31st ANNUAL EDITION
THE SELF-INSURANCE
SOLUTION PROVIDER
2O18
DIRECTORY
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THE SE LF- IN SU RA NC E
ACS Benefit Services, LLC
94
American Fidelity Assurance Company
27
AmWINS Group Benefits
8
Arbor Benefit Group, L.P.
28
Benefit Indemnity Corporation
60
BenefitMall
30
Crum & Forster
110
ECHO Health, Inc.
IFC
ELMC Risk Solutions
104
EthiCare Advisors, Inc.
113
Exceedent
53
Golden Triangle Specialty Network, LLC
55
Hannover Re
SOLUTION PROVIDER
2O18
DIRECTORY
CONTENTS S E CT I O N
ADV E R T I S E R S
1
THIRD PARTY ADMINISTRATORS (TPAs) .....................................................................6
2
THIRD PARTY ADMINISTRATORS (TPAs) .................................................................22
3
MANAGING GENERAL UNDERWRITERS (MGUs)...........................................26
Life & Health/Employee Benefits
Property & Casualty/Workers’ Compensation/Captives
Medical Stop-Loss Carriers – Life & Health/Employee Benefits
4
MGU/EXCESS INSURANCE CARRIERS ..................................................................48
106
Property & Casualty/Workers’ Compensation/Captives
Health Information Designs
79
5
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS ..................................51
Hi-Tech Health, Inc.
73
6
TECHNOLOGY VENDORS.........................................................................................................59
124
7
BROKERS & CONSULTANTS ................................................................................................69
8
UTILIZATION REVIEW/CASE MANAGEMENT ......................................................78
Kroger Prescription Plans, Inc. Madison Scottsdale
86
Midlands Management Corp.
25
National Underwriting Services, Inc.
37
9
ATTORNEYS ...........................................................................................................................................82
Next Level Administrators
23
10
FINANCIAL SERVICES ............................................................................................................... 84
NorthWind, LLC
39
11
ACTUARIES, ACCOUNTANTS & AUDITORS ............................................................88
OneArk Suite
65
Renalogic
76
12
CONSUMER DRIVEN HEALTH CARE ......................................................................... 93
Revolv
19
13
CAPTIVE MANAGEMENT SERVICES .......................................................................... 96
Sky Insurance Technologies
66
Sun Life Financial
43
Swiss Re Corporate Solutions
Risk Retention Groups (RRGs)
14
REINSURANCE ...............................................................................................................................102
45
15
INTERNATIONAL ...........................................................................................................................109
The Guardian Life Insurance Company of America OBC
16
SUBROGATION ...............................................................................................................................111
17
LOSS PREVENTION/CONTROL SERVICES .......................................................112
18
PUBLICATIONS/RESOURCES ........................................................................................117
19
TRADE ASSOCIATIONS ..........................................................................................................118
PRESIDENT Erica Massey
20
REFERENCE BASED PRICING SERVICES...........................................................120
EDITOR Jennifer Ivy
21
OTHER .....................................................................................................................................................122
DIRECTOR OF OPERATIONS Justin Miller
22
INDEX .......................................................................................................................................................126
UMR
21
United Claim Solutions
116
Zelis Healthcare
IBC
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
©2017/2018 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. (EALTH #ARE s #APTIVE s 7ORKERS #OMPENSATION s )NTERNATIONAL
SIIA DELIVERS MEMBERSHIP SERVICES IN FOUR MAIN AREAS:
PROTECTING & PROMOTING SELFINSURANCE/ART ON CAPITOL HILL
) ,EGISLATIVE 2EGULATORY 2EPRESENTATION
SIIA is the only self-insurance/captive association that has a full-time lobbying presence in Washington, DC. When members of Congress need guidance on self-insurance/captive issues, they turn to SIIA. To complement its effective direct lobbying capabilities, SIIA engages its members through a variety of communications and activities, including:
SIIA is the leading advocate for the legislative/regulatory interests of the self-insurance/captive industry at both the state and federal level.
)) %DUCATION 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.
))) )NFORMATION No matter where their business takes them, SIIA members are assured a steady flow of critical information and industry insights from a variety of electronic and printed communication products. Our website and regular member communications, which include the State Regulatory Reports and the monthly Self-Insurer Magazine, look beyond the headlines to give members a sense of what every development means to their business.
)6 .ETWORKING SIIA’s members are the leaders in the self-insurance/captive industry and they know the importance of making the right contacts and maximizing their business opportunities through networking. SIIA’s Annual National Conference and other targeted events and conferences throughout the year give executives and employees valuable time to connect with the people they need to know in order to promote the success of their businesses.
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www.sipconline.net
s 34!4% 2%'5,!4/29 2%0/243 An electronic newsletter covers the news and events taking place on Capitol Hill of specific interest to companies involved in the selfinsurance/captive industry.
s 30%#)!, "5,,%4).3 In-depth reports focused on developing legislative/regulatory stories.
s ,%')3,!4)6% "),, 42!#+).' Summaries of all key federal Senate and House bills from introduction to passage.
WELCOME
We are pleased to deliver the 31st Edition of the Self-Insurance Solution Provider Directory published by Self-Insurers’ Publishing Corp. (SIPC), in conjunction with the Self-Insurance Institute of America, Inc. (SIIA). The Self-Insurance Solution Provider Directory has served as a top resource for professionals in the self-insurance industry, and for anyone that is interested in exploring self-insurance, since 1987. We would like to give special recognition and thanks to our advertisers, SIIA members and the affiliates who continue to play a prominent role in the success of our organization and the self-insurance industry.
Sincerely, Erica Massey
President Self-Insurers’ Publishing Corp.
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3 %#4) / .
1
THIRD PARTY ADMINISTRATORS (TPAs) LIFE & HEALTH/EMPLOYEE BENEFITS
Accarent Health
4IM +OCH President 4 North Park Drive, Suite 104 Hunt Valley, MD 21030 - United States PHONE: (866) 771-0697 EMAIL: tkoch@accarent.com Accarent Health offers a website distribution platform of global bundled prices for various medical procedures delivered at participating high quality network medical centers. Accarent Health’s transparent online pricing tools are designed for self-insured employers, regional health plans and other consumers to minimize claim cost through fixed rate pricing.
ACS Benefit Services, LLC
6ANCE 3IBLE Vice President, Sales & Account Management 8025 North Point Boulevard Winston-Salem, NC 27106 - United States PHONE: (908) 268-8073 EMAIL: vsible@acsbenefitservices.com WEB: www.acsbenefitservices.com ACS Benefit Services is an experienced TPA, owned by the largest healthcare company in North Carolina, specializing in contracting the industry’s best vendors and using Reference Based Pricing or Cigna creating flexible and sustainable solutions for mid-sized employer benefits.
Advance Benefit Management Systems, Inc. 2ANDY 7RIGHT &,-) ()! President 800 Jesse Jewell Parkway, SW, Suite 200 Gainesville, GA 30501 - United States PHONE: (844) 624-0404 EMAIL: rwright@aimssc.com WEB: www.aimssc.com
Advance Benefit Management Systems, Inc. (ABMS) represents the Highest Level of Systems Support for any Self-Insured Program. Our Claims System, SynthCare is Cloud Based, Completely ICD 10 Compliant and Utilizes Real-Time Adjudication. We can Service Single Employer, MCO Medicaid, Fully Insured and Backroom (Private Label) Operations.
Advanced Medical Strategies 3TACY "ORAN Founder/Chief Medical Officer 50 Salem Street., Building A, Suite 108 Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: lbelschner@mdstrat.com WEB: www.mdstrat.com
AMS is an industry leader in delivering technology-driven solutions for payment integrity, risk management, and high dollar claims issues. AMS solves critically important strategic problems of medical claims payers with predictive analytical software and decision support services.
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Affordable Benefit Administrators, Inc. -ARIE !CKAD Marketing Operations Manager 444 Irving Drive, Suite 202 Burbank, CA 91504 - United States PHONE: (800) 350-0148 EMAIL: m_ackad@benefitsaba.com WEB: www.benefitsaba.com
Allegiance
2AYNI ,ENZ 2806 South Garfield Street Missoula, MT 59801 - United States PHONE: (406) 721-2222 EMAIL: rayni.lenz@askallegiance.com WEB: www.askallegiance.com At Allegiance, we measure our success by the value we deliver to our customers. We take a consultative, team-based approach with each of our clients to be their overall resource for employee benefits. Our experience, flexibility, and technology ensures fast, accurate claims processing together with high-touch customer service.
American Health Holding, Inc.
#ARRIE *ACOBS Vice President, Strategy, Product Development and Sales Support 7400 West Campus Road New Albany, OH 43054 - United States PHONE: (866) 614-4244 EMAIL: ahhinfo@ahhinc.com WEB: www.AmericanHealthHolding.com
AmeriHealth Administrators
$ENNIS &OLEY Vice President Sales and Marketing 1900 Market Street, Suite 500 Philadelphia, PA 19103 - United States PHONE: (215) 830-2709 EMAIL: Sales@ahatpa.com WEB: www.ahatpa.com AmeriHealth Administrators, Inc. has a history of innovation in managing self-funded health plans, and providing business process outsourcing services for insurers and payers. We listen, anticipate, and respond by leveraging technology and carefully crafting strategies, tools, and services to help customers manage solutions for next generation health care. Visit ahatpa.com
AmWINS Group Benefits
3ARAH 2UCKNO #LEARY Senior Marketing Project Mananger 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com
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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.
1 THIRD PARTY ADMINISTRATORS (TPAs)
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.
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
888.394.5688
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At AmWINS Group Benefits our team of specialists wakes up every morning committed to bringing your team innovative solutions to the opportunities and challenges you and your self-funded clients face. That’s the competitive advantage you get with AmWINS Group Benefits.
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Apostrophe
#HERYL +ELLOND Chief Executive Officer 2301 Blake Street Denver, CO 80205 - United States PHONE: (720) 295-1983 EMAIL: C2K@apostrophehealth.com WEB: www.apostrophehealth.com
AvMed
,EDA 3ILVER 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 All across Florida, AvMed works with employers to deliver best-in-class administrative services for plans that maximize benefits and minimize costs. We tailor our programs to meet the needs of their companies, encouraging employees to live healthier lives and helping employers maintain a healthy and productive workforce.
AXA Assistance USA
-ARK &IECHTER Director - Business Development 122 South Michigan Avenue Chicago, IL 60603 - United States PHONE: (312) 341-2895 EMAIL: mark.fiechter@axa-assisance.us
BAS
BAS is a full service third-party administrator, which means we provide every essential administration function needed to manage different employee benefit programs. We help our clients understand the complex health care system, while equipping them with new ways to save money. By utilizing our partners, tools, and services, we create a plan as unique as each client.
Coastal TPA, Inc.
$EBI (ARDWICK President/Chief Executive Officer 928 East Blanco Road, Suite 235 Salinas, CA 93901 - United States PHONE: (831) 754-3800 EMAIL: DHardwick@Coastalmgmt.com WEB: www.coastalmgmt.com
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,IZ ,INARES Account Executive 17475 Jovanna Drive Homewood, IL 60449 - United States PHONE: (708) 647-3439 EMAIL: liz.linares@bashealth.com WEB: www.BAShealth.com
1 THIRD PARTY ADMINISTRATORS (TPAs)
Apostrophe is a refreshing new kind of TPA and network that brings big-company benefits to self-insured employers of any size. By replacing your administrator with an advocate, Apostrophe drastically reduces healthcare costs and delivers a benefit that your employees love. Yes, we said love.
Coastal specializes in third party claims administration for self-insured employers, delivering affordable and tailored healthcare solutions that includes access to a number local and national PPOs. Coastal partners with clients to form an intimate understanding of the client’s healthcare market, while maintaining a macro-level vantage point on the factors impacting national and global healthcare trends.
888.394.5688
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Cognizant Technology Solutions
1 THIRD PARTY ADMINISTRATORS (TPAs) ,)&% (%!,4( %-0,/9%% "%.%&)43
[10]
,AURA 'ERLING Director, Product Management 9655 Maroon Circle Englewood, CO 80112 - United States PHONE: (640) 428-5207 EMAIL: laura.gerling@cognizant.com WEB: www.cognizant.com
Cognizant is a leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run innovative and efficient businesses. Cognizant’s TriZetto Healthcare Products software solutions help enhance revenue growth, drive administrative efficiency, and improve cost and quality of care.
Considine & Associates HealthClaim SolutionsÂŽ *IM #ONSIDINE -$ -"! 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 SolutionsŽ provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Consociate
$ARREN 2EYNOLDS *$ President and Chief Executive Officer 2828 North Monroe Street Decatur, IL 62526 - United States PHONE: (217) 423-7788 or (800) 798-2422 EMAIL: darrenr@consociate.com WEB: www.consociate.com Consociate partners with employers to provide professional benefits administration and consulting services. With plan members in 48 states and an unmatched access to a wide variety of analytical, educational and human resource tools, Consociate has the proven solutions for your employer sponsored programs. Offices located in Decatur and Peoria, Illinois.
Consolidated Health Plans "ETSY 3TEVENS Compliance Officer 2077 Roosevelt Avenue Springfield, MA 01104 - United States PHONE: (413) 733-4540 Ext. 243 EMAIL: bstevens@chpemail.com WEB: www.consolidatedhealthplan.com
CHP is an industry leading claim administrator providing affordable health insurance and special risk solutions for thousands of policyholders worldwide. CHP offers: student health and accident plans; employee health and dental plans; FSA and HRA administration; participant accident insurance and back-room claim administration for carriers. For more details on our services, visit www.consolidatedhealthplan.com.
www.sipconline.net
CoreSource
%RIN 0OLIS Marketing Director 400 North Field Drive Lake Forest, IL 60045 - United States PHONE: (847) 283-2496 EMAIL: epolis@coresource.com WEB: www.coresource.com
Custom Design Benefits
!MANDA 'UINAN 5589 Cheviot Road Cincinnati, OH 45247 - United States PHONE: (513) 398-2994 EMAIL: aguinan@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 benefit plans and consumer-driven services as well as compliance solutions. CDB is recognized as a national leader in the development and implementation of reference-based-pricing plans and other healthcare strategies.
D.W. Van Dyke & Co., Inc. 7ALTER 2OLAND Executive Vice President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
DAKOTACARE Administrative Services, Inc. (DAS) 'REG *ASMER Director of Sales 2600 West 49th Street Sioux Falls, SD 57105 - United States PHONE: (605) 274-3166 EMAIL: Greg.Jasmer@dakotacare.com WEB: www.dakotacare.com
DAKOTACARE Administrative Services, Inc. is a leader in Healthcare Cost Containment offering Third Party Administration and Business Process Outsourcing (BPO), including claims and customer service for commercial/government plans. DAS is technologically nimble providing data analytics, integration and reporting, a proprietary defined contribution platform, COBRA/FSA/ HRA/HSA administration, medical management, customizable well-being programs.
Delta Health Systems
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Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPAs, MGUs and others. Product expertise in Life, Accident, Workers’ Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
1 THIRD PARTY ADMINISTRATORS (TPAs)
CoreSource’s expertise and dedication to clients has propelled them to become one of the nation’s leading administrators of self-funded employee health plans. With an innovative and evolving suite of solutions, CoreSource designs personalized and comprehensive benefit plans — all aimed at reducing clients’ healthcare spend without sacrificing access and quality of care.
2ICH 2OGE President 3244 Brookside Road Stockton, CA 95219 - United States PHONE: (209) 939-3485 EMAIL: Rich.roge@delapro.com WEB: www.deltahealthsystems.com TeamCare is a full service wellness company that engages employees, reduces claims and increases healthcare savings through a proven suite of integrated solutions. Our comprehensive approach to wellness gives employers unparalleled insight into their workforces’ health and the tools necessary to effectively reduce population health risk.
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Direct Care Administrators
1
4ANA 4AYLOR Vice President P.O. Box 5000 Bountiful, UT 84010 - United States PHONE: (801) 390-9241 EMAIL: tana@directcareadministrators.com WEB: www.directcasreadministrators.com
THIRD PARTY ADMINISTRATORS (TPAs)
Independently owned TPA serving employers/ brokers for 20+ years. The name derived from the concept of bringing best in class products and service directly to our clients and symbolizes our company’s goal of delivering cost competitive plans with uncompromising personal service and flexibility while managing and eliminating plan costs.
Diversified Group
"ROOKS 'OODISON President 369 North Main Street Marlborough, CT 06447 - United States PHONE: (888) 322-2524 EMAIL: bgoodison@diversifiedgb.com WEB: www.dgb-online.com Diversified has been administering self-insured health plans since 1967. Our family of companies was built on the premise that selffunding is the most cost effective and transparent option for most companies. With expertise in Plan Design, Claims Administration, Population Management and Worksite Wellness, we are Your Solution to Health Benefits.
Dunn and Associates Benefit Administrators, Inc. #ATHY $UNN President 4550 Middle Road, Suite A Columbus, IN 47203 - United States PHONE: (800) 880-9960 EMAIL: cdunn@dunnbenefit.com WEB: www.dunnbenefit.com
Dunn & Associates is a third-party benefits administrator located in the heartland of the mid-west, Columbus, Indiana. Our Commitment to Care is not just a catch phrase, but a conviction held by all of our employees.
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Employee Plans, LLC
$EB %OVALDI Director 1111 Chestnut Hills Parkway Fort Wayne, IN 46845 - United States PHONE: (800) 964-7444 EMAIL: deb.eovaldi@employeeplansllc.com WEB: www.employeeplansllc.com Employee Plans, LLC is located in Fort Wayne, Indiana. Our focus is to create long term relationships by partnering with the broker and employer community, listening to the needs and designing programs that align with the client’s strategic objectives. Our knowledgeable, creative and analytical staff ensures a successful program.
Endeavor Plus, Inc.
6INCENT %SPOSITO Chief Operating Officer 394 Broadway 5th Floor New York, NY 10013 - United States PHONE: (844) 347-9355 EMAIL: bwhite@endeavorplus.com WEB: www.endeavorplus.com Endeavor Plus, Inc. provides small group employers and their employees an opportunity to participate in a self-funded comprehensive fully compliant major medical health insurance program. Consumer and technology-driven, the proprietary Endeavor Plus plan is affordable, transparent and responsive to the healthcare and retirement needs of employees who are looking for higher quality benefits at affordable costs, integrated health information and better medical provider access and outcomes.
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Exceedent
4ODD +UEHL National Vice President of Sales W129 N7055 Northfield Drive Menomonee Falls, WI 53051 - United States PHONE:(844) 532-5200 EMAIL: todd.kuehl@exceedenthealth.com WEB: www.exceedenthealth.com
Frates Benefit Administrators $ENNIS 'RUBBS Director of Sales and Marketing 13439 Broadway Extension, Suite 110 Oklahoma City, OK 73114 - United States PHONE: (405) 290-5674 EMAIL: dgrubbs@clfrates.com WEB: www.FBA-TPA.com
Frates Benefits Administrators provides services for various single and multiple employer clients. This includes school districts, municipalities and a variety of other industries. Self Funded Benefit Plan Options include: Medical, Dental,Vision, COBRA, HSA, FSA and HRA. Plan services include Online Enrollment, Consolidated Billing and Federal Regulatory Reporting and Compliance.
Global Benefits Group (GBG)
-IRANDA -ILKE Marketing & Communications Manager 27422 Portola Parkway, Suite 110 Foothill Ranch, CA 92610 - United States PHONE: (888) 824-6627 EMAIL: miranda.milke@gbg.com WEB: www.gbg.com
Group & Pension Administrators, Inc. +ATHY %NOCHS Chief Operating Officer 12770 Merit Drive, Suite 200 Dallas, TX 75251 - United States PHONE: (972) 744-2530 EMAIL: kathye@gpatpa.com WEB: www.gpatpa.com
Since 1968, GPA has delivered the highest-quality, custom healthcare services to self-insured employers and their members. The driving force behind this success is this simple fact: We Care. GPA is the largest privately owned TPA in the Southwest. It has longstanding client relationships with high satisfaction levels Serving Fortune 500 companies and smaller industry leaders, GPA offers customized total wellness solutions with proven savings and outcomes. Innovative GPA Nurse NavigatorSM service supports wise consumerism, and GPA has an entrepreneurial culture with ongoing investment in the future.
888.394.5688
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Global Benefits Group (GBG) is the largest independent, fully integrated provider of international benefits in the world. Because of our unique underwriting platform, GBG can offer a multitude of insurance products – including TPA services – to individuals and groups of any size anywhere in the world.
1 THIRD PARTY ADMINISTRATORS (TPAs)
Exceedent is an innovative full-service third-party administrator (TPA) that specializes in serving self-funded employers locally and nationally. Exceedent delivers an optimized health and wellness planning experience that provides employers with assets and solutions they should expect from their health care benefit administrator.
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Hawaii-Mainland Administrators, LLC.
1
-ARK $YER Chief Executive Officer 1600 West Broadway Road, Suite 300 Tempe, AZ 85282 - United States PHONE: (480) 921-8944 EMAIL: mark.dyer@hmatpa.com WEB: www.hma-az.com
THIRD PARTY ADMINISTRATORS (TPAs)
Hawaii-Mainland Administrators, LLC. is one of the largest Third Party Administrators of self-funded health plans throughout the US continental Southwest and Hawaii. For over 30 years, HMA has excelled at claims adjudication, medical management, technology, infrastructure and customer service to Employers, Payers, Taft-Hartley Trust Plans, Native American Tribes and more.
Hawaii-Mainland Administrators, LLC.
2OBERT 7ALLACE Vice President, Sales and Account Management 1600 West Broadway Road, Suite 300 Tempe, AZ 85282 - United States PHONE: (480) 921-8944 EMAIL: Robert.wallace@hmatpa.com WEB: www.hma-az.com Hawaii-Mainland Administrators, LLC. is one of the largest Third Party Administrators of self-funded health plans throughout the US continental Southwest and Hawaii. For over 30 years, HMA has excelled at claims adjudication, medical management, technology, infrastructure and customer service to Employers, Payers, Taft-Hartley Trust Plans, Native American Tribes and more.
Health Plans, Inc.
$EBORAH (ODGES President 1500 West Park Drive, Suite 330 Westborough, MA 01581 - United States PHONE: (508) 475-6105 EMAIL: cmagnusson@healthplansinc.com WEB: www.healthplansinc.com
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Health Plans, Inc. (HPI), a Harvard Pilgrim company, is an independent national provider of top-tier third party administration and health management services. With more than 35 years’ experience, we share our expertise, best-in-class solutions and proven results with selffunded employers to solve their unique health and benefit challenges. It is our flexible approach and commitment to quality, technology, and personalized service that sets us apart from our competitors and enable us to deliver better value for our clients’ health care dollar.
Healthcare Management Administrators, Inc. #OURTNEY "OWMAN Marketing Specialist 220 120th Avenue North East Bellevue, WA 98005 - United States PHONE: (800) 869-7093 EMAIL: courtney.bowman@accesstpa.com WEB: www.accesshma.com
HMA believes that good healthcare should improve health. So we help companies take better care of people by taking better care of companies. We combine the best network in the Pacific Northwest with the most dedicated team in the industry to deliver great choices with outstanding service. The result is healthier futures at lower costs.
HealthFirst
4RISH 4ERRELL Director of Communications 821 ESE Loop 323, Suite 200 Tyler, TX 75701 - United States PHONE: (903) 579-3956 EMAIL: prterrell@hfbenefits.com WEB: www.hfbenefits.com HealthFirst is a third-party administrator based in Texas. We design and administer self-funded health insurance plans for private employers, government entities, and institutions.
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HealthSCOPE Benefits
-ARY #ATHERINE 0ERSON President 27 Corporate Hill Drive Little Rock, AR 72205 - United States PHONE: (501) 225-1551 EMAIL: mary.person@healthscopebenefits.com WEB: wwww.healthscopebenefints.com
Headquartered in Little Rock, AR, HealthSCOPE Benefits administers benefits in all 50 states for more than 300 clients and more than 500,000 members. The company’s 600 employees support clients in the management of greater than 1.6 billion in annual healthcare expenditures.
HealthSmart
4HOMAS -AFALE Chief Sales Officer 222 West Las Colinas Boulavard, Suite 500 N Irving, TX 75039 - United States PHONE: (214) 574-3546 EMAIL: thomas.mafale@healthsmart.com WEB: www.healthsmart.com As the nation’s largest independent administrator of health plans, HealthSmart offers a wide array of customized solutions for selffunded employers. By combining the latest technology with a staff of dedicated professionals, we strive to fulfill our brand promise: to help our members achieve well-being and to lower the cost of healthcare.
Hi-Tech Health, Inc.
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.
Hometown Health Administrators .EAL 2ATCHFORD Marketing 10315 Professional Circle Reno, NV 89521 - United States PHONE: (775) 982-3100 EMAIL: nratchford@hometownhealth.com WEB: www.hometownhealth.com
Hometown Health Administrators is a premier Third Party Administration (TPA) company specializing in Health and Welfare and Trust Fund Administration. With more than 20 years of experience, Hometown Health offers affordable benefit plan options that include case management, population health management, PBM services, and complex data analysis and account management.
888.394.5688
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-ICHAEL #ARRARA President 1500 Route 517 Hackettstown, NJ 07840 - United States PHONE: (908) 813-3440 EMAIL: mcarrara@hi-techhealth.com WEB: www.hi-techhealth.com
1 THIRD PARTY ADMINISTRATORS (TPAs)
HealthSCOPE Benefits is a full service claims administration and health management firm providing administrative and other support services to self-funded employers. As the fourth largest Third Party Administrator (TPA) in the country (and the largest independent TPA operating without ownership of an insurance carrier), HealthSCOPE Benefits goes beyond the offerings of a traditional administrator.
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HRMP, LLC
1 THIRD PARTY ADMINISTRATORS (TPAs) ,)&% (%!,4( %-0,/9%% "%.%&)43
[16]
*OHN -ANGE President 300 Rosewood Drive Danvers, MA 01923 - United States PHONE: (978) 762-9780 EMAIL: jmange@hrmp.com WEB: www.hrmp.com HRMP is a distinctive third party administrator positioned to offer creative solutions to underwriters, insurance carriers, and reinsurers. Our unique solutions include back office or run-out administration, auditing services, life conversions, and more. We’ll be there for you because Our Success Can Only Follow Yours.
Interactive Medical Systems - IMS %RIC ,UDWIG President 11635 Northpark Drive, Suite 330 Wake Forest, NC 27587 - United States PHONE: (919) 882-5318 EMAIL: ELudwig@IMS-tpa.com WEB: www.IMS-tpa.com
For over 35 years Interactive Medical Systems has designed benefit packages that save money while providing the best possible health care for Plan members. IMS provides services for over 200 groups, including self-funded Health, Dental & Vision Plans (RBP & PPO), and HSA, FSA, HRA, and COBRA administration.
Key Benefit Administrators
#RAIG &RAZIER Vice President of Human Resources 534 Rivercrossing Drive, Suite 200 Ft. Mill, SC 29716 - United States PHONE: (803) 396-4837 EMAIL: craig.frazier@keybenefit.com WEB: www.keybenefit.com Key Benefit Administrators 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.
Leading Edge Administrators $AVID (OROWITZ Chief Executive Officer 14 Wall Street - Suite 5B New York, NY 10005 - United States PHONE: (212) 278-0754 EMAIL: dhorowitz@leadingedgeadmin.com WEB: www.leadingedgeadmin.com
We have deep backgrounds in Underwriting, Finance, Information Technology, and Actuarial Sciences. We are an independent, payoradvocate with the flexibility to act in the best interests of our clients - avoiding the inherent conflicts of carrier-owned TPAs, or ASO relationships. Our technology and efficiency allow us to be flexible and responsive – enabling us to provide the personalized attention our clients and their participants value, while still providing the access, services, and pricing of a large company, which our plan sponsors (and their bottom lines), require.
www.sipconline.net
Lucent Health
!LEX !RNET Chief Commerical Officer 211 Commerce Street, Suite 601 Nashville, TN 37201 - United States PHONE: (855) 887-0855 EMAIL: alex.arnet@lucenthealth.com WEB: www.lucenthealth.com
Med-Pay, Inc.
'ORDON +INNE President 1650 East Battlefield Road Springfield, MO 65804 - United States PHONE: (417) 886-6886 EMAIL: gkinne@med-pay.com WEB: www.med-pay.com Full service TPA, UR and Case Management. Full Service Benefit Brokerage Agency. Online enrollment and billing services.
MESVisionÂŽ
-ICHAEL 3CHELL Vice President/Sales 345 Baker Street Costa Mesa, CA 92626 - United States PHONE: (714) 619-4661 EMAIL: mschell@MESVision.com WEB: www.mesvision.com MESVision is a national managed care vision plan for employer groups providing insured or self-funded vision care plans through our provider network . Our network is comprised of ophthalmologists, optometrists, opticians and popular optical chain locations nationwide.
0HILIPPE DE $REUZY President & Chief Executive Officer 300, 999 - 8th Street South West Calgary, Alberta, Canada, T2R 1N7 - Canada PHONE: (403) 537-8827 EMAIL: philippe.dedreuzy@americas.msh-intl.com WEB: www.americas.msh-intl.com MSH is one of the largest suppliers of Self-Insured expatriate services with more than 330,000 insured members. Since 1974, MSH has been building partnerships with companies around the world by providing exceptional service and expertise in benefits consulting program design and administration. We develop flexible, cost-effective solutions for the mobile employees.
NCAS
2ICHARD #HANEY Vice President Corporate Support 1501 South Clinton Street, 7th Floor Baltimore, MD 21224 - United States PHONE: (410) 528-2241 EMAIL: rich.chaney@ncas.com WEB: www.ncas.com
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MSH INTERNATIONAL
1 THIRD PARTY ADMINISTRATORS (TPAs)
Lucent Health empowers employers with healthcare performance data, reduces healthcare risks & costs, and improves employee access to innovative care. Lucent products include Lucent Traditional, Lucent Clarity™ value-based payments, e2 MEC/MV™, Lucent Vista™ level funded, Lucent Tribia™ a tribal health plan and Lucent Surity™ for captives.
Specializing in self-funded health plan administration for employer groups with 50 or more covered employees.
888.394.5688
[17]
Nova Healthcare Administrators
1
4ODD -ARTIN 6400 Main Street Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com
THIRD PARTY ADMINISTRATORS (TPAs)
Nova, specializing in employee benefit administration and delivering exceptional service since 1982, is a trusted advisor to over 600 clients. Nova partners with clients to provide a holistic, innovative, and cost-effective long-term plan to improve financial well-being and health outcomes. Nova provides a variety of customized solutions and private-labeled options.
Pequot Health Care
#HARLES "ARGER Director 1 Annie George Drive Mashantucket, CT 06338-3620 - United States PHONE: (860) 396-6331 EMAIL: cbarger@prxn.com WEB: www.pequothealthcare.com Pequot Health Care is a full service TPA and Pharmacy Benefit Manager (PRxN) for self-funded employee benefit plans and for Tribal Nations. Dedicated to managing cost through common sense, we can serve commercial businesses and Tribal Nations of all sizes in all states. We are a Native American minority business enterprise wholly owned by the Mashantucket Pequot Tribal Nation.
Planned Administrators, Inc. #LAY +ELLEY Director of Sales 17 Technology Circle Columbia, SC 29203 - United States PHONE: (803) 462-3117 EMAIL: mdeyling@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering flexibility and customization in benefit plan design. PAI specializes in administration of SelfFunding, Specialty Products, ACA Compliant plans, voluntary options, Property and Casualty products and services and Population Health options. PAI is dedicated to service excellence and minimizing cost for our clients.
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ProAct, Inc.
$AVID 7ARNER President 6333 Route 298 East Syracuse, NY 13057 - United States PHONE: (315) 413-7780 x3201 EMAIL: davewarner@proactrx.com WEB: www.proactrx.com ProAct is a pharmacy benefit management company that provides innovative, affordable and flexible solutions for clients. ProAct services a diversified client base consisting of school districts, higher education, municipalities, hospitals and healthcare providers, corporations, labor unions, not-for-profit organizations, financial institutions and manufacturers. Our unique solutions provide customized cost-effective prescription benefits.
Renalogic
3HELLEY 'RACE Executive Vice President of Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (866) 265-1719 EMAIL: sgrace@renalogic.com WEB: www.renalogic.com Renalogic is a premier renal disease consulting firm, servicing the self-funded industry for over 14 years. In addition to proven cost containment services, Renalogic is a comprehensive provider of data-driven chronic kidney disease (CKD) care and cost management programs. These targeted programs consistently result in improved patient outcomes and deliver maximum savings to plans.
[18]
www.sipconline.net
Revolv
+ATHLEEN 2YLAND Sales Engineer 5415 Airport Road Roanoke, VA 24012 - United States PHONE: (866) 903-3582 ext. 8026 EMAIL: tellmemore@myrevolv.com WEB: www.myrevolv.com
Secure Health
Secure Health’s mission of “Care Close To Home� provides our clients with health benefit solutions that create positive healthcare experiences, quality outcomes for their employees and families as well as financial savings to their plans by incorporating quality plan administration, URAC accredited care management and cutting edge plan analytic technology.
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!L %RTEL President/Chief Executive Officer 577 Mulberry Street, Suite #1000 Macon, GA 31201 - United States PHONE: (478) 314-2400 EMAIL: ertel.al@shpg.com WEB: www.shpg.com
1
THIRD PARTY ADMINISTRATORS (TPAs)
Revolv is an award-winning, customer service focused, dental benefits administration and informatics company. Why choose us? Our networks, proprietary processing system, analytics and smart clinical review set us apart. With our passionate focus on dental you get more than just savings, you get a better dental program for your employees.
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Dental Powered by Innovation
888.394.5688
[19]
SISCO
1
$ICK 3IGWARTH 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
THIRD PARTY ADMINISTRATORS (TPAs)
Established in 1980, SISCO is a premier third-party administrator offering innovative cost control solutions, high quality customer service and intergrated medical management and wellness services. SISCO administers plans with expert care and diligence, carefully examining all claims prior to adjudication and encouraging frequent communication with our in-house nursing staff.
TCC Benefits Administrator
0HIL %RICKSEN Senior Vice President and Chief Marketing Officer 40 Calhoun Street, Suite 450 Charleston, SC 29401 - United States PHONE: (843) 722-2115 EMAIL: pericksen@tccba.com WEB: www.tccba.com TCC Benefits Administrator is a full-service third party administrator of health and ancillary benefits. Since 1972 TCC has earned a reputation for self-funding expertise, leading edge technology, and legendary customer care. TCC is small enough that you’ll know your contacts by name, yet part of the largest health insurer in South Carolina, providing enormous resources. TCC offers: SelfInsured Employer Group Benefits, Employer Stop-loss, Group Captives, Level-Funding Self-Insured plans, Reference Based Pricing plans, Group Limited Medical plans, Group Voluntary Ancillary Benefits, Short Term Health Insurance, HSAs, HRAs, and FSAs.
The Health Plan
2ICHARD ,EGG Vice President 52160 National Road East St. Clairsville, OH 26003 - United States PHONE: (740) 699-6260 EMAIL: rlegg@healthplan.org WEB: www.healthplan.org
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Third Party Administrator and Commercial Insurance Carrier
UMR
-IKE "ENSON Director Sales Operations 11 Scott Street Wausau, WI 54403 - United States PHONE: (715) 841-6112 EMAIL: mike.benson@umr.com WEB: www.UMR.com UMR, UnitedHealthcare’s TPA solution, is the country’s largest third-party administrator (TPA) of health benefits, providing customized solutions, cost-effective networks and compassionate service for self-funded medical, dental, vision and disability plans.
Zelis Healthcare
0ATRICK / +EEFE Executive Vice President, Chief Commercial Officer 2 Crossroads Drive Bedminster, NJ 07106 - United States PHONE: (908) 340-6871 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com Zelis™ is a healthcare information technology company and market-leader of comprehensive end-to-end healthcare cost management and payments solutions. Unique in the industry, Zelis focuses on network solutions and analytics, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide.
[20]
www.sipconline.net
UMR – UnitedHealthcare’s TPA self-funding solution UnitedHealthcare networks & resources LARGEST NATIONAL NETWORK = BETTER ACCESS AND MORE SAVINGS
Industry-leading transparency tools SAVE EVEN MORE WHEN MEMBERS COMPARE PROVIDER QUALITY AND COST
Proprietary reporting tools DRIVE BETTER DECISIONS WITH OUR POWERFUL REPORTING SUITE
Exclusive stop loss arrangements REAP THE BENEFITS OF INDUSTRY-LEADING CARRIER RELATIONSHIPS
Synchronized population health management IMPROVE MEMBER HEALTH AND REDUCE COSTS BY SUPPORTING MEMBERS TO LIVE HEALTHIER LIVES AND MAKE BETTER DECISIONS
Simplified member experience ENGAGE MEMBERS WITH LEADING ONLINE AND MOBILE TECHNOLOGY, PLUS 24/7 CUSTOMER SERVICE
LOOK TO UMR FOR:
Best-in-class TPA solutions Find out more today. Visit umr.com or contact Mike Benson at mike.benson@umr.com or 715-841-6112.
888.394.5688
[21]
3 %#4) / .
2
THIRD PARTY ADMINISTRATORS (TPAs) P&C/WORKERS’ COMPENSATION/CAPTIVES
Advanced Medical Strategies 3TACY "ORANS Founder/Chief Medical Officer 50 Salem Street, Building A, Suite 108 Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: lbelschner@mdstrat.com WEB: www.mdstrat.com
AMS is an industry leader in delivering technology-driven solutions for payment integrity, risk management, and high dollar claims issues. AMS solves critically important strategic problems of medical claims payers with predictive analytical software and decision support services.
All Claims Adjustment Bureau, LLC
-ANNY .OYA President/Chief Executive Officer & Claims Manager 5335 Wisconsin Avenue, NW #440 Washington, DC 20015 - United States PHONE: (800) 288-4063 EMAIL: risknet@allclaimsadjustment.com WEB: www.allclaimsadjustment.com We handle ALL types of Claims, Investigations or Appraisals, of Any Size on a 24/7 NATIONWIDE basis for insurers, self-insureds, attorneys or other adjusting firms. We specialize in complex/large liability or first party losses. Volume rates available. Willing to partner with - or act as subcontractors to- other IAs or TPAs.
ASU Group
"RAD 2UTGERS Chief Operating Officer 2120 University Park Drive Okemos, MI 48864 - United States PHONE: (800) 968-0278 EMAIL: brutgers@asugroup.com WEB: www.asugroup.com ASU has been providing Claims Management and Insurance Solutions since 1952. Expertise in TPA services for Workers’ Compensation, General Liability and Casualty, Loss Control, Field Adjusting, Catastrophe Claims, Medical Bill Review, Case Management, Certificate of Insurance Tracking and Custom Software Development. 100% Employee-owned.
Considine & Associates HealthClaim Solutions® *IM #ONSIDINE -$ -"! President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 – United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
[22]
www.sipconline.net
Midlands Management Corp. 2ICHARD "IRD Chief Operating Officer 3817 Northwest Expressway Oklahoma City, OK 73112 - United States PHONE: (800) 800-4007 EMAIL: rbird@midman.com WEB: www.midlandsmgt.com
!NGELA "LANCH Vice President of Business Development P.O. Box 1061 Bradenton, FL 34206 - United States PHONE: (941) 306-2393 EMAIL: ablanch@nextleveladmin.com WEB: www.nextleveladmin.com Next Level Administrators is a full-service Workers’ Compensation Claims Administration firm that provides integrated insurance services to self-insured employers. Our workers’ compensation team collaborates with each client to create a goal-oriented workers’ compensation claims program that returns employees to work quickly and safely, and consistently achieves lower overall claim costs.
888.394.5688
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Next Level Administrators
2
THIRD PARTY ADMINISTRATORS (TPAs)
Midlands, a full-service MGU and coverholder at Lloyd’s, is an industry-leading provider of insurance products and services, with specialty in excess workers’ compensation. Shaped by values and backed by expertise. Midlands delivers superior program management capabilities, and innovative and effective insurance solutions.
[23]
Planned Administrators, Inc.
2 THIRD PARTY ADMINISTRATORS (TPA) 0 # 7/2+%23 #/-0%.3!4)/. #!04)6%3
[24]
#LAY +ELLEY Director of Sales 17 Technology Circle Columbia, SC 29203 - United States PHONE: (803) 462-3117 EMAIL: mdeyling@paisc.com WEB: www.paisc.com
PAI is a third party administrator offering flexibility and customization in benefit plan design. PAI specializes in administration of Self-Funding, Specialty Products, ACA Compliant plans, voluntary options, Property and Casualty products and services and Population Health options. PAI is dedicated to service excellence and minimizing cost for our clients.
PMA Companies
-ICHAEL -AC!ULAY Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States PHONE: (856) 727-3157 EMAIL: Michael_MacAulay@pmagroup.com WEB: www.pmacompanies.com PMA is a leading provider of workers’ compensation and liability Third-Party Administrator (TPA) and Risk Services to employers. Our holistic approach integrates pre-loss, loss-reduction and post-loss strategies to reduce clients’ total cost of risk. With average client retention of 95% and 95% client satisfaction, our TPAs, PMA Management Corp. and PMA Management Corp. of New England, exceed clients’ expectations.
Zelis Healthcare
0ATRICK / +EEFE Executive Vice President, Chief Commercial Officer 2 Crossroads Drive Bedminster, NJ 07106 - United States PHONE: (908) 340-6871 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com Zelis™ is a healthcare information technology company and market-leader of comprehensive end-to-end healthcare cost management and payments solutions. Unique in the industry, Zelis focuses on network solutions and analytics, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide.
www.sipconline.net
888.394.5688
[25]
3 %#4) / .
3
MGU/MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS
AccuRisk Solutions, LLC
formerly International Insurance Services – IIS
$ANIEL "OISVERT President & Chief Executive Officer 10 S. LaSalle Street, Suite 3450 Chicago, IL 60603 - United States PHONE: (312) 857-9100 EMAIL: dboisvert@accurisksolutions.com WEB: www.accurisksolutions.com AccuRisk Solutions LLC is an MGU focused on providing producers with innovative insurance products and unsurpassed customer service. We have partnered with leading insurance carriers and healthcare industry leaders to provide a comprehensive array of healthcare and employee benefit products. Our objective is to assist our producers in providing their employer clients with unique, cost effective solutions.
Advanced Medical Strategies 3TACY "ORANS Founder/Chief Medical Officer 50 Salem Street, Building A, Suite 108 Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: lbelschner@mdstrat.com WEB: www.mdstrat.com
AMS is an industry leader in delivering technology-driven solutions for payment integrity, risk management, and high dollar claims issues. AMS solves critically important strategic problems of medical claims payers with predictive analytical software and decision support services.
AIG
"ILL %DRINGTON Vice President, Stop Loss Distribution 1200 Abernathy Road NE, Building 600, 8th Floor Atlanta, GA 30328 - United States PHONE: (770) 548-3165 EMAIL: william.edrington@aig.com WEB: www.aig.com AIG’s Group Benefits business boasts a diverse portfolio of insurance products that can help plan sponsors, with more than 50 covered lives, manage the risk of self-funding. These products include medical stop-loss, organ transplant, captive and Taft-Hartley solutions. Talk to us about your plan, we can help.
American Fidelity Assurance Company -ARC -ARION Chief Operating Officer, Strategic Alliances 9000 Cameron Parkway Oklahoma City, OK 73114 - United States PHONE: (405) 523-5315 EMAIL: marc.marion@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.
[26]
www.sipconline.net
3 MGU/MEDICAL STOP-LOSS CARRIERS
3ARAH 2UCKNO #LEARY Senior Marketing Project Mananger 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
Arbor Benefit Group, L.P.
+AREN (ARRISON Executive Vice President 281 Farmington Avenue Farmington, CT 06032 - United States PHONE: (214) 674-7028 EMAIL: karenh@arborbg.com WEB: www.arborbg.com
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AmWINS Group Benefits
Arbor Benefit Group, L.P. is a Managing General Underwriter serving Brokers, Consultants and Third Party Administrators throughout the United States. Arbor is built on a foundation of over thirty years experience in self-funded group health plans and excess loss policies. Since 2000, Arbor has been helping business maintain profitability with customized stop-loss products and cost containment services all backed by integrity, financial stability, and an unwavering dedication to personal services.
888.394.5688
[27]
3 MGU/MEDICAL STOP-LOSS CARRIERS
Arbor Benefit Group Proven Solutions. Exceptional Service.
For more than 18 years we have been a trusted source
for your Stop Loss needs; Helping business maintain profitability
with customized Stop Loss products and Cost Containment services. INTEGRITY. STABILITY. DEDICATION . Arbor Benefit Group, L.P. | 860-674-9478 | www.arborbg.com
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Avalon Insurance Company
*ULIE $ANNAWAY "AER Director, Ancillary Services 2500 Elmerton Avenue Harrisburg, PA 17177 - United States PHONE: (717) 541-6339 EMAIL: julie.dannaway-baer@avaloninsurance.com WEB: www.avaloninsurance.com Avalon Insurance Company, a subsidiary of a Harrisburg, PA-based health insurer trusted for nearly 80 years, offers smart, practical stop-loss solutions. Avalon Stop-Loss is supported by a team with extensive expertise, providing cost-effective and efficient stop-loss administration so you can focus on your business. For more information, visit AvalonInsurance.com.
Bardon Insurance Group, Inc. $ON 4HALER President 8326 East Hartford Drive, Suite 100 Scottsdale, AZ 85255 - United States PHONE: (480) 682-1400 EMAIL: don.thaler@bardon.net WEB: www.bardon.net
Bardon Insurance Group is a consistently top rated MGU whose business is built on the principles of honesty, integrity and excellence. It is our goal to form partnerships with companies like ours where these values are the top priority. We represent AM Best “A� rated carriers with products aimed at 25 to 250+ life employers.
[28]
www.sipconline.net
Beacon Risk Strategies An AmWINS Group Benefits Company 7RIGHT $ICKINSON Principal 180 Nickerson Street, Suite 304 Seattle, WA 98109 - United States PHONE: (206) 298-0092 EMAIL: wright.dickinson@amwins.com WEB: www.beaconrisk.com
Benefit Indemnity Corporation 2ODGER "AYNE The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Benefit Indemnity is a broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
BenefitMall
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 *IM (OITT Vice President, Sales 2445 Kuser Road Hamilton Square, NJ 08690 - United States PHONE: (508) 573-6090 EMAIL: jhoitt@BerkleyAH.com WEB: www.BerkleyAH.com
Berkley Accident and Health is a risk management expert that offers a creative, analytics approach to risk and the strong backing of our parent company, the 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, an A+ (Superior) rated company by A.M. Best. We also offer EmCap, our Group Captive solution, that gives midsize employers a self-funding alternative.
888.394.5688
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+IM *OHNSON Director, Business Operations 5090 North 40th Street, Suite 100 Phoenix, AZ 85018 - United States PHONE: (602) 308-0862 EMAIL: kim.johnson@benefitmall.com WEB: www.benefitmall.com
3 MGU/MEDICAL STOP-LOSS CARRIERS
Specialty underwriter and program manager for medical stop-loss and other niche A&H products. Brokers, TPAs and reinsurers rely on the higher standard set by Beacon in everything we do from our underwriting expertise to our delivery of superior claims administration and customer service. Beacon specializes in giving you more.
[29]
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:
3 MGU/MEDICAL STOP-LOSS CARRIERS
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ÂŞ #FOFmU.BMM "MM SJHIUT SFTFSWFE
www.benefitmall.com/Services/Benefits/Stop-Loss
888.248.8952
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Berkshire Hathaway Specialty Insurance *OHN 3NYDER Head of Stop Loss 300 Spectrum Center Drive, #750 Irvine, CA 92618 - United States PHONE: (213) 712-9033 EMAIL: john.snyder@bhspecialty.com WEB: www.bhspecialty.com/msl
Berkshire Hathaway Specialty Insurance’s team of highly experienced stop-loss professionals delivers a broad and flexible product offering. Our name is synonymous with trust and integrity. We do the right thing for customers and business partners – including moving claims payments forward swiftly, and being there for policyholders long term.
Brentwood Reinsurance Intermediaries, Inc. +EITH &AWCETT President P.O. Box 1949 Brentwood, TN 37024-1949 – United States PHONE: (800) 524-0604 EMAIL: brentre@bwood.com WEB: www.brentre.com
BrentRe is an independent reinsurance intermediary serving self insurers, captives, MGUs and insurance companies. Our responsive personal service spans the spectrum of Life, Accident, Health, Casualty and Workers’ Compensation reinsurance.
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www.sipconline.net
Chubb Accident & Health
*AEDE "ARG Senior Vice President, A&H Programs 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 – United States PHONE: (732) 945-2302 EMAIL: jaede.barg@chubb.com WEB: www.chubb.com/accident
Chubb Accident & Health
4AMMIE -ORSE Area Vice President, Health Risk Management 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 - United States PHONE: (732) 945-2318 EMAIL: tammie.morse@chubb.com WEB: www.chubb.com/accident Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
Chubb Accident & Health
Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
Considine & Associates HealthClaim SolutionsÂŽ *IM #ONSIDINE -$ -"! 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 SolutionsŽ provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
888.394.5688
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*AMES 7ALLOGA Executive Vice President North America Accident & Health 1133 Avenue of the Americas New York City, NY 10036 - United States PHONE: (212) 703-7197 EMAIL: james.walloga@chubb.com WEB: www.chubb.com/accident
3 MGU/MEDICAL STOP-LOSS CARRIERS
Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
[31]
Creative Risk Underwriters LLC
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
[32]
6AL &LOWERS Executive Vice President 1343 Canton Road, Suite B-1 Marietta, GA 30066 - United States PHONE: (678) 671-4635 EMAIL: val@creativeuw.com WEB: www.creativeuw.com
Creative Risk Underwriters (CRU) is a full-service MGU providing medical stop-loss insurance to employer groups and Taft-Hartley plans. Headquartered in Marietta, Georgia, CRU is partnered with A-rated carriers to offer stop-loss coverage and is the trusted choice of brokers, TPAs and policyholders throughout the U.S.
Crum & Forster
,AUREN 7OODS Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop-Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyd’s coverholder arrangement.
D.W. Van Dyke & Co., Inc. 7ALTER 2OLAND Executive Vice President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPAs, MGUs and others. Product expertise in Life, Accident, Workers’ Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
ELMC Risk Solutions
*OHN 'EDNEY Executive Vice President, Chief Growth Officer 135 East 57th Street, Suite 1903 New York, NY 10022 - United States PHONE: (516) 456-8325 EMAIL: john.gedney@elmcgroup.com WEB: www.elmcgroup.com ELMC Risk Solutions brings together best in class companies providing medical and prescription drug stop-loss, reinsurance and consulting services. Our member companies include; IOA Re, ELMC Underwriters, Rx Reins and Adler Rx Consulting.
www.sipconline.net
Employer Benefit Underwriters, Inc. *ACQUELINE "UGDALSKI National Sales Manager 100 LaCosta Lane, Suite 120 Daytona Beach, FL 32114 - United States PHONE: (386) 274-2600 Ext. 412 EMAIL: jacqueline@ebu-inc.com WEB: www.EBU-inc.com
Employer Benefit Underwriters, Inc. (OWARD (UNEKE President/Chief Executive Officer 100 LaCosta Lane, Suite 120 Daytona Beach, FL 32114 - United States PHONE: (386) 275-2600 EMAIL: hhuneke@ebu-inc.com WEB: www.EBU-inc.com
Established in 1996, Employer Benefit Underwriters, Inc. (EBU, Inc.) is a leading, National MGU providing Medical Stop-Loss Insurance to self-funded employers and Taft-Hartley Funds within all 50 states. Our traditional and innovative Medical Stop-Loss solution options will provide financial advantages within a budgeted maximum cost.S
Employer Benefit Underwriters, Inc.
Established in 1996, Employer Benefit Underwriters, Inc. (EBU, Inc.) is a leading, National MGU providing Medical Stop-Loss to selffunded employers and Taft-Hartley Funds within all 50 states. Our traditional and innovative Medical Stop-Loss options will provide financial advantages within a budgeted maximum cost.
Ethos Underwriting Services -IKE -C$ONALD President 227 West Trade Street, Suite 1290 Charlotte, NC 28202 - United States PHONE: (704) 831-2185 EMAIL: mike_mcdonald@ethosmgu.com WEB: www.programsins.com/ethos
Ethos is a full-service MGU providing specific and aggregate medical stop-loss on behalf of Chubb/ACE American Insurance Company.
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4INA 7ILLENBORG Assistant Vice President Business Development 100 LaCosta Lane, Suite 120 Daytona Beach, FL 32114 - United States PHONE: (941) 928-0754 EMAIL: tina@ebu-inc.com WEB: www.EBU-inc.com
3 MGU/MEDICAL STOP-LOSS CARRIERS
Established in 1996, Employer Benefit Underwriters, Inc. (EBU, Inc.) is a leading, National MGU providing Medical Stop-Loss to selffunded employers and Taft-Harltey Funds within all 50 states. Our traditional and innovative Medical Stop-Loss solution options will provide financial advantages within a budgeted maximum cost.
Excess Risk Reinsurance/Ironshore Insurance Service LLC $AVID *OHNSON Marketing Manager P.O. Box 1170 Ridgeland, MS 39158 - United States PHONE: (601) 427-0235 EMAIL: david.johnson@ironshore.com WEB: www.ironshore.com
Excess Risk Reinsurance, previously a full service MGU is now a wholly owned subsidiary of Ironshore Service, Inc. with full authority to market, underwrite, bind coverage, issue and administer policies, collect premium and claims payment of the behalf of Ironshore Services.
888.394.5688
[33]
Excess Risk Solutions Inc
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
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#HUCK /SBORNE President 1523 Dale Mabry Highway Lutz, FL 33548 - United States PHONE: (813) 289-2464 EMAIL: cosborne@ExcessRiskSolutions.com WEB: www.ExcessRiskSolutions.com Consulting Organization established to assist MGUs and Insurance Carriers with the Pre-Underwriting, Marketing, Sales of their Medical Stop-Loss or Excess Loss Insurance products through licensed TPA’s, Association’s and Broker/Consultants located throughout the US. With 40+ years of Experience, We are an Industry Leader that Continues to Build/Maintain Trusted Legacy Relationships.
Greymatter Risk Management, LLC *IM -C%NTEE Executive Vice President, Sales 6505 East 82nd Street, Suite 206 Indianapolis, IN 46250 - United States PHONE: (770) 280-5270 EMAIL: jmcentee@greymatterrisk.com WEB: www.greymatterrisk.com
Greymatter Risk Management (GRM) underwrites Aggregate and Specific Excess Loss insurance with American National Insurance Company and Garden State Life Insurance Company. GRM’s niche is the labor and public sector but also underwrites groups within the corporate sector. GRM’s management team has vast experience that spans more than 50 years combined in the stop-loss market.
Hi-Tech Health, Inc.
-ICHAEL #ARRARA 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.
HIIG Accident & Health
-ATTHEW 0AUL Senior Vice President, Sales 75 Valley Stream Parkway, Suite 250 Malvern, PA 19355 - United States PHONE: (484) 328-8022 EMAIL: mpaul@hiig.com WEB: www.hiigah.com Being in the medical self-insurance stop-loss market isn’t new to Houston International Insurance Group (HIIG). The experts and seasoned employees that founded the Company have decades of experience in this industry. In fact, HIIG was built using strategy, sound judgement, and business savvy from some of the same leaders who made this industry great from the very beginning.
www.sipconline.net
HM Insurance Group
4OM $ORAN President & Chief Operating Officer 120 Fifth Avenue Pittsburgh, PA 15222 - United States PHONE: (412) 544-2221 EMAIL: thomas.doran@hmig.com WEB: www.hmig.com
Independence Underwriting Partners, LLC .ICHOLAS #HRISTOS Chief Executive Officer 101 East Lancaster Avenue Wayne, PA 19087 - United States PHONE: (856) 577-8584 EMAIL: nick@iupllc.com WEB: www.iupllc.com
With multiple Carriers and MGUs and twenty-plus years of industry experience, Independence Underwriting Partners (IUP) has the markets and knowledge necessary to provide your clients with a specialized focus and solutions for stop-loss, reinsurance, pharmacy benefits management, dental, life, disability and voluntary benefits.
Intermediary Insurance Services, Inc. (IISI) Jim Henry, Executive Vice President
Intermediary Insurance Services, Inc. (IISI) is a full-service MGU providing employer stop-loss, group life, and managed care solutions to the self-funded community through our TPA and broker/consultant relationships. IISI is a Companion Life Affiliated Company.
International Risk Consultants
-ICHAEL -C'RATH President and Chief Executive Officer One Corporation Way Peabody, MA 01960 - United States PHONE: (781) 581-9800 EMAIL: MMcGrath@Irc-Ohu.com WEB: www.Irc-Inc.org International Risk Consultants a full service MGU has been setting the standard for Medical Stop-Loss risk solutions for over 28 years. We provide brokers, consultants and third-party administrators with innovative and effective solutions to meet the evolving needs of their clients. We emphasize flexible underwriting, outstanding service and a tradition of strength and stability.
888.394.5688
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731 Sansome Street, 2nd Floor San Francisco, CA 94111 - United States PHONE: (415) 399-6723 EMAIL: jim_henry@iisinet.com WEB: www.iisinet.com
3 MGU/MEDICAL STOP-LOSS CARRIERS
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.
[35]
J. Allan Hall & Associates, Inc.
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
[36]
* !LLAN (ALL President/Chief Executive Officer 55 Monument Circle, Suite 1115 Indianapolis, IN 46204 - United States PHONE: (317) 264-0020 EMAIL: jahall@jahall.com WEB: www.jahall.com
JAH is a full-service MGU and Coverholder at Lloyd’s (London) plus admitted A rated carriers. We specialize in both usual and unusual stop-loss and group underwriting and administration. We underwrite and administer ancillary products for captives, fully insured and self-insured domestic and international group and individual products. Underwrite and administer Associations, PEOs, Health Co-Ops, Agriculture, MEC, Gap, and other innovative programs.
M-D Underwriting Services, Inc. #ATHY 'UENTHER President 1880 Gen. George Patton Drive, Suite 102 Franklin, TN 37067 - United States PHONE: (615) 662-3535 EMAIL: cathy@mdusi.com WEB: www.mdusi.com
MDU is dedicated to providing customers with the medical excess products, expertise and service that best serves our clients. We do this by open, honest and direct communication with our customers. Since 2000, MDU has earned a reputation as a RELIABLE, INNOVATIVE and SECURE choice as your Managing General Underwriter.
Medical Risk Managers, Inc. *ENNIFER 5NSWORTH Senior Vice President 1170 Ellington Road South Windsor, CT 06074 - United States PHONE: (800) 732-3248 EMAIL: junsworth@mrm-mgu.com WEB: www.mrm-mgu.com
MRM is the largest full service MGU in the country. Our services include underwriting, extensive network evaluation, consulting, stop-loss claim adjudication, actuarial and accounting support. MRM currently underwrites over $200 million and has profitably underwritten over $2 billion of stop-loss throughout our history.
Montgomery Management Corporation (MMC) #ARRIE 5RBANELLI President 801 Lakeview Drive, Suite 305 Blue Bell, PA 19422 - United States PHONE: (800) 883-1500 Ext. 120 EMAIL: curbanelli@montmgmt.com WEB: www.montmgmt.com
Montgomery Management (MMC), a full service MGU, has been providing flexible, innovative stop-loss solutions since 1989. Our expertise and corporate stability make MMC an industry leader. More specifically, MMC provides a full range of services including: traditional stop-loss and captive underwriting, policy binding, contract issuance, premium collection, and claims payment.
www.sipconline.net
Monumental Risk Strategies !LEX 'IORDANO President 8445 Freeport Parkway Irving, TX 75063 - United States PHONE: (214)295-1450 Ext. 402 EMAIL: agiordano@monumentalrisk.com WEB: www.monumentalrisk.com
MSH INTERNATIONAL
0HILIPPE DE $REUZY President & Chief Executive Officer 300, 999 - 8th Street SW Calgary, Alberta, Canada, T2R 1N7 - Canada PHONE: (403) 537-8827 EMAIL: philippe.dedreuzy@americas.msh-intl.com WEB: http://americas.msh-intl.com/ MSH is one of the largest suppliers of Self-Insured expatriate services with more than 330,000 insured members. Since 1974, MSH has been building partnerships with companies around the world by providing exceptional service and expertise in benefits consulting program design and administration. We develop flexible, cost-effective solutions for the mobile employees.
3 MGU/MEDICAL STOP-LOSS CARRIERS
MRS is a full-service MGU with quoting, policy issuance, premium administration, and claims reimbursement authority. Partnering with a carrier that is A rated by AM Best, Monumental Risk Strategies provides medical stop-loss coverage to employers that self-fund their employee health benefits. The stop-loss product is available in 49 states. Ancillary products are also available.
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888.394.5688
[37]
National Underwriting Services, Inc.
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
[38]
4OM 'AGE President $ANA $RISCOLL, FLMI, Executive Vice President 14893 S.H. 16 North, Suite 1 Helotes, TX 78023 - United States PHONE: (210) 695-2381 EMAIL: ddriscoll@nus1.com WEB: www.nus1.com
For over 32 years, NUS has been a trusted and valued underwriting resource providing innovative and customized stop-loss solutions to the self-funded marketplace. NUS is a full service MGU and has become the “go to� underwriter for reference based pricing cases and other specialty programs, including captives. We have the experience to meet your needs.
Nationwide Innovative Solutions
4OM $E.OMA Head of Program Business Development U.S One Nationwide Plaza, 4-6-101 Columbus, OH 43215 - United States PHONE: (614) 677-3843 EMAIL: denomat@nationwide.com WEB: www.nationwide.com Nationwide Innovative Solutions (NIS) is an entrepreneurial arm of Nationwide that exists to serve member needs in specialized insurance markets such as Stop-Loss, Gap, Dental, Travel, Legal, Limited Medical, Group Life, and Short Long Term Disability, and College Medical.
NorthWind, LLC
$OUGLAS 4HOMAS 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!
Partners MGU
-ARK -ERTEL Chief Executive Officer 6720 North Scottsdale Road, Suite 365 Scottsdale, AZ 85253 - United States PHONE: (602) 410-0838 EMAIL: abel.badillo@partnersmgu.com WEB: www.partnersmgu.com Partners Managing General Underwriters (PMGU) underwrites medical Stop-Loss for the self-funded marketplace. We are the only MGU that develops strategies to help you grow your block of business and monetize your strategic relationships.
www.sipconline.net
3 MGU/MEDICAL STOP-LOSS CARRIERS
4HOMAS ! 4AP 0OWER Managing Member 3730 Roswell Road, Suite 275 Marietta, GA 30062 - United States PHONE: (770) 977-9601 EMAIL: thomaspower@perullc.com WEB: www.perullc.com
Phoenix Excess Risk Underwriters, LLC (PERU) is a full-service Managing General Underwriter offering stop-loss reinsurance to employers of 50 lives and more who choose to self-fund their group health insurance plan.
Physicians Insurance
.ANCY ,EE Employer Stop-Loss Specialist P.O. Box 91220 Seattle, WA 98111 - United States PHONE: (206) 343-6531 EMAIL: nancyl@phyins.com WEB: www.phyins.com
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Phoenix Excess Risk Underwriters, LLC
Physicians Insurance was founded in 1981. Today, Physicians Insurance serves more than 7,000 members. For more than15 years, the Physicians Insurance Stop-Loss Program has provided top-quality stop-loss insurance to all types of employers who self-insure. Our medical/employer stop-loss coverage enables employers to experience the many benefits of self-funding by providing exceptional customer service at competitive rates.
888.394.5688
[39]
QBE North America
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
[40]
0HILLIP 'ILES Vice President P.O. Box 1957 Pinehurst, NC 28370 - United States PHONE: (910) 420-8104 EMAIL: phillip.giles@us.qbe.com WEB: www.qbeah.com QBE is one of the world’s 20 largest insurance carriers and one of the largest direct writing carriers for Medical Stop-Loss. We offer a full line of Stop-Loss options and provide direct access to our decision-making underwriters.
Risk & Insurance Consulting Services, LLC *AMIE "ROWN Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com
RICS is an independent reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Employer Groups, and Captives. Our strong commitment to service and relationships enables RICS to deliver exceptional risk and insurance solutions.
Rockport Benefits, LLC
!MY !RGEROS Managing Director 100 Cummings Center, Suite 442C Beverly, MA 01915 - United States PHONE: (978) 969-0658 EMAIL: aargeros@rockportbenefits.com WEB: www.rockportbenefits.com Highly qualified underwriting facility designed to directly share both time and knowledge with our trusted business partners. With the strength of an A+ rated Carrier behind us, Rockport offers cost-conscious pricing with an open-minded approach to today’s market.
RxReins, Inc.
#RYSTAL 7ILLIAMS President 235 East Broadway, Suite 960 Long Beach, CA 90802 - United States PHONE: (888) 797-3467 EMAIL: cwilliams@rxreins.com WEB: www.rxreins.com RxReins, LLC, a member company of ELMC, is a dedicated Managing General Underwriter (MGU) specializing in prescription drug stop-loss insurance. As the only Rx MGU in the industry, RxReins offers creative solutions to help protect employers manage rising prescription drug costs, for both stand alone and carve-out prescription drug plans.
www.sipconline.net
SCOR Global Life
!DAM 'OTTESMAN Vice President, Sales - Group Reinsurance 901 Marquette Avenue, Suite 1500 Minneapolis, MN 55402 - United States PHONE: (913) 901-4917 EMAIL: AGottesman@SCOR.com WEB: www.scorgloballifeamericas.com
Sextant Self Funding, LLC "ILL ,UTZ Managing DIrector 6443 Ridings Road, Suite 101 Syracuse, NY 13206 - United States PHONE: (315) 433-5214 Ext. 201 EMAIL: bill.lutz@ssfllc.com WEB: www.ssfllc.com
Sextant Self Funding is a full service stop-loss MGU. Underwriting on behalf of Greenwich Insurance, we can meet all of your client’s stop-loss needs. From quote to claim, all services provided under 1 roof.
Spectrum Underwriting Managers, Inc.
Spectrum, founded in 1990, is a full-service Managing General Underwriter of specific, aggregate and integrated stop-loss insurance, specializing in the prompt delivery of comprehensive and competitive products and services designed for employer groups down to 15 employee lives. Stability, experience, dependability, longevity and focus – make Spectrum’s qualities your assets.
StarLine
"ILL 5ZDZIENSKI Director Business Development 180 Teaticket Highway East Falmouth, MA 02536 - United States PHONE: (215) 315-3532 EMAIL: w.uzdzienski@starlinegroup.com WEB: www.starlinegroup.com If you’re looking for Stop-Loss, Managed Care, or Personal Accident products; for a team well-versed in customized offerings and rooted in strategic thinking; for a partner who truly understands your business, then you’re looking for StarLine. Call today. We’re ready to make you our priority.
888.394.5688
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+URT 2IDDER President 41 East Washington Street, Suite 100 Indianapolis, IN 46204 - United States PHONE: (800) 804-7732 EMAIL: k.ridder@spectrumhq.com WEB: www.spectrumhq.com
3 MGU/MEDICAL STOP-LOSS CARRIERS
SCOR As the 4th largest reinsurer in the world and the largest individual life reinsurer in the United States, SCOR’s financial strength and claims paying ability are exceptional. With more than 2,600 employees across 35 countries, SCOR offers extensive capabilities in risk and capital management plus services that help our clients across the Life, Accident, Health and P&C markets. To support the risk management needs of the Health market, SCOR has an experienced team of medical reinsurance professionals who understand the changes occurring in the marketplace. We blend financially sound reinsurance support with the customization our clients require to meet both growth and profitability objectives. At SCOR we aspire to do the ordinary in an extraordinary way.
[41]
Stop Loss Insurance Services
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
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'ERRY 'ATES President 100 Front Street, Suite 600 Worcester, MA 01608 - United States PHONE: (800) 944-7659 Ext. 3073 EMAIL: gerald.gates@amwins.com WEB: www.stoploss.amwins.com
Stop Loss Insurance Services leverages more than 30 years of stop-loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop-Loss to SLIS.
Strategic Underwriting Solutions, LLC 4HOMAS &RANK National Director of Sales and Marketing 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States PHONE: (630) 696-1875 EMAIL: tfrank@stratuw.com WEB: www.stratuw.com
Strategic Underwriting Solutions is a full-service MGU and consultant, providing a wide range of stop-loss products and services to the self-funded marketplace, with particular emphasis and unparalleled expertise in successfully bringing innovative level-funded solutions to smaller employer groups and easing the transition from fully insured plans. With 25+ years of experience, up-to-date technology and top-rated carrier and reinsurer partners, SUS offers “best-in-class� service and support to meet all your underwriting, compliance, and consulting needs.
Sun Life Financial
-ICHAEL (OEmER Vice President, Stop-Loss Field Sales One Sun Life Executive Park Wellesley Hills, MA 02481 - United States PHONE: (781) 237-6030 Ext. 3035302 EMAIL: michael.hoefler@sunlife.com WEB: www.sunlife.com/us Sun Life Financial is one of the largest group benefits providers in the U.S., with a broad product portfolio including Stop-Loss, Disability, Absence Management, Dental and Vision, and Life insurance. We are a leading stop-loss provider with more than 30 years of experience delivering risk management solutions for self-funded employers.
Sutton Special Risk America
!RLEIGH +ENNEDY Vice President, Stop Loss & Specialty Benefits 1500 District Avenue, Suite 2072 Burlington, MA 01803 - United States PHONE: (781) 270-7457 EMAIL: akennedy@suttonspecialrisk.com WEB: www.suttonspecialrisk.com/Sutton_home_us.html For over 35 years Sutton Special Risk has responded to the unique insurance needs of our clients worldwide. With our unparalleled suite of products, consultative approach, underwriting expertise, and commitment to providing exceptional service, we can ensure your clients are protected against life’s risks. Plan for the unexpected.
www.sipconline.net
888.394.5688
[43]
Swiss Re Corporate Solutions
3
-IKE +EMP Head Accident & Health NA 175 King Street Armonk, NY 10504 - United States PHONE: (877) 392-3770 EMAIL: Mike_Kemp@swissre.com WEB: www.swissre.com/esl
MGU/MEDICAL STOP-LOSS CARRIERS
The Accident & Health Group of Swiss Re Corporate Solutions has been providing in-depth product knowledge and solutions to customers since 1975. Our long history and continuity in this market gives both our policyholders and their trusted advisors confidence in knowing they are backed by experts who adapt to market trends and provide market-leading capacity. Our Employer Stop-Loss portfolio includes: medical stop-loss, group stop-loss captives, and an organ transplant solution program. We are a direct writer for self-insured employer groups in all 50 states and coverage is underwritten by Westport Insurance Corporation, rated A+ (Superior) by A.M. Best Company.
Symetra
-ICHAEL &RY Executive Vice President, Benefits Division 777 108th Avenue NE, Suite 1200 Bellevue, WA 98004 - United States PHONE: (800) 426-7784 EMAIL: michael.fry@symetra.com WEB: www.symetra.com At Symetra, we are committed to helping groups across the country manage health care costs while providing valuable benefits to employees and their families. We earn the trust of our distribution partners and clients by following through on our promises and supporting every plan with professional, informative and responsive service.
The Guardian Life Insurance Company of America (Guardian)
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2OBERT -ELILLO 2nd Vice President and Head of Stop-Loss 1699 King Street Enfield, CT 06082 - United States PHONE: (860) 903-0775 EMAIL: robert_melillo@glic.com WEB: www.guardiananytime.com
With more than 155 years of risk management experience and a long term focus, Guardian is an ideal choice for Stop-Loss protection. As an employee benefits leader, we are known throughout the industry for integrity, fairness and exceptional performance – supported by a dedicated Stop-Loss team, and sales and service professionals nationwide.
Tokio Marine HCC - Stop-Loss Group $AVID 'RIDER Senior Vice President Marketing & Sales 225 TownPark Drive, Suite 350 Kennesaw, GA 30144 - United States PHONE: (770) 693-6492 EMAIL: dgrider@tmhcc.com WEB: www.tmhcc.com/life
For more than 35 years, HCC Life Insurance Company, operating as Tokio Marine HCC – Stop-Loss Group, has been leading the way in medical stop-loss insurance for employers and plans who self-fund their benefit plans. Rated A++ (Superior) by A.M. Best Company, Tokio Marine HCC – Stop-Loss Group is backed by the financial stability of its parent company, Tokio Marine HCC.
[44]
www.sipconline.net
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Extra
peace of mind
We’ve got your back. Four words that anyone seeking to self-fund healthcare benefits needs to believe, particularly when contemplating the financial risks associated with catastrophic medical events. That’s why we’re firm believers at Swiss Re Corporate Solutions in building strong relationships, understanding exactly what our partners expect of us, and creating innovative ways of fulfilling those expectations. And that’s also why we’ve integrated IHC Risk Solutions into our business. The result is a powerful combination of expertise and capabilities that offers brokers, advisors, payers and their employer clients enhanced value – not to mention extra peace of mind. Now, more than ever, we’ve got your back. We’re smarter together. swissre.com/esl Insurance products underwritten by Westport Insurance Corporation.
888.394.5688
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Trean Reinsurance Services, LLC
3 MGU/MEDICAL STOP-LOSS CARRIERS ,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
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+YLE 0LATH 100 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kplath@treancorp.com WEB: www.treanre.com
Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation, and servicing; consultation to HMOs, MGUs, TPAs, and insurers on small group stop-loss development; and captive stop-loss development and implementation.
TRU Services- A Liberty Mutual Company *ENESSA 0EASE Specialist, Marketing 152 Conant Street, Second Floor Beverly, MA 01930 - United States PHONE: (978) 564-0200 EMAIL: jenessap@truservices.com WEB: www.truservices.com
After two decades of bringing Medical Stop-Loss coverage to a nationwide market, TRU has partnered with Liberty Mutual. This partnership will enhance TRU’s ability to provide superior products and services to its new, and existing markets. Our name may change but our service stays the same.
Ullico Inc.
$ANIEL 7OLAK President, The Union Labor Life Insurance Company 8403 Colesville Road, 13th Floor Silver Spring, MD 20910 - United States PHONE: (202) 682-6908 EMAIL: dwolak@ullico.com WEB: www.ullico.com Plan sponsors depend on The Union Labor Life Insurance Company to structure insurance arrangements that match their plan’s design and offer the coverage they need, including Medical Stop-Loss polices that protect union and group plans, life insurance, Accidental Death and Dismemberment and Short Term Disability.
Unum
"RIAN 0OWER 2211 Congress Street Portland, ME 04122 - United States PHONE: (207) 575-4588 EMAIL: bpower@unum.com WEB: www.unum.com Unum is a leader in the financial protection industry offering benefits solutions to meet the needs of both employers and their workers. We’ve introduced Stop-loss to our existing, award-winning portfolio which includes Life, Disability, Dental, Vision and Voluntary Benefits as well as absence management services.
www.sipconline.net
USBenefits Insurance Services, LLC -ARCUS &LOYD Executive Vice President, Marketing 43 Corporate Park, Suite 101 Irvine, CA 92606 - United States PHONE: (949) 468-3023 EMAIL: mf@usbenefitsins.com WEB: www.usbenefitsins.com
Voya Employee Benefits
+RIS ,ANGE National Director - Stop Loss & Strategic Relationships 20 Washington Avenue South Minneapolis, MN 55401 - United States PHONE: (612) 342-3755 EMAIL: Kristine.Lange@voya.com WEB: www.Voya.com Voya Employee Benefits, a division of ReliaStar Life Insurance Company and ReliaStar Life Insurance Company of New York, has offered excess risk insurance products from one of the nation’s largest direct writers of excess risk insurance for more than 35 years. We also offer group life, voluntary, and disability income products and have more than 90 years of experience in delivering group benefit solutions to employers.
Xchange Benefits, LLC
Xchange Benefits is a leader in providing benefit solutions to our client markets throughout the U.S. and beyond. Our Medical Stop-Loss solutions successfully enable employer groups to maximize benefits while protecting their balance sheets from otherwise financially unsustainable events. We add value through thoughtfully designed and underwritten insurance programs.
888.394.5688
,)&% !.$ (%!,4( %-0,/9%% "%.%&)43
*AMES $ENISON Executive Vice President & Chief Underwriter Three Barker Avenue, 1st Floor White Plains, NY 10601 - United States PHONE: (914) 437-7359 EMAIL: info@xbllc.com WEB: www.xbllc.com
3 MGU/MEDICAL STOP-LOSS CARRIERS
USBenefits is a full service MGU providing Medical Stop-Loss and Group Dental coverage for employer groups through qualified producers. USBenefits has full underwriting responsibility for all aspects of its Medical Stop-Loss and Group Dental programs. Staffing includes actuarial, claims, underwriting, administrative and marketing departments that work in unison to deliver financially stable products.
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MGU/EXCESS INSURANCE CARRIERS P&C/WORKERS’ COMPENSATION/CAPTIVES
Advanced Medical Strategies
3TACY "ORANS Founder/Chief Medical Officer 50 Salem Street., Building A, Suite 108 Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: lbelschner@mdstrat.com WEB: www.mdstrat.com
AMS is an industry leader in delivering technology-driven solutions for payment integrity, risk management, and high dollar claims issues. AMS solves critically important strategic problems of medical claims payers with predictive analytical software and decision support services.
AIG
"ILL %DRINGTON Vice President, Stop Loss Distribution 1200 Abernathy Road NE, Building 600, 8th Floor Atlanta, GA 30328 - United States PHONE: (770) 548-3165 EMAIL: william.edrington@aig.com WEB: www.aig.com AIG’s Group Benefits business boasts a diverse portfolio of insurance products that can help plan sponsors with more than 50 covered lives, manage the risk of self-funding. These products include medical stop-loss, organ transplant, captive and Taft-Hartley solutions. Talk to us about your plan, we can help.
Brentwood Reinsurance Intermediaries, Inc. +EITH &AWCETT President P.O. Box 1949 Brentwood, TN 37024-1949 - United States PHONE: (800) 524-0604 EMAIL: brentre@bwood.com WEB: www.brentre.com
BrentRe is an independent reinsurance intermediary serving self-insurers, captives, MGUs and insurance companies. Our responsive personal service spans the spectrum of Life, Accident, Health, Casualty and Workers’ Compensation reinsurance.
Chubb Accident & Health
4AMMIE -ORSE Area Vice President, Health Risk Management 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 - United States PHONE: (732) 945-2318 EMAIL: tammie.morse@chubb.com WEB: www.chubb.com/accident Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
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Chubb Accident & Health
*AMES 7ALLOGA Executive Vice President North America Accident & Health 1133 Avenue of the Americas New York City, NY 10036 - United States PHONE: (212) 703-7197 EMAIL: james.walloga@chubb.com WEB: www.chubb.com/accident
Chubb Accident & Health
*AEDE "ARG Senior Vice President, A&H Programs 595 Shrewsbury Avenue, Suite 205 Shrewsbury, NJ 07702 - United States PHONE: (732) 945-2302 EMAIL: jaede.barg@chubb.com WEB: www.chubb.com/accident Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
Considine & Associates HealthClaim SolutionsÂŽ
Considine & Associates HealthClaim SolutionsŽ provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Midlands Management Corp. 2ICHARD "IRD Chief Operating Officer 3817 Northwest Expressway Oklahoma City, OK 73112 - United States PHONE: (800) 800-4007 EMAIL: rbird@midman.com WEB: www.midlandsmgt.com
Midlands, a full-service MGU and coverholder at Lloyd’s, is an industry-leading provider of insurance products and services, with specialty in excess workers’ compensation. Shaped by values and backed by expertise, Midlands delivers superior program management capabilities, and innovative and effective insurance solutions.
888.394.5688
0 # 7/2+%23 #/-0%.3!4)/. #!04)6%3
*IM #ONSIDINE -$ -"! 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
4 MGU/EXCESS INSURANCE CARRIERS
Chubb USA Accident & Health Division is committed to responding to the special needs of our customers with insurance solutions that provide greater stability in an ever-changing accident and health marketplace. We serve six broad customer segments: Corporate Global Risk, Scholastic Global Risk, Employee Benefits, Special Risk, Affinity Solutions and Workers’ Occupational Accident.
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Midwest Employers Casualty
4
2ENEE ,UNCEFORD Assistant Vice President of Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 - United States PHONE: (636) 449-7000 EMAIL: rlunceford@mwecc.com WEB: www.mwecc.com
MGU/EXCESS INSURANCE CARRIERS
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.
Safety National
4OM 'ROVE Vice President - Business Development 1832 Schuetz Road St. Louis, MO 63146 - United States PHONE: (888) 995-5300 EMAIL: tom.grove@safetynational.com WEB: www.safetynational.com Safety National is a leading provider of alternative risk funding products such as excess workers’ compensation, deductible casualty, loss portfolio transfers and reinsurance. Safety National is a member of the Tokio Marine Group and is rated “A+� (Superior), FSC XIV by A.M. Best. Learn more at www.safetynational.com.
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MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
A NEW WORLD MEDICAL NETWORK #ATHY .ENNINGER President and Chief Executive Officer 501 North Orlando, Suite 313-161 Winter Park, FL 32792 - United States PHONE: (631) 909-8538 EMAIL: cnenninger@newworldmedicalnetwork.com WEB: www.newpatient.net
The only Domestic Medical Tourism company with a deeply discounted all-inclusive cost (rolling in all travel and medical) that can save organizations approximately $1 million annually per 5000+ covered lives when fully implemented and utilized. The One Price Healthcare(TM) savings platform provides all pertinent elements to make this a successful program for your group and as an Employer, you know the cost before the employee ever goes for the procedure. Pay the same reliable price, for every apples-to-apples procedure, every time. This plan can be added to your summary document at any time of the year and you don’t have to wait for open enrollment so you can get started with the savings that convert directly to bottom line this year.
Advanced Medical Strategies 3TACY "ORANS Founder/Chief Medical Officer 50 Salem Street, Building A, Suite 108 Lynnfield, MA 01940 - United States PHONE: (781) 224-9711 EMAIL: lbelschner@mdstrat.com WEB: www.mdstrat.com
AMS is an industry leader in delivering technology-driven solutions for payment integrity, risk management, and high dollar claims issues. AMS solves critically important strategic problems of medical claims payers with predictive analytical software and decision support services.
BridgeHealth
,AURA #ASANOVA Director of Marketing & Communications 6000 East Evans Avenue Denver, CO 80222 - United States PHONE: (303) 457-5734 EMAIL: lcasanova@bridgehealth.com WEB: www.bridgehealth.com BridgeHealth provides access to a nationwide network of COEs offering pre-negotiated case rates for planned surgeries. Clients receive the best possible value: high quality and low cost. Members receive concierge-level service to obtain second opinions, schedule surgery, and arrange travel. Savings are typically 20-40% versus traditional PPO rates.
Cancer Treatment Centers of America 'EORGE +ELLY National Manager, Business Markets 500 Remington Road Schaumburg, IL 60173 - United States PHONE: (224) 339-0419 EMAIL: george.kelly@ctca-hope.com WEB: www.cancercenter.com
Cancer Treatment Centers of America is a national hospital system with a collaborative and comprehensive approach to cancer care. We are a destination facility with five hospitals nationally. We work with self-insured employers, TPAs, Brokers and Networks through direct contracting to ensure their members have access to our cancer facilities.
888.394.5688
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CareHere, LLC
5
#HRIS -URPHY Key Account Manager 5141 Virginia Way, Suite 350 Brentwood, TN 37027 - United States PHONE: (615) 661-7818 EMAIL: cmurphy@carehere.com WEB: www.carehere.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
CareHere is an industry leader in providing on/near-site health and wellness centers with over 200 centers nationwide. We follow a patient-centered healthcare approach to integrate primary and chronic care, case/disease and medication management, occupational healthcare, workers’ compensation and much more. We are providing companies the means to decrease claims costs and give their employees quality and cost effective care.
Direct Health Delivery LLC
!DAM +HATTAB Co-Founder & Care Coordinator 23365 Hawthorne Boulevard., Suite 102 Torrance, CA 90505 - United States PHONE: (866) 343-4255 EMAIL: adam@directhealthdelivery.com WEB: www.directhealthdelivery.com A newly adopted cost containment healthcare solution, DHD provides an all-inclusive coordination of care service for patients, providers, and payers. DHD focuses on the minimization of cost and simplification of healthcare services by utilizing a bundled, pre-arranged, and transparent cash pricing model.
EHE
*ET "LIZZARD Director Business Development 10 Rockefeller Center, 4th Floor New York, NY 10020 - United States PHONE: (407) 252-7602 EMAIL: jblizzard@eheintl.com WEB: www.eheintl.com EHE is a comprehensive health and well-being solution that provides early detection of disease through life changing annual health exams and ongoing well-being services. The EHE program is delivered nationally at EHE’s Centers of Excellence in Preventive Healthcare located in proximity to employees and dependents. Services are delivered in a year long program that includes annual preventive exams, enhanced care coordination, health coaching and wide range of well-being programs. Founded in 1913, EHE is the oldest and largest provider of preventive healthcare services with over 40,000 comprehensive physicals provided annually which inspire better outcomes and lower healthcare costs.
Exceedent
4ODD +UEHL National Vice President of Sales W129 N7055 Northfield Drive Menomonee Falls, WI 53051 - United States PHONE: (844) 532-5200 EMAIL: todd.kuehl@exceedenthealth.com WEB: www.exceedenthealth.com Exceedent is an innovative full-service third-party administrator (TPA) that specializes in serving self-funded employers locally and nationally. Exceedent delivers an optimized health and wellness planning experience that provides employers with assets and solutions they should expect from their health care benefit administrator.
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888.394.5688
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Exclusive Surgeries Solutions, LLC
5
3UZANNE 7EBB Chief Executive Officer 8671 W Union Hills, Suite #503 Peoria, AZ 85382 – United States PHONE: (602) 561-4004 EMAIL: suzannew@esurgeries.com WEB: www.esurgeries.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
Our Solution is for self-insured Employers wanting to reduce planned surgical costs by 30-50% through pre-negotiated bundled case rates, price includes surgeon, anesthesia, implants, facility, and 90 day guarantee. Utilizing Ambulatory Surgery Centers has resulted in better outcomes due to their low infection rate, and better atmosphere. Esurgeries does surgery where the patient lives; no traveling required, better patient engagement.
Global Excel Management, Inc.
"ENJAMIN 4ABAH Product Development and Marketing 73 Queen Street Sherbrooke, Quebec, Canada, J1M 1N7 - Canada PHONE: (819) 437-2277 EMAIL: benjamin.tabah@globalexcel.com WEB: www.globalexcel.com Global Excel Management (GEM) has been a market leader in cost reduction and cost avoidance strategies in healthcare since 1996. GEM’s proprietary bill review software, network access and in-house negotiators combined with extensive clinical and legal expertise results in secure, market-leading savings. Contact us today for a free claims analysis.
Golden Triangle Specialty Network, LLC 3COTT 7ILLIAMS Vice President, Sales & Business Development P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
Celebrating 10 years as a leader in medical cost management! GTSN offers a preferred National Dialysis Network & Single Case Negotiations, Specialty Rx Cost Management Program & solutions for All Types of Out-of-Network claims including Reference Based Re-Pricing / MedicarePlus. Free case review, customized savings reports & a concierge touch.
Guardian Life Insurance Company of America "RUCE 'REEN Dental Network Leasing 2280 North Gateway Road Las Vegas, NV 89115 - United States PHONE: (866) 752-1885 EMAIL: bruce_green@glic.com WEB: www.guardiananytime.com
Guardian can provide access to its national, directly contracted dental network. Significant discounts in all areas. Fully credentialed providers.
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Celebrating 10 years of Medical Cost Management 2007 – 2017
Specialty Rx Cost Management Reference Based & Medicare-Plus Repricing Out of Network Claims
Scott E. Williams Vice President Sales & Business Development 615.712.6753 direct williamsS@gtspecnet.com
Hy F. Byrd Director Marketing & Business Development 615.712.6289 direct byrdH@gtspecnet.com
615.712.6174 Main 615.712.6831 Fax www.gtspecnet.com Golden Triangle Specialty Network, LLC. P.O. Box 272 Arrington, TN 37014 USA
Healthcare Highways
-ICHAEL 7ILSON Chief Executive Officer One Cowboys Way Frisco, TX 75034 - United States PHONE: (469) 850-2123 EMAIL: haley.dvoracek@healthcarehighways.com WEB: www.hchhealthplan.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
National Dialysis Network & Negotiations
5
Healthcare Highways is a fast-growing healthcare organization focused on creating the next generation of health plans and healthcare related companies. Healthcare Highways offers custom high value networks, lower cost/high quality health plans, PBM solutions, and small business health insurance. They deliver savings to employers, members, and providers through competition, choice, data insights, care coordination, and flexibility.
IHS - ClaimsBridge Direct 2OBERT 3CHMIDT President 1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States PHONE: (410) 349-3222 EMAIL: rschmidt@claimsbridge.com WEB: www.claimsbridge.com
ClaimsBridge Direct provides cost containment for self-funded plans through its custom provider networks using Medicare based direct contracts customized to the self-funded plan’s medical services need. ClaimsBridge Direct reduces the self-funded employer’s medical spend and growth trend, without the financial risk of large network or reference based (“no network”) solutions.
888.394.5688
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Johns Hopkins Occupational & Environmental Medicine
5
-ARK #REVELING Business Advisor 161 Wrights Mill Way Canton, GA 30115 - United States PHONE: (908) 759-7576 EMAIL: mcreveling@jhmi.edu WEB: www.johnshopkinssolutions.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
Our group interfaces Johns Hopkins technology with the commercial sector. Dr Bernacki heads our Workers’ Comp group which operates 55+ onsite clinics for private sector companies.
LifeTrac, Inc.
*OHN .OHNER "LACK Area Vice President of Sales 11100 Wayzata Boulevard Minneapolis, MN 55305 - United States PHONE: (763) 647-5035 EMAIL: jnohner@lifetracnetwork.com WEB: www.LifeTracNetwork.com LifeTrac provides transplant network and cost containment services to plans when members require transplantation or transplant adjacent therapies. With contracts at over 110 of the leading transplant facilities, LifeTrac leverages existing provider relationships, negotiation expertise, Web-based tools, and dedicated client service teams to secure impressive discounts for clients.
Midlands Choice, Inc.
,ISA *EWELL Business Development Specialist 8420 West Dodge Road, Suite 210 Omaha, NE 68114 - United States PHONE: (402) 390-7227 EMAIL: ljewell@midlandschoice.com WEB: www.midlandschoice.com Midlands Choice is a regional preferred provider organization (PPO) with a healthcare network of more than 34,000 physicians and other healthcare professionals, 326 hospitals, and 1,966 other healthcare facilities located in Nebraska, Iowa, South Dakota, as well as portions of Colorado, Wyoming, Kansas, Missouri, Illinois, Wisconsin and Minnesota.
MultiPlan
+URT &ULLMER Vice President, Sales & Account Management 222 West Las Colinas Boulevard Irving, TX 75039 - United States PHONE: (927) 884-1401 EMAIL: kurt.fullmer@multiplan.com WEB: www.multiplan.com MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clients’ needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
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MySpecialistMD
*ONATHAN 7IESEN MD 30680 Bainbridge Road Solon, OH 44139 - United States PHONE: (216) 297-9477 EMAIL: jwiesen@myspecialistmd.com WEB: www.myspecialistmd.com
One Call Care Management 2AY 4AMBORINI Director 20 Waterview Boulevard Parsippany, NJ 07054 - United States PHONE: (973) 418-1864 EMAIL: ray_tamborini@onecallcm.com WEB: www.onecallcm.com
Since 1993, One Call has been the preferred solution for ensuring access to high-quality radiology testing at lower cost for employees and employers. As the nation’s largest diagnostic imaging network, One Call Care Group Health offers PPO access to a specialty panel of high-quality radiology imaging centers nationwide.
Passport For Health, a Medical Travel Company 2OBERT 2EPKE President 236 West Portal Avenue, #353 San Francisco, CA 94127 - United States PHONE: (415) 845-4418 EMAIL: rrepke@globalmedconex.com WEB: www.passportforhealth.com
Passport for Health is a consumer focused International Medical Network concentrated in Latin America. Our Hospital providers are Fully Accredited and Doctors Board Certified. We specialize in work with self-funded health plans that wish to offer a medical travel option as part of their PPO. Our services include travel facilitation and full coordination with the Third Party Administrator.
Pay Yourself First – Global Telehealth
5 MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
MSMD is a primary, specialty and sub-specialty telemedicine provider. We provide telemedicine and second opinion consultations both nationally and internationally. Our innovative chronic disease management programs improve outcomes and lower costs while engaging patients to participate in their own healthcare.
!UGUSTEEN #OWAN 206 North Washington Street, #B11 Alexandria, VA 22314 – United States PHONE: (202) 246-2095 EMAIL: acowan@pyftelehealth.com WEB: www.pyftelehealth.com
We specialize in strategic, integrated, and successful telemedicine solutions including our no upfront capital expenditure model. Whether your client is fully insured or self-insured, our unique solutions provide an essential component that all modern quality healthcare programs must include—cost effective—fully integrated telemedicine.
ProviDRs Care
+AREN #OX Chief Executive Officer 1102 S. Hillside Wichita, KS 67211 - United States PHONE: (316) 683-0665 EMAIL: karencox@providrscare.net WEB: www.ProviDRsCare.net ProviDRs Care (formerly known as WPPA, Inc.) is a physician owned PPO network serving the state of Kansas since 1985. The network, leased by insurance companies and self-funded plans, works in partnership with insurance agents, brokers, payers, employers, healthcare providers and facilities to deliver cost-effective health services.
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Redirect Health
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$AVID 3LEPAK Director of Business Development 13430 North Scottsdale Road, Suite 200 Scottsdale, AZ 85254 - United States PHONE: (888) 995-4945 EMAIL: david.slepak@redirecthealth.com WEB: www.redirecthealth.com
MEDICAL PROVIDER NETWORKS/ONSITE CLINICS
Redirect Health helps small/midsized businesses and their brokers build affordable healthcare plans using a self-insurance model. The company also provides concierge support to help members navigate a complex healthcare system and get the care they really need, at a price they can really afford.
Synartis
#HRIS *OHNSTON Chief Executive Officer 1110 Northchase Parkway SE, Suite 180 Marietta, GA 30067 - United States PHONE: (404) 241-3400 EMAIL: cbj@synartis.net WEB: www.synartis.net Synartis provides customized workers’ compensation cost containment and negotiation platforms with orthopedic and out-patient surgery centers, on-demand, for insurers, TPAs, captives, and self-funded employers throughout the southeast.
The Alliance
4IERNEY !NDERSON Senior Marketing & Events Specialist 5510 Nobel Drive Fitchburg, WI 53711 - United States PHONE: (608) 210-6642 EMAIL: tanderson@the-alliance.org WEB: www.the-alliance.org An employer-owned, not-for-profit cooperative, our more than 240 members, provides coverage to more than 85,000 individuals in Wisconsin, Illinois and Iowa. We use our purchasing power to negotiate with and provide access to an extensive network of doctors and hospitals that are paid to improve quality by performing better not doing more.
Zelis Healthcare
0ATRICK / +EEFE Executive Vice President, Chief Commercial Officer 2 Crossroads Drive Bedminster, NJ 07106 - United States PHONE: (908) 340-6871 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com Zelis™ is a healthcare information technology company and market-leader of comprehensive end-to-end healthcare cost management and payments solutions. Unique in the industry, Zelis focuses on network solutions and analytics, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide.
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TECHNOLOGY VENDORS
ACA GPS, LLC
4RISH -OYNIHAN Director of Public Relations, Sales & Marketing 107 Pilgrim Village Drive, Suite 100 Cumming, GA 30040 - United States PHONE: (470) 239-5524 EMAIL: trish.moynihan@acagps.com WEB: www.acagps.com ACA GPS, LLC develops cloud based, secure software solutions to help employers, insurance companies, and government entities comply with regulatory reporting requirements and minimize exposure to penalties. SaaS solutions include Affordable Care Act Tracking and Reporting, Dependent Verification Audits, and EEO-1 Compilation & Filing. Visit www.acagps.com to learn more.
AdminaHealth
!RTHUR *ONOKUCHI Chief Executive Officer 500 West Putnam Avenue Greeenwich, CT 06830 - United States PHONE: (203) 973-7501 EMAIL: a.jonokuchi@adminahealth.com WEB: www.adminahealth.com AdminaHealth’s easy to use healthcare plan administration software supports HR, C-Suite and Finance teams. Our secure, cloud-based software facilitates payments to vendors (stop-loss, medical, Rx, dental, etc.) and eliminates manual entries. Avoid errors, save time and money. AdminaHealth’s technology provides real-time reporting, transparency for auditing, and forecasting tools for budgeting.
Advanced Plan for Health (APH) 4ONY 'UEVARA Project Manager/Marketing 1320 Greenway Drive Irving, TX 75058 - United States PHONE: (888) 600-7566 EMAIL: tonyguevara@mypoindexter.com WEB: www.mypoindexter.com
Since 2004, APH has delivered powerful customized solutions to mitigate rising healthcare costs. APH provides brokers, employers, TPA’s and others clear insight into their plans performance. APH leverages custom-built technology and data mining to identify actionable strategies to contain costs and improve the health of plan members.
Beacon Technologies Group, Inc. -ARK *OHN Co-Founder, Director 6510 Telecom Drive Indianapolis, IN 46278 - United States PHONE: (317) 705-0500 EMAIL: mjohn@beaconspyglass.com WEB: www.beaconspyglass.com
With a fully cloud-based solution, Beacon offers SpyGlass, to make benefit and plan setup remarkably straightforward and giving you control of claims processing. Spyglass Software, paired with HIPAA Director and Compass Code Edits, allows you to spend less time on manual workarounds and more time with your customers.
888.394.5688
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Benefit Indemnity Corporation 2ODGER "AYNE The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build & distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
#ARRIE .YE Marketing Communications Specialist 92 Wall Street Madison, CT 06443 - United States PHONE: (203) 453-3999 Ext. 116 EMAIL: cnye@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.
Cognizant Technology Solutions
TECHNOLOGY VENDORS
Clarity Software Solutions, Inc.
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,AURA 'ERLING Director, Product Management 9655 Maroon Circle Englewood, CO 80112 - United States PHONE: (640) 428-5207 EMAIL: laura.gerling@cognizant.com WEB: www.cognizant.com
Cognizant is a leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run innovative and efficient businesses. Cognizant’s TriZetto Healthcare Products software solutions help enhance revenue growth, drive administrative efficiency, and improve cost and quality of care.
Complete Health Systems, LC #AROLYN *ONKER 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
Since 1990, CHS has been providing Health Claims Administration, Adjudication and Premium Billing systems. Our Windows based offering, includes a real-time web portal and the new HITRUST™ certified CHS Hosted Security Services™ option. We make it easier for you to do business!
ECHO Health, Inc.
4OM $AVIS Vice President Strategy & Business Development 868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@EchoHealthinc.com WEB: www.EchoHealthinc.com Founded in 1997, ECHO® is one of America’s leading providers of electronic payment solutions, serving over 75,000 companies, processing more than 60 million payment transactions and paying over $16 billion annually. Our patented INTELLIGENT ROUTER® process dramatically reduces client costs while transforming their payment delivery system from day one.
[61]
Encompass Medical Management (Emmdata)
6
$ON (UGHES President 8009 Dark Valley Cove Austin, TX 78737 - United States PHONE: (512) 731-1897 EMAIL: donhughes@emmdata.com WEB: www.emmdata.com
TECHNOLOGY VENDORS
Emmdata turns data into usable information. We specialize in big data solutions for both health plans and provider organizations. We provide current use and predictive models to analyze patients and members. We also provide and support tele-monitoring services and support and create behavioral health specialty networks.
Family Care Path, Inc.
4IM -ORRIS Vice President Sales 1801 East Ninth Street Cleveland, OH 44114 - United States PHONE: (770) 256-2653 EMAIL: tmorris@familycarepath.com WEB: www.familycarepath.com We provide a clinical decision support tool named My Legacy, developed within the Cleveland Clinic. Once the health history is entered, My Legacy uses proprietary patent pending algorithms to stratify the patients risks for up to 12 disease states. The report provides the patients risks and propensity for certain genetic diseases. Board Certified genetic counselors provide risks and benefits of specific genetic tests via secure worldwide video telemedicine network.
FormFire
0ETER !NALORE Vice President of Operations 1100 Superior Avenue Cleveland, OH 44114 - United States PHONE: (216) 678-9129 EMAIL: peter@formfire.com WEB: www.formfire.com FormFire’s Quote, Sell, Enroll™ platform is the preferred technology solution for selling and underwriting self-funded products. The platform allows for the end-to-end processing of self-funded plans, including MEWAs and association health plans. Whether you’re a broker or carrier, we have solutions that will help you achieve your business objectives.
GHE, Health Analytic Technologies ,AWRENCE &ORD Vice President 43 Sylvan Way Wells, ME 04090 - United States PHONE: (207) 360-2181 EMAIL: larry.ford@ghe-inc.com WEB: www.ghe-inc.com
GHE, Health Analytic Technologies, is a national leader in providing digital and SaaS based consumer transparency, provider profiling, predictive modeling and analytic applications. Our solutions will optimize your business model and help your customers choose, improve and save on their healthcare.
Health Portal Solutions
*AMES "URKHOLDER President & Chief Executive Officer 11550 IH 10 West, Suite 220 San Antonio, TX 78230 - United States PHONE: (210) 641-7715 EMAIL: jburkholder@hpsglobal.net WEB: www.hpsglobal.net
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Health Portal Solutions – a provider of custom, integrated web portals – boosts Payer efficiencies by consolidating insurance, benefits, wellness, and other healthcare programs into a single portal. Payers trust HPS to organize their disparate data and vendors into a private labeled portal that helps them communicate and manage their business operations.
Health Solutions Plus, Inc. #AROL "ENNETT Vice President Marketing 48 South Service Road, Suite 301 Melville, NY 11747 - United States PHONE: (631) 249-1444 Ext. 1444 EMAIL: cbennett@hspweb.com WEB: www.hspweb.com
Healthx
$WIGHT +LUNZINGER Vice President, Account Management 9339 Priority Way West Drive, Suite 150 Indianapolis, IN 46240 - United States PHONE: (317) 218-0605 EMAIL: dklunzinger@healthx.com WEB: www.healthx.com Healthx helps payers reduce costs and successfully compete in the changing world of healthcare by delivering the leading member engagement and provider collaboration solution. We work with our customers to drive online portal and mobile app utilization to reduce administrative costs, drive greater ROI and improve health outcomes.
6 TECHNOLOGY VENDORS
Health Solutions Plus is a provider of the most mature and comprehensive TPA and Payer core administration software solution in the industry. The HSP Payer Suite has a proven track record with lowering costs as clients grow their businesses across multiple lines of business including commercial, Medicaid and Medicare Advantage.
IHS - ClaimsBridge Direct 2OBERT 3CHMIDT President 1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States PHONE: (410) 349-3222 EMAIL: rschmidt@claimsbridge.com WEB: www.claimsbridge.com
ClaimsBridge Direct provides cost containment for self-funded plans through its custom provider networks using Medicare based direct contracts customized to the self-funded plan’s medical services need. ClaimsBridge Direct reduces the self-funded employer’s medical spend and growth trend, without the financial risk of large network or reference based (“no network”) solutions.
JMS and Associates, Inc.
&RANK 'IGLIOTTI Chief Executive Officer 37735 Enterprise Court, Suite 600 Farmington Hills, MI 48331 - United States PHONE: (248) 489-8888 EMAIL: frankg@jmsassoc.com WEB: www.jmsassoc.com JMS & Associates is a global information management company focused on providing Business Process Outsourcing (BPO) services to the health care industry, specializing in the frontend paper claim conversion to electronic format and online data entry services directly into the clients adjudication systems. Other health care solutions include manual and automated repricing of claims, mail room and scanning services. We also provide Claims Adjudication, Audit Services, Plan Building and testing, Dependent Audits and Call Center capabilities.
888.394.5688
[63]
Luminous Development Group, LLC
6
6IRGINIA ,EVI Chief Executive Officer 2930 Kerry Forest Parkway, Suite 202 Tallahassee, FL 32309 – United States PHONE: (401) 226-4048 EMAIL: virginia.levi@luminous-dev.com WEB: www.luminous-dev.com
TECHNOLOGY VENDORS
Luminous Development Group provides top tier professional consulting services and leading software solutions focused on assisting healthcare payers and their vendor partners optimize their technology investments to drive improved business results. Our signature technology, the Luminous DataBridge, is an enterprise data translation utility that serves as a “hub” centralizing and streamlining data exchange and transformation, dramatically reducing operational overhead and IT developer expense.
MedVision, Inc.
!LBERT 3OSA Chief Executive Officer 3233 North Arlington Heights Road, Suite 307 Arlington Heights, IL 60004 - United States PHONE: (805) 827-8285 EMAIL: alberts@quickcap.net WEB: www.medvision-solutions.com MedVision is a software developer in healthcare business. It designs integrated solutions in a modular approach to streamline business processes. MedVision’s products are used for care coordination, population health and processes in benefit and claim adjudication. Automation processes can be used in IPA, MSO, TPA, PHO, IDN, FQHC, Health Plan and Self-Insured environments in administering health benefits and managed care programs.
OneArk Suite
4IM 3ANDERSON Director of US Sales 6 Metro Office Park, Suite 100 Guaynabo, 00968 - Puerto Rico PHONE: (787) 522-5252 EMAIL: tsanderson@onearksuite.com WEB: www.onearksuite.com OneArk Suite is a flexible, user-friendly, pharmacy claims processing platform enabling PBMs as well as TPAs, health plans, and large groups to manage complex pharmacy benefit plans, PAs, formularies and networks. Gain competitive advantage and increase profitability with advanced capabilities from the easiest to use PBM platform available.
PLEXIS Healthcare Systems 3TACI / 3HEA Inside Sales Representative 931 Chevy Way Medford, OR 97504 - United States PHONE: (877) 475-3947 EMAIL: info@plexishealth.com WEB: www.plexishealth.com
PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers, TPAs, and employer groups around the globe. PLEXIS empowers the business of healthcare, igniting growth, innovation, and efficiencies across diverse business lines for payer organizations.
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www.sipconline.net
6 TECHNOLOGY VENDORS
PriceMDs
-ARK $AVENPORT Senior Vice President Sales 720 Brooker Creek Boulevard Oldsmar, FL 34677-2937 - United States PHONE: (813) 818-4531 EMAIL: nick@pricemds.com WEB: www.pricemds.com PriceMDs is a Florida-based healthcare insurance technology company that offers innovative cost saving surgical benefit management solutions for self-insured insurance plans and for companies directly.
RedCard
%RIC 3CHAEFER President 744 Office Parkway St. Louis, MO 63141 - United States PHONE: (314) 445-6000 EMAIL: eschaefer@redcard.com WEB: www.redcard.com RedCard provides data management and BPO services for the production of printed or electronic documents, including checks, EOBs, enrollment materials, electronic payments, ID Cards, and letters. RedCard utilizes its proprietary DOCSÂŽ system to manage all facets of these communications with innovative document designs in full color. DOCSÂŽ is the single largest document processing platform in healthcare, and it enables payers to enjoy substantial savings while creating an enhanced member/provider experience.
888.394.5688
[65]
Technology & Services for the Insurance Industry
Serving as a bridge between INSURANCE PROS and TECH GURUS. We love connecting people in the insurance industry to technology services that elevate their ability to perform both routine and complex tasks. This includes products we have deployed and conceptual ideas our clients bring to us that need nurturing to materialize.
888.663.6503 | skyinsurancetech.com
We Talk Insurance. We Talk Tech.
Featuring: Population Health, Cost Projections and Dashboard Analytics.
www.selfinsuredreporting.com
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www.sipconline.net
Sky Insurance Technologies 4RENTON (IOTT Chief Marketing Officer 18 Interchange Boulevard, Suite A Greenville, SC 29615 - United States PHONE: (844) 227-9883 EMAIL: trent@skyinsurancetech.com WEB: www.skyinsurancetech.com
The Phia Group, LLC
!DAM 2USSO %SQ Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 – United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com The Phia Group, LLC is an experienced cost containment firm, combining innovative technologies, legal expertise, and focused, flexible customer service. A pioneer in the healthcare benefits marketplace, The Phia Group is truly Empowering Plans; providing industry leading consultation, plan drafting, subrogation and other cost containment solutions.
6 TECHNOLOGY VENDORS
We help insurance professionals grow their businesses by providing industry specific technology products supported by an expertly trained team. Decades of experience in workplace benefits has proven invaluable in understanding the complexities of the industry. Our custom designed solutions are intended to significantly simplify routine complex tasks.
Viveka Health
,AURENT ,AOR Chief Executive Officer 104 West 14th Street New York, NY 10010 – United States PHONE: (844) 4VIVEKA EMAIL: laurent@vivekahealth.com WEB: www.vivekahealth.com Viveka Health is a leading technology vendor of healthcare and retirement benefits solutions. Our platform which includes tools such as Fraud, Waste and Abuse detection, HSA, COBRA, MSP, and Dependent Audit can reduce your overall claim and claim administration expenses by up to 20%.
Windsor Strategy Solutions, LLC. 4ODD /WEN Chief Executive Officer 777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 EMAIL: towen@windsorstrategy.solutions WEB: www.windsorstrategy.solutions
WSS develops cutting edge software for employee benefits professionals who want powerful, easy to use solutions that deepen their understanding and consulting capabilities for their client’s health benefits plans. Our Health Benefits Consulting Suite and Actuarial Advisor rating manual are used by consultants, brokers, TPAs, MGUs, re-insurers, stop-loss carriers and consulting actuaries.
888.394.5688
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XeoHealth
6
#HARLES "RYAN Senior Vice President of Sales and Marketing 241 East 4th Street Frederick, MD 21701 - United States PHONE: (301) 685-6517 Ext. 1017 EMAIL: charlesb@xeohealth.com WEB: www.xeohealth.com
TECHNOLOGY VENDORS
XeoHealth specializes in healthcare claims adjudication. Our objective is to enable our clients to provide flexible solutions and accommodate the multifaceted business requirements necessitated by complex benefit design and alternative payment models, ultimately reducing administrative costs. XeoHealth’s technology founded internationally has provided online real-time claims solutions for over 18 years.
Young Consulting, Inc.
$AVID 9OUNG President 1945 The Exchange, Suite 100 Atlanta, GA 30339 – United States PHONE: (770) 321-9818 EMAIL: dyoung@youngconsulting.com WEB: www.youngconsulting.com Young Consulting is the leading provider of software solutions to the employer stop-loss marketplace. We develop integrated software solutions to assist in the marketing, underwriting, and administration of medical stop-loss insurance for both carriers and third party administrators. With our ESLOffice solution, carriers effectively manage underwriting, policy administration, premium accounting, claims adjudication, reinsurance and block reporting. Third party administrators can manage the marketing and solicitation of stop-loss quotes, client services, funding, claim recovery and reporting, benefit plan schedules and client implementation with our tpaAdvantage solution.
Zebu Compliance Solutions &RANCESCA (ARTOP Chief Executive Officer 609 2nd Street Portsmouth, OH 45662 - United States PHONE: (888) 395-9029 EMAIL: sales@zebucompliancecom WEB: www.zebucompliance.com
Zebu Compliance Solutions - improving claim scrubbing, medical claim accuracy and efficiency, and managing the exclusion, sanction, credentialing and licensing process, with simple, actionable results that improve the full claim cycle from provider to payer. We’ll be the compliance experts, so you don’t have to be! Woman founded and owned since 1999, employee operated in Ohio with 100% in-house development, content, and support.
Zelis Healthcare
0ATRICK / +EEFE Executive Vice President, Chief Commercial Officer 2 Crossroads Drive Bedminster, NJ 07106 - United States PHONE: (908) 340-6871 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com Zelis™ is a healthcare information technology company and market-leader of comprehensive end-to-end healthcare cost management and payments solutions. Unique in the industry, Zelis focuses on network solutions and analytics, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide.
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www.sipconline.net
3 %#4) / .
7
BROKER/CONSULTANTS
A & M International Health Plans, LLC *OSEPH !NTONELL Chief Executive Officer/President 484 St. Andrews Road Beech Mountain, NC 28604 - United States PHONE: (305) 342-5387 EMAIL: jmvantonell@aandmihp.com WEB: www.aandmihp.com
We are an experienced, integrated group of medical cost management experts who can advise and provide services to save on your claim dollars, including: medical bill review, auditing, fee mediation, case management and member assistance with medical care, network access and development and other related services for claims payors and insurers-within the US and abroad. Our staff of international domestic industry experts, nurses and physicians are ready and on 24 hour call. Nosotros hablamos espanol and we speak several languages in addition to Spanish.
AmWINS Group Benefits
3ARAH 2UCKNO #LEARY Senior Marketing Project Mananger 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
Aon Benfield - Accident, Health and Life "OB "LACK Executive Managing Director 200 East Randolph Street, 11th Floor Chicago, IL 60601 - United States PHONE: (312) 381-5344 EMAIL: Robert.Black@AonBenfield.com WEB: www.aonbenfield.com
Aon Benfield, an industry leading intermediary delivers innovative risk, capital and program solutions for Accident, Health, Life and Disability. We help (re)insurers, MGUs, TPAs, MCOs, ACOs, captives, and other risk takers expand their partnerships, analyze and manage exposures, achieve profitable growth and diversification (including M&A) and design optimal risk structures.
Benefit Dynamics, Co.
!LLISON *OHNSON President 5575 Tech Center Drive, #103 Colorado Springs, CO 80919 - United States PHONE: (719) 575-0411 EMAIL: ajohnson@benedyn.com WEB: www.benedyn.com Benefit Dynamics, Co. is an exclusive Broker Concierge Organization. We work with the Broker/Consultant community to offer specialized programs, back office support, and competitive stop-loss quotes.
888.394.5688
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Benefit Indemnity Corporation
7
2ODGER "AYNE The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
BROKERS/CONSULTANTS
Benefit Indemnity is a broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
Canyon Re
-ICHAEL -ELNIK Managing Director 1400 Buford Highway, Suite A-3 Buford, GA 30518 - United States PHONE: (770) 614-1636 EMAIL: mmelnik@canyonre.com WEB: www.canyonre.com Canyon RE, LLC is a brokerage/consulting entity focusing on group medical excess-loss and special risks within partially self-funded group benefits arena.
Castelloe Partners, LLC *ERRY #ASTELLOE Principal 6029 Sharon Road Charlotte, NC 28210 - United States PHONE: (704) 572-0730 EMAIL: jerry@castelloepartners.com WEB: www.Castelloepartners.com
Castelloe Partners, LLC focuses on assisting employers and service providers with navigating the complexities within the self-funded healthcare marketplace, using the expertise, experience and relationships built during 35 years of industry involvement.
CGI
"RIAN #IEPLY Vice President 16 Executive Court South Barrington, IL 60010 - United States PHONE: (847) 713-4700 EMAIL: bcieply@cgi-illinois.com WEB: www.cgi-illinois.com With over 100 years of combined industry experience, Commercial Group Intermediaries (CGI) has built a reputation for marketing stop-loss coverage, employee benefits, and specialty risk products to the Brokerage, Consulting, and Third Party Administrator communities. CGI will help you find the best plans to meet the needs of employers with 50 or more covered employees. At CGI, our objective is to offer you the best marketing tools available in the market to help you ultimately produce sales for your organization.
Connect Healthcare Collaboration 3ALLY 0ACE Chief Executive Officer 5100 Poplar Avenue Memphis, TN 38119 - United States PHONE: (901) 409-2048 EMAIL: space@connecthealthcollaboration.com WEB: www.connecthealthcollaboration.com
At Connect Healthcare Collaboration, we believe it’s time to view healthcare differently. Our proprietary platform encourages the preemptive engagement and proactive management necessary to anticipate healthcare challenges and costs before they occur. In turn, we are improving an insured population’s overall health, reducing costs, eliminating wastage and extending lives.
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Considine & Associates HealthClaim SolutionsÂŽ *IM #ONSIDINE -$ -"! 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
Crystal Clear Rx
4IM 4HOMAS President 19753 East Pikes Peak Avenue, #G103 Parker, CO 80138 - United States PHONE: (720) 414-2749 EMAIL: tim.thomas@crystalclearrx.com WEB: www.crystalclearrx.com Crystal Clear Rx is a PBM consulting company specializing in saving clients up to 20% on Rx benefit costs. We combine years of industry expertise with unique and proprietary software to help create a level playing field, and allowing payors to understand and regain control of their Rx costs.
7 BROKERS/CONSULTANTS
Considine & Associates HealthClaim SolutionsŽ provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
D.W. Van Dyke & Co., Inc. 7ALTER 2OLAND Executive Vice President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPAs, MGUs and others. Product expertise in Life, Accident, Workers’ Comp, Self-Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
Excess Risk Solutions Inc
#HUCK /SBORNE President 1523 Dale Mabry Highway Lutz, FL 33548 - United States PHONE: (813) 289-2464 EMAIL: cosborne@ExcessRiskSolutions.com WEB: www.ExcessRiskSolutions.com Consulting Organization established to assist MGUs and Insurance Carriers with the Pre-Underwriting, Marketing, Sales of their Medical Stop-Loss or Excess Loss Insurance products through licensed TPAs, Association’s and Broker/Consultants located throughout the US. With 40+ years of Experience, We are an Industry Leader that Continues to Build/Maintain Trusted Legacy Relationships.
Hanover Stone Partners
*OHN * +ELLY #0#5 Managing Partner 260 Madison Avenue, 8th Floor New York, NY 10016 - United States PHONE: (646) 216-2181 EMAIL: john.kelly@hanoverstonepartners.com WEB: www.hanoverstonepartners.com Hanover Stone Partners provides risk consulting, risk management services and human capital consulting on a global scale through a network of professional, independent senior advisors and partner firms. HSP offers a wide array of specialized services to organizations of all sizes in the public, private, government and non-profit sectors.
888.394.5688
[71]
Hi-Tech Health, Inc.
7
-ICHAEL #ARRARA President 1500 Route 517 Hackettstown, NJ 07840 - United States PHONE: (908) 813-3440 EMAIL: mcarrara@hi-techhealth.com WEB: www.hi-techhealth.com
BROKERS/CONSULTANTS
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.
Insurance Professionals of AZ $AVID 3TEWART Principal 3521 East Brown Road, Suite 101 Mesa, AZ 85213 - United States PHONE: (480) 981-6338 EMAIL: dkstewart@insuranceproaz.com WEB: www.insuranceproaz.com
50+years of self-funding consulting for clients in western US.
J. Arthur Dail, Inc.
-ITCHELL "EARDEN Executive Vice President 6000 Fairview Road Charlotte, NC 28210 - United States PHONE: (704) 541-4711 EMAIL: mrbearden@jadail.com WEB: www.jadail.com From the beginning, J. Arthur Dail, Inc. has focused solely on employee benefit products and services. We believe that every client is unique and, as such, has unique employee benefit challenges and opportunities. That’s why we have dedicated ourselves to finding creative solutions for each client. Our company was established over 30 years ago to be one of character, which we define as, the belief in a system of absolute right and wrong, combined with the will to do what is right no matter what the cost. We feel confident that you will find this to be true of us today and together with knowledge, proven experience, teamwork and dedicated determination, we will help you make the decisions that will produce your desired results. We specialize in a claims analytic approach to benefit recommendations for clients with 100 to 30,000 plus benefit eligible employees.
Knight International Director of Taft Hartley 2UTH 'ILLAN 30 Braintree Hill Park, Suite 203 Braintree, MA 02184 - United States PHONE: (617) 960-7637 EMAIL: rgillan@knightint.com WEB: www.knightint.com
Knight International is a full service brokerage firm specializing in alternative funding products such as captives for both casualty and health benefits as well as medical stop-loss insurance. Knight is endorsed by the National Alliance of Health Care Coalitions and services hundreds of clients nationwide.
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www.sipconline.net
Unlock
Whether you’re looking at a claims administration system for the first time or are tired of navigating the complicated maze of your current system, Hi-Tech Health can provide a customized software solution which will eliminate your frustration and put you on the right path to success.
YOUR
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Whether your goal is to grow faster while competing with larger Third Party Administrators, streamline your paperwork, or simplify your billing services, we’ll work with you, one-on-one, in a fraction of the time it takes other software companies to get you started!
25
YEARS ou. ns as Individual as Y
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1990-2015
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888.394.5688
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Lawley Benefits Group
7
4HOMAS 2EVELAS Managing Partner 361 Delaware Avenue Buffalo, NY 14202 - United States PHONE: (716) 849-8252 EMAIL: bwhite@lawleyinsurance.com WEB: www.lawleyinsurance.com
BROKERS/CONSULTANTS
Lawley Benefits Group is a large, privately-held firm, providing employee benefits brokerage and consulting services to employers. The firm provides clients an entire team of specialists within one organization. As a division of Lawley Insurance, the firm has been recognized as one of the top 100 brokers in the U.S.
Med-Pay, Inc.
'ORDON +INNE President 1650 East Battlefield Road Springfield, MO 65804 - United States PHONE: (417) 886-6886 EMAIL: gkinne@med-pay.com WEB: www.med-pay.com Full service TPA, UR and Case Management. Full Service Benefit Brokerage Agency. Online enrollment and billing services.
Murray Securus
-AUREEN 0FEIFFENBERGER Vice President, Client Consulting 454 New Holland Avenue Lancaster, PA 17602 - United States PHONE: (717) 735-3070 EMAIL: mpfeiffenberger@murrayins.com WEB: www.murrayins.com Let’s get right to the bottom line – today’s employee benefits plan is expensive, complex, and time-consuming – with no easy solutions! We aim to reduce the cost of your current program while limiting potential legal and financial liabilities. Every company must deal with ever-increasing benefits costs, but with the help of our highly skilled benefits team, we will establish a benefits program tailored to your business.
New Horizon Insurance Solutions .IGEL 7ALLBANK President 2775 NW 45 Avenue, Suite 204-354 Ocala, Florida 34482 - United States PHONE: (305) 632-3334 EMAIL: nigelwallbank@msn.com WEB: www.NewHorizonInsuranceSolutions.com
New Horizon Insurance Solutions (NHIS) offers risk management, value-added health care insurance products and solutions to the individual and Association markets. NHIS strives to advise and guide clients to the best, most proven companies and individuals that can assist them reach their desired goals.
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Northshore International Insurance Services $AVID )VES 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
Oxford Insurance Brokers Ltd.
$OMINIC (AGGER Divisional Director 6 Bevis Marks London, England - United Kingdom PHONE: 44 (0) 20 7220 4196 EMAIL: Dominic.Hagger@OxfordInsuranceBrokers.com WEB: www.oxfordinsurancebrokers.co.uk Oxford is a Lloyd’s Broker, part of US Risk Insurance Group. The A&H / Casualty team has extensive experience in healthcare, including Stop Loss, Personal Accident, AD&D, Student Medical, STM, Travel and Government Programs - Medicaid, Medicare and Healthy Kids. Casualty includes Workers’ Compensation, Occupational Accident, Contingent Liability and Texas Non-Subscription.
7 BROKERS/CONSULTANTS
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.
Pancoast Benefits Inc.
0AT ,UND Vice President Group Benefits 4250 Hillsboro Road Nashville, TN 37215 - United States PHONE: (615) 292-3400 EMAIL: patl@pancoastbenefits.com WEB: www.pancoastbenefits.com Pancoast Benefits is a leading provider of benefits consulting. Our goal is to provide our clients with proven expertise in consulting with a strong commitment to administrative services and technology. You will find us committed to exceptional service with a focus on detail.
Professional Reinsurance Marketing Services, Inc. 4HOMAS "ELDING President 10917 Old River Trail Edmond, OK 73013 - United States PHONE: (405) 771-5115 EMAIL: tbelding2@cox.net
We provide marketing services representing a number of quality established MGUs and Reinsurance Carriers assisting Third Party Administrators in placing Medical Stop-Loss Insurance. We partner with various cost containment vendors to ensure they are saving their clients Claims Dollars thereby reducing the overall costs to their Plans. We also are General Agents for a number of carriers assisting Brokers with their Life, AD&D, Dental, STD, LTD and Vision Plans.
Re-Solutions, a Risk Strategies Company ,IZ -ARINER Senior Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.re-solutions.net
As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
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Renalogic
7
3HELLEY 'RACE Executive Vice President of Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (866) 265-1719 EMAIL: sgrace@renalogic.com WEB: www.renalogic.com
BROKERS/CONSULTANTS
Renalogic is a premier renal disease consulting firm, servicing the self-funded industry for over 14 years. In addition to proven cost containment services, Renalogic is a comprehensive provider of data-driven chronic kidney disease (CKD) care and cost management programs. These targeted programs consistently result in improved patient outcomes and deliver maximum savings to plans.
Resolution Reinsurance Intermediaries, LLC *EFFREY 0ARRISH President 4408 Forest Drive, Suite 202 Columbia, SC 29206 - United States PHONE: (803) 738-9088 EMAIL: jparrish@resolutionre.com WEB: www.resolutionre.com
ResRe specializes in traditional A&H and property reinsurance placements. We are also a leading producer and program manager for supplemental medical plans in the United States.
Don’t let risk take your Health Plan out. Find out how Renalogic’s CKD Management program can significantly reduce medical spend and halt members’ progression to dialysis. For those members in dialysis, Renalogic can save up to 78% off of full-billed dialysis charges, inclusive of fees.
One-Time & Monthly Data Analysis
Chronic Kidney Disease Management & Education
Dialysis Cost Containment
For a FREE Health Plan risk assessment, e-mail solutions@renalogic.com or call (866) 265-1719.
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Risk & Insurance Consulting Services, LLC *AMIE "ROWN Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com
Stop Loss Insurance Brokers, Inc. $ENISE $OYLE President 20 Park Plaza, Suite 628 Boston, MA 02116 - United States PHONE: (617) 542-1600 EMAIL: ddoyle@stoplossins.com WEB: www.stoplossins.com
Insurance Brokers specializing in the placement of Stop-Loss Insurance for Self-Funded employers. Full services include tracking, reporting and filing of all stop-loss claims.
Strategic Underwriting Solutions, LLC
7 BROKERS/CONSULTANTS
RICS is an independent reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Employer Groups, and Captives. Our strong commitment to service and relationships enables RICS to deliver exceptional risk and insurance solutions.
4HOMAS &RANK National Director of Sales and Marketing 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States PHONE: (630) 696-1875 EMAIL: tfrank@stratuw.com WEB: www.stratuw.com
Strategic Underwriting Solutions is a full-service MGU and consultant, providing a wide range of stop-loss products and services to the self-funded marketplace, with particular emphasis and unparalleled expertise in successfully bringing innovative level-funded solutions to smaller employer groups and easing the transition from fully insured plans. With 25+ years of experience, up-to-date technology and top-rated carrier and reinsurer partners, SUS offers “best-in-class� service and support to meet all your underwriting, compliance, and consulting needs.
The Phia Group, LLC
!DAM 2USSO %SQ Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com The Phia Group, LLC is an experienced cost containment firm, combining innovative technologies, legal expertise, and focused, flexible customer service. A pioneer in the healthcare benefits marketplace, The Phia Group is truly Empowering Plans; providing industry leading consultation, plan drafting, subrogation and other cost containment solutions.
Trean Reinsurance Services, LLC +YLE 0LATH 100 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kplath@treancorp.com WEB: www.treanre.com
Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation, and servicing; consultation to HMOs, MGUs, TPAs, and insurers on small group stop-loss development; and captive stop-loss development and implementation.
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UTILIZATION REVIEW/ CASE MANAGEMENT
CompAlliance
,INDA 6AN $ILLEN Vice President Communications 6700 Antioch Road Merriam, KS 66204 - United States PHONE: (913) 815-6162 EMAIL: lvandillen@compalliance.com WEB: www.CompAlliance.com CompAlliance, a URAC accredited medical and vocational case management provider is making a positive impact with our early intervention transitional duty, nurse triage programs and our opioid protocols. We support employers and injured workers in their efforts for a RTW as soon as medically appropriate in the most cost-effective manner.
Considine & Associates HealthClaim Solutions® *IM #ONSIDINE -$ -"! President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Health Information Designs +ATHLEEN 3ABO 391 Industry Drive Auburn, AL 36832-4274 - United States PHONE: (334) 466-3031 EMAIL: kathleen.sabo@hidesigns.com WEB: www.hidesigns.com
Health Information Designs provides independent and objective solutions for coverage determination, prior authorization, and drug utilization review. Today, we support the health of over 85 million Americans with efficient workflows, configurable processes, robust analytics, and high-touch customer service. Let HID help you stay in control of your drug spend without risking the health of your members.
Hines & Associates, Inc.
!NNA (ANSEN #3&3¸ Director of Sales 115 East Highland Avenue Elgin, IL 60120 - United States PHONE: (800) 735-1200 EMAIL: ahansen@hinesassoc.com WEB: www.hinesassoc.com Hines & Associates, Inc. celebrates 30 years! Independent, leader in Medical Management. Stop-Loss preferred due to Consistent Results. Customized services. Excellence in Total Population Management. Precertification, Advocacy and Care Coordination, Specialty Case Management, Healthy Tomorrows Prevention, Chronic Condition Management, Onsite Lab and Biometric Screenings; URAC accredited.
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Who guards your hen house? Drug pricing. Criteria development. Coverage determination. Dispensing. Many PBMs control all of the functions of the prescription drug process and often profit from drugs that are approved. This creates great opportunity for an imbalance in goal alignment between PBMs and the plans they serve. The impact of this misalignment on your plan is limited PA criteria, high approval rates, and higher ingredient costs.
It’s time to get the fox out of your hen house. sales@HIDesigns.com
866.689.0898
HIDesigns.com
@thePAexperts
888.394.5688
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MedWatch, LLC
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3ALLY !NN 0OLSON President 120 International Parkway Lake Mary, FL 32746 - United States PHONE: (703) 419-0414 EMAIL: sally-ann.polson@urmedwatch.com WEB: www.urmedwatch.com
UTILIZATION REVIEW/CASE MANAGEMENT
MedWatch provides comprehensive Population Health Management solutions, supported by our proprietary clinical/analytics software, designed to identify the at risk population, providing support, mitigating hospitalizations, ER-visits and other costly care. From IP/OP Care Management to Diabetic Monitoring, Telemedicine and Reference Base Pricing, MedWatch manages the care, assuring less costly, high quality outcomes.
MINES and Associates
$ANIĂ?L +IMLINGER Chief Executive Officer 10367 West Centennial Road Littleton, CO 80127 - United States PHONE: (800) 873-7138 EMAIL: info@minesandassociates.com WEB: www.minesandassociates.com MINES & Associates is a national behavioral healthcare firm with over 35 years experience providing cost-saving managed care and risk management strategies. Our Specialty Network of Behavioral Health providers reduces healthcare costs for organizations of any size or industry.
Nova Healthcare Administrators 4ODD -ARTIN 6400 Main Street Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com
Nova, specializing in employee benefit administration and delivering exceptional service since 1982, is a trusted advisor to over 600 clients. Nova partners with clients to provide a holistic, innovative, and cost-effective long-term plan to improve financial well-being and health outcomes. Nova provides a variety of customized solutions and private-labeled options.
Orchard Medical Consulting
#HELSEA 3EWARD Business Development Executive 3033 North Central Avenue Phoenix, AZ 85012 - United States PHONE: (602) 561-3325 EMAIL: jtincker@orchardmed.com WEB: www.orchardmed.com Orchard Medical Consulting is an industry leader for outcome driven case management and award winning customer service nationwide. As an unbundled case management provider, we offer services ranging from field case management and catastrophic assignment to return to work coordination; saving our workers’ compensation clients valuable time and money.
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Renalogic
3HELLEY 'RACE Executive Vice President of Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (866) 265-1719 EMAIL: sgrace@renalogic.com WEB: www.renalogic.com
Telligen
4ROY #OOK Vice President 1776 West Lakes Parkway West Des Moines, IA 50266 - United States PHONE: (515) 222-2402 EMAIL: tcook@telligen.com WEB: www.telligen.com For 45+ years, Telligen has empowered people to be healthier, more engaged, and more productive. Our clinical experts provide personalized solutions that positively impact human and financial resources by cultivating a culture of health and well-being leading to true measurable outcomes.
WorldCare International, Inc. 4INA +ARAS Vice President, Marketing 7 Bulfinch Place, Suite 301 Boston, MA 02114 - United States PHONE: (617) 250-5142 EMAIL: tkaras@worldcare.com WEB: www.worldcare.com
We improve medical outcomes worldwide by connecting people to 18,000+ specialists in the top-ranked hospitals of The WorldCare ConsortiumÂŽ to deliver medical second opinions. As the industry pioneer, our multi-disciplinary approach is unique. No one else delivers everything in one package: experience; superior level of clinical rigor and impact.
888.394.5688
8 UTILIZATION REVIEW/CASE MANAGEMENT
Renalogic is a premier renal disease consulting firm, servicing the self-funded industry for over 14 years. In addition to proven cost containment services, Renalogic is a comprehensive provider of data-driven chronic kidney disease (CKD) care and cost management programs. These targeted programs consistently result in improved patient outcomes and deliver maximum savings to plans.
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ATTORNEYS
Cattie, P.L.L.C.
*OHN #ATTIE Founding Member 226 South Laurel Avenue Charlotte, NC 28207 - United States PHONE: (704) 232-7297 EMAIL: jcattie@cattielaw.com WEB: www.cattielaw.com Cattie, PLLC is a law firm dedicated to minimizing/extinguishing our clients’ future medical exposure under the Medicare Secondary Payer Act by providing legal analysis and solutions to MSA concerns. Our clients can then close the file with confidence that the feds cannot collect another dime from them for future medicals.
Greenberg Traurig, LLP
&RED +ARLINSKY Co-Chair, Insurance Regulatory and Transactions 401 East Las Olas Boulevard., Suite 2000 Fort Lauderdale, FL 33301 - United States PHONE: (954) 768-8278 EMAIL: karlinskyf@gtlaw.com WEB: www.gtlaw.com Greenberg Traurig, LLP is an international, multi-practice law firm with approximately 2,000 attorneys serving clients from 38 offices in the United States, Latin America, Europe, Asia and the Middle East. Our Insurance Regulatory & Transactions Group meets the needs of clients from all segments of the insurance and reinsurance industry.
Kopka Pinkus Dolin, P.C. 2OBERT +OPKA 100 Lexington Drive Buffalo Grove, IL 60089 - United States PHONE: (847) 549-9611 EMAIL: rjkopka@kopkalaw.com WEB: www.kopkalaw.com
Kopka Pinkus Dolin, P.C. is a full service regional defense firm with five offices in Illinois, Indiana and Michigan. We represent insurers and self-insured companies in the defense of bodily injury, premises liability, personal injury, property damage, workers’ compensation, fraud, specialty, casualty, excess cases and more.
The Phia Group, LLC
!DAM 2USSO %SQ Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com The Phia Group, LLC is an experienced cost containment firm, combining innovative technologies, legal expertise, and focused, flexible customer service. A pioneer in the healthcare benefits marketplace, The Phia Group is truly Empowering Plans; providing industry leading consultation, plan drafting, subrogation and other cost containment solutions.
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WEBB & COYLE, PLLC
!LEX 7EBB Managing Partner 910 North Sandhills Boulevard (US Hwy. No. 1) Aberdeen, NC 28315 - United States PHONE: (910) 944-9555 EMAIL: alex@webbcoyle.com WEB: www.webbcoyle.com
WOOLSTON & TARTER, P.C. 4IM 4ARTER Tax Audit and Litigation Defense 2525 East Arizona Biltmore Circle PHOENIX, AZ 85016 - United States PHONE: (602) 532-9197 EMAIL: tim@woolston-tarter.com WEB: www.captivetax.com
9 ATTORNEYS
Tax and business planning boutique law firm with in-house CPA firm. Highly credentialed. Serves HNW individuals and businesses. Webb and Coyle were Founders of the NCCIA. Webb was also the first Chairman and Coyle is also a past Chairman. Significant captive presence. Represent first Protected Cell Company formed in NC. Resident director for many captives.
National IRS audit defense practice focusing on all aspects of captive tax audit defense, IRS Appeals settlement negotiations and U.S. Tax Court litigation. The firm is a leading captive tax defense firm, defending Avrahami and other captives and their owners from IRS scrutiny.
888.394.5688
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FINANCIAL SERVICES
Ansley Capital
%LLIOT -EENA Vice President 465 West Coleman Boulevard Charleston, SC 29464 - United States PHONE: (917) 697-8172 EMAIL: elliotmeena@ansleycapital.com WEB: www.ansleycapital.com Ansley Capital Group provides banking and consulting services to small and middle-market health services and health information technology companies.
Ansley Capital Group
2USSELL "URKS Managing Director 465 West Coleman Boulevard Mt. Pleasant, SC 29464 - United States PHONE: (630) 579-1683 EMAIL: russburks@ansleycapital.com WEB: www.ansleycapital.com Ansley Capital is a boutique investment bank for healthcare IT and IT enabled healthcare service businesses. Clients our customers typically provide services to self-funded employers. We specialize in mergers & acquisitions and capital raises.
Benefit Indemnity Corporation 2ODGER "AYNE The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
Dana Investment Advisors
$AVE -AZZA Director of Fixed Income Sales and Marketing 20700 Swenson Drive Waukesha, WI 53186 - United States PHONE: (262) 780-6086 EMAIL: davem@danainvestment.com WEB: www.danainvestment.com Dana Investment Advisors is an Asset Management firm that manages a broad range of public U.S. Equity and Fixed Income investment strategies for corporations, endowments, foundations, family offices and individuals. Our objective is straightforward: Deliver consistent excess returns with lower risk and provide clients with exceptional, personal and timely service.
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ECHO Health, Inc.
4OM $AVIS Vice President Strategy & Business Development 868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@EchoHealthinc.com WEB: www.EchoHealthinc.com
Madison Scottsdale
!NJANETTE &OWLER Managing Director/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 Managing assets for insurance companies, SIGs, Captives, RRGs and other risk transfer entities has been our sole focus for over 23 years. We provide customized Enterprise Risk balanced solutions in fixed income, equity, and alternative strategies built upon company specific financial and operational considerations, investment goals, and risk tolerances.
10 FINANCIAL SERVICES
Founded in 1997, ECHO® is one of America’s leading providers of electronic payment solutions, serving over 75,000 companies, processing more than 60 million payment transactions and paying over $16 billion annually. Our patented INTELLIGENT ROUTER® process dramatically reduces client costs while transforming their payment delivery system from day one.
Northshore International Insurance Services $AVID )VES 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.
Opus Investment Management, Inc. +EVIN 3EABURY Director Business Development 440 Lincoln Street Worcester, MA 01653 - United States PHONE: (508) 855-3112 EMAIL: kseabury@opusinvestment.com WEB: www.opusinvestment.com
Opus Investment Management’s culture, history and infrastructure are built on many years of experience managing insurance assets. We live in our clients’ world of complex regulatory issues, rating agency concerns and investment guidelines defined by statutory and operating constraints. Our mission, total performance, combines competitive investment results with exceptional service.
S&P Dow Jones Indices 'LENN $OODY Vice President 55 Water Street New York, NY 10041 - United States PHONE: (609) 520-7268 EMAIL: glenn.doody@spglobal.com WEB: www.spdji.com
S&P Dow Jones Indices, a division of S&P Global (NYSE: SPGI), is the largest provider of Healthcare Claims Indices that track cost and utilization trends across businesses by geography, healthcare type and incurred period. The indices consist of healthcare claims data from leading health insurance companies representing approximately 60 million covered individuals.
888.394.5688
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Excellence in Insurance Asset Management
Comprehensive investment solutions customized to fit your needs.
Expertise in managing for SIG, Captive, RRG and other risk transfer entities Enterprise Risk Management focused solutions
Fixed income, equity and alternatives expertise Direct interface with portfolio managers 24/7 online investment and statutory accounting
800-767-8020 | 480-596-3338 info@madisonascottsdale.com | madisonscottsdale.com Madison Scottsdale is the insurance asset management division of Madison Investment Advisors, LLC.
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Ventanex
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4ODD (ARBISON Chief Revenue Officer 5830 Crescent Drive, Suite 100 The Colony, TX 75056 - United States PHONE: (888) 321-3249 EMAIL: tharbison@ventanex.com WEB: www.ventanex.com
FINANCIAL SERVICES
Because we’ve worked in health care for decades, we understand the unique payment and service challenges you face as a health plan, third-party administrator or self-funded employer. Ventanex LIFT is the only transaction technology provider that lets you receive payments from members and pay providers and other vendors—with integrated messaging, total real-time tracking, flexible, friendly customer service and complete compliance. No switching between systems to resolve issues or clumsy manual interfaces—just smooth sailing for you and the people you serve.
Zelis Healthcare
0ATRICK / +EEFE Executive Vice President, Chief Commercial Officer 2 Crossroads Drive Bedminster, NJ 07106 - United States PHONE: (908) 340-6871 EMAIL: patrick.okeefe@zelis.com WEB: www.zelis.com Zelis™ is a healthcare information technology company and market-leader of comprehensive end-to-end healthcare cost management and payments solutions. Unique in the industry, Zelis focuses on network solutions and analytics, claims integrity and electronic payments for healthcare payers, providers and consumers in the medical, dental and workers’ compensation markets nationwide.
888.394.5688
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ACTUARIES/ACCOUNTANTS/ AUDITORS
AmeRisk Consulting, LLC
'ORDON 4HOMPSON &#!3 &3! -!!! Actuary P.O. Box 14126 Albuquerque, NM 87191 - United States PHONE: (480) 719-5662 EMAIL: gthompson@ameriskconsulting.com WEB: www.AmeRiskConsulting.com AmeRisk Consulting, LLC specializes in designing, analyzing, and providing actuarial certifications for insurance and alternative risk financing programs such as risk retention groups, captives, and self-insurance programs. We have experience in nearly all property/ casualty lines of business and in group health insurance.
BDO USA, LLP
*OSH !YERS #0! #)40 #)3! #)330 ##3&0 Third Party Attestation Managing Director 101 South Hanley Road, Suite 800 Clayton, MO 63105 - United States PHONE: (314) 889-1173 EMAIL: jayers@bdo.com WEB: www.bdo.com BDO USA, LLP is one of the nation’s leading accounting, tax and consulting firms. BDO serves as a leading System and Organization Control (SOC), HIPAA, and cyber security provider to TPAs across the country. BDO has national and international resources to help TPAs increase credibility and gain a competitive advantage.
Conner Ash P.C.
!LICIA "ROCKLAND President 12101 Woodcrest Executive Drive, Suite 300 St. Louis, MO 63141 - United States PHONE: (314) 205-2510 EMAIL: abrock@connerash.com WEB: www.connerash.com We are a CPA firm with more than 25 years experience in auditing, tax planning and compliance, financial reporting, and consulting for self-insured groups, risk retention groups, captives, and public entity risk pools. These groups provide health, workers’ compensation, medical malpractice, as well as property and casualty coverage.
GPW
,AWRENCE 0RUDHOMME Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States PHONE: (602) 200-6900 EMAIL: lprudhomme@gpwa.com WEB: www.gpwa.com GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and selfinsurers. GPW provides financial, actuarial, tax and regulatory compliance services to assist clients in the efficient and cost effective management of their risk and insurance issues.
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Johnson Lambert LLP
!DAM $UBUQUE 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 public accounting firms; we provide audit, tax, and advisory services to a nationwide client base, which today includes 500+ insurance entity clients.
$AVID ,IPTZ Principal 1401 Quail Street, Suite 140 Newport Beach, CA 92660 - United States PHONE: (949) 474-8500 EMAIL: dliptz@liptz-cpas.com WEB: www.liptz-cpas.com
Liptz & Associates specializes in the niche industry of Captive Insurance. For over 20 years the firm has provided to over 350 Captive clients: s &EDERAL )NCOME 4AX 2EPORTING s !UDITING s #ONSULTING s )23 OR 2EGULATORY )SSUES Pro-Active Service is provided to Pure, Segregated portfolio companies, Small, RRGs and Associations to keep your compliance worry free.
Merlinos & Associates
3COTT 7ELLHAM 3274 Medlock Bridge Road Peachtree Corners, GA 30075 - United States PHONE: (678) 684-4871 EMAIL: swellham@merlinosinc.com WEB: www.merlinosinc.com
ACTUARIES/ACCOUNTANTS/AUDITORS
LIPTZ & ASSOCIATES, INC.
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Merlinos & Associates is one of the largest independent property and casualty actuarial consulting firms in the United States. We provide analyses, evaluations, and reviews of rates and reserves for self-insured entities and groups, primary insurers, reinsurers, municipalities, state insurance departments, law firms, audit firms, and agencies.
Milliman, Inc.
3TEVE $I#ENSO Consulting Actuary 80 Lamberton Road Hartford, CT 06095 - United States PHONE: (860) 687-0160 EMAIL: stephen.dicenso@milliman.com WEB: www.milliman.com Milliman is among the world’s largest independent actuarial and consulting firms. The firm employs over 3,200 people, including a professional staff of over 1,400 qualified actuaries and consultants in 60 offices around the world. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations.
888.394.5688
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Northshore International Insurance Services
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$AVID )VES 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
ACTUARIES/ACCOUNTANTS/AUDITORS
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
#HAD 7ISCHMEYER &#!3 -!!! #&! Partner and Property & Casualty Self-Insurance Actuarial Practice Leader 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 - United States PHONE: (404) 239-6411 EMAIL: chad.wischmeyer@oliverwyman.com WEB: www.oliverwyman.com/actuaries Since 1986, the actuarial practice of Oliver Wyman has assisted clients with all aspects of managing P&C, Health, and Life risks. We maintain 16 actuarial offices and employ over 100 actuaries with credentials from the CAS, the SOA or the CIA. Oliver Wyman Group employs more than 4,000 employees worldwide.
Pinnacle Actuarial Resources, Inc. *ULIE #ALMĂ’S Manager of Communications 3109 Cornelius Drive Bloomington, IL 61704 - United States PHONE: (309) 807-2300 EMAIL: jcalmes@pinnacleactuaries.com WEB: www.pinnacleactuaries.com
Pinnacle Actuarial Resources is one of the largest property/casualty actuarial consulting firms in the U.S. Our expertise, communication and customer service help you drive better business decisions. Experts in program design, funding and loss reserve analyses, we serve self-insured clients, group captives, enterprise risk captives, RRGs and many others.
Risk International Actuarial Consulting "RIAN *OHNSON Chief Executive Officer and Consulting Actuary 145 King Street, #203 Charleston, SC 29401 - United States PHONE: (843) 377-0993 EMAIL: sroshitsh@riskinternational.com WEB: www.riskinternational.com
Risk International Actuarial Consulting is an independent property and casualty actuarial consulting firm providing services to clients in the self-insured market. Our goal is to support the establishment, implementation and management of successful risk management/ insurance programs designed to fit the individual needs of our clients. We are located in Charleston, South Carolina.
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SGRisk, LLC
% *AMES 3TERGIOU Chairman & Chief Executive Officer 1050 Wall Street West Lyndhurst, NJ 07071 - United States PHONE: (201) 935-3434 EMAIL: santalucia@sgrisk.com WEB: www.sgrisk.com
TaylorChandler, LLC
3TEFANIE #HANDLER Partner 5151 Hampstead High Street, Suite 200 Montgomery, AL 36116 - United States PHONE: (334) 260-7774 EMAIL: schandler@taylorchandler.com WEB: www.taylorchandler.com TaylorChandler (TC) is an accounting firm with a specialty in insurance and risk management with offices in Alabama, Florida, Georgia, and Tennessee. TC currently provides accounting, auditing, regulatory, tax, compliance, and advisory services to insurance organizations and their related subsidiaries and our professionals have achieved many insurance industry designations such as CPCU, CFE, CSFS, and ARe.
Total Claims Management, LLC 2ANDY 3COTT President 55 Monument Circle, Suite 1122 Indianapolis, IN 46204 - United States PHONE: (317) 423-2334 EMAIL: rscott@tcm4u.com
11 ACTUARIES/ACCOUNTANTS/AUDITORS
SGRisk, a national independent actuarial top 15 firm, since 1980, provides loss reserve analyses and regulatory certifications, profitability projections, financial forecasting, rate development, reinsurance purchase recommendations, underwriting and claims auditing, and management reports for all coverages to a variety of clients - mathematical and understandable! We make sense from your statistics!
TCM specializes in audit, claim review and consulting services for the self-insurance industry. Our clients are Brokers, Carriers, Consultants, MGUs, Reinsurers and self-funded employers We offer our Specific claim review services on a temporary or permanent basis. Our staff’s experience allows us to provide the highest quality of expertise.
Trilogy Consulting Group, Inc. +ATHY -ARTIN 3MITH Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States PHONE: (630) 953-6278 EMAIL: kathymartinsmith@msn.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for selffunded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!
888.394.5688
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Willis Towers Watson
11 ACTUARIES/ACCOUNTANTS/AUDITORS [92]
*EREMY "ENSON Senior Consultant 101 South Hanley Road St. Louis, MO 63105 - United States PHONE: (314) 714-0632 EMAIL: jeremy.benson@willistowerswatson.com WEB: www.willistowerswatson.com Willis Towers Watson is a leading global professional services company and has more than 25 years’ experience in providing actuarial consulting services and stop-loss manual/software tools (HealthMAPS) to stop-loss carriers, MGUs and reinsurers. Willis Towers Watson also provides health benefits consulting services and private exchange solutions to large employers.
Windsor Strategy Partners, Inc. $AVID 7ILSON President 777 Alexander Road, Suite 201 Princeton, NJ 08540 - United States PHONE: (609) 275-6550 EMAIL: dwilson@wspactuaries.com WEB: www.wspactuaries.com
WSP provides actuarial, underwriting, and strategic planning services to a wide variety of clients who assume risk. We have expertise in all forms of healthcare, life, disability, and property and casualty coverage. We excel at developing software tools, building stochastic models and the analysis and interpretation of health care data.
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CONSUMER DRIVEN HEALTH CARE SERVICES
AccessOnTime
-ELVEN .EHLEBER President 3210 Lake Emma Road, Suite 3090 Lake Mary, FL 32746 - United States PHONE: (888) 748-7575 EMAIL: mnehleber@accessontime.com WEB: www.accessontime.com AccessOnTime provides language services including interpretation in-person/over-the-phone, recorded statements, document translation and transcription and non-emergency medical transportation logistics nationwide. Our core competency is in the workers’ compensation arena, but we offer our language services across all business sectors.
ACS Benefit Services, LLC
6ANCE 3IBLE Vice President, Sales & Account Management 8025 North Point Boulevard Winston-Salem, NC 27106 - United States PHONE: (908) 268-8073 EMAIL: vsible@acsbenefitservices.com WEB: www.acsbenefitservices.com ACS Benefit Services is an experienced TPA, owned by the largest healthcare company in North Carolina, specializing in contracting the industry’s best vendors and using Reference Based Pricing or Cigna creating flexible and sustainable solutions for mid-sized employer benefits.
Advanced Risk Managers, LLC -IMI #HOI Founder and President 298 4th Avenue, #398 San Francisco, CA 94118 - United States PHONE: (415) 854-0800 EMAIL: mimichoi@advanrm.com WEB: www.advanrm.com
ARM is the industry’s leading catastrophic claims specialist company. Using a unique approach with propriety tools, ARM’s clinically trained analysts identify, project, and manage high cost claims. From medical underwriting risk assessment to transplant case management, ARM has long, proven track record in transforming the bottom lines of its clients.
Benefit Indemnity Corporation 2ODGER "AYNE The Client First Building, 303 Allegheny Avenue Towson, MD 21204 - United States PHONE: (443) 275-7412 EMAIL: rodger.bayne@benefitindemnity.co WEB: www.benefitindemnity.co
Benefit Indemnity is broker focused company dedicated to lowering the hurdles for brokers and groups to enter the self-funded marketplace. We design, build and distribute health plans through professional producers nationwide through a single on line enrollment and risk analysis portal.
888.394.5688
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12 CONSUMER DRIVEN HEALTH CARE SERVICES
ACS is a very experienced TPA, owned by the largest healthcare company in North Carolina. We specialize in contracting with the industry’s best vendors using either reference based pricing or networks to create flexible and sustainable benefit solutions for employers. For more information call (800) 849-5370 x 1607 or visit www.acsbenefitservices.com 8025 North Point Blvd, Ste 100 | Winston-Salem, NC 27106 | 800.849.5370
Crum & Forster
,AUREN 7OODS Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop-Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyd’s coverholder arrangement.
Deborah Heart and Lung Center
9VONNE $I,AURO Captive Insurance Director/Insurance Specialist 200 Trenton Road Browns Mills, NJ 08015 - United States PHONE: (609) 893-1200 Ext. 5291 EMAIL: dilauroy@deborah.org WEB: www.deborah.org Deborah Medical Associates is a Captive Insurance Company wholly owned by Deborah Heart and Lung Center.
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www.sipconline.net
Direct Health Delivery LLC
!DAM +HATTAB Co-founder @ Care Coordinator 23365 Hawthorne Boulevard, Suite 102 Torrance, CA 90505 - United States PHONE: (866) 343-4255 EMAIL: adam@directhealthdelivery.com WEB: www.directhealthdelivery.com
Health Cost Control, Inc. (HCC) $AVID 7INTERS Executive Vice President P.O. Box 58345 Houston, TX 77058 - United States PHONE: (614) 429-8578 EMAIL: dwinters@hccontrol.com WEB: www.healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions specializing in group health claim review. HCC creates a plan tailored to fit your needs, designed to deliver optimum results. HCC provides repricing/negotiation for all types of claims, dialysis claim solutions (average claim savings 88%) and patient advocacy.
Rx-Precision
*AKE 6ELIE Chief Executive Officer 1370 NW 114th, Suite 202 Clive, IA 50325 - United States PHONE: (844)5Rx-Plan (844) 579-7526 EMAIL: jvelie@rx-precision.com WEB: www.rx-precision.com Rx-Precision provides cutting-edge prescription risk management to self-funded employers, brokers, TPAs, PBMs, Carriers, Disease/ Case Management, Work Comp and Population Health companies with end-to-end pharmacogenetic testing. Our process produces the most advanced, complete and thorough panel to deliver personalized therapy to high-risk members prescribed medications on over 300 drugs resulting in reducing clinical risk and cost reduction.
12 CONSUMER DRIVEN HEALTH CARE SERVICES
A newly adopted cost containment healthcare solution, DHD provides an all-inclusive coordination of care service for patients, providers, and payers. DHD focuses on the minimization of cost and simplification of healthcare services by utilizing a bundled, prearranged, and transparent cash pricing model.
Teladoc, Inc.
!NGEL 0ARAVICINI Area Vice President, Partner Relations 5350 East High Street Phoenix, AZ 85054 - United States PHONE: (480) 779-4360 EMAIL: aparavicini@teladoc.com WEB: www.teladoc.com Teladoc, Inc. (NYSE:TDOC) is the undisputed leader in telehealth. Serving some 7,500 clients — including health plans, health systems, and employers — more than 17.5 million members can use phone, mobile devices and secure online video to connect with Teladoc’s network of 3,000+ board-certified, state-licensed physicians and behavioral health specialists, 24/7. www.teladoc.com.
888.394.5688
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CAPTIVE MANAGEMENT SERVICES/ RISK RETENTION GROUPS (RRGS)
Active Captive Management LLC -ICHAEL # -C+AHAN Chief Operations Officer 24422 Avenida de la Carlota, Suite 400 Laguna Hills, CA 92653 - United States PHONE: (800) 921-0155 EMAIL: mmckahan@activecaptive.com WEB: www.activecaptive.com
Since 2005, Active Captive Management has assisted companies like yours design and develop alternative risk transfer solutions in multiple industries. Whether your needs are better suited to a domestic captive or an offshore entity; Active Captive Management’s team can provide a turnkey captive solution. Our firm provides comprehensive management services encompassing, insurance policy underwriting and administration, claims processing, company accounting and captive regulatory compliance management.
Advantage Insurance Management ,ES "OUGHNER Chairman 263 King Street, Suite C Charleston, SC 29401 - United States PHONE: (312) 315-3166 EMAIL: l.boughner@aihusa.com WEB: www.aihusa.com
Advantage’s Business Insurance group specializes in the creation of customized risk finance, risk protection and risk transfer solutions for small and medium-sized businesses using captive insurers and other alternative risk transfer methods.
AIG
"ILL %DRINGTON Vice President, Stop Loss Distribution 1200 Abernathy Road NE, Building 600, 8th Floor Atlanta, GA 30328 - United States PHONE: (770) 548-3165 EMAIL: william.edrington@aig.com WEB: www.aig.com AIG’s Group Benefits business boasts a diverse portfolio of insurance products that can help plan sponsors with more than 50 covered lives manage the risk of self-funding. These products include medical stop-loss, organ transplant, captive and Taft-Hartley solutions.Talk to us about your plan, we can help.
Arsenal Insurance Management .ORMAN #HANDLER President 5151 Hampstead High Street, Suite 200 Montgomery, AL 36116 - United States PHONE: (334) 260-7774 EMAIL: nchandler@captivesusa.com WEB: www.captivesUSA.com
Arsenal helps your organization by developing a captive insurance company business plan, choosing a domicile, navigating you through the formation process, and managing your captive, RRG, or other Alternative Risk Transfer (ART) vehicle. Arsenal was named 2016 Captive Manager of the Year -- Independent in the US Captive Awards.
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www.sipconline.net
Artex Risk Solutions
#HRISTINE -IKEL 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
Atlas Insurance Management -ARTIN %VELEIGH Chairman 7301 Carmel Executive Park Charlotte, NC 28226 - United States PHONE: (704) 945-6620 EMAIL: jellington@atlascaptives.com WEB: www.atlascaptives.com
As a leading independent insurance management firm, Atlas Insurance Management focuses on creating innovative captive insurance strategies for all kinds of companies and on delivering superior personal service in all the domiciles in which we operate. Enthusiasm, depth of experience and consistent performance are hallmarks of Atlas’s captive management services.
Berkley Accident and Health *IM (OITT Vice President, Sales 2445 Kuser Road Hamilton Square, NJ 08690 - United States PHONE: (508) 573-6090 EMAIL: jhoitt@BerkleyAH.com WEB: www.BerkleyAH.com
Berkley Accident and Health is a risk management expert that offers a creative, analytics approach to risk and the strong backing of our parent company, the 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, an A+ (Superior) rated company by A.M. Best. We also offer EmCap, our Group Captive solution, that gives midsize employers a self-funding alternative.
Capstone Associated Services, Ltd.
,ANCE -C.EEL #0#5 !2- Vice President of Business Development 1980 Post Oak Boulevard - Suite 1950 Houston, TX 77056 - United States PHONE: (888) 886-1217 EMAIL: info@CapstoneAssociated.com WEB: www.CapstoneAssociated.com Capstone Associated Services, Ltd., in collaboration with The Feldman Law Firm LLP, administers property & casualty captive insurance companies, providing alternative risk financing services throughout the U.S. Now in its 20th year, Capstone provides awardwinning captive management services to many mid-market organizations on a turnkey basis.
13 CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGS)
Artex is a solutions company providing a full range of alternative risk management solutions created for our clients’ individual challenges. Artex operates in over 30 domiciles and has staff in 15 international offices. We have the proven capacity to continue to supply a needed alternative to the traditional insurance market.
Capterra Risk Solutions, LLC 3ANDRA &ENTERS President 310-330 Grant Street, Suite 1320 Pittsburgh, PA 15219 - United States PHONE: (412) 802-2600 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.
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Captive Alternatives, LLC
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$AVID +IRKUP Chief Operations Officer, Chief Financial Officer P.O. Box 467519 Atlanta, GA 31146 - United States PHONE: (404) 823-6200 EMAIL: dkirkup@captivealternatives.com WEB: www.captivealternatives.com
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGS)
Captive Alternatives is a leading consultant helping business manage their cost of risk with a Private Insurance Company™. CapAlt’s innovative business model, helps owners of all sizes quickly create captives with zero 831 (b) baggage. We deliver custom solutions through an industry-first Puerto Rico International Insurer. For more information, visit www.captivealternatives.com
Captive Planning Associates, LLC. *OHN #APASSO President Five Greentree Centre, 525 Rt. 73 North, Suite 218 Marlton, NJ 08053 - United States PHONE: (800) 305-8889 EMAIL: jcapasso@captiveplanning.com WEB: www.captiveplanning.com
Captive Planning Associates is a boutique captive management firm specializing in innovative alternative risk solutions to closelyheld family-owned businesses and large corporations. The firm is known for its holistic approach to the design, formation and implementation of captive insurance companies. CPA manages a variety of captive structures in various industries.
CaptiveOne Advisors
(ARRY 4IPPER Chief Operatiing Officer 1035 State Road 7 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-domestic captives. Our experienced captive insurance professionals take care of every detail in order to obtain the maximum benefits available from captive ownership.
Considine & Associates HealthClaim Solutions® *IM #ONSIDINE -$ -"! President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
East Coast Underwriters, LLC
*ONATHAN 3OCKO Senior Vice President, Sales & Business Development 121 West Main Street, Suite B Spartanburg, SC 29306 - United States PHONE: (864) 596-5184 EMAIL: jsocko@ecumgu.com WEB: www.ecumgu.com
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If you thought a Medical Stop-Loss Captive program was too complicated and expensive…think again. Blue Ridge Captive Solutions is a proprietary multi-celled Stop-Loss captive program developed by ECU that allows Brokers, TPAs, Employers, Providers and Associations a simple, inexpensive and straightforward solution to Stop-Loss Captives.
Elevate Captives, LLC
*ERRY -ESSICK Chief Executive Officer 1103 Sovereign Row, Suite D Oklahoma City, OK 73108 - United States PHONE: (405) 673-5603 EMAIL: jm@elevatecaptives.com WEB: www.elevatecaptives.com Elevate Captives specializes in assisting both clients and their advisors through the entire process of creating, managing and owning a captive insurance company.
!NDREW 2HEA Managing Director 401 Commerce Street, Suite 740 Nashville, TN 37219 - United States PHONE: (615) 467-7211 EMAIL: arhea@icgcaptive.com WEB: www.icgcaptive.com
ICG Captive Services, LLC is a consultant and manager for captive insurance companies. Our team of professional advisors, with years of experience in the insurance, legal and accounting industries, builds customized programs which provide substantial risk management and financial benefits to our clients.
Imprise Financial PCC, Inc. +ELLY 0RICE President 8370 Dow Circle West, Suite 100 Strongsville, OH 44136 - United States PHONE: (877) 220-0180 EMAIL: inquiries@imprise.com WEB: www.imprisefinancial.com
Imprise Financial develops and implements innovative captive insurance and financial solutions for companies seeking to control their risks in a way that contributes to their long-term success and competitiveness. We leverage decades of experience and cutting-edge technology to provide flexible and effective solutions in a turn-key manner. Contact us today.
Intuitive Captive Solutions LLC 2ICK %LDRIDGE President & Chief Executive Officer 8400 East Prentice Avenue 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. With over 31 years of underwriting and insurance management experience and offices in Colorado, Delaware and Vermont our goal is to help you the captive owner, make money by assuming and managing risk.
CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGS)
ICG Captive Services, LLC
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JLT Insurance Management
!NNE -ARIE 4OWLE Executive Vice President, Captive Consulting Practice Leader 1105 Yellowwood Circle Noblesville, IN 46062 - United States PHONE: (317) 922-4390 EMAIL: annemarie_towle@jltimusa.com WEB: www.jltimusa.com JLT Insurance Management (JLTIM) is a full-service captive insurance management and consulting firm dedicated to providing alternative risk solutions that meet diverse needs. Located worldwide, JLTIM manages captives in most major domiciles. Specialties include captive insurance management, captive consulting, alternative risk financing, alternative risk transfer, single parent captives, group captives, risk retention groups, captive formation, protected cells, sponsored cells, agency captives, and association captives.
888.394.5688
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Lucent Health
13 CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGS) [100]
!LEX !RNET Chief Commerical Officer 211 Commerce Street, Suite 601 Nashville, TN 37201 - United States PHONE: (855) 887-0855 EMAIL: alex.arnet@lucenthealth.com WEB: www.lucenthealth.com Lucent Health empowers employers with healthcare performance data, reduces healthcare risks & costs, and improves employee access to innovative care. Lucent products include Lucent Traditional, Lucent Clarity™ value-based payments, e2 MEC/MV™, Lucent Vista™ level funded, Lucent Tribia™ a tribal health plan and Lucent Surity™ for captives.
Northshore International Insurance Services $AVID )VES 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. 2OBERT 6OGEL President 575 South Saliman Road Carson City, NV 89701 - United States PHONE: (775) 887-2480 EMAIL: tanyaolson@pgmnv.com WEB: www.pgmnv.com
Pro Group offers a suite of award-winning services specializing in analysis, design, implementation and ongoing management of captive insurance companies. A diverse, extensive and experienced team for business owners who demand the best, we provide services to individual companies, employers, agencies, associations, and groups that require solutions for their insurance needs.
Risk & Insurance Consulting Services, LLC *AMIE "ROWN Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com
RICS is an independent reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Employer Groups, and Captives. Our strong commitment to service and relationships enables RICS to deliver exceptional risk and insurance solutions.
www.sipconline.net
River Oak Risk, LLC
$OUG -AC'INNITIE Chief Executive Officer 3300 Cumberland Boulevard Atlanta, GA 30339 - United States PHONE: (404) 902-5738 EMAIL: dmacginnitie@riveroakrisk.com WEB: www.riveroakrisk.com
Rx-Precision
*AKE 6ELIE Chief Executive Officer 1370 NW 114th, Suite 202 Clive, IA 50325 - United States PHONE: (844) 5Rx-Plan (844) 579-7526 EMAIL: jvelie@rx-precision.com WEB: www.rx-precision.com Rx-Precision provides cutting-edge prescription risk management to self-funded employers, brokers, TPAs, PBMs, Carriers, Disease/ Case Management, Work Comp and Population Health companies with end-to-end pharmacogenetic testing. Our process produces the most advanced, complete and thorough panel to deliver personalized therapy to high-risk members prescribed medications on over 300 drugs resulting in reducing clinical risk and cost reduction.
The Taft Companies, LLC -ATTHEW (OLYCROSS Director of Finance 1620 Providence Road Towson, MD 21286 - United States PHONE: (877) 587-1763 EMAIL: matt.holycross@taftcos.com WEB: www.taftcos.com
Independent and creative, The Taft Companies are captive managers and an Alternative Risk Transfer (ART) consulting group, providing “ART” coverage design and funding feasibility studies, captive formation, management and reinsurance services; with offices in Maryland, Delaware, Tennessee, Montana, South Carolina and Washington, DC.
888.394.5688
13 CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGS)
River Oak Risk is an independent captive management company offering innovative and flexible options to deliver a full range of alternative risk transfer strategies to the middle market. We bring Fortune 500 expertise to the middle market and to maximize the business owner’s financial well-being long term.
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REINSURANCE
AmWINS Group Benefits
3ARAH 2UCKNO #LEARY Senior Marketing Project Mananger 50 Whitecap Drive North Kingstown, RI 02852 - United States PHONE: (704) 749-2769 EMAIL: sarah.rucknocleary@amwins.com WEB: www.amwins.com AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.
Aon Benfield – Accident, Health and Life "OB "LACK Executive Managing Director 200 East Randolph Street, 11th Floor Chicago, IL 60601 – United States PHONE: (312) 381-5344 EMAIL: Robert.Black@AonBenfield.com WEB: www.aonbenfield.com
Aon Benfield, an industry leading intermediary delivers innovative risk, capital and program solutions for Accident, Health, Life and Disability. We help (re)insurers, MGUs, TPAs, MCOs, ACOs, captives, and other risk takers expand their partnerships, analyze and manage exposures, achieve profitable growth and diversification (including M&A) and design optimal risk structures.
Considine & Associates HealthClaim Solutions® *IM #ONSIDINE -$ -"! President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States PHONE: (949) 470-1800 EMAIL: jimconsidine@healthclaim.net WEB: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Crum & Forster
,AUREN 7OODS Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 – United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop-Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyd’s coverholder arrangement.
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www.sipconline.net
D.W. Van Dyke & Co., Inc. 7ALTER 2OLAND Executive Vice President 2 Corporate Drive, Suite 642 Shelton, CT 06484 - United States PHONE: (203) 761-9300 EMAIL: wroland@dwvd.com WEB: www.dwvd.com
ELMC Risk Solutions
*OHN 'EDNEY Executive Vice President, Chief Growth Officer 135 East 57th Street, Suite 1903 New York, NY 10022 – United States PHONE: (516) 456-8325 EMAIL: john.gedney@elmcgroup.com WEB: www.elmcgroup.com
14 REINSURANCE
Life and A&H Intermediary providing access to carriers, reinsurance, distribution, TPAs, MGUs and others. Product expertise in Life, Accident, Workers’ Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
ELMC Risk Solutions brings together best in class companies providing medical and prescription drug stop-loss, reinsurance and consulting services. Our member companies include; IOA Re, ELMC Underwriters, Rx Reins and Adler Rx Consulting.
Hannover Re
-IRIAM +AUFMAN Assistant Vice President, Health & Special Risk 112 Main Street, 2nd Floor East Rockaway, NY 11518 - United States PHONE: (516) 593-9733 EMAIL: miriam.kaufman@hlramerica.com WEB: www.hannover-re.com Hannover Life Reassurance Company of America is the North American subsidiary of the Hannover Re Group, one of the largest and most financially sound reinsurance groups globally. The New York office offers a diverse portfolio of health, life, and special risk products including: Medical Specific & Aggregate Stop-Loss, Medical Excess, Gap/Limited Medical, Specialty Carve-outs, Accident Medical, Student A&H, Critical Illness, Disability, Dental, Group Life and Accident.
Maiden Re
.EIL ,EVINE Vice President 6000 Midlantic Drive, Suite 200 Mt. Laurel, NJ 08054 - United States PHONE: (856) 359-2412 EMAIL: nlevine@maidenre.com WEB: www.maidenre.com Our extensive knowledge of the Accident and Health market, combined with innovative thinking, allows Maiden Re to work with our clients and develop customized solutions for their reinsurance needs.
Midwest Employers Casualty
2ENEE ,UNCEFORD Assistant Vice President of Marketing 14755 North Outer 40 Drive, Suite 300 Chesterfield, MO 63017 – United States PHONE: (636) 449-7000 EMAIL: rlunceford@mwecc.com WEB: www.mwecc.com Midwest Employers Casualty provides tailored workers’ compensation excess insurance products to individual employers, groups and insurance companies, nationwide. Midwest Employers Casualty helps customers take greater control of their costs by providing innovative solutions that will lower their total cost of risk. A+ rated. Member Company of W.R. Berkley Corporation.
888.394.5688
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䔀䴀䄀䤀䰀 唀匀
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㠀㔀㔀 - 㔀㘀㘀 - 㔀㐀㘀㔀 砀㈀
搀洀漀渀琀最漀洀攀爀礀䀀攀氀洀挀最爀漀甀瀀⸀挀漀洀
www.sipconline.net
Navigators Re
*OANN $E"LASIS President, Accident & Health 83 Wooster Heights Road Danbury, CT 06810 - United States PHONE: (203) 546-2851 EMAIL: jdeblasis@navg.com WEB: www.navg.com
Northshore International Insurance Services $AVID )VES 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
14 REINSURANCE
Navigators Re is a division of Navigators Management Company and a part of Navigators Group Inc. (rated “A” by AM Best). The management and underwriting team have over 60+ years in A&H insurance and reinsurance. Our focus is on quota share and excess of loss health and ancillary products.
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
0AUL 3KRTICH 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 $AN "OLGAR President 450 Sansome Street San Francisco, CA 94111 - United States PHONE: (415) 354-1584 EMAIL: ali.duerr@partnerre.com WEB: www.partnerre.com/health
PartnerRe continues its strong tradition of providing tailored, effective risk solutions for medical exposures through the Health Division. Its broad portfolio of products and services includes HMO and medical reinsurance, employer, provider, and ACO excess of loss insurance, international medical reinsurance and its PULSE + Plus™ Medical Management Program.
888.394.5688
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Responsive, flexible, efficient solutions backed by a global reinsurance powerhouse
Hannover Life Reassurance Company of America’s New York office specializes in health, life and special risk products, offering a diverse portfolio of traditional and niche reinsurance solutions including:
• • • • •
Medical Specific and Aggregate Stop Loss Medical Excess Limited Medical – Hospital Indemnity, Mini Med and Gap Products Accident Medical Specialty Carve-outs
• • • • • •
Student Accident and Health Critical Illness Disability Dental Group Life Accident
We partner with direct carriers, intermediaries, managing general underwriters (MGUs), specialty insurance marketers, accountable care organizations (ACOs) and captives.
Hannover Life Reassurance Company of America 112 Main Street, 2nd Floor East Rockaway, NY 11518 Tel. 516-593-9733 Miriam Kaufman, miriam.kaufman@hlramerica.com www.hannover-re.com Member of the Hannover Re Group
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Re-Solutions, a Risk Strategies Company ,IZ -ARINER Senior Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.re-solutions.net
Resolution Reinsurance Intermediaries, LLC *EFFREY 0ARRISH President 4408 Forest Drive, Suite 202 Columbia, SC 29206 - United States PHONE: (803) 738-9088 EMAIL: jparrish@resolutionre.com WEB: www.resolutionre.com
14 REINSURANCE
As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
ResRe specializes in traditional A&H and property reinsurance placements. We are also a leading producer and program manager for supplemental medical plans in the United States.
RGA Reinsurance Company $AVID 6NENCHAK &3! Senior Vice President 517 US Highway 1 South, Suite 4004 Iselin, NJ 08830 - United States PHONE: (636) 736-8240 EMAIL: dvnenchak@rgare.com WEB: www.rgare.com
Reinsurance Group of America, Incorporated (NYSE: RGA) is one of the largest global life and health reinsurance companies. Rated AA- by S&P Global Ratings and A+ by A.M. Best Company. With operations in 26 countries, we support our clients and partners around the world with innovative approaches and customized solutions.
Risk & Insurance Consulting Services, LLC *AMIE "ROWN Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States PHONE: (770) 923-3133 EMAIL: jamie.brown@rics-reinsurance.com WEB: www.rics-reinsurance.com
RICS is an independent reinsurance intermediary bringing value-added, innovative solutions to make clients more successful. Our expertise spans across a wide range of products for MGUs, Carriers, Reinsurers, TPAs, MEWAs, Employer Groups, and Captives. Our strong commitment to service and relationships enables RICS to deliver exceptional risk and insurance solutions.
888.394.5688
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SCOR Global Life
14
!DAM 'OTTESMAN Vice President, Sales – Group Reinsurance 901 Marquette Avenue, Suite 1500 Minneapolis, MN 55402 – United States PHONE: (913) 901-4917 EMAIL: AGottesman@SCOR.com WEB: www.scorgloballifeamericas.com
REINSURANCE
As the 4th largest reinsurer in the world and the largest individual life reinsurer in the United States, SCOR’s financial strength and claims paying ability are exceptional. With more than 2,600 employees across 35 countries, SCOR offers extensive capabilities in risk and capital management plus services that help our clients across the Life, Accident, Health and P&C markets. To support the risk management needs of the Health market, SCOR has an experienced team of medical reinsurance professionals who understand the changes occurring in the marketplace. We blend financially sound reinsurance support with the customization our clients require to meet both growth and profitability objectives. At SCOR we aspire to do the ordinary in an extraordinary way.
Stop Loss Insurance Services 'ERRY 'ATES President 100 Front Street, Suite 600 Worcester, MA 01608 - United States PHONE: (800) 944-7659 Ext. 3073 EMAIL: gerald.gates@amwins.com WEB: www.stoploss.amwins.com
Stop Loss Insurance Services leverages more than 30 years of stop-loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop-Loss to SLIS.
Trean Reinsurance Services, LLC +YLE 0LATH 100 Lake Street West Wayzata, MN 55391 - United States PHONE: (952) 974-2221 EMAIL: kplath@treancorp.com WEB: www.treanre.com
Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation, and servicing; consultation to HMOs, MGUs, TPAs, and insurers on small group stop-loss development; and captive stop-loss development and implementation.
XL Catlin Reinsurance America, Inc. 3TEVE $ONNELLY Senior Vice President, Head of Health Seaview House – 70 Seaview Avenue Stamford, CT 06902 – United States PHONE: (203) 964-3899 EMAIL: steve.donnelly@xlcatlin.com WEB: www.xlcatlin.com
With an experienced staff XL Catlin Health Reinsurance is focused on providing creative solutions to meet the demands of a dynamic Medical Reinsurance marketplace. The recent 49 state stop-loss policy filing of Greenwich Insurance Company provides us with an additional tool to satisfy the needs of your clients.
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INTERNATIONAL
Advantage Insurance Management ,ES "OUGHNER Chairman 263 King Street, Suite C Charleston, SC 29401 - United States PHONE: (312) 315-3166 EMAIL: l.boughner@aihusa.com WEB: www.aihusa.com
Advantage’s Business Insurance group specializes in the creation of customized risk finance, risk protection and risk transfer solutions for small and medium-sized businesses using captive insurers and other alternative risk transfer methods.
Considine & Associates HealthClaim SolutionsÂŽ *IM #ONSIDINE -$ -"! 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 SolutionsŽ provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Crum & Forster
,AUREN 7OODS Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States PHONE: (732) 676-9833 EMAIL: lauren.woods@cfins.com WEB: www.cfins.com The Crum & Forster Accident & Health team is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products including Stop Loss, Managed Care Excess, Fixed Indemnity, Accident Medical, AD&D, Occupational Accident, Special Risk, College Sports, K-12, Travel, Inbound/Outbound, Bloodstock and Pet along with international product capabilities through its Lloyd’s coverholder arrangement.
Hanover Stone Partners
*OHN * +ELLY #0#5 Managing Partner 260 Madison Avenue, 8th Floor New York, NY 10016 - United States PHONE: (646) 216-2181 EMAIL: john.kelly@hanoverstonepartners.com WEB: www.hanoverstonepartners.com Hanover Stone Partners provides risk consulting, risk management services and human capital consulting on a global scale through a network of professional, independent senior advisors and partner firms. HSP offers a wide array of specialized services to organizations of all sizes in the public, private, government and non-profit sectors.
888.394.5688
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15 INTERNATIONAL
Northshore International Insurance Services $AVID )VES 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.
Quality Health Management (QHM)
0ATTY :IOMEK Senior Vice President of Business Development 7600 Corporate Center Drive, Suite 502 Miami, FL 33126 - United States PHONE: (305) 821-8430 EMAIL: pziomek@qhmanangement.com WEB: www.qhmanagement.com Quality Health Management, a cost containment service provider offering payors and members the necessary tools for identifying and selecting medical care while living or traveling abroad, for both routine and emergent situations. QHM is a GBG company, the largest independent, fully integrated provider of international benefits in the world.
Re-Solutions, a Risk Strategies Company ,IZ -ARINER Senior Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States PHONE: (612) 766-9782 EMAIL: lmariner@re-solutions.net WEB: www.re-solutions.net
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As the Reinsurance Division of Risk Strategies Health Care Practice, we are reinsurance intermediaries/consultants with seasoned expertise in the life, accident, health and special risk markets. Our experience makes us knowledgeable and connected. Our size makes us nimble and responsive. We combine a deep understanding of the global reinsurance industry with an in-depth knowledge of your business to help you solve your challenges and create opportunity. Our knowledge and connections bring you the right risk partner and solutions.
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SUBROGATION
International Subrogation Management, a division of NiiS 2ICHARD - )VES President 24402 West Lockport Street Plainfield, IL 60544 - United States PHONE: (815) -267-5000 EMAIL: rives@niis.com WEB: www.ism.niis.com
ISM’s experienced staff are dedicated to recovering Medical Benefit payments, overpayments, Property Damage, Trucking and Workers’ Compensation benefits made on behalf of the self-funded and insurance markets; our clients include self-funded groups, TPAs, MGUs, Excess (Stop-Loss) Carriers, Managed Care Organizations, Reinsurers, Lloyd’s and London Markets. Additionally, ISM offers Property/Casualty recovery services for Municipal Pools.
Northshore International Insurance Services $AVID )VES 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
!DAM 2USSO %SQ Chief Execuitve Officer 163 Bay State Drive Braintree, MA 02184 – United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com The Phia Group, LLC is an experienced cost containment firm, combining innovative technologies, legal expertise, and focused, flexible customer service. A pioneer in the healthcare benefits marketplace, The Phia Group is truly Empowering Plans; providing industry leading consultation, plan drafting, subrogation and other cost containment solutions.
888.394.5688
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LOSS PREVENTION/ CONTROL SERVICES
EthiCare Advisors, Inc.
-ARK (ARTMANN *R Managing Partner & Chief Executive Officer 22 Route 10 West, Suite 201 Succasunna, NJ 07876 - United States PHONE: (888) 838-4422 EMAIL: mark@ethicareadvisors.com WEB: www.EthiCareAdvisors.com We save claim payors money. Period. Our expertise and proven results settling high-dollar and dialysis claims through negotiated sign-offs, medical bill reviews and U&C pricing has established EthiCare Advisors as a trusted partner for employers, unions, TPAs and carriers. Our hands-on approach to each referral is the key to our success.
Golden Triangle Specialty Network, LLC 3COTT 7ILLIAMS Vice President, Sales & Business Development P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
Celebrating 10 years as a leader in medical cost management! GTSN offers a preferred National Dialysis Network & Single Case Negotiations, Specialty Rx Cost Management Program & solutions for All Types of Out-of-Network claims including Reference Based Re-Pricing / MedicarePlus. Free case review, customized savings reports & a concierge touch.
H.H.C. Group
$R "RUCE 2OFFĂ? President & Chief Executive Officer 438 North Frederick Avenue, Suite #200A Gaithersburg, MD 20877 - United States PHONE: (301) 963-0762 EMAIL: info@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. H.H.C. 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. (HCC) $AVID 7INTERS Executive Vice President P.O. Box 58345 Houston, TX 77058 - United States PHONE: (614) 429-8578 EMAIL: dwinters@hccontrol.com WEB: www.healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions specializing in group health claim review. HCC creates a plan tailored to fit your needs, designed to deliver optimum results. HCC provides repricing/negotiation for all types of claims, dialysis claim solutions (average claim savings 88%) and patient advocacy.
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Unbundled, duplicate and upcoded charges?
We can help. EthiCare saves claim payors money. Period.
888.838.4422 Savings@EthiCareAdvisors.com
www.EthiCareAdvisors.com
888.394.5688
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Industrial Physical Capability Services, Inc.
17
4HOMAS 'ILLIAM President 1696 Georgetown Road Hudson, OH 44236 - United States PHONE: (330) 463-5757 EMAIL: tgilliam@ipcs-inc.com WEB: www.ipcs-inc.com
LOSS PREVENTION/CONTROL SERVICES
IPCS has been helping businesses reduce workforce costs in industry since 1998 through our Physical Capability Evaluations. We test your new, incumbent and return-to-work employees using a safe, legally defensible process to ensure they are capable of safely meeting the physical demands of the job.
Medgotiate LLC
2ON &RIEDMAN Chief Executive Officer 14700 Frank Lloyd Wright Boulevard Scottsdale, AZ 85255 - United States PHONE: (602) 888-8123 EMAIL: medgotiate@medgotiate.com WEB: www.medgotiate.com Medgotiate offers negotiations on PPO out of network claims saving both company and member money.
MultiPlan
+URT &ULLMER Vice President, Sales & Account Management 222 West Las Colinas Boulevard Irving, TX 75039 - United States PHONE: (927) 884-1401 EMAIL: kurt.fullmer@multiplan.com WEB: www.multiplan.com MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clients’ needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
National Bill Audit Services, LLC *EREMY 0ERKINSON Chief Operating Officer 5999 Central Avenue, Suite 401 St. Petersburg, FL 33710 - United States PHONE: (800) 719-6227 EMAIL: jperkinson@nbasaudits.com WEB: www.nbasaudits.com
NBAS is an independent medical bill auditing firm providing Billing Error Review, Reasonable & Customary Review, Medicare Based Pricing, Claims Negotiation and other cost containment solutions. Our experienced team works with health plans, insurance companies, TPAs, MGUs and reinsurance carriers, auditing large dollar hospital and physician claims. Over 99% of our findings are upheld through NBAS’s support.
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Nova Healthcare Administrators 4ODD -ARTIN 6400 Main Street Buffalo, NY 14221 - United States PHONE: (716) 932-5105 EMAIL: tmartin@novahealthcare.com WEB: www.novahealthcare.com
PMA Companies -ICHAEL -AC!ULAY
Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States PHONE: (856) 727-3157 EMAIL: Michael_MacAulay@pmagroup.com WEB: www.pmacompanies.com PMA is a leading provider of workers’ compensation and liability Third-Party Administrator (TPA) and Risk Services to employers. Our holistic approach integrates pre-loss, loss-reduction and post-loss strategies to reduce clients’ total cost of risk. With average client retention of 95% and 95% client satisfaction, our TPAs, PMA Management Corp. and PMA Management Corp. of New England, exceed clients’ expectations.
Specialty Care Management LLC 2OBERT #LEMENTE &!#(%
President & Chief Executive Officer P.O. Box 732 Lahaska, PA 18931 - United States PHONE: (908) 229-1876 EMAIL: bclemente@specialtycm.com WEB: www.specialtycm.com
17 LOSS PREVENTION/CONTROL SERVICES
Nova, specializing in employee benefit administration and delivering exceptional service since 1982, is a trusted advisor to over 600 clients. Nova partners with clients to provide a holistic, innovative, and cost-effective long-term plan to improve financial well-being and health outcomes. Nova provides a variety of customized solutions and private-labeled options.
We manage catastrophic claims including; renal dialysis, transplants and cancer on a case by case basis. We can assume total risk on renal cases on a case by case basis as well as on a reinsurance carve out on entire blocks of business.
United Claim Solutions !MANDA (ERTIG Marketing Specialist 23048 North 15th Avenue Phoenix, AZ 85027 – United States PHONE: (866) 762-4455 EMAIL: ahertig@unitedclaim.com WEB: www.UnitedClaimSolutions.com
United Claim Solutions (UCS) is a the nation’s leading full service Medical Cost Reduction and Claims Flow Management company offering innovative solutions for TPAs, self-funded plans, unions/trusts, stop-loss companies and health plans. Our strength is generating industry leading savings on medical bills while focusing on providing superior service and support.
888.394.5688
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PUBLICATIONS/RESOURCES
The Phia Group, LLC
!DAM 2USSO %SQ Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States PHONE: (781) 535-5622 EMAIL: arusso@phiagroup.com WEB: www.phiagroup.com The Phia Group, LLC is an experienced cost containment firm, combining innovative technologies, legal expertise, and focused, flexible customer service. A pioneer in the healthcare benefits marketplace, The Phia Group is truly Empowering Plans; providing industry leading consultation, plan drafting, subrogation and other cost containment solutions.
Trilogy Consulting Group, Inc. +ATHY -ARTIN 3MITH Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 – United States PHONE: (630) 953-6278 EMAIL: kathymartinsmith@msn.com WEB: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for self-funded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers, and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!
888.394.5688
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TRADE ASSOCIATIONS
Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 20 F Street NW, Suite 700 Washington, DC 20001 - United States PHONE: (888) 302-4232 EMAIL: info@dccaptives.org WEB: www.dccaptives.org
The Captive Insurance Council of the District of Columbia, Inc. (CIC-DC) was formed in 2001 and represents the corporate and association community interested in operating captive insurance companies in the District of Columbia. CIC-DC was formed to advance the District of Columbia’s presence in the captive marketplace, especially as it relates to professional and industry trade associations by educating the public about the role of captives through educational programs and conferences.
Delaware 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.
Health Care Administrators Association #AROL "ERRY Chief Executive Officer 5353 Wayzata Building, Suite 350 Minneapolis, MN 55416 - United States PHONE: (818) 340-7668 EMAIL: cberry@hcaa.org WEB: www.hcaa.org
HCAA is the nation’s most prominent nonprofit trade association working to improve the quality, sustainability and value of self-funding and health care benefit administration. For 35 years, HCAA has taken a leadership role in helping to transform the self-funding industry and American healthcare.
LRA Self Insurer’s Fund
3TAN (ARRIS President & Chief Executive Officer 2700 North Arnoult Road Metairie, LA 70002-5916 - United States PHONE: (504) 454-2277 EMAIL: stanh@lra.org WEB: www.lra.org The LRA Self Insurer’s Fund is a group self insurance fund offering worker’s compensation to hospitality, restaurant and allied companies in Louisiana.
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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
Self-Insurance Institute of America, Inc. (SIIA) P.O. Box 1237 Simpsonville, SC 29681 - United States PHONE: (800) 851-7789 EMAIL: info@siia.org WEB: www.siia.org
The Self-Insurance Institute of America, Inc. (SIIA) is the largest member based association dedicated to protecting and promoting the business interests of companies involved in the self-insurance and captive industry, both domestically and internationally. Members include self-insured companies, TPAs, Captive Managers, Excess/Stop-Loss/Reinsurance Carriers to name a few.
19 TRADE ASSOCIATIONS
The Montana Captive Insurance Association, Inc. (MCIA) is the only trade association solely dedicated to promoting a vibrant captive 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.
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.
Tennessee Captive Insurance Association, Inc. (TCIA) *USTIN -ILLER Executive Director 533 Church Street, Box 222 Nashville, TN 37219 – United States PHONE: (888) 668-3188 EMAIL: jmiller@tncaptives.org WEB: www.tncaptives.org
The Tennessee Captive Insurance Association, Inc. (TCIA) is a not-for-profit trade association focused on building a successful captive insurance domicile in Tennessee. Consistent with this objective,TCIA invites captive insurance industry professionals to join the association so they can be part of this exciting initiative while receiving valuable membership benefits. If you intend to do captive insurance business in Tennessee, then TCIA membership is a must.
888.394.5688
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REFERENCE BASED PRICING SERVICES
6 Degrees Health
(EATH 0OTTER Senior Vice President 1600 NW Compton Drive, Suite 208 Beaverton, OR 97006 - United States PHONE: (503) 640-9933 Ext.102 EMAIL: heathpotter@6degreeshealth.com WEB: www.6degreeshealth.com 6 Degrees Health is a complex care specialty network and cost containment organization. The 6 Degrees’ Medivi software platform is an industry leading source of transparent hospital financial and quality data. By utilizing objective claims data and hospital financial metrics, 6 Degrees negotiates fixed rate and referenced based contracts, in addition to employing defensible methodologies on retrospective medical claim reviews.
FAIR Health
-ICHAEL +IRSH Executive Director of Marketing 530 Fifth Avenue, 18th Floor New York, NY 10036 - United States PHONE: (855) 301-3247 EMAIL: info@fairhealth.org WEB: www.fairhealth.org FAIR Health is a national, independent, nonprofit organization dedicated to bringing transparency to healthcare costs and health insurance information for all stakeholders. Its database of billions of privately billed medical and dental healthcare claims powers comprehensive data products, consumer resources and health systems research support.
Golden Triangle Specialty Network, LLC 3COTT 7ILLIAMS Vice President, Sales & Business Development P.O. Box 272 Arrington, TN 37014 - United States PHONE: (615) 712-6753 EMAIL: williamsS@gtspecnet.com WEB: www.gtspecnet.com
Celebrating 10 years as a leader in medical cost management! GTSN offers a preferred National Dialysis Network & Single Case Negotiations, Specialty Rx Cost Management Program & solutions for all types of Out-of-Network claims including Reference Based Re-Pricing / MedicarePlus. Free case review, customized savings reports & a concierge touch.
Lucent Health
!LEX !RNET Chief Commerical Officer 211 Commerce Street, Suite 601 Nashville, TN 37201 - United States PHONE: (855) 887-0855 EMAIL: alex.arnet@lucenthealth.com WEB: www.lucenthealth.com Lucent Health empowers employers with healthcare performance data, reduces healthcare risks & costs, and improves employee access to innovative care. Lucent products include Lucent Traditional, Lucent Clarity™ value-based payments, e2 MEC/MV™, Lucent Vista™ level funded, Lucent Tribia™ a tribal health plan and Lucent Surity™ for captives.
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MultiPlan
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+URT &ULLMER Vice President, Sales & Account Management 222 West Las Colinas Boulevard Irving, TX 75039 - United States PHONE: (927) 884-1401 EMAIL: kurt.fullmer@multiplan.com WEB: www.multiplan.com
REFERENCE BASED PRICING SERVICES
MultiPlan leverages sophisticated technology, data analytics, and an experienced team to interpret clients’ needs and customize solutions that combine its payment integrity, network-based and analytics-based services. MultiPlan saves its client base of 700 healthcare payers in the commercial health, government and property and casualty markets, more than $14 billion annually.
Reliant Health Partners, LLC
"AILEY 3MITH Founding Partner, Chief Operating Officer 5575 Poplar Avenue Memphis, TN 38119 - United States PHONE: (877) 405-6687 Ext. 1 EMAIL: bsmith@relianthp.com WEB: www.relianthp.com Reliant Health Partners is a medical cost containment and specialty bill review company with a reputation for obtaining the largest available claims reductions while making the process as simple as possible for our clients. We work with third party administrators and insurance brokers serving self-insured organizations, including public and private businesses, associations, government entities and Taft Hartley groups to re-price their out-of-network group health and workers’ compensation claims. We also offer specialized services including Recovery Services, Medicare-Based Repricing, Lien Negotiations, Attorney Services, Jones Act, Single Case Submissions, and In-Network Audit.
888.394.5688
[121]
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21
OTHER
Advantria, LLC
,ARRY 4AYLOR President & Chief Marketing Officer 5625 Alpinista Circle Reno, NV 89511 - United States PHONE: (866) 756-8666 Ext. 200 EMAIL: ltaylor@advantria.net WEB: www.advantria.net Catastrophic Claim Negotiations, Dialysis Claim Solutions, MLR for Native American Indian Organizations.
Barcelona Creative Group
4HOMAS "ARCELONA Chief Executive Officer 16W289 83rd Street Burr Ridge, IL 60527 - United States PHONE: (630) 320-6424 EMAIL: tom@barcelonacreative.com WEB: www.barcelonacreative.com Integrated marketing firm specializing in brand development and media management for Third Party Administrators and allied professionals. Exclusive marketing agency for the National Association of Employee Benefit Administrators (NAEBA).
CPR Risk Management
-ARY 0OZUELO President 9329 Blind Pass Road St. Petersburg, FL 33706 - United States PHONE: (203) 667-8093 EMAIL: mpozuelo@cpr-rm.com WEB: www.cpr-rm.com CPR Risk Management provides an independent assessment of medical risk. We have registered nurses working with underwriters to provide claim projections for prospective and renewal cases. Our mission is to combine our knowledge of insurance, risk management and medical best practices in order to assist our clients to evaluate and assess risk from a business and medical perspective.
ECHO Health, Inc.
4OM $AVIS Vice President Strategy & Business Development 868 Corporate Way Westlake, OH 44145 - United States PHONE: (440) 835-3511 EMAIL: info@EchoHealthinc.com WEB: www.EchoHealthinc.com Founded in 1997, ECHO® is one of America’s leading providers of electronic payment solutions, serving over 75,000 companies, processing more than 60 million payment transactions and paying over $16 billion annually. Our patented INTELLIGENT ROUTER® process dramatically reduces client costs while transforming their payment delivery system from day one.
[122]
www.sipconline.net
GemCare Wellness
*AMES 0IPER Vice President & General Manager 5640 Hudson Industrial Parkway Hudson, OH 44236 - United States PHONE: (234) 284-2440 EMAIL: jpiper@gemcarewellness.com WEB: www.gemcarewellness.com
21 OTHER
Gemco Medical, Edwards Health Care Services, GemCare Wellness, Advanced Fulfillment Services, and GEM Edwards Pharmacy are a 25 year old, family owned group of companies focusing on healthcare products and services. We are a world class provider of Diabetes Testing Equipment and Supplies, Home Health Equipment, Nutritional Therapy, Chronic Care Management, Employee Assistance Programs, Corporate Wellness Services, Medication Therapy Management, Telemedicine, Disease Management, and Compounding Pharmacy Services.
Health Cost Control, Inc. (HCC) $AVID 7INTERS Executive Vice President P.O. Box 58345 Houston, TX 77058 - United States PHONE: (614) 429-8578 EMAIL: dwinters@hccontrol.com WEB: www.healthcostcontrol.com
Health Cost Control is a leading national provider of cost containment solutions specializing in group health claim review. HCC creates a plan tailored to fit your needs, designed to deliver optimum results. HCC provides repricing/negotiation for all types of claims, dialysis claim solutions (average claim savings 88%) and patient advocacy.
Kroger Prescription Plans, Inc. -ATTHEW &ELTMAN General Manager 1014 Vine Street Cincinnati, OH 45202 - United States PHONE: (800) 917-4926 EMAIL: rxplans@kroger.com WEB: www.kpp-rx.com
Kroger Prescription Plans (KPP) has been providing comprehensive pharmacy benefit services since 1993. The buying power of Kroger allows KPP to drive lower costs, with full transparency in pricing, for clients and members. KPP’s personal, proactive approach helps create customized health solutions, and positive outcomes across the continuum of care.
Magellan Rx Management -ISTY 'RElCZ Marketing Director 15950 North 76th Street, Suite 200 Scottsdale, AZ 85260 - United States PHONE: (410) 953-2423 EMAIL: mgreficz@magellanhealth.com WEB: www.magellanrx.com
At Magellan Rx Management, we specialize in solving complex pharmacy challenges for our customers. We believe in developing and executing smart solutions that leverage our industry-leading experience and technology to exceed expectations. We are a leader in driving change within the PBM industry by delivering broad-reaching and creative solutions to help your members live healthy, vibrant lives.
888.394.5688
[123]
21 OTHER
Reliant Health Partners, LLC Bailey Smith Founding Partner, Chief Operating Officer 5575 Poplar Avenue Memphis, TN 38119 - United States PHONE: (877) 405-6687 Ext. 1 EMAIL: bsmith@relianthp.com WEB: www.relianthp.com
Reliant Health Partners is a medical cost containment and specialty bill review company with a reputation for obtaining the largest available claims reductions while making the process as simple as possible for our clients. We work with third party administrators and insurance brokers serving self-insured organizations, including public and private businesses, associations, government entities and Taft Hartley groups to re-price their out-of-network group health and workers’ compensation claims. We also offer specialized services including Recovery Services, Medicare-Based Repricing, Lien Negotiations, Attorney Services, Jones Act, Single Case Submissions, and In-Network Audit.
Renalogic
3HELLEY 'RACE Executive Vice President of Sales and Marketing 22601 North 19th Avenue, Suite 230 Phoenix, AZ 85027 - United States PHONE: (866) 265-1719 EMAIL: sgrace@renalogic.com WEB: www.renalogic.com Renalogic is a premier renal disease consulting firm, servicing the self-funded industry for over 14 years. In addition to proven cost containment services, Renalogic is a comprehensive provider of data-driven chronic kidney disease (CKD) care and cost management programs. These targeted programs consistently result in improved patient outcomes and deliver maximum savings to plans.
[124]
www.sipconline.net
Script Care, Ltd.
4AB "RYAN Vice President of Sales & Marketing 6380 Folsom Drive Beaumont, TX 77706 - United States PHONE: (800) 880-9902 EMAIL: tbryan@scriptcare.com WEB: www.scriptcare.com
SelfHelpWorks
21 OTHER
Established in 1986, Script Care, Ltd. is the longest operating Pharmacy Benefit Manager in the industry and is fully URAC PBM accredited. Through various business lines – PBM, Managed Care, Correctional Services, Outsourced Business Services, as well as our sister company SCL 340B CARE – we offer innovative solutions for a wide range of clients.
"RYAN .OAR Vice President Marketing 2727 Camino del Rio South, Suite 110 San Diego, CA 92108 - United States PHONE: (619) 296-6001 EMAIL: demo@selfhelpworks.com WEB: www.selfhelpworks.com SelfHelpWorks is the leading provider of online video-based cognitive training courses for creating a healthier workforce. The interventions reduce population health risk by targeting obesity and unhealthy eating, tobacco addiction, diabetes, chronic stress, alcohol abuse and inactivity. They are highly engaging and simulate live coaching sessions. Users can access them privately and conveniently 24/7 via computer, tablet or smartphone. They have helped over a million people in more than 1,000 companies.
Telligen
4ROY #OOK Vice President 1776 West Lakes Parkway West Des Moines, IA 50266 - United States PHONE: (515) 222-2402 EMAIL: tcook@telligen.com WEB: www.telligen.com For 45+ years, Telligen has empowered people to be healthier, more engaged, and more productive. Our clinical experts provide personalized solutions that positively impact human and financial resources by cultivating a culture of health and well-being leading to true measurable outcomes.
The American Human Resource Association -ICHAEL #OLUCCI Managing General Partner 4320 Winfield Road Warrenville, IL 60555 - United States PHONE: (877) 545-5666 EMAIL: michael.colucci@theahra.com WEB: www.theahra.com
The AHRA is an Association based health plan that provides health benefits to company’s in all 50 states with over 20 participating employees.
WellDyneRx
-ELANIE 'REENE Director of Sales P.O. Box 90369 Lakeland, FL 33804 - United States PHONE: (888) 479-2000 Ext. 8214 EMAIL: mgreene@welldynerx.com WEB: www.welldynerx.com WellDyneRx provides customized pharmacy benefit management solutions that reduce clients’ costs while improving members’ health. We offer innovative clinical programs, including our patented Intercept solution, which reduces specialty drug spend by an average of $500 per medication. Our services include customized plan design, high-touch patient support, and dedicated account management.
888.394.5688
[125]
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22
INDEX
$EGREES (EALTH
!TLAS )NSURANCE -ANAGEMENT
! - )NTERNATIONAL (EALTH 0LANS ,,#
!VALON )NSURANCE #OMPANY
! .%7 7/2,$ -%$)#!, .%47/2+
!V-ED
!#! '03 ,,#
!8! !SSISTANCE 53!
"ARCELONA #REATIVE 'ROUP
"ARDON )NSURANCE 'ROUP )NC
"!3
!CCARENT (EALTH
!CCESS/N4IME
!CCU2ISK 3OLUTIONS ,,# FORMERLY )NTERNATIONAL )NSURANCE 3ERVICES n ))3
"$/ 53! ,,0
!CTIVE #APTIVE -ANAGEMENT ,,#
"EACON 2ISK 3TRATEGIES !N !M7).3 'ROUP "ENElTS #OMPANY
!DMINA(EALTH
"EACON 4ECHNOLOGIES 'ROUP )NC
!DVANCE "ENElT -ANAGEMENT 3YSTEMS )NC
"ENElT $YNAMICS #O
!#3 "ENElT 3ERVICES ,,#
!DVANCED 0LAN FOR (EALTH !0(
"ENElT-ALL
!DVANCED 2ISK -ANAGERS ,,#
"ERKLEY !CCIDENT AND (EALTH
!DVANTAGE )NSURANCE -ANAGEMENT
!DVANTRIA ,,#
!)'
!DVANCED -EDICAL 3TRATEGIES
!FFORDABLE "ENElT !DMINISTRATORS )NC
"ENElT )NDEMNITY #ORPORATION
"RENTWOOD 2EINSURANCE )NTERMEDIARIES )NC
"ERKSHIRE (ATHAWAY 3PECIALTY )NSURANCE
"RIDGE(EALTH
#ANCER 4REATMENT #ENTERS OF !MERICA
#ANYON 2E
#APSTONE !SSOCIATED 3ERVICES ,TD
#APTERRA 2ISK 3OLUTIONS ,,#
!LLEGIANCE
!MERICAN &IDELITY !SSURANCE #OMPANY
!MERICAN (EALTH (OLDING )NC
#APTIVE !LTERNATIVES ,,#
!MERI(EALTH !DMINISTRATORS
!ME2ISK #ONSULTING ,,#
#APTIVE )NSURANCE #OUNCIL OF 4HE $ISTRICT OF #OLUMBIA )NC #)# $#
!M7).3 'ROUP "ENElTS
!NSLEY #APITAL
!ON "ENlELD !CCIDENT (EALTH AND ,IFE
!POSTROPHE
!RBOR "ENElT 'ROUP , 0
!RSENAL )NSURANCE -ANAGEMENT
!RTEX 2ISK 3OLUTIONS
!35 'ROUP
www.sipconline.net
!LL #LAIMS !DJUSTMENT "UREAU ,,#
!NSLEY #APITAL 'ROUP
[126]
#APTIVE 0LANNING !SSOCIATES ,,#
#APTIVE/NE !DVISORS
#ARE(ERE ,,#
#ASTELLOE 0ARTNERS ,,#
#ATTIE 0 , , #
#')
#HUBB !CCIDENT (EALTH
#LARITY 3OFTWARE 3OLUTIONS )NC
#OASTAL 40! )NC
#OGNIZANT 4ECHNOLOGY 3OLUTIONS
&AMILY #ARE 0ATH )NC
#OMP!LLIANCE
&ORM&IRE
&RATES "ENElT !DMINISTRATORS
#ONNECT (EALTHCARE #OLLABORATION
'EM#ARE 7ELLNESS
#ONNER !SH 0 #
'(% (EALTH !NALYTIC 4ECHNOLOGIES
'LOBAL "ENElTS 'ROUP '"'
'LOBAL %XCEL -ANAGEMENT )NC
#OMPLETE (EALTH 3YSTEMS ,#
#ONSIDINE !SSOCIATES (EALTH#LAIM 3OLUTIONS¸
#ONSOLIDATED (EALTH 0LANS
#ORE3OURCE
#02 2ISK -ANAGEMENT
#REATIVE 2ISK 5NDERWRITERS ,,# #RUM &ORSTER
#RYSTAL #LEAR 2X
#USTOM $ESIGN "ENElTS
$ 7 6AN $YKE #O )NC
$!+/4!#!2% !DMINISTRATIVE 3ERVICES )NC $!3
$ANA )NVESTMENT !DVISORS
$EBORAH (EART AND ,UNG #ENTER
$ELAWARE #APTIVE )NSURANCE !SSOCIATION )NC $#)!
$ELTA (EALTH 3YSTEMS
$IRECT #ARE !DMINISTRATORS
$IRECT (EALTH $ELIVERY ,,#
$IVERSIlED 'ROUP
$UNN AND !SSOCIATES "ENElT !DMINISTRATORS )NC
%AST #OAST 5NDERWRITERS ,,#
%#(/ (EALTH )NC
)&#
%(%
%LEVATE #APTIVES ,,#
%,-# 2ISK 3OLUTIONS
%MPLOYEE 0LANS ,,#
%MPLOYER "ENElT 5NDERWRITERS )NC
%NCOMPASS -EDICAL -ANAGEMENT %MMDATA
%NDEAVOR 0LUS )NC
%THI#ARE !DVISORS )NC %THOS 5NDERWRITING 3ERVICES %XCEEDENT
%XCESS 2ISK 2EINSURANCE )RONSHORE )NSURANCE 3ERVICE ,,# %XCESS 2ISK 3OLUTIONS )NC %XCLUSIVE 3URGERIES 3OLUTIONS ,,# &!)2 (EALTH
'OLDEN 4RIANGLE 3PECIALTY .ETWORK ,,# '07
'REENBERG 4RAURIG ,,0
'REYMATTER 2ISK -ANAGEMENT ,,#
'ROUP 0ENSION !DMINISTRATORS )NC
'UARDIAN ,IFE )NSURANCE #OMPANY OF !MERICA
( ( # 'ROUP
(ANNOVER 2E
(ANOVER 3TONE 0ARTNERS
22 INDEX
#ONSOCIATE
(AWAII -AINLAND !DMINISTRATORS ,,#
(EALTH #ARE !DMINISTRATORS !SSOCIATION (EALTH #OST #ONTROL )NC (##
(EALTH )NFORMATION $ESIGNS
(EALTH 0LANS )NC
(EALTH 0ORTAL 3OLUTIONS
(EALTH 3OLUTIONS 0LUS )NC
(EALTHCARE (IGHWAYS
(EALTHCARE -ANAGEMENT !DMINISTRATORS )NC
(EALTH&IRST
(EALTH3#/0% "ENElTS
(EALTH3MART
(EALTHX
(I 4ECH (EALTH )NC
())' !CCIDENT (EALTH
(INES !SSOCIATES )NC
(- )NSURANCE 'ROUP
(OMETOWN (EALTH !DMINISTRATORS
(2-0 ,,#
)#' #APTIVE 3ERVICES ,,#
)(3 #LAIMS"RIDGE $IRECT
)MPRISE &INANCIAL 0## )NC
)NDEPENDENCE 5NDERWRITING 0ARTNERS ,,#
)NDUSTRIAL 0HYSICAL #APABILITY 3ERVICES )NC
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[127]
22 INDEX
)NSURANCE 0ROFESSIONALS OF !:
-ONUMENTAL 2ISK 3TRATEGIES
)NTERACTIVE -EDICAL 3YSTEMS )-3
-3( ).4%2.!4)/.!,
)NTERMEDIARY )NSURANCE 3ERVICES )NC ))3)
-ULTI0LAN
)NTERNATIONAL 2ISK #ONSULTANTS
-URRAY 3ECURUS
)NTERNATIONAL 3UBROGATION -ANAGEMENT A DIVISION OF .II3
-Y3PECIALIST-$
)NTUITIVE #APTIVE 3OLUTIONS ,,#
.ATIONAL "ILL !UDIT 3ERVICES ,,#
* !LLAN (ALL !SSOCIATES )NC
.ATIONAL 5NDERWRITING 3ERVICES )NC
* !RTHUR $AIL )NC
.ATIONWIDE )NNOVATIVE 3OLUTIONS
*,4 )NSURANCE -ANAGEMENT
.AVIGATORS 2E
*-3 AND !SSOCIATES )NC
.#!3
*OHNS (OPKINS /CCUPATIONAL %NVIRONMENTAL -EDICINE
.EW (ORIZON )NSURANCE 3OLUTIONS
*OHNSON ,AMBERT ,,0
.EXT ,EVEL !DMINISTRATORS
+EY "ENElT !DMINISTRATORS
.ORTHSHORE )NTERNATIONAL )NSURANCE 3ERVICES
+NIGHT )NTERNATIONAL $IRECTOR OF 4AFT (ARTLEY
.ORTH7IND ,,#
+OPKA 0INKUS $OLIN 0 #
.OVA (EALTHCARE !DMINISTRATORS
+ROGER 0RESCRIPTION 0LANS )NC
,AWLEY "ENElTS 'ROUP
/LIVER 7YMAN !CTUARIAL #ONSULTING
,EADING %DGE !DMINISTRATORS
/NE #ALL #ARE -ANAGEMENT
,IFE4RAC )NC
/NE!RK 3UITE
,IPTZ !SSOCIATES )NC
/PUS )NVESTMENT -ANAGEMENT )NC
,2! 3ELF )NSURER S &UND
/RCHARD -EDICAL #ONSULTING
/XFORD )NSURANCE "ROKERS ,TD
,UCENT (EALTH
,UMINOUS $EVELOPMENT 'ROUP ,,#
0ANCOAST "ENElTS )NC
- $ 5NDERWRITING 3ERVICES )NC
0ARTNER2E !MERICA )NSURANCE #OMPANY
-ADISON 3COTTSDALE
0ARTNERS -'5
-AGELLAN 2X -ANAGEMENT
0ASSPORT &OR (EALTH A -EDICAL 4RAVEL #OMPANY
-AIDEN 2E
0AY 9OURSELF &IRST 'LOBAL 4ELEHEALTH
0EQUOT (EALTH #ARE
0HOENIX %XCESS 2ISK 5NDERWRITERS ,,#
0HYSICIANS )NSURANCE
0INNACLE !CTUARIAL 2ESOURCES )NC
-ED 0AY )NC
-EDGOTIATE ,,#
-EDICAL 2ISK -ANAGERS )NC
-ED6ISION )NC
-ED7ATCH ,,#
0LANNED !DMINISTRATORS )NC
-ERLINOS !SSOCIATES
0,%8)3 (EALTHCARE 3YSTEMS
-%$6ISION¸
-IDLANDS #HOICE )NC
-IDLANDS -ANAGEMENT #ORP
-IDWEST %MPLOYERS #ASUALTY
0-! #OMPANIES 0RICE-$S 0RO 'ROUP #APTIVE -ANAGEMENT 3ERVICES )NC
0RO!CT )NC
-ILLIMAN )NC
0ROFESSIONAL 2EINSURANCE -ARKETING 3ERVICES )NC
-).%3 AND !SSOCIATES
0ROVI$2S #ARE
1"% .ORTH !MERICA
-ONTANA #APTIVE )NSURANCE !SSOCIATION )NC -#)! -ONTGOMERY -ANAGEMENT #ORPORATION --#
[128]
/DYSSEY2E
www.sipconline.net
1UALITY (EALTH -ANAGEMENT 1(-
2E 3OLUTIONS A 2ISK 3TRATEGIES #OMPANY
4HE !LLIANCE
2ED#ARD
4HE !MERICAN (UMAN 2ESOURCE !SSOCIATION
2EDIRECT (EALTH
4HE 'UARDIAN ,IFE )NSURANCE #OMPANY OF !MERICA 'UARDIAN /"#
2ELIANT (EALTH 0ARTNERS ,,#
2ENALOGIC
2ESOLUTION 2EINSURANCE )NTERMEDIARIES ,,#
2'! 2EINSURANCE #OMPANY
2ISK )NSURANCE #ONSULTING 3ERVICES ,,# 2ISK )NTERNATIONAL !CTUARIAL #ONSULTING 2IVER /AK 2ISK ,,# 2OCKPORT "ENElTS ,,#
2X 0RECISION
2X2EINS )NC
3 0 $OW *ONES )NDICES
3AFETY .ATIONAL
3#/2 'LOBAL ,IFE 3CRIPT #ARE ,TD 3ECURE (EALTH
3ELF )NSURANCE )NSTITUTE OF !MERICA )NC 3))!
3ELF(ELP7ORKS
3EXTANT 3ELF &UNDING ,,#
3'2ISK ,,#
3)3#/
3KY )NSURANCE 4ECHNOLOGIES 3PECIALTY #ARE -ANAGEMENT ,,#
3PECTRUM 5NDERWRITING -ANAGERS )NC
3TAR,INE
3TOP ,OSS )NSURANCE "ROKERS )NC
3TOP ,OSS )NSURANCE 3ERVICES
3TRATEGIC 5NDERWRITING 3OLUTIONS ,,#
3UN ,IFE &INANCIAL
3UTTON 3PECIAL 2ISK !MERICA 3WISS 2E #ORPORATE 3OLUTIONS
4HE 0HIA 'ROUP ,,#
4HE 4AFT #OMPANIES ,,#
4OKIO -ARINE (## 3TOP ,OSS 'ROUP
4OTAL #LAIMS -ANAGEMENT ,,#
4REAN 2EINSURANCE 3ERVICES ,,#
4RILOGY #ONSULTING 'ROUP )NC
22
425 3ERVICES ! ,IBERTY -UTUAL #OMPANY
5LLICO )NC
5-2
5NITED #LAIM 3OLUTIONS
5NUM
53"ENElTS )NSURANCE 3ERVICES ,,#
6ENTANEX
6IVEKA (EALTH
6OYA %MPLOYEE "ENElTS
7%"" #/9,% 0,,#
7ELL$YNE2X
7ILLIS 4OWERS 7ATSON
7INDSOR 3TRATEGY 0ARTNERS )NC
7INDSOR 3TRATEGY 3OLUTIONS ,,#
7//,34/. 4!24%2 0 #
7ORLD#ARE )NTERNATIONAL )NC
8CHANGE "ENElTS ,,#
8EO(EALTH
8, #ATLIN 2EINSURANCE !MERICA )NC
9OUNG #ONSULTING )NC
:EBU #OMPLIANCE 3OLUTIONS
:ELIS (EALTHCARE
)"#
3YMETRA
3YNARTIS
4AYLOR#HANDLER ,,#
4## "ENElTS !DMINISTRATOR
4ELADOC )NC
4ELLIGEN
4HE (EALTH 0LAN
INDEX
2EVOLV
4ENNESSEE #APTIVE )NSURANCE !SSOCIATION )NC 4#)!
888.394.5688
[129]
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NOTES
www.sipconline.net
GUARDIAN STOP LOSS INSURANCE
YOUR CARRIER SHOULD HAVE A HISTORY OF FINANCIAL STABILITY. How does 155 years sound?
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VISIT WWW.GUARDIANANYTIME.COM/STOPLOSS
The Guardian Life Insurance Company of America®, 7 Hanover Square, New York, NY 10004. 1. Upon receipt of complete information from the payer. Guardian’s Stop Loss Insurance is underwritten and issued by The Guardian Life Insurance Company of America, New York, NY. Policy limitations and exclusions apply. Optional riders and/or features may incur additional costs. Plan documents are the final arbiter of coverage. Financial information concerning The Guardian Life Insurance Company of America as of December 31, 2016, on a statutory basis: Admitted Assets = $51.9 Billion; Liabilities = $45.7 Billion (including $39.4 Billion of Reserves); and Surplus = $6.2 Billion. Policy Form #GP-1-SL-13. 2017-43335 (07/19)