS) 89 Advanced Plan for Health (Now a Virgin Pulse Company) 104 Advantage Insurance Management 25 Advantria, LLC 146 AEBRx 82 aequum, LLC 32 Aeromedevac, Inc. Air Ambulance 13, 25, 33, 48, 52, 86, 115, 134, 139 Affordable Benefit Administrators, LLC 115 Aither Health 116 Alaffia Health 5, 33, 104 Allegeant LLC 14 Allegiance Benefit Plan Management, Inc. 116 alliantgroup, LP 5 Alpha Isle Solutions, LLC 14 Amalgamated Life Insurance Company 56 Amalgamated Medical Care Management 33, 44, 139 American Fidelity Assurance Company 58 American Health Holding, Inc. 139 AmeriHealth Administrators 116 AmWINS Group Benefits 14, 15, 58, 96, 116 Anthem Stop Loss 58 Aon - Risk, Retirement and Health 14, 26, 96 Arbor Benefit Group, L.P. 58 Archway Health 59 Artex Risk Solutions 26 AscellaHealth 33 Assured Benefits Administrators 117 AST Risk, LLC 59 Atlas Insurance Management 26 Auxiant 117 Avande 34 AvMed 117 AXIS Capital 96 BAS, a HealthComp Division 91 Baseload, Inc. 105 Bauknight Pietras & Stormer, P.A. 5 Beacon Risk Strategies, An Amwins Group Benefits Company 59 Benefit & Risk Management Services 117 Benefit Dynamics, Co 16 Benefit Indemnity Corporation 16, 59, 90, 91, 118 BenefitMall 60, 118
Bento 105 Berkley Accident and Health 26, 60 Berkshire Hathaway Specialty Insurance 60 Blue General Partners, LLC 16 Boon-Chapman 118 Borislow Insurance 16 Bradley Arant Boult Cummings, LLP 27 Brady, Connolly & Masuda, P.C. 6 Bright HealthCare 119 Broadreach Medical Resources, Inc. 82 Brown Smith Wallace 6 BXS Insurance 17 Canyon RE, LLC 17 Capterra Risk Solutions, LLC 27 Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 137 Captive Planning Associates, LLC. 27 CaptiveOne Advisors 27 CareMoat 34 Carrot Fertility 105 Castelloe Partners, LLC 17 Casualty Actuarial Consultants, Inc. 6 Centivo 119 Certus Management Group 60 ChoiceLegal, Inc. 146 CIC Services, LLC 28 Claim Watcher/Homestead Smart Health Plans 91, 120 ClaimChoice Administrators 119 ClaimInformatics 6 ClaimLogiq 34, 105, 141, 146 Clarity Software Solutions, Inc. 106 Claros Analytics 106 ClearHealth Strategies 35, 91 Cleveland Clinic 86 Companion Life Insurance Company 61 Competitive Health 106, 147 Complete Health Systems, LC 106 Connect Healthcare Collaboration 147 Considine & Associates HealthClaim Solutions® 7, 17, 35, 61, 77, 92, 97, 119, 141, 147 Consociate Health 121 Contribution Health 7 Corporate Benefit Audits, a division of Risk Strategies Company 7 CPR Risk Management 18 CPR Strategic Marketing Communications 52 Crum & Forster 61, 77, 97 Custom Design Benefits 121 D.W. Van Dyke & Co. 18, 61, 97, 121 DAKOTACARE Administrative Services, Inc. (DAS) 121 Deerwalk, A Cedar Gate Technologies Company 48, 53, 107, 141, 147 Delaware Captive Insurance Association, Inc. (DCIA) 137
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Delta Health Systems 122 Dickinson Wright PLLC 7 Diversified Group 122 Drexi, an AMPS Company 82 DSG Benefits Group, LLC 18 East Coast Underwriters, LLC 28, 62 ECBM, LP 18 ECHO Health, Inc. Inside Front Cover, 45, 107, 148 Edison Health Solutions, LLC 122 ELAP Services, LLC 36 Elevate Risk Solutions, LLC 28 Eliance Health Solutions 122 ELMC Risk Solutions, LLC 62 ELMCRx Solutions, LLC 19, 36, 141 Emerging Therapy Solutions 36 Employee Plans, LLC 122 Enrollment123 107 EPIC Re 19 eQHealth Solutions 142 Ethos Underwriting Services 62 Evolution Risk Partners, LLC 62 Excess Reinsurance Underwriters, Inc. 63 Excess Risk Solutions, Inc. 63 Exclusive Surgeries Network LLC 36, 52, 55, 86 EZaccessMD 37, 38, 44, 86, 107 Fairos, powered by OccuNet 92 First Health 48 Flume Health 123 FormFire 108, 109 Genomic Life 38 Gilsbar 123 GPW and Associates, Inc. 28 Gradient AI 109 Granular Insurance Company 63 Gravie 123 Greenberg Traurig, LLP 8 Group & Pension Administrators, LLC dba GPA 123 Group Benefit Services, Inc. (GBS) 124 Group Marketing Services, Inc. 63, 124 H.H.C. Group 38 Hannover Re 97, 98 HCAA 137 Health Cost Control, Inc. 38 Health Payer Consortium 39 Health Portal Solutions 109 Health Solutions LLC (by Global Access Administrators, LLC) 29, 54, 124 Healthcare Highways 39, 49, 124 HealthComp 125 HealthSmart 49, 80, 81, 82, 92, 125, 134, 142 Healthvue 109, 110, 125 Hemophilia Alliance 87 Hi-Tech Health, Inc. 19, 29, 30, 64, 92, 110, 125, 137 Hines & Associates, Inc. 39, 49, 142 HM Insurance Group 64 HMA 126 HMC HealthWorks 39 HOMELINK 44, 49 HRA Simple (ICHRA Administration) 148 HRMP, LLC 126 HST 93 Hub International 19
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Hub International Insurance Services 20 HUB International Northwest 20 iiSi, A Division of Companion life Insurance Company 65 ImpaxRx 40, 83, 148 Imperial PFS 45 IndusHealth 54 Insurance Program Managers Group (IPMG) 126, 134, 135 Intact Insurance Accident & Health 65 Intermediary Services LLC 20 International Re 77 International Subrogation Management, a Davies Company ("ISM") 103 IOA Re, LLC 65 Javelina from Mphasis 50 Jefferson Health Plan 45 JMS and Associates 110 Johnson Lambert LLP 8 Key Benefit Administrators 126 Kismet Risk Management Associates 65 Lawley Benefits Group 20 Leadenhall LLC 21 Leading Edge Administrators, Inc. 127 Liberty Mutual 66 MacroHealth 111 Madison Scottsdale 21, 22, 45 Maestro Health 127 Magellan Rx Management 83 Marpai Health 127 MDDirect 111 MedBen 127 Medefy 111 Medical Captive Underwriters 66 Medical Review Institute of America, LLC (MRIoA) 142 Medical Risk Managers, Inc 66 MediOrbis 50 MedWatch, LLC 40 Medxoom 111 Member Benefits 128 Meritain Health 128 Merlinos & Associates, Inc. 8 Midlands Management Corporation 78 Midwest Employers Casualty 99, 148 Milliman, Inc. 8 MINES and Associates, Inc. 143 Montana Captive Insurance Association, Inc. (MCIA) 138 Moore Ingram Johnson & Steele, LLP 10 MultiPlan 40, 50, 93, 103 National Bill Audit Services, LLC 40 National HealthCare Corporation 149 Nevaeh Insurance Solutions, LLC 66, 78 Northshore: A Davies Company 9, 10, 21, 29, 99, 103 Northwell Direct 21 NorthWind, LLC 64, 68 Nova Healthcare Administrators 41, 128, 143 OccuNet 50 Ocozzio 149 OdysseyRe 99 Oliver Wyman Actuarial Consulting 10 One80 Intermediaries | Vista Underwriting 68 Optum Stop Loss 68 Pancoast Benefits, Inc. 23 Paradigm 143, 144 PartnerRe America Insurance Company 99
Payer Compass, LLC 41, 87, 93, 112, 143 Payer Matrix, LLC 41 Paytient 46 PharmPix Corp 83, 84, 112, 128 Phoenix Benefits Management 83 Phoenix Excess Risk Underwriters, LLC 68 Pinnacle Actuarial Resources, Inc. 10 Pinnacle Claims Management 129, 130 Planned Administrators, Inc. 130, 134 PMA Companies 136 Populytics, Inc. 130 Premise Health / CareHere 80 Pro Group Captive Management Services, Inc. 29 Pro Group Management, Inc. 136 Prodigy Health Insurance 69, 78 Professional Reinsurance Marketing Services, Inc. 23 ProgenyHealth 145 Provider Network of America 87 QBE 69 Renalogic 41, 145 Reunion Health Services 69 Ringmaster Technologies, Inc. 46, 69, 100, 112, 130 Risk Strategies Company 23, 31, 100 RiverStone 100, 136 Rockport Benefits 70 Roundstone Insurance 70 Rx Help Centers 42, 43, 149 Rx Manage 85 RxSense® 112 Safety National 136 Script Care, Ltd. 85 Self-Insurance Institute of America, Inc. (SIIA) 138 Sequoia Reinsurance Services, LLC 100 SGRisk, LLC 11 SHARx 85 Shores Tagman Butler & Company PA 11 SISCO 131 Skyward Accident & Health 70 South Carolina Captive Insurance Association 138 Southern Premier Administrators 131 Specialty Care Management 43, 93, 94 Spectrum - a division of Companion Life Insurance Company 70 Spring Consulting Group 11, 23 StarLine 72, 101 Stealth Partner Group 72, 101 Sterling Seacrest Pritchard 24 Strategic Underwriting Solutions A Division of Worldwide Facilities LLC (SUS) 72 Summit Administration Services, Inc. 131 Summit Reinsurance Services, Inc. 72, 78, 79, 101 Sun Life 73 Swiss Re Corporate Solutions 67, 73 Symetra 73 Tatum Reinsurance Intermediary, LLC 24, 101 Teladoc Health 113 The Alliance 51 The Benecon Group 24 The Health Plan 131 The Intuitive Companies 31 The Phia Group, LLC 103 Tokio Marine HCC 73 Total Claims Management, LLC 11, 31
TPAC Underwriters, Inc. 75 Trean Reinsurance Services, LLC 102 Tribal Healthcare Services 24 Trilogy Consulting Group, Inc. 12, 149 Trinity Safety Group 150 True Rx Health Strategists 85 Trustmark Health Benefits 132 UMR 132, 133 USBenefits Insurance Services, LLC 75 Vālenz 31, 43, 51, 87, 88, 95, 145 VBA 113, 150 Verikai 113 Vital Incite 113 Vive Benefits, Inc. 47 Voya Employee Benefits 71, 75 WellRight 114 WellSpark Health 150 Western Skies MGU 74, 75 Windsor Strategy Partners, Inc. 12 Womble Bond Dickinson (US) LLP 12 Xchange Benefits, LLC 76 XL Reinsurance America, Inc. 76, 102 Zelis 43, 47, 95, 114, 145
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IS 1 TRILLION DOLLARS in healthcare waste & errors too much?
YES. At Zelis, we listen to what payers and providers want and bring technology, people, expertise, and entrepreneurial energy together to create smart solutions and a better way for the industry. Integrated solutions to price, pay, and explain healthcare on a claim by claim basis, all offered by one trusted company.
Maximized Claim Savings. Optimized Payments. Transparent Explanations. 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.
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VBA
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