About Us PAI History
Planned Administrators, Inc. (PAI) is a nationally licensed TPA, delivering flexible solutions across group health plans, ancillary products, and P&C programs, and offering innovative approaches to support client partners. We currently provide administrative services for both traditional selffunded accounts, as well as providing business process outsourcing solutions for regional and national businesses.
Our current product portfolio mix allows us to continue to provide self-funded and fully insured administration for clients as well as incorporate backroom administration for partners.
The business model is simple. We inspire trust and build partnerships by focusing on a benefit design platform that works by:
» Providing flexible administrative solutions
» Offering unique solutions to meet unique and specific needs
» Creating products and offerings that deliver results and resonate value to clients, members and partners — “Making Benefits Better!”
Our Mission
Make benefits better by making health care as affordable and accessible and providing best-in-class administration our groups and other carriers and entities.
Our Vision
Develop and administer benefit programs focused on quality and costs, making it easier for members to get the care they need from the right providers. We do this by partnering with like-minded companies to introduce innovative ideas to the market.
1981
PAI began in 1981 with a desire to provide unprecedented service and value for selffunded administration of employee benefit plans to South Carolina citizens. Over the years, PAI has evolved into a multi-faceted company with many offerings.
1984
In 1984, PAI became a wholly owned subsidiary of the only South Carolina owned and operated health insurance carrier.
2004
In 2004, PAI started administration of limited benefit medical plans for part-time and hourly employees employed by national and international companies. These fully insured programs continue to grow today with more than 356,407 members enrolled, and are supported by two carrier partners.
2013
In 2013, PAI became a national administrator for voluntary benefits, including critical illness, accident, and hospital indemnity products.
2015
In 2015, PAI launched Affordable Care Act (ACA)compliant plans to accommodate large group employer federal mandates. PAI also acquired Companion TPA, a property and casualty administrator, specializing in workers’ compensation, general liability and commercial auto.
2025
This year, PAI is launching Individual Coverage Health Reimbursement Arrangement (ICHRA) programs. In partnership with Benefitfocus, and by leveraging their industry-leading carrier platform, we allow employers to comply with ACA and ERISA mandates for a lower cost.
Our Products
Case Study
How PAI Makes Benefits Better for Large Dental Carrier
In 2023, PAI welcomed a large dental carrier to our book of business. With a quick implementation timeline and stringent carrier requirements, PAI was able to adeptly move all hands on deck to provide streamlined service to the carrier’s 25,000 existing PPO, HMO and Medicare subscribers.
PAI’s customer service, technology, claims and account management teams have pulled together to make benefits better for the carrier, dental providers and their members. Customer Service
PAI’s customer service team was quickly able to adjust staffing and expand call center hours to accommodate west coast dental providers and members without any compromise in service. Each month, PAI’s dedicated customer service team has been able to meet or exceed the following performance standards:
New Partnerships
PAI Expands Partnership with Smart Data Solutions (SDS)
PAI expanded its partnership with SDS for AI- and automation-driven clearinghouse services, marking a significant milestone in our collaboration. The new end-to-end clearinghouse and EDI gateway solution, with the AI- and automationpowered platform, fosters seamless connections between PAI and its clients. SDS platform’s ecosystem leverages AI, advanced analytics, and process efficiencies to optimize the healthcare transaction lifecycle, including 837 and 835 clearing, provider enrollment, and real-time eligibility and claim status inquiries.
SDS AI technology ensures seamless processing that exceeds industry standards with:
» Unmatched accuracy
» Real-time data services
» An automated, scalable platform to manage increased volume
» Dedicated support team
“This gateway transition is a prime example of the relationship we have shared with SDS for close to 20 years. Whenever we have approached them with a new need, they have always come through.”
— George Stiles, PAI President
and COO
PAI’s partnership with an industry leader in providing dental claim review services has proved to be integral in the dental carrier’s extensive pre-authorization requirements. Each month, PAI has been able to deliver timely service for pre-authorizations:
Technology
PAI created a customized claims handling and eligibility intake approach to meet the carrier’s compliance needs. A separate claims system was implemented to segregate data as required and expand on dental claims processing needs.
PAI’s IT team was able to identify and accommodate complex eligibility data presented by the carrier to minimize any disruption to new and existing members.
PAI’s web-based user portal has given providers, members and employers access to information 24 hours a day / 7 days a week. Members are able to email customer service, print or request an ID card on demand, find a network provider, review claims and access forms.
Account Management
With a dedicated IT project manager and a dedicated account manager, PAI ensures all teams are effectively communicating and continuously strive to provide the best service possible.
customized approach and touch is one way PAI makes benefits better.
Claims
The claims team has also taken a personalized approach by using a dedicated group of processors for the carrier to expedite the carrier’s unique needs. Each member has over 15 years’ experience in the industry to ensure claims are paid correctly in a timely manner. PAI is committed to meet the following standards:
Putting Members First: Our Partnership with Nimble Health
We’re excited to partner with Nimble Health, a patientfirst musculoskeletal (MSK) concierge program that guides members through their entire MSK care journey—from early identification to recovery. Nimble offers clinical decision support, digital tools, care navigation, and concierge scheduling, all while ensuring access to high-quality providers.
Proven Engagement and Satisfaction
» 74% Contact Rate
» 78% Engagement Rate
» 96% Member Satisfaction
» 83 Net Promoter Score
Nimble delivers a comprehensive, integrated MSK solution that improves care, enhances member experience, and drives cost savings. The program also coordinates seamlessly with other health and wellness benefits, increasing overall program utilization.
With Nimble, we’re helping members get the right care at the right time—leading to better outcomes, stronger financial results, and a healthier, more productive workforce.
PAI Partners with Medzown to Bring Precision Care for Oncology and Rare Diseases to SelfFunded Employers
We partnered with Medzown, a leader in precision oncology and rare disease care, to offer personalized, data-driven treatment options to self-funded employers and their members.
Through this partnership, members gain access to therapies and clinical trials matched to their unique genomic and clinical profiles — supported by expert scientists and dedicated patient navigators.
“This partnership strengthens our commitment to delivering flexible, individualized healthcare solutions,” said Kerri Flowers, AVP at PAI.
Key Benefits:
» Precision treatment recommendations based on genetic insights
» Access to cutting-edge therapies + clinical trials
» Expert support and simplified care navigation
“Together, we’re making personalized care more accessible,” said Jennifer Carter, CEO of Medzown.
PAI and Medzown are redefining how self-funded plans deliver high-impact, member-focused care.
PAI Partners with MDI NetworX to Implement AI-Powered InsightPro Platform
Planned Administrators, Inc. (PAI) has partnered with MDI NetworX to deploy InsightPro, an AIpowered workforce analytics platform designed to enhance claims and quality operations.
InsightPro uses advanced automation and analytics to streamline workflows, identify operational inefficiencies, and improve workforce performance. The goal is to increase processing speed, reduce administrative overhead, and support PAI’s ability to deliver reliable, responsive service to clients.
“This platform gives us better visibility into our operations and helps us manage resources more effectively,” — George Stiles, PAI President and COO said. “It is a step forward in our abilities to support our clients.”
MDI NetworX developed InsightPro to help healthcare administrators manage increasing complexity and demand. The platform provides real-time performance data, predictive analytics, and process automation tools aimed at improving accuracy and reducing turnaround times.
The partnership highlights both organizations’ focus on using technology to modernize claims administration and adapt to ongoing changes in the healthcare industry.
David
Huntington AWARD
About David
David Huntington was a visionary leader and dedicated entrepreneur who transformed PAI into the nationally respected third-party administrator it is today. When David took over the company in 1983, PAI was a small, regional organization with just 11 employees. Through his determination, strategic insight, and unwavering commitment to excellence, he built PAI into a dynamic, innovative TPA serving clients across the country.
Over the course of his leadership, David guided PAI through decades of growth and change in the healthcare and benefits landscape. His belief in the power of people, technology, and purpose-driven service laid the foundation for PAI’s culture and long-term success. He was widely respected not only for his business acumen, but for his humility, integrity, and the deep care he showed for his employees and clients alike.
David’s legacy lives on in the organization he helped shape—a company with a bright future, built on the principles he championed. His impact will be felt for generations to come.
“This customized approach and personalized touch is one way PAI makes benefits better”
2024 Award Winner
Congratulations to our Q4 Quarterly Recognition Award Winner, David Whitener!
David is the Director of IS System Support. His employee nominated him, recognizing the dedication and hard work he consistently puts in, often behind the scenes. His employee said, “What many would not realize is the dedication and commitment that it requires to pull that off. Not many see the repetitive late nights, early mornings, holidays, and vacation days that David spends trying to make sure that PAI and all of us are successful in our endeavors. He doesn’t do it to receive plaudits, recognition, or even thanks. He does it because it is in his nature and it is the right thing to do.”
Award
PAI Wins HR Tech Top Employee Benefits Services Provider 2024
This month PAI won HR Tech Magazine’s Top Employee Benefits Service Provider for 2024. We received this recognition because of our flexible benefit designs, competitive rates, stellar customer service, and dedication to our clients.
Our model — the result of a strong emphasis on innovation and out-of-the box thinking — brings excellent outcomes for patients, providers and employers alike.
Senior Leaders
George Stiles
President and Chief Operating Officer (COO)
George Stiles is President and COO of PAI. As President, Mr. Stiles leads all aspects of sales, strategy, finance and operations for PAI’s multiple lines of administrative business. He joined PAI in September 2006 and has over 25 years’ experience with our parent company, where he has served in various management positions. He is a graduate of the University of North Carolina at Chapel Hill and has his MBA from Southern Wesleyan University. Mr. Stiles is a member of the Leadership Columbia’s class of 2007.
Amanda Gantt
VP and Chief Financial Officer
Amanda Gantt is PAI’s VP and Chief Financial Officer. She joined PAI in December 2012, serving in a variety of management positions. She oversees the finance and accounting functions for our fully-insured and self-funded business. She also oversees our compliance and quality assurance area. Prior to joining PAI, she held various auditing roles with the largest health insurer of South Carolina for 15 years. She is a graduate of the University of South Carolina and is a Certified Internal Auditor.
Scot Dawkins
AVP of Information Systems
Scot Dawkins is AVP of Information Systems for PAI. He oversees computer operations, programming, telecommunications, and system support. A graduate of Winthrop University, Mr. Dawkins has been with PAI since 1994. He is also certified in several areas of IBM system administration.
PJ Rescigno
AVP Specialty Products
PJ Rescigno is the AVP of Specialty Products for PAI. He joined PAI in April 2007 and oversees the specialty product functions, delivering products and administrative solutions to the market, leading business development efforts for PAI. He graduated with a B.S. degree from Winthrop University. Prior to joining PAI, he was Managing Director of the southeast region of a multibillion dollar specialty chemical company and an Executive Search Consultant with a privately held employment search firm.
Kerri M. Flowers
AVP Self-Funded Operations and Account Management
Kerri Flowers is the AVP of Self-Funded Operations and Account Management. She oversees enrollment, claims processing, customer service and account management. She joined PAI in 1999 and has served in various management positions. Prior to joining PAI, she worked at largest health insurer of South Carolina for six years. She is a licensed agent in life and health insurance, has the Professional Academy for Healthcare Management (PAHM) designation and is a magna cum laude graduate of the University of South Carolina.
Suzanne Miller
Director of Risk, Assurance and Analytics
Suzanne Miller is Director of Risk, Assurance and Analytics and also serves as PAI’s Compliance Officer. She oversees all compliance activities, quality assurance, training, and HIPAA Privacy. She has been managing in a health care environment since 2000 and has been with PAI since 1996. Prior to joining PAI, she was with the largest health insurer of South Carolina for five years. She is a registered nurse (RN) with a Bachelor’s Degree from South University and has also attained the designation of Fellow of the Life Management Institute (FLMI).
Tosca Walls
Director of P&C Operations
Tosca Walls is the Director of P&C Operations. She oversees the operations, administration and claims processing for the Property and Casualty line of business. She joined PAI in 2015. Prior to joining PAI, she served in various management positions for ten years with the largest health insurer of South Carolina. Tosca is a graduate of Austin Peay State University and has also attained the Associate in Claims (AIC) and Associate in Insurance Services (AIS) designations.
2024
Power of the Purse
PAI was a proud sponsor of United Way of the Midlands (SC) Women in Philanthropy’s Power of the Purse. As the Mobile Bidding sponsor, employees were able to attend and enjoy live music, a silent auction, food and drinks.
United Way of the Midlands (SC)
PAI made Chickenbutt Donuts fly as we raised money for the United Way of the Midlands (SC) during the annual BlueCross BlueShield of South Carolina campaign! Until next year!
Healthy You 5k and Family Fun Day
We participated in BlueCross BlueShield of South Carolina Healthy You 5K and Family Fun Day. It was a perfect day to spend time with friends and family. Wellness paves the way to a happier, healthier you.
United Tool and Mold, Inc.
PAI Sponsored United Tool and Mold Inc.’s golf outing fundraiser. It was a great event, and they were able to raise $29,500 to support wounded veterans through iWarriors.
SIIA Future Leaders Forum
Our team had a wonderful time at the SIIA Future Leaders Forum in Kansas City. Our own Kartikay Kaushik, Hannah Towles, and Jenna Davis represented Planned Administrators, Inc. (PAI) by showcasing their exceptional leadership skills. They shared their self-insurance industry know-how while learning from other young professionals. Plus, our team wowed on the pickleball court, too!
Sponsorships
Meals on Wheels 5k
On March 8th, PAI sponsored and participated in Meals on Wheels 5k. We had a blast and enjoyed the beautiful weather. Thank you Strictly Running and Senior Resources Inc. for putting together this great event.
Share
PAI attended the Annual AssuredPartners and Sunbelt Human Advancement Resources (SHARE) Head Start Kickoff Pre-Service Conference at the Greenville Convention Center. We talked about how we make benefits better for our groups and members, and spent time with SHARE team!
American Staffing Association Board of Directors Dinner at ExecuVision 2025
It was an honor and privilege to sponsor the American Staffing Association Board of Directors Dinner at ExecuVision 2025, allowing us to confirm our continued commitment to the staffing industry. PJ Rescigno was able to collaborate with other industry leaders during this incredible event. PAI has been administering benefits for thousands of staffing companies since 2004 and is committed to doing so in the future. If you would like to learn more about PAI and our benefit offerings please contact PJ at prescigno@paisc.com.
Employee Events
2024 Team Building
Our Limited Benefits team enjoyed a day of fun and food as they talked about updates for the team, birthdays, anniversaries, and more. They also had a role-play team building activity.
Customer Service Week
Last year, PAI headed back to the Riverbanks Zoo and Garden to celebrate Customer Service Week with an all-employee event. It was a beautiful day to walk around with friends and win some awesome prizes.
Charlie Sears and Tosca Walls had a blast representing PAI at this year’s Society for Human Resources (SHRM) event!
Annual Chili Cookoff
We had our second annual chili cookoff to raise money for Samaritan’s Purse’s Hurricane Helene relief efforts. This year’s winner was Wilson Lancaster! Thank you to everyone who came and donated.
SHRM