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THE

Directory 2014

27

TH

ANNUAL EDITION

888.394.5688 • THE Directory 2014 |1


Confidence to thrive in ever-changing conditions

Grow with proven insights in risk management. Success comes from nurturing what’s possible. It takes a balanced approach to risk management, along with confidence to act on the guidance from trusted partners with demonstrated expertise. Your clients rely on you. And at HM Insurance Group, we help you deliver. As a national leader in Stop Loss, HM helps you achieve results through smart innovations and decades of experience in the growing field of self-funding. Grow with confidence. Find out if self-funding with HM Stop Loss makes sense for your growth-focused clients at hmig.com/confidence/7 HM PRODUCT PORTFOLIO: STOP LOSS WORKERS’ COMPENSATION | CRITICAL ILLNESS | ACCIDENT | DISABILITY INCOME | TERM LIFE

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MTG-2492 (R8/13)


Table of Contents Section I Third Party Administrators (TPAs) . . . . . . . . . . . . . . . . . . . . . . . . . 7 Life and Health/Employee Benefits

Section 2 Third Party Administrators (TPAs) . . . . . . . . . . . . . . . . . . . . . . . . 17 Property and Casualty/Workers’ Compensation/Captives

Section 3 Managing General Underwriters (MGUs) . . . . . . . . . . . . . . . . . . . 19 Medical Stop-Loss Carriers – Life and Health/Employee Benefits

Section 4 MGU/Excess Insurance Carriers . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Property and Casualty/Workers’ Compensation/Captives

Section 5 Medical Provider Networks/Onsite Clinics. . . . . . . . . . . . . . . . . . 35 Section 6 Technology Vendors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Section 7 Brokers/Consultants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

ADVERTISERS INDEX American Health Holding, Inc. . . . . . . . . . 52 AmeriHealth Administrators . . . . . . . . . . . . 6 ARMSRx Pharmacy Benefit Consultants . . . . . . .46 BenefitMall . . . . . . . . . . . . . . . . . . . . . . . 72 Consilium . . . . . . . . . . . . . . . . . . . . . . . . . 79 Coulter & Associates, Inc. . . . . . . . . . . . . . 75 EBMS . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 ECHO Health, Inc. . . . . . . . . . . . . . . . . . 58 Elite Underwriting Services . . . . . . . . . . . . 20 First Health . . . . . . . . . . . . . . . . . . . . . . . 36

Section 8 Utilization Review/Case Management . . . . . . . . . . . . . . . . . . . . . . 53

Healthx, Inc. . . . . . . . . . . . . . . . . . . . . . . 41

Section 9 Attorneys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Hines & Associates, Inc. . . . . . . . . . . . . . . 55

Section 10 Financial Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

HM Insurance Group . . . . . . . . . . . . . . . IFC

Section 11 Actuaries/Accountants/Auditors . . . . . . . . . . . . . . . . . . . . . . . . 62

IHC Risk Solutions . . . . . . . . . . . . . . . . . . 26

Section 12 Consumer Driven Health Care Services . . . . . . . . . . . . . . . . . . . 67 Section 13 Captive Management Services . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Risk Retention Groups (RRGs)

Indigo Insurance Services . . . . . . . . . . . . . . 23 ING Employee Benefits . . . . . . . . . . . . . . . 61 inVentiv Medical Management . . . . . . . . . . 43

Section 14 Reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Meadowbrook TPA Associates . . . . . . . . . . . 16

Section 15 International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Medical Risk Managers, Inc. . . . . . . . . . . . 31

Section 16 Subrogation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Section 17 Loss Prevention/Control Services . . . . . . . . . . . . . . . . . . . . . . . 80 Section 18 Publications/Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Section 19 Trade Associations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Midlands . . . . . . . . . . . . . . . . . . . . . . . . . 34 Partner Administrators . . . . . . . . . . . . . . . 15 Preferred Medical Claim Solutions . . . . . . . 39 Premier Healthcare Exchange, Inc. (PHX) . . . . IBC Shores, Tagman, Butler & Company, P.A. . . . . . 63

Section 20 Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Sun Life Financial . . . . . . . . . . . . . . . . . . 32

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

WeCare TLC . . . . . . . . . . . . . . . . . . . . . . . 85

PUBLISHING DIRECTOR EDITOR DIRECTOR OF OPERATIONS ACCOUNTING DIRECTOR OF ADVERTISING

Erica Massey Jennifer Ivy Justin Miller Grace Chen Shane Byars

Published as a community service by: SELF-INSURERS’ PUBLISHING CORP. P.O. BOX 1237 SIMPSONVILLE, SC 29681

© 2013/2014 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 • THE Directory 2014 |3


WELCOME We are pleased to provide the 27th Edition of THE Directory (formerly known as The Who’s Who of Self-Insurance Services and Alternative Risk Transfer User’s Directory), published by Self-Insurers’ Publishing Corp. (SIPC), in conjunction with the Self-Insurance Institute of America (SIIA). THE Directory serves as the premier resource for professionals currently using self-insurance and for any industry professionals that are interested in exploring self-insurance. We would like to extend a special recognition and thank you to our advertisers, SIIA members and 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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The Self-Insurance Institute of America, Inc. (SIIA) is a dynamic, memberbased association dedicated to protecting and promoting the business interests of companies that utilize self-insurance/alternative risk transfer (ART) 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/ART industry, SIIA operates the following membership sections to facilitate more targeted membership benefits.

Health Care • Alternative Risk Transfer • Workers’ Compensation • International

SIIA Delivers Membership Services in Four Main Areas:

Protecting & Promoting Self-Insurance/ ART on Capitol Hill

I. Legislative/Regulatory Representation SIIA is the leading advocate for the legislative/regulatory interests of the self-insurance/alternative risk transfer industry at both the state and federal level.

SIIA is the only self-insurance/ART association that has a full-time lobbying presence in Washington, DC. When members of Congress need guidance on self-insurance/ART issues, they turn to SIIA. To complement its effective direct lobbying capabilities, SIIA engages its members through a variety of communications and activities, including:

II. Education For nearly three decades, SIIA has been producing cutting-edge educational content for its members through a variety of educational forums big and small. No other organization has such an extensive professional network of recognized industry experts to put together and deliver education like SIIA does. III. Information No matter where their business takes them, SIIA members are assured a steady flow of critical information and industry insights from a variety of electronic and printed communication products. Our website and regular member communications, which include the weekly Washington Report, and the monthly Self-Insurer Magazine, look beyond the headlines to give members a sense of what every development means to their business. IV. Networking SIIA’s members are the leaders in the self-insurance/ART 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.

The Washington Report An electronic newsletter covers the news and events taking place on Capitol Hill of specific interest to companies involved in the selfinsurance/ART industry. Special Bulletins In-depth reports focused on developing legislative/regulatory stories. Legislative Bill Tracking Summaries of all key federal Senate and House bills from introduction to passage. Legislative/Regulatory Conference This popular annual conference features leading policymakers from Capitol Hill and state legislators who address key legislative and regulatory issues which impact the self-insurance/ART industry. Conference attendees receive specially prepared legislative reports with comprehensive information on pending legislation.

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SECTION 1 THIRD PARTY ADMINISTRATORS (TPAs) LIFE AND HEALTH/EMPLOYEE BENEFITS

ACS Benefit Services, Inc.

Allegiance

Jon Leeper, Vice President 8025 North Point Boulevard Winston-Salem, NC 27106 - United States Phone: (800) 849-5370 Email: Jleeper@acsbenefitservices.com Website: www.acsbenefitservicesinc.com

Aaron Bay, Vice President of Marketing and Service P.O. Box 3018 Missoula, MT 59806 - United States Phone: (406) 721-2222 Email: aaron.bay@askallegiance.com Website: www.askallegiance.com

ACS Benefit Services is the premier Third Party Administrator for SelfFunded Medical, Dental, Drug, Short-Term Disability, and Vision Plans with a comprehensive suite of administrative services.We also offer HRA’s, FSA’s and HSA’s and Dependent Eligibility Audits.

Allegiance provides insured and self-funded plan management, compliance services, claims processing and administration (medical, dental, vision, pharmacy, COBRA/HIPAA, subrogation).We service ERISA plans, public employer plans, church plans, MEWA’s, and Flexible Spending and Reimbursement Accounts.We also provide excess-loss insurance services, utilization review, case management, predictive modeling, and wellness programs.

Affordable Benefit Administrators, Inc. Marie Ackad, Marketing Operations Manager 444 Irving Drive, Suite 202 Burbank, CA 91504 - United States Phone: (800) 350-0148 Email: m_ackad@benefitsaba.com Website: www.benefitsaba.com A Third Party Administrator specializing in Medical, Dental and Vision Self-funded Plans. COBRA/CCC administration, Health Savings Account (H.S.A) and Health Reimbursement Accounts (HRA); Packaging EPO/ PPO networks; Utilization Review/Case Management; Cafeteria Plans Administration; Insurance & Stop Loss Access with Traditional & Innovative stop loss.

AIG Benefit Solutions Jeff Gavlick, Vice President, Product Development and Management - Stop Loss 3600 Route 66 Neptune, NJ 07753 - United States Phone: (732) 922-7535 Email: Jeff.Gavlick@aigbenefits.com Website: www.aigbenefits.com AIG Benefit Solutions offers a broad array of insurance products and services to employer and affinity groups.The company offers a complete, competitive platform of stop-loss insurance options to serve the needs of self-funded employers, including captive solutions and a fully integrated organ transplant carve-out product.

American Trust Administrators Jeffrey Diekema, President 255 North West Blue Parkway Lees Summit, MO 64063-1869 - United States Phone: (816) 251-7700 Email: jeff.diekema@ataamerica.com Website: www.ataamerica.com American Trust Administrators, Inc. has been administering SelfFunded plans for small groups (10-99) lives for nearly 40 years. Our showcase product, AmeriShare, offers small employers an individually underwritten program with benefit and risk-management options tailored for each employers’ specific needs.We specialize in packaged self-funded programs to give small employers tools for effective risk management in the arena of employee benefits.

AmeriHealth Administrators Scott Reed, Director, Marketing Services 720 Blair Mill Road Horsham, PA 19044 - United States Phone: (215) 830-2505 Email: Scott.Reed@ahatpa.com Website: www.ahatpa.com AmeriHealth Administrators is a national third-party administrator of comprehensive, self-funded health plans, representing over $1 billion in health benefits.With 25 years’ experience, our plans and services include CDHP; prescription, dental, and vision plans; health accounts; stop-loss; COBRA administration; and URAC-accredited utilization and case management programs. For information, visit www.ahatpa.com. 888.394.5688 • THE Directory 2014 |7


SECTION 1  ASR Health Benefits

Christian Brothers Services

Todd Stacy, President/Chief Executive Officer 3033 Orchard Vista Drive South East, Suite 200 Grand Rapids, MI 49546 - United States Phone: (800) 968-2449 Email: pearlm@asrhealthbenefits.com Website: www.asrhealthbenefits.com

Brian Page, Director of Sales and Business Development 1205 Windham Parkway Romeoville, IL 60446 - United States Phone: (630) 378-2900 Email: brian.page@cbservices.org Website: www.cbservices.org

ASR has the expertise to meet your employee health benefits needs now and in the future, regardless if your group is large or small, local or national. Consumer-directed health plans are available through ASR along with dental, vision, and flexible spending plans. ASR offers group disability and life insurance coverage, as well as COBRA services, welness education and wellness incentive plans.

Christian Brothers Services is a nonprofit organization that administers cooperative programs in health/retirement, property/casualty and consulting/technology to church organizations. Founded in 1960, the company has grown to administer and serve 11 Trusts, which provide a variety of programs to congregations, organizations and dioceses both in the United States and Canada.

AvMed

CNIC Health Solutions

Leda Silver, ASO Sales Operations Manager 9400 South Dadeland Boulevard, Suite 409 Miami, FL 33156 - United States Phone: (305) 671-4749 Email: leda.silver@avmed.org Website: www.avmed.org

Brendan Krelle, Sales Director​ 3508 South Morning Wood Court​ Salt Lake City, UT 84106 - United States​ Phone: (801) 372-8097​ Email: bkrelle@cnichs.com

AvMed’s Self-Funded Options allow employers to customize benefits, manage risk, and provide access to quality care. Employers can create a plan that controls their organization’s health care costs and set a course for a sustainable future. Plus, AvMed provides health education and prevention programs to improve employee health and productivity.

CNIC Health Solutions is a full service TPA headquartered in Denver Colorado serving employers in numerous states, and covering more than 75,000 lives. CNIC provides in-house Care and Disease Management and is an industry leader in corporate wellness initiatives, including HRA, results based biometric wellness and value based plan designs.

BAS

Coastal TPA, Inc.

Marty Joseph, President/Co-owner 17475 Jovanna Drive Homewood, IL 60430 - United States Phone: (800) 523-0582 Email: marty.joseph@BASHealth.com Website: www.BASHealth.com

Debi Hardwick, ​President/Chief Executive Officer ​928 East Blanco Road, Suite 235 ​Salinas, CA 93901 - United States ​Phone: (831) 754-3800 ​Email: DHardwick@Coastalmgmt.com​ Website: www.Coastalmgmt.com

BAS is an Integrated Healthcare Cost Management organization that designs and administers self funded healthcare plans with integrated population health management tools and services.We offer a full array of comprehensive lifestyle and outcomes based wellness and care management programs which create innovative, low cost solutions for our clients.

Coastal specializes in third party claims administration for selfinsured employers, delivering affordable and tailored healthcare solutions that includes access to a proprietary regional PPO. 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.

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THIRD PARTY ADMINISTRATORS (TPAs) LIFE AND HEALTH/EMPLOYEE BENEFITS

Consociate

D.W.Van Dyke & Co., Inc.

Darren Reynolds, JD, 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 Website: www.consociate.com

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States Phone: (203) 761-9300 Email: ckoehler@dwvd.com Website: www.dwvd.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 Illinois and Tennessee.

Life and A&H Intermediary providing access to carriers, reinsurance, distribution,TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx,Vision, Long Term Care, Medical Tourism,TrAvenuel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.

CoreSource Rob Corrigan, Vice President Product Management & Planning 400 Field Drive Lake Forest, IL 60045 - United States Phone: (800) 323-3332 Email: inquiries@coresource.com Website: www.coresource.com CoreSource is one of the nation’s leading TPAs, recognized for delivering flexible, integrated solutions.We combine innovation and resources to significantly reduce employers’ healthcare spend, and provide unmatched personal service from local offices across the county. More than 900 clients trust us to administer benefits for their 1.4 million members.

Custom Design Benefits Julie D. Mueller, President 5589 Cheviot Road Cincinnati, OH 45247 - United States Phone: (513) 598-2929 Email: jmueller@CustomDesignBenefits.com Website: www.CustomDesignBenefits.com Third Party Administrator of self-funded medical, dental and short-term disability plans, serving brokers and their clients that are headquartered in Ohio, Kentucky and Indiana.Technology-driven, offering cost-effective solutions, including on-site wellness and consumer driven services as well as COBRA and FMLA and our newest offering – TrueCost, a Medicareplus reimbursement plan.

Ebix,Inc. Mark Brown, Vice President Sales, Ebix Health Two Penn Center West, Suite 120 Pittsburgh, PA 15275 - United States Phone: (412) 276-4050 Email: mark.brown@ebix.com Website: www.ebix.com A leading international supplier of on-demand software and e-commerce services for the insurance industry, Ebix, Inc., (NASDAQ: EBIX) provides end-to-end solutions ranging from infrastructure exchanges, carrier systems, agency systems, web portals, and policy and claims administration, to custom software development for all entities involved in the insurance industry.

EBMS Shelley Van Atta, Strategic Marketing & Public Relations 2075 Overland Avenue Billings, MT 59102 - United States Phone: (406) 869-6543 Email: svanatta@ebms.com Website: www.ebms.com EBMS, a national leader in health risk management and third-party administration of self-funded health benefit plans, specializes in valuebased benefit design; data analytics and customized reporting; onsite medical clinics; mail-order pharmacy; wellness programs with online personal health records, consumer decision support; online enrollment with consolidated billing for multiple lines of coverage; benefits communications; medical, dental, vision, COBRA/HIPAA administration.

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SECTION 1  EBS-RMSCO, Inc. 

Gilsbar, LLC

Gregory Cohen, President 115 Continuum Drive Liverpool, NY 13088 - United States Phone: (315) 448-9000 Email: greg.cohen@ebsrmsco.com Website: www.ebsrmsco.com

Stephen Cali, National Sales Manager 2100 Covington Centre Covington, LA 70433 - United States Phone: (800) 445-7227 Email: scali@gilsbar.com Website: www.gilsbar.com

EBS-RMSCO, Inc. provides comprehensive employee benefits administration solutions to employee benefit programs. Our services include the administration of Self-Funded Medical, Dental, Rx, and Vision plans, COBRA, Cafeteria Plans, Flexible Spending Accounts, Section 401(k) Plans, Health and Wellness Programs and actuarial services to Defined Benefit Pension Plans.

Recognized as a catalyst for creating healthy business, Gilsbar offers health and life benefit management services as well as specialty liability insurance for professionals.These unique products provide innovative, unanticipated solutions that improve the health and wellbeing of its members, while delivering long-term cost containment solutions for its clients.

Employee Plans, LLC

Health Plans, Inc.



Deb Eovaldi, Director 1111 Chestnut Hills Parkway Fort Wayne, IN 46814 - United States Phone: (260) 625-7347 Email: deb.eovaldi@oldnationalins.com Website: www.employeeplansllc.com

William Breidenbach, President 1500 West Park Drive, Suite 330 Westborough, MA 01581 - United States Phone: (508) 475-6105 Email: cmagnusson@healthplansinc.com Website: www.healthplansinc.com

Employee Plans, LLC, a subsidiary of Old National Insurance is a Third Party Administrator located in Fort Wayne, Indiana. Employee Plans, LLC offers a wide array of employee benefit services to over 75,000 members. Our focus is to offer creative solutions to serious business challenges that make financial sense as we navigate through the ever changing employee benefit landscape.

Health Plans, Inc. is the Third Party Administrator (TPA) for Harvard Pilgrim Health Care (HPHC).We were founded as an independent TPA in 1981 to provide comprehensive health benefits to employers, hospitals, and Taft-Hartley plans.Today, we rank as one of the largest administrators of self-funded plans in the region.

GBG

Health Reinsurance Management Partnership

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

Jim Mange, President 300 Rosewood Drive, Suite 250 Danvers, MA 01923 - United States Phone: (978) 762-9780 Ext. 223 Email: jmange@hrmp.com Website: www.hrmp.com

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

Together with A-rated carriers and reinsurers, Health Reinsurance Management Partnership (HRMP) offers solutions to address life and medical conversions, back office or run-out administration, auditing services, and quota share and excess medical reinsurance. HRMP is a member of Aran Insurance Services Group. Our Success Can Only Follow Yours.

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THIRD PARTY ADMINISTRATORS (TPAs) LIFE AND HEALTH/EMPLOYEE BENEFITS

Healthcare Management  Administrators, Inc. (HMA) Jill Mehner, Vice President of Sales and Client Services 220 120th Avenue North East Bellevue, WA 98005 - United States Phone: (425) 289-5161 or (800) 869-7093 Email: Jill.Mehner@accesstpa.com Website: www.accesshma.com Healthcare Management Administrators (HMA) is a third party benefits administrator committed to helping self-insured employers build and tailor the ideal benefits plan to suit their individual needs. HMA provides unparalleled access to doctors & hospitals and proven cost savings through the best performing provider networks and risk management solutions.

HealthCare Subrogation Group (HCSG)  Brian Brumit, President 375 Bridgeport Avenue Shelton, CT 06484 - United States Phone: (203) 312-1750 Email: BBrumit@hcsg.net Website: www.hcsg.net Founded in 2001, HCSG offers a wide range of specialized recovery programs and are relentless in finding “leakage” in regards to claim overpayments and uncovering liable third-party payers along with extensive experience as Certified Information System Auditors (CISA) in both medical billing and payment adjudication software systems.

Hi-Tech Health, Inc. Michael A Carrara, President 1500 Route 517, Suite 200 Hackettstown, NJ 07840 - United States Phone: (908) 813-3440 Email: mcarrara@hi-techhealth.com Website: www.hi-techhealth.com Hi-Tech Health, Inc. Series 3000™ Claims Administration System It doesn’t matter if your company is in its infancy or one that’s been around for many years. 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 us at www.hi-techhealth.com for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.

IBM Susan Wagy, Marketing Manager 325 JS McDonnell Boulevard, MC 1550 Hazelwood, MO 63042 - United States Phone: (800) 548-2040, Option 1 Email: swagy@us.ibm.com Website: www.ibm.com/insurance/genelco Add new products or change benefit and coverage options through dynamic business rules. Use flexible administration for group, individual & worksite programs that is 5010 and ICD-10 regulatory mandate compliant. Drive down costs. Obtain optimal claim processing efficiency. Enhance customer service.

Insurance Administrative  Solutions, LLC Victor Castellanos, Senior Vice President, Chief Marketing Officer 8545 126th Avenue North, Suite 200 Largo, FL 33773 - United States Phone: (727) 584-0007 Email: Info@IASadmin.com Website: www.IASadmin.com As one of the largest privately-held TPAs in the U.S., IAS provides turnkey administrative solutions for the Life, Health and Annuity industry. IAS manages individual and group products, performing functions normally associated with an insurance company’s home office operation. HIPAA, ERISA, GLB, OFAC,Taft-Hartley & SSAE 16 Type II compliant.

Key Benefit Administrators, Inc.

Larry Dust, Chief Executive Officer 8330 Allison Pointe Trail Indianapolis, IN 46250 - United States Phone: (317) 284-7701 Email: ldust@keybenefit.com Website: www.keybenefit.com Key Benefit Administrators, one of the largest TPAs in the U.S., was founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical and specialty fully insured plans. Today, KBA is also a nationally recognized leader in PPACA consultation, ACO and CO-OP design and administration, Population Health Management,Wellness, Chronic Disease and Utilization Management.

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SECTION 1  MagnaCare

Mutual Assurance Administrators, Inc.

Steven Kokulak, Senior Vice President, Workers’ Compensation & No Fault 44 West Gilbert Street Tinton Falls, NJ 07701 - United States Phone: (732) 667-8923 Email: skokulak@magnacare.com Website: www.magnacare.com

Eric Wright, Chief Marketing Officer 3121 Quail Springs Parkway Oklahoma City, OK 73134 - United States Phone: (405) 848-1975 Email: ericwright@maa-tpa.com Website: www.maa-tpa.com

MagnaCare is a health plan management company that offers a broad set of self funded solutions to Taft Hartley Funds, commercial organizations, workers compensation programs, no fault carriers, and TPA’s. Our extensive provider network, cost containment programs, wellness initiatives and administrative services provide clients with flexible, cost-effective options.

MAA provides benefit solutions for employers nationwide - helping balance quality benefits with cost control. Customized plan design. Cutting-edge administration. Self-funding experts. Medical, Dental Vision, Risk Management,Workers’ Comp, FSAs, GASB 43/45, 403(b), 457.Wellness, Utilization Review, Disease Management, PPO, Pharmacy, Stop Loss Placement. Offices in OK,TX, MO, AR,TN.

Nationwide Specialty Insurance Mayo Clinic Health Solutions Steve Weber, Sales Director 4001 41st Street North West Rochester, MN 55901 - United States Phone: (507) 293-1789 Email: weber.stephen@mayo.edu

Tom DeNoma, Director, NSI Program Management One Nationwide Plaza, MC 4-06-101 Columbus, OH 43215 - United States Phone: (614) 677-3843 Email: denomat@nationwide.com Website: www.nationwide.com

Mayo Clinic Health Solutions provides tools to improve the employee health through flexible, integrated health risk management solutions. Our services include claims administration; pharmacy benefit management; medical management; a wellness suite of telephonic, online and print programs to empower employees to better manage health; all wrapped with customer service excellence.

Nationwide Specialty Insurance (NSI) has been serving Nationwide’s members for over 70 years. NSI is an entrepreneurial arm of Nationwide that exists to further Nationwide’s mission of serving member needs and meets the specialized insurance needs of a variety of market segments such as Education, Sports & Leisure,TrAvenuel and Employers.

Meritain Health

Nova Healthcare Administrators

David Parker, Senior Vice President of Sales 300 Corporate Parkway Buffalo, NY 14226 - United States Phone: (800) 242-6226 Email: dave.parker@meritain.com Website: www.meritain.com

Todd Martin, Sales Executive 6400 Main Street, Suite 210 Williamsville, NY 14221 - United States Phone: (716) 932-5105 Email: tmartin@novahealthcare.com Website: www.novahealthcare.com

Meritain Health, an independent subsidiary of Aetna and one of the nation’s largest administrators of health benefits, offers the resources of a national carrier and the flexibility of a local administrator. Our approach provides cost-effective plan administration within a custom framework of variable networks and industry-leading cost management strategies.

Nova specializes in employee benefit administration with a strong emphasis on exceptional service, offering medical, dental, vision, FSA, HRA, HSA and COBRA administration as well as in-house Medical, Disease and Case Management services. Nova promotes health and wellness providing access to high quality, cost-effective benefits to more than 185,000 members.

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THIRD PARTY ADMINISTRATORS (TPAs) LIFE AND HEALTH/EMPLOYEE BENEFITS

Olympus Managed Healthcare

Prairie States Enterprises, Inc.

Caridad Acevedo, Director of Operations 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States Phone: (305) 798-9341 Email: cacevedo@omhc.com Website: www.omhc.com

Felicia Wilhelm RN, Chief Executive Officer 401 North Michigan, Suite 2902 Chicago, IL 60611 - United States Phone: (800) 232-2899 Email: fwilhelm@prairieontheweb.com Website: www.prairieontheweb.com

A market leader in strategic healthcare claims management, Olympus specializes in the complete spectrum of medical cost containment strategies. The foundation of Olympus’ approach lays in the skillful management of a robust mix of networks, coupled with an unyielding commitment to the latest in enterprise-class, technology-driven solutions.

Prairie States is a nimble technology driven company that provides comprehensive group employee health benefit plan administration and clinically oriented health enhancement services for self-insured organizations. At Prairie States, our hallmark is to improve the health care benefit experience of employees and their families. Moneyback performance guarantees for all services.

PAI Clay Kelley, Director of Sales 17 Technology Circle, AG-970 Columbia, SC 29223 - United States Phone: (803) 462-3117 Email: ckelley@paisc.com Website: www.paisc.com PAI is a leading national TPA, administering self-funded plans and providing services and specialty products that complement group health benefit plans.

Partner Administrators Heather Reimer, Sales and Marketing Manager 830 Harvard Way Reno, NV 89502 - United States Phone: (775) 982-3100 Email: sales@partneradministrators.com Partner Administrators is a premier TPA company specializing in the Health,Welfare and Trust Administration. Partner Administrators offers a tailor-made plan management for a fit that is unique to each group. Over 20 years in the TPA industry, partnering to offer the most affordable plan options and strategies.

POMCO Group Eboni Britt, Marketing Manager 2425 James Street Syracuse, NY 13206 - United States Phone: (315) 432-9171 Email: ebritt@pomcogroup.com Website: www.POMCOGroup.com POMCO Group is one of the nation’s largest benefits administrators developing customized, flexible group health benefits and risk management solutions for clients. Comprised of specialized divisions with a united focus on offering, POMCO Group has been leading the self-funded industry for more than 35 years.Visit www.pomcogroup.com for more information.

Preferred Medical Claim Solutions Brian Caliendo, Executive Vice President and Chief Operating Officer 9060 East Via Lindia, Suite 250 Scottsdale, AZ 85258 - United States Phone: (480) 922-8987 Email: bcaliendo@pmcsonline.com Website: www.pmcsonline.com Preferred Medical Claim Solutions is a progressive, transactionbased healthcare network dedicated to serving Payers, Providers, and ultimately Patients, by providing proven revenue cycle management solutions that reduce healthcare costs. Our products - PMCS Advance and PMCS Select - are specifically developed to manage out-ofnetwork claim settlements.

Premier Healthcare Exchange, Inc. (PHX) Clara Pachomski, Executive Assistant 2 Crossroads Drive Bedminster, NJ 07921 - United States Phone: (888) 311-3505 Email: cpachomski@phx-online.com Website: www.phx-online.com PHX is the leader in advanced cost management solutions for health plans,TPA’s and Reinsurers. By providing “The Power of 3” – Product, Performance, and Partnership- we deliver measurable business value in the form of significant reduction of payment errors, decrease in time needed for claim resolution, and savings that substantially reduce healthcare costs to clients. Results, performance, and expertise you can trust: that is our commitment to our clients.Visit www.phx-online.com for more information.

888.394.5688 • THE Directory 2014 |13


SECTION 1  QualCare, Inc.

Resolve Health Plan Administrators

Sharon Seitzman, President 30 Knightsbridge Road Piscataway, NJ 08854 - United States Phone: (732) 562-0833 Email: thubbard@qualcareinc.com Website: www.qualcareinc.com

Joel S. Duhl, President 55 West Granada Boulevard, Suite B-3 Ormond Beach, FL 32174 - United States Phone: (866) 977-4872 Ext. 504 Email: jduhl@resolvehealthplan.com Website: www.startatpa.com

A full-service managed care organization, QualCare services over 800,000 members and covers over 100 hospitals as well as 20,000 providers at 33,000 locations across NJ, PA and NY. Owned by 16 non-profit hospitals and physician-hospital organizations, QualCare’s clientele spans health systems, other commercial, and state and municipal employers.

Resolve is a full-service third-party administrator (TPA) that provides back room operations for self-insured companies using proven, best-in-class services. We create local TPA entities in partnership with a physician group, accountable care organization and/or hospital to reduce costs, speed up claim processing and provide market-specific service.

Quality Health Management, LLC

RMC Consultants

Patricia Ziomek, Principal 15280 North West 79th Court, Suite 100 Miami Lakes, FL 33014 - United States Phone: (305) 821-8430 Email: PZiomek@QHManagement.com Website: www.QHManagement.com

Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com

QHM is a cost containment company offering access to medical care globally. QHM has a proprietary International PPO Network of physicians and hospitals located in over 80 countries. QHM service includes: access to International Network, direct billing, efficient claims service and re-pricing, contracted discounts, case by case negotiation, auditing, account management and 24 hour member scheduling and concierge services.

RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

The Benecon Group RedCard Eric Schaefer, President 7700 Bonhomme Avenue, Suite 200 Saint Louis, MO 63105 - United States Phone: (314) 445-6020 Email: eschaefer@redcard.com Website: www.redcard.com RedCard provides data management and BPO services for the production of ID Cards, enrollment materials, checks, electronic payments, EOBs, and letters. RedCard utilizes its proprietary DOCS system to manage all facets of these communications with innovative document designs, enabling a payer to enjoy substantial savings while creating an enhanced member/provider experience.

14| THE Directory 2014 • www.sipconline.net

Matthew Kirk, President 147 West Airport Road Lititz, PA 17543 - United States Phone: (717) 723-4600 Email: mkirk@benecon.com Website: www.benecon.com Benecon has 2 decades of experience developing and administering stand-alone and aggregated, self-insured healthcare benefits programs. In addition, Benecon is a General Agent for Highmark, Capital BlueCross, Health America and United Health Care. Employees include actuaries, compliance attorneys, benefit consultants, account managers, accountants, financial specialists and quality assurance specialists.


THIRD PARTY ADMINISTRATORS (TPAs) LIFE AND HEALTH/EMPLOYEE BENEFITS

Waterstone Benefit Administrators

WellDyne Rx

Lillie Napper, Sales Representative 4013 Northwest Expressway, Suite 575 Oklahoma City, OK 73116 - United States Phone: (405) 440-8882 Email: lnapper@vha.com Website: www.wbatpa.com

Jack Feingold, Vice President Account Development 7472 South Tucson Way Centennial, CO 80112 - United States Phone: (888) 479-2000 Email: klutton@welldynerx.com Website: www.welldynerx.com

Waterstone maintains a singular focus on a spirit of strong communication with our partners. Fresh ideas flow by understanding the core of their business while maintaining a constant awareness of their present-day needs. Our primary mission is to serve our clients, offering a competitive product with excellent one-on-one service.

WellDyneRxÂŽ offers customized pharmacy benefit management solutions that provide clients with lower costs and increased flexibility, giving them a strategic business advantage. We empower our clients with the tools and resources they need to optimize their benefits plans, and we ensure the highest levels of customer service and member satisfaction.

888.394.5688 • THE Directory 2014 |15


Are you looking for a workers’ compensation solution? Innovative Ideas

+

Collaborative Risk Control

+

Claim Management Ser vices

=

MEADOWBROOK TPA ASSOCIATES DIVISION OF MEADOWBROOK INSURANCE GROUP

Meadowbrook TPA Associates has been leading the marketplace with our self-insured management services. We engage in a variety of challenging risk control and claim management environments and have a dedicated and accredited staff with a broad range of industry wide experience. Our team operates collaboratively and employs best practices, to help you meet your challenging needs.

Contact us today and see how we can put our experience and knowledge to work for you!

(888) 444-4872 16| THE Directory 2014 • www.sipconline.net

www.meadowbrook.com


SECTION 2 THIRD PARTY ADMINISTRATORS (TPAs) PROPERTY AND CASUALTY/WORKERS COMPENSATION/CAPTIVES Alternative Service Concepts

Meadowbrook TPA Associates

Glenn Backus, Senior Vice President Sales & Marketing 2501 McGavock Pike, Suite 802 Nashville, TN 37214 - United States Phone: (806) 656-0726 Email: glenn.backus@ascrisk.com Website: www.ascrisk.com

Carol DiPietro, Region Vice President 10 New England Business Center, Suite 303 Andover, MA 01810 - United States Phone: (978) 933-4115 Email: cdipietro@meadowbrook.com Website: www.meadowbrook.com

Our Workers’ Compensation and Property & Casualty TPA business model for self-insured’s is built on our core principles of Flexibility, Expertise and Integrity. Flexibility with dedicated on site or traditional office services. Integrity in pricing from traditional unit pricing to cost-plus with disclosed revenue sources. Expertise equals a national presence.

We pledge to provide you with timely, effective and efficient Self Insured Group, Risk Control and Claim Management services.We do this by establishing good working relationships with each client, at every level of an organization. Contact us today and see we will put our expertise to work for you!

Christian Brothers Services

Mutual Assurance Administrators, Inc.

Brian Page, Director of Sales and Business Development 1205 Windham Parkway Romeoville, IL 60446 - United States Phone: (630) 378-2900 Email: brian.page@cbservices.org Website: www.cbservices.org

Jene Huckabay, Executive Director Risk Management 3121 Quail Springs Parkway Oklahoma City, OK 73134 - United States Phone: (405) 848-1975 Email: jenehuckabay@maa-tpa.com Website: www.maa-tpa.com

Christian Brothers Services is a nonprofit organization that administers cooperative programs in health/retirement, property/casualty and consulting/technology to church organizations. Founded in 1960, the company has grown to administer and serve 11 Trusts, which provide a variety of programs to congregations, organizations and dioceses both in the United States and Canada.

Customized plan design. Cutting-edge administration. Self-funding experts. In addition to group medical benefits, we offer management of claims, medical, litigation, and risk for: workers’ compensation, property & casualty, captives, insurance placement.Value-added strategies, partnership approach focused on cost control, reducing risk. Customized and stewardship reports, medical treatment plans, returnto-work programs.

Claim Innovative Solutions LLC Phil Kentfield, Managing Principal 3158 Sparks Drive Cookeville, TN 38506 - United States Phone: (931) 854-9070 Email: phil@claiminnovations.com Website: www.claiminnovations.com You deserve better! Your reserves are either overstated or understated, and/or some claims have been overpaid.We know because as claim auditors every company we review needs help. So, why risk it? Get us involved to cure deficiencies so you get the results that you really deserve. Call us.

POMCO Group Eboni Britt, Marketing Manager 2425 James Street Syracuse, NY 13206 - United States Phone: (315) 432-9171 Email: ebritt@pomcogroup.com Website: www.POMCOGroup.com POMCO Group is one of the nation’s largest benefits administrators developing customized, flexible group health benefits and risk management solutions for clients. Comprised of specialized divisions with a united focus on offering, POMCO Group has been leading the self-funded industry for more than 35 years.Visit www.pomcogroup.com for more information. 888.394.5688 • THE Directory 2014 |17


SECTION 2

THIRD PARTY ADMINISTRATORS (TPAs) PROPERTY AND CASUALTY/WORKERS COMPENSATION/CAPTIVES

Preferred Medical Claim Solutions Brian Caliendo, Executive Vice President and Chief Operating Officer 9060 East Via Lindia, Suite 250 Scottsdale, AZ 85258 - United States Phone: (480) 922-8987 Email: bcaliendo@pmcsonline.com Website: www.pmcsonline.com Preferred Medical Claim Solutions is a progressive, transactionbased healthcare network dedicated to serving Payers, Providers, and ultimately Patients, by providing proven revenue cycle management solutions that reduce healthcare costs. Our products - PMCS Advance and PMCS Select - are specifically developed to manage out-ofnetwork claim settlements.

Pro Group Management, Inc. Robert Vogel, Vice President 575 South Saliman Road Carson City, NV 89701 - United States Phone: (775) 887-2480 Email: tanyaolson@pgmnv.com Website: www.pgmnv.com Pro Group is an administrator of self insured groups for workers’compensation and Captive Manager specializing in alternative risk transfer solutions for businesses of all sizes and types managing five self insured workers’ compensation groups and over 50 captives for clients from 36 states.

RMC Consultants Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

18| THE Directory 2014 • www.sipconline.net


SECTION 3 MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS American Fidelity Assurance Company

Bardon Insurance Group

Marc Marion, Vice President 2000 North Classen Boulevard Oklahoma City, OK 73106-6013 - United States Phone: (405) 523-5315 Email: marc.marion@af-group.com Website: www.americanfidelity.com

Donald Thaler, President 8326 East Hartford Drive, Suite 100 Scottsdale, AZ 85255 - United States Phone: (480) 682-1403 Email: don.thaler@bardon.net Website: www.bardon.net

American Fidelity Assurance Company is a family-owned organization providing stop loss products to clients since 1994.We are founded on and driven by the principles of serving our customers and protecting their investments.We work with select high-quality managing general underwriters to provide stop loss coverage.

Bardon Insurance Group is a consistently top rated MGU whose business is built on the priciples of honesty, integrety 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.

Arbor Benefit Group, L.P.

Beacon Risk Strategies, an AmWINS Group Benefits Company

Gerald Kiernan, President 281 Farmington Avenue Farmington, CT 06032 - United States Phone: (860) 674-9748 Email: jerryk@arborbg.com Website: www.arborbg.com Arbor Benefit Group is a MGU serving Brokers, Consultants and TPAs. Arbor is built on a foundation of over thirty years experience in selffunded group health plans and excess loss policies. Since 2000, Arbor has been helping businesses maintain profitability with customized stop loss products and cost containment services all backed by integrity, financial stability, and an unwavering dedication to personal service.

ASG Risk Management, Inc. Peter Parent, Senior Vice President Two Monument Square Portland, ME 04101 - United States Phone: (207) 232-2686 Email: peter@asgrmi.com Website: www.asgrmi.com ASG Risk Management is a full service MGU providing stop-loss coverage with A+ rated carriers. Our experienced team of professionals follows a streamlined service model based on direct relationships and a unique, combined underwriting/marketing approach.We are your stop-loss insurance partner.

Wright Dickinson, Principal 180 Nickerson Street, Suite 304 Seattle, WA 98109 - United States Phone: (206) 298-0092 Email: wright.dickinson@amwins.com Website: www.beaconrisk.com Full service MGU focused on large case medical stop-loss and limited benefit plans. Seasoned underwriting staff averages 25+ years experience.We deliver superior value to partners and clients through focus on service, expertise and consultative approach to costcontainment strategy. Case Management, pre-natal wellness, transplant and dialysis programs offered.

Benefit Dynamics, Company Allison Johnson, Partner 618 North Tejon Colorado Springs, CO 80903 - United States Phone: (719) 575-0411 Email: ajohnson@benedyn.com Website: www.benedyn.com We are the single source for exclusive solutions for self-funded insurance programs.We specialize in offering your clients customized benefit plans that help to manage their claim costs.We work with Brokers/TPA’s on fully insured to self-funded transition programs including those hard to place accounts. 888.394.5688 • THE Directory 2014 |19


SECTION 3  BenefitMall

Berkley Accident and Health

Kim Johnson, Director, Business Operations 5090 North 40th Street, Suite 100 Phoenix, AZ 85018 - United States Phone: (602) 308-0862 Email: kim.johnson@benefitmall.com Website: www.benefitmall.com

James Hoitt, Vice President of Sales 2445 Kuser Road, Suite 201 Hamilton, NJ 08690 - United States Phone: (609) 584-6990 Email: JHoitt@BerkleyAH.com Website: www.BerkleyAH.com

Our Self Funded Division includes experts in the self funded medical marketplace. BenefitMall can provide you and your clients with superior benefits plans at the most competitive rates.We also offer a customer service staff dedicated to resolving your administrative needs, such as billing, commission, claim issues and compliance.

Berkley Accident and Health is an innovative risk management company and a leading provider of medical stop loss protection. As a pioneer in benefit captives, Berkley offers EmCap, a group captive for midsize employers looking for an alternative to fully insured plans. As part of the W.R. Berkley Corporation, Berkley Accident and Health has a flexible, entrepreneurial spirit with the resources of a Fortune 500 company.

RISK MANAGEMENT SOLUTIONS REQUIRE COORDINATED PRECISION

Client centric solutions are the building blocks of our business Advising our clients since 1994, Elite Underwriting Services is one of the country’s most prominent Managing General Underwriters. Entrusted with managing premium, we are partnered with A+ and A rated carriers. Creating a culture of innovation and service, we leverage our expertise and industry relationships–enabling us to offer a wide array of products and services, as well as superior stop loss custom solutions for our clients.

E L I T E U W. C O M • 8 8 8 . 3 0 3 . 3 3 7 9 20| THE Directory 2014 • www.sipconline.net


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

Brentwood Reinsurance Intermediaries, Inc. 

Chubb Accident & Health 

Al Rusnak, Director of A&H Reinsurance Marketing P.O. Box 1125 Brentwood, TN 37024-1125 - United States Phone: (800) 524-0604 Email: brentre@bwood.com Website: www.brentre.com

David Stimus, Area Vice President, Assumed Reinsurance Manager 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States Phone: (908) 572-3605 Email: dstimus@chubb.com Website: www.chubb.com/accident

BrentRe is an independent reinsurance intermediary serving insurance companies, MGU’s and program administrators. Our responsive personal service is focused on Life, Accident, Health, and Workers’ Compensation reinsurance.

For more than 50 years, Chubb has provided accident & health solutions. Experience, superior service and financial strength are just some of the advantages we offer. Chubb Accident & Health consistently demonstrates an exceptional ability to creatively collaborate with policyholders, through our flexible and innovative approach to products and services.

Chubb Accident & Health  Nicole Pitney, Area Vice President, Special Risk Manager 233 South Wacker Drive, Suite 4700 Chicago, IL 60606 - United States Phone: (312) 681-1301 Email: npitney@chubb.com Website: www.chubb.com/accident For more than 50 years, Chubb has provided accident & health solutions. Experience, superior service and financial strength are just some of the advantages we offer. Chubb Accident & Health consistently demonstrates an exceptional ability to creatively collaborate with policyholders, through our flexible and innovative approach to products and services.

Chubb Accident & Health  Jim Villa, Senior Vice President, North American Manager 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States Phone: (908) 572-2581 Email: jvilla@chubb.com Website: www.chubb.com/accident For more than 50 years, Chubb has provided accident & health solutions. Experience, superior service and financial strength are just some of the advantages we offer. Chubb Accident & Health consistently demonstrates an exceptional ability to creatively collaborate with policyholders, through our flexible and innovative approach to products and services.

Chubb Accident & Health  Michael Feighan, Vice President of Worldwide Underwriting 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States Phone: (908) 572-2887 Email: mfeighan@chubb.com Website: www.chubb.com/accident For more than 50 years, Chubb has provided accident & health solutions. Experience, superior service and financial strength are just some of the advantages we offer. Chubb Accident & Health consistently demonstrates an exceptional ability to creatively collaborate with policyholders, through our flexible and innovative approach to products and services.

Coulter & Associates, Inc. Susan Coulter, Principal Consultant 379 Princeton-Hightstown Road Cranbury, NJ 08512 - United States Phone: (609) 443-7540 Email: Susan@coulter-and-associates.com Website: www.coulter-and-associates.com Coulter & Associates has provided actuarial and compliance services since 1988. Our services include product development, precise reserve calculation, form, rate, and advertising filings, state admissions, ongoing compliance and regulatory review. Our consultants are experienced in a variety of product areas including PPACA, supplemental health, managed care, life, A&H, and P&C.

888.394.5688 • THE Directory 2014 |21


SECTION 3  D.W.Van Dyke & Co., Inc.

Excess Reinsurance Underwriters

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States Phone: (203) 761-9300 Email: ckoehler@dwvd.com Website: www.dwvd.com

Brian Zidek, President 307 South Evergreen Avenue, Suite 101 Woodbury, NJ 08096 - United States Phone: (856) 251-2280 Email: bzidek@excessre.com Website: www.excessre.com

Life and A&H Intermediary providing access to carriers, reinsurance, distribution,TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx,Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.

Excess Re is a national, full service managing general underwriter specializing in employer stop-loss insurance, HMO reinsurance, voluntary benefits and captive reinsurance solutions. Excess Re’s history, reputation, and innovative underwriting enable it to deliver products and services to meet the needs of an envolving industry.

East Coast Underwriters

Excess Risk Reinsurance/ Ironshore Insurance Service LLC

Aaron Wilkie, President 101 North Pine Street, Suite 210 Spartanburg, SC 29302 - United States Phone: (864) 542-1592 Email: awilkie@ecumgu.com Website: www.ecumgu.com East Coast Underwriters (ECU) is a Managing General Underwriter providing Medical Stop Loss Insurance to employer groups who self fund their medical benefits. Medical Stop Loss Insurance protects an employer’s medical plan against catastrophic medical claims. ECU specializes on employer groups with 25-250 covered employee lives and has unique products such as our EZ AGG™ and 12/12 Plus™ that makes the transition from fully insured to self funded simple. In addition to Medical Stop Loss coverage we also quote Life Insurance and AD&D.&D.

Elite Underwriting Services Matthew Naylor, Chief Executive Officer 40 General Warren Boulevard Malvern, PA 19355 - United States Phone: (610) 280-4301 Email: mnaylor@eliteuw.com Website: www.eliteuw.com Founded in 1994, Elite is one of the country’s most prominent Managing General Underwriters partnered with A+ and A rated carriers.We leverage our operating expertise and industry relationships to offer a wide array of products and services as well as superior stop loss custom solutions for our clients.

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David Johnson, Marketing Manager P.O. Box 1170 Ridgeland, MS 39158 - United States Phone: (601) 427-0235 Email: david.johnson@ironshore.com Website: www.ironshore.com Excess Risk Reinsurance, is now a wholly owned subsidiary of Ironshore Insurance Service, LLC., with full authority to market, underwrite, bind coverage, issue and administer policies, collect premium and pay claims on the behalf of Ironshore and its insurance companys partners.

Fairmont Specialty Lauren Woods, Assistant Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States Phone: (732) 676-9833 Email: lwoods@fairmontspecialty.com Fairmont Specialty is part of Crum & Forster group, rated “A” by AM Best.The Accident & Health division of Fairmont offers a variety of products including Stop Loss, Organ Transplant, HMO Re, Provider Excess, Limited Medical, Accident Medical, K-12, College A&S, Special Risk, Occupational Accident, Inbound/Outbound,Travel and Pet insurance.


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

GBG

HCC Life

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

David Grider, Senior Vice President Marketing & Sales 225 TownPark Drive, Suite 350 Kennesaw, GA 30144 - United States Phone: (800) 447-0460 Email: dgrider@hcclife.com Website: www.hcc.com

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

For more than 35 years, HCC Life Insurance Company has been leading the way in medical stop loss insurance for employers who selffund their employee benefit plans. Rated A+ (Superior) by A.M. Best Company, HCC Life is backed by the financial stability of its parent company, HCC Insurance Holdings, Inc.

Limit your losses and liability Indigo Stop Loss Insurance not only safeguards you against catastrophic claims and potential legal problems. In addition to providing best-in-class stop loss coverage to your self-insured clients, we’ve contracted with Enquiron to provide them with Compliance Services. Not only can your clients minimize financial risk from extraordinary health insurance claims, but they also have access to best practice advice and counsel on many human resource, benefits, risk management, and employment law issues. To take control over your clients health care expenses and legal liabilities, please visit www.indigo-insurance.com/stop-loss. © 2013 Indigo a Services, LLC is a subsidiary of Blue Cross and Blue Shield of Massachusetts, Inc.

888.394.5688 • THE Directory 2014 |23


SECTION 3  Hi-Tech Health, Inc.

Indigo Insurance Services

Michael A Carrara, President 1500 Route 517, Suite 200 Hackettstown, NJ 07840 - United States Phone: (908) 813-3440 Email: mcarrara@hi-techhealth.com Website: www.hi-techhealth.com

Kevin Manthorpe, Manager, Special Risk Underwriting 401 Park Drive Boston, MA 02215 - United States Phone: (617) 246-6743 Email: kevin.manthorpe@bcbsma.com Website: www.indigo-insurance.com

Hi-Tech Health, Inc. Series 3000™ Claims Administration System It doesn’t matter if your company is in its infancy or one that’s been around for many years. 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 us at www.hi-techhealth.com for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.

Indigo Insurance Services is a national Managing General Underwriter, providing best-in-class stop-loss coverage for accounts looking for self-funded protecton. Headquartered in Boston, Massachusetts, we have the financial strength, underwriting experience, and proven track record to help you manage all of your stop-loss needs. Indigo’s unique sales structure places our experienced underwriers in the field to work side by side with brokers and accounts, allowing for creative solutions, a consultative approach, and fast turnaround on quotes.

HM Insurance Group Judi Hast, Director, Corporate Events 120 Fifth Avenue Pittsburgh, PA 15222 - United States Phone: (412) 544-1321 Email: judi.hast@highmark.com Website: www.hmig.com HM Insurance Group helps protect businesses and employees from the financial losses associated with health costs. As a leading national Stop Loss carrier, HM Insurance Group utilizes its expertise in managing risk to design innovative Employer Stop Loss programs. It’s our policy to protect.

IHC Risk Solutions Michael Kemp, President 485 Madison Avenue, 14th Floor New York, NY 10022 - United States Phone: (774) 237-0692 Email: mkemp@ihcrisksolutions.com Website: www.IHCRiskSolutions.com IHC Risk Solutions is a member of the IHC Group, an insurance organization composed of Independence Holding Company (NYSE: IHC) and its operating subsidiaries which has over $1.2 billion in assets as of January 1, 2013.With 30 years of stop-loss experience we are amongst the largest direct stop-loss writers in the US.

24| THE Directory 2014 • www.sipconline.net

ING Employee Benefits Kristine Lange, Director of Stop Loss Underwriting 20 Washington Avenue South Minneapolis, MN 55401 - United States Phone: (612) 342-3755 Email: kristine.lange@us.ing.com Website: www.ing.us ING Employee Benefits, a division of ReliaStar Life Insurance Company and ReliaStar Life Insurance Company of New York, offers excess risk insurance products from one of the nation’s largest direct writers of excess risk insurance. It has more than 90 years of experience in delivering group benefit solutions to employers. ING Employee Benefits offers stop loss, group life, voluntary, and disability products.

Intermediary Insurance Services, Inc. (IISI) Jim Henry, Executive Vice President 180 Montgomery Street, 5th Floor San Francisco, CA 94104 - United States Phone: (415) 399-6700 Email: jim_henry@iisinet.com Website: www.iisinet.com 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.


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

International Insurance Agency Services, LLC (IIS) Tom Cardwell, Marketing and Sales Director 10 South LaSalle Street, Suite 3450 Chicago, IL 60603 - United States Phone: (224) 532-8613 Email: tomc@iismgu.com Website: www.iismgu.com Stop Loss provider for Groups of 25 ee lives and up. Fully insured replacement product also available.

International Medical Group-Stop Loss, Inc.  Steve Butz, Vice President, Marketing 2960 North Meridian Street Indianapolis, IN 46208 - United States Phone: (317) 655-4673 Email: steve.butz@imgstoploss.com Website: www.imgstoploss.com

J. Allan Hall & Associates, Inc.  J. Allan Hall, President/Chief Executive Officer 55 Monument Circle, Suite 1115 Indianapolis, IN 46204 - United States Phone: (317) 264-0020 Email: jahall@jahall.com Website: 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 selfinsured international group and individual products. Underwrite and administer associations, PEOs, health co-ops, agriculture and other innovative programs.

MagnaCare

International Risk Consultants 

Steven Kokulak, Senior Vice President, Workers’ Compensation & No Fault 44 West Gilbert Street Tinton Falls, NJ 07701 - United States Phone: (732) 667-8923 Email: skokulak@magnacare.com Website: www.magnacare.com

Michael McGrath, President & Chief Executive Officer One Corporation Way Peabody, MA 01960 - United States Phone: (781) 581-9800 Email: MMcGrath@Irc-Ohu.com Website: www.Irc-Inc.Org

MagnaCare is a health plan management company that offers a broad set of self funded solutions to Taft Hartley Funds, commercial organizations, workers compensation programs, no fault carriers, and TPA’s. Our extensive provider network, cost containment programs, wellness initiatives and administrative services provide clients with flexible, cost-effective options.

IMG-Stop Loss is a wholly-owned subsidiary of International Medical Group, and a recognized leader in providing a full line of medical stop loss solutions to the self-funded benefit market. Our stop loss products are designed for employer plans from 11 employees and larger.

International Risk Consultants a full service MGU has been setting the standard for Medical Stop Loss risk solutions for over 23 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.

IOA Re, Inc. Charles Place, Executive Vice President 190 West Germantown Pike, Suite 200 East Norriton, PA 19401 - United States Phone: (267) 242-0096 Email: cplace@ioare.com Website: www.ioare.com

Medical Risk Managers, Inc.  Jennifer Unsworth, Senior Vice President 1170 Ellington Road South Windsor, CT 06074 - United States Phone: (800) 731-3248 Email: junsworth@mrm-mgu.com Website: 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 has over $250 million and has profitably underwritten over $2 billion of stop loss throughout our history.

Headquartered in East Norriton, PA, IOA Re maintains four broad binding authorities designed to provide flexible employer stop loss product and service options to the TPA and employer community. Besides East Norriton, we maintain underwriting staff in Indianapolis, Kansas City and Minneapolis. 888.394.5688 • THE Directory 2014 |25


SECTION 3 

Trusted Partners, Ensuring Your Success!

Successful employee benefit sales requires a team effort. As one of the nation’s largest direct writers of medical stop-loss, IHCRS is a business partner you can count on.

Find us at www.ihcrisksolutions.com.

Policies underwritten by Standard Security Life Insurance Company of New York. IHCRS 8-13

26| THE Directory 2014 • www.sipconline.net


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

National Underwriting Services, Inc. 

PartnerRe

Tom Gage, President Dana Driscoll, Executive Vice President 14893 S.H. 16 North, Suite 1 Helotes, TN 78023 - United States Phone: (210) 695-2381 Email: ddriscoll@nus1.com and tgage@nus1.com Website: www.nus1.com

Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States Phone: (415) 354-1555 Email: dennis.heinzig@PresidioRe.com Website: www.PartnerRe.com

NUS is a full service MGU writing stop loss with two A+ carriers, both on a traditional basis or using medicare referenced pricing.With highly experienced employees and a limited number of clients, NUS “thinks outside the fences” to provide stop loss solutions.

NorthWind, LLC Douglas Thomas, President 3162 Phoenixville Pike Malvern, PA 19355 - United States Phone: (610) 840-0401 Ext. 103 Email: dthomas@northwindllc.com Website: www.northwindllc.com NorthWind is a full service MGU providing stop loss, RX carve out, worksite, life insurance, and other benefit related coverages on a national basis.We write with three A rated carriers in 48 states. Our specific niche is small groups down to 25 lives in some states.The company was founded in 1997 and senior management averages 25 years of stop loss experience.

Optum Kurt Haag, National Vice President of Sales and Account Management 6101 Carnegie Boulevard, Suite 500 Charlotte, NC 28209 - United States Phone: (704) 442-4102 Email: engage@optumhealth.com Website: www.optum.com Optum is a leading diversified health services company dedicated to making the health care system work better for everyone. Optum businesses include services and products for clinical management, operations and administrative efficiencies, sales and marketing programs and financial services offering health savings accounts, financing, electronic payments and stop loss insurance.

PartnerRe provides tailored and effective risk solutions for medical exposures through its Health Division, formerly known as Presidio. Its broad portfolio of products and services includes HMO and medical reinsurance, employer, provider, ACO and CO-OP excess of loss insurance, international medical reinsurance and its Pulse medical management support services program.

Phoenix Excess Risk Underwriters, LLC Thomas Power, Managing Member 3730 Roswell Road, Suite 275 Marietta, GA 30062 - United States Phone: (770) 977-9601 Email: thomaspower@perullc.com Website: www.perullc.com PERU is a Managing General Underwriter of self funded health insurance plans.

Premier Healthcare Exchange, Inc. (PHX) Clara Pachomski, Executive Assistant 2 Crossroads Drive Bedminster, NJ 07921 - United States Phone: (888) 311-3505 Email: cpachomski@phx-online.com Website: www.phx-online.com PHX is the leader in advanced cost management solutions for health plans,TPA’s and Reinsurers. By providing “The Power of 3” – Product, Performance, and Partnership- we deliver measurable business value in the form of significant reduction of payment errors, decrease in time needed for claim resolution, and savings that substantially reduce healthcare costs to clients. Results, performance, and expertise you can trust: that is our commitment to our clients.Visit www.phx-online.com for more information.

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SECTION 3  Prodigy Health Insurance

Reinsurance Services Company, LLC

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States Phone: (949) 478-0119 Email: Jyoungs@prodigystoploss.com Website: www.prodigystoploss.com

Brad Quinn, Principal 23505 Smithtown Road, Suite 210 Excelsior, MN 55331 - United States Phone: (952) 401-0017 Email: Bradq@reservco.com Website: www.reservco.com

Prodigy is a full service medical stop loss MGU providing solutions to self-funded employers through consultants, brokers and TPAs. Our team has extensive experience in healthcare and public agency sectors, as well as Cost Plus or Medicare based programs. Additionally, we work with clients to control the escalating costs of high dollar disease states.

RSC is a privately held reinsurance intermediary firm specializing in A & H business.We understand our success is tied directly to our client’s own success and we strive to provide them with the finest service and a host of ideas to help achieve their growth and financial objectives.

QBE Insurance Jesselynn Barber, Senior Underwriting Assistant 9 Atlantic Avenue Marblehead, MA 01945 - United States Phone: (978) 619-1528 Email: jesselynn.barber@us.qbe.com Website: www.qbena.com

Risk & Insurance Consulting Services, LLC Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States Phone: (770) 923-3133 Email: Jamie.Brown@rics-reinsurance.com Website: www.rics-reinsurance.com

QBE North America is part of QBE Insurance Group Limited, one of the top 20 insurers and reinsurers worldwide. Headquartered in Sydney, Australia, QBE operates out of 48 countries around the globe, with a presence in every key insurance market. QBE insurance companies are rated “A” (Excellent) by A.M. Best and “A+” by Standard & Poor’s.

RICS provides innovative solutions for your risk management objectives. We bring access to carriers, reinsurance and distribution, along with extensive experience negotiating reinsurance; including unlimited benefits and facultative reinsurance for groups with critical mass. Our goal is to add value to relationships through strategic solutions tailored to our clients’ needs.

Quality Health Management, LLC

Risk Solution Resources, LLC

Patricia Ziomek, Principal 15280 North West 79th Court, Suite 100 Miami Lakes, FL 33014 - United States Phone: (305) 821-8430 Email: PZiomek@QHManagement.com Website: www.QHManagement.com

Chris Christofilis, President 3810 Pheasant Ridge Drive North East, Suite 400 Minneapolis, MN 55449 - United States Phone: (763) 231-8762 Email: chris@rsrmn.com

QHM is a cost containment company offering access to medical care globally. QHM has a proprietary International PPO Network of physicians and hospitals located in over 80 countries. QHM service includes: access to International Network, direct billing, efficient claims service and re-pricing, contracted discounts, case by case negotiation, auditing, account management and 24 hour member scheduling and concierge services.

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RSR is the Special Markets Manager for Pan-American Life Insurance Company and is responsible for the management of PALIC’s Domestic Group Programs which includes marketing, underwriting, premium, claims and negotiation of agreements on PALIC’s portfolio of products such as Stop Loss, Dental,Vision, Short Term Medical and Occupational Accident business.


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

RMC Consultants

Spectrum Underwriting Managers, Inc. 

Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com

Kurt Ridder, President 41 East Washington Street, Suite 100 Indianapolis, IN 46204 - United States Phone: (800) 804-7732 Email: k.ridder@spectrumhq.com Website: www.spectrumhq.com

RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

Spectrum is a full-service Managing General Underwriter of specific, aggregate & integrated medical stop-loss insurance. Spectrum specializes in the prompt delivery of a comprehensive line of competitive products and services designed for self-insured employer groups as small as 15 employee lives. Stability, experience, dependability and focus – make our qualities your assets.

Roundstone Michael Schroeder, President 27887 Clemens Road Westlake, OH 44145 - United States Phone: (440) 617-0333 Email: mschroeder@roundstoneinsurance.com Website: www.roundstoneinsurance.com Roundstone delivers on its promise of speed to market, transparency and expertise through a consistent and thorough approach to captives. Our captive programs can help you lower risks, reduce costs, realize premium savings, and improve your bottom line through programs such as Medical Expense Stop Loss,Workers’ Compensation, and Livery.

RxReins, Inc. Crystal Williams, President P.O. Box 2284 Palm Springs, CA 92203 - United States Phone: (888) 797-3467 Email: cwilliams@rxreins.com Website: www.rxreins.com RxReins is a dedicated Managing General Underwriter (MGU) specializing in prescription, dental and vision stop loss insurance for self-funded group benefit plans, RxReins consistently and reliably delivers.We’ve carved out an ironclad reputation with highly innovative, reliable products.We work closely with Brokers,TPAs, and PBMs, providing the best available products from multiple A-rated carriers in all fifty states.

StarLine Group Christine Manzone, Vice President 180 Teaticket Highway East Falmouth, MA 02536 - United States Phone: (508) 444-0720 Email: c.manzone@starlinegroup.com Website: www.starlinegroup.com StarLine Group is a leading underwriter of stop loss, managed care reinsurance and personal accident products.We partner with producers and clients to custom engineer risk solutions to assist in meeting the challenges of a constantly evolving healthcare environment. Our highly professional and experienced staff provides unique expertise along with uncompromising levels of service. Contact us at 800-500-4364 or at www.starlinegroup.com.

Strategic Underwriting Solutions LLC Joe Toohill, Director, TPA Management & Compliance 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States Phone: (920) 338-1970 Email: jtoohill@stratuw.com Website: www.strategicunderwritingsolutions.com Strategic Underwriting Solutions provides “best in class” underwriting solutions to the health insurance industry. SUS employs top underwriting talent with strong financial and medical knowledge.We continuously refine underwriting models and utilize the best technology to ensure the most appropriate underwriting decisions are made in the quickest time frames possible.

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SECTION 3  Summit Reinsurance Services, Inc. 

Trean Reinsurance Services, LLC

Jon Anderson, Vice President 7030 Pointe Inverness Way, Suite 350 Fort Wayne, IN 46804 - United States Phone: (260) 469-3002 Email: janderson@summit-re.com Website: www.summit-re.com

Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States Phone: (952) 974-2221 Email: kplath@treancorp.com Website: www.treanre.com

Summit Re is a full-service managing underwriter focusing on health maintenance organizations that participate in the employer stop loss market. Our staff average more than twenty years in the business, so our level of managed care experience sets us apart from traditional employer stop loss carriers.

Sun Life Financial Christopher Quinn, National Sales Manager, Stop-Loss One Sun Life Executive Park Wellesley Hills, MA 02481 - United States Phone: (781) 446-1154 Email: christopher.quinn@sunlife.com Website: www.sunlife.com/wakeup Founded in 1865, the Sun Life Financial group of companies serves millions of customers in 24 countries worldwide.Today, Sun Life Financial is one of America’s leading stop-loss providers. In the past three years alone, we’ve processed over $1.3 billion in payouts.Why not put our expertise to work for you?

Symetra Michael Fry, Executive Vice President, Benefits Division 777 108th Avenue North East, Suite 1200 Bellevue, WA 98004 - United States Phone: (800) 426-7784 Email: GRPLIF@symetra.com Website: www.symetra.com Symetra Life Insurance Company has been delivering creative, costeffective stop loss solutions to self-funded clients for over 38 years. Our Benefits portfolio also includes group life and AD&D, short- and long-term disability income, critical illness and accident policies, fully insured fixed payment indemnity and gap plans, and absence management programs.

TPAC Underwriters, Inc. Vaughn Francis, National Marketing Director 3810 Pheasant Ridge Drive North East Minneapolis, MN 55449 - United States Phone: (763) 231-8830 Email: vaughn_francis@tpac.com Website: www.tpac.com TPAC is an innovative MGU that focuses on the 25-200 employee group market. 30| THE Directory 2014 • www.sipconline.net

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.

Ullico Inc. Dan Wolak, President, The Union Labor Life Insurance Company 8403 Colesville Road, 13th Floor Silver Spring, MD 20910 - United States Phone: (202) 682-0900 Email: dwolak@ullico.com Website: www.ullico.com From insurance products for union members and innovative risk management solutions for contractors and employers, to investments in commercial real estate projects that have created thousands of union jobs, Ullico has proudly served the union workplace for over 85 years. For additional information, visit www.ullico.com.

USBenefits Insurance Services, LLC Marcus Floyd, Executive Vice President, Marketing 43 Corporate Park, Suite 101 Irvine, CA 92606 - United States Phone: (949) 468-3023 Email: mf@usbins.net Website: www.usbins.net USBenefits Insurance Servicws, LLC is a full service Managing Underwriter, providing financially stable Health reinsurance products to self funded health plans through qualified Third Party Administrators and select brokers. USBenefits has total responsibility for all administration, claims and underwriting decisions pertaining to its Medical stop Loss program.


MANAGING GENERAL UNDERWRITERS (MGUs) – MEDICAL STOP-LOSS CARRIERS LIFE AND HEALTH/EMPLOYEE BENEFITS

WellPoint, Inc.

Zurich Insurance Company

Jim Sheffield, Staff Vice President ASO and Stop Loss Underwriting 220 Virginia Avenue Indianapolis, IN 46204 - United States Phone: (317) 287-5700 Email: jim.sheffield@anthem.com Website: www.wellpoint.com

Ed Tyburski, Senior Vice President, Director of Sales 5005 Rockside Road Independence, OH 44131 - United States Phone: (216) 447-4035 Email: ed.tyburski@zurichna.com Website: www.zurichna.com

WellPoint’s affiliated health plans offer a broad array of health benefit and managed care services to self-funded customers, including customer service, claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs and other administrative services.

Zurich Insurance Group (Zurich) is a leading multi-line insurance provider with a global network of subsidiaries and offices in Europe, North America, Latin America, Asia-Pacific and the Middle East as well as other markets. It offers a wide range of general insurance and life insurance products and services for individuals, small businesses, mid-sized and large companies as well as multinational corporations. Zurich employs about 60,000 people serving customers in more than 170 countries.The Group, formerly known as Zurich Financial Services Group, is headquartered in Zurich, Switzerland, where it was founded in 1872.The holding company, Zurich Insurance Group Ltd (ZURN), is listed on the SIX Swiss Exchange and has a level I American Depositary Receipt program which is traded over-the-counter on OTCQX. Further information about Zurich is available at www.zurich.com.

Xchange Benefits, LLC James Denison, Executive Vice President and Chief Underwriting Officer 3 Barker Avenue 1st Floor White Plains, NY 10601 - United States Phone: (914) 437-7361 Email: jdenison@xbllc.com Website: www.xbllc.com Xchange Benefits is a leader in providing benefit solutions to our client markets throughout the U.S. and beyond. Our Medical Stop Loss solutions successfully enable employer groups to maximize benefit schemes while protecting their balance sheets from otherwise financially unsustainable events.

TURNKEY SOLUTIONS

If you’re an INSURANCE COMPANY – We can provide a turnkey solution. If you’re a PPO NETWORK – We can help you compete and grow. If you’re a BROKER – We can provide competitive National Network quotes. In business since 1984, Medical Risk Managers, Inc. is the largest MGU in the country! We underwrite over $250 Million of annualized Stop Loss premium and have a 28% compound annual growth rate over the last decade. Our block has generated many hundreds of millions in profits for our clients. Our superior service, seasoned staff, and our commitment to provide clients with first class, creative options are only a few contributors to our success!

Contact us at (800) 732-3248 or visit our website at www.mrm-mgu.com. 888.394.5688 • THE Directory 2014 |31


HELP YOUR CLIENTS

TO THE BENEFITS OF STOP-LOSS. He has a new heart. His employer has peace of mind. With stop-loss coverage from Sun Life, your clients are protected against catastrophic claims. And they get the benefit of an independent point of view from one of America’s leading stop-loss providers. In the past three years alone, we processed 68,000 claims —over $1.3 billion in payouts. Why not put our expertise to work for you? Ask your Sun Life rep how.

Life’s brighter under the sun

sunlife.com/wakeup Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 02-SL and 07-SL. In New York, group insurance policies are underwritten by Sun Life Insurance and Annuity Company of New York (New York, NY) under Policy Form Series 02-NYSL and 07-NYSL. Product offerings may not be available in all states and may vary depending on state laws and regulations. © 2013 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. PRODUCER USE ONLY.

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SLPC 24843 04/13 (exp. 04/15)


SECTION 4 MGU/EXCESS INSURANCE CARRIERS PROPERTY AND CASUALTY/WORKERS’ COMPENSATION/CAPTIVES Coulter & Associates, Inc.

Roundstone

Susan Coulter, Principal Consultant 379 Princeton-Hightstown Road Cranbury, NJ 08512 - United States Phone: (609) 443-7540 Email: Susan@coulter-and-associates.com Website: www.coulter-and-associates.com

Michael Schroeder, President 27887 Clemens Road Westlake, OH 44145 - United States Phone: (440) 617-0333 Email: mschroeder@roundstoneinsurance.com Website: www.roundstoneinsurance.com

Coulter & Associates has provided actuarial and compliance services since 1988. Our services include product development, precise reserve calculation, form, rate, and advertising filings, state admissions, ongoing compliance and regulatory review. Our consultants are experienced in a variety of product areas including PPACA, supplemental health, managed care, life, A&H, and P&C.

Roundstone delivers on its promise of speed to market, transparency and expertise through a consistent and thorough approach to captives. Our captive programs can help you lower risks, reduce costs, realize premium savings, and improve your bottom line through programs such as Medical Expense Stop Loss,Workers’ Compensation, and Livery.

Safety National Midlands T:11”

Midlands delivers superior program management capabilities, underwriting expertise and service standards to both our program partners and the broker market. Midlands is a managing general agent with a specialty in excess workers’ compensation program administration and fee-based specialty TPA services.

Safety National is a versatile alternative market insurance provider that offers a broad range of risk funding products through insurance agents and brokers. Founded in 1942, Safety National is the leading and longest continual provider of excess workers’ compensation coverage to self-insured employers and groups nationwide.

RMC Consultants

Special Markets Insurance Consultants, Inc.

Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com

J. Kim Walker, Chief Executive Officer 10 South LaSalle Street, Suite 2000 Chicago, IL 60603 - United States Phone: (312) 601-9274 Email: gail@specialmarkets.com Website: www.specialmarkets.com

RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

Leading the industry since 1985, Special Markets Insurance Consultants (SMIC) is a Managing General Underwriter specializing in liability, accident medical, catastrophic and special risks insurance programs. By partnering with a diversified group of A-rated insurance carriers, SMIC ensures competitive pricing and comprehensive coverage.

B:11.5”

S:9.625”

Ashley Courtney, Executive Assistant P.O. Box 22778 Oklahoma City, OK 73123 - United States Phone: (800) 800-4007 Email: marketing@midman.com Website: www.midlandsmgt.com

Karla Antrobus, Area Vice President - Business Development Operations 1832 Schuetz Road Saint Louis, MO 63146 - United States Phone: (888) 995-5300 Email: info@safetynational.com Website: www.safetynational.com

888.394.5688 • THE Directory 2014 |33


Providing Excess Workers’ Compensation Since 1990 For Single Entities, Groups & Public Entities

Provided by an A.M. Best “A” (Excellent) IX Rated Carrier Highlights

Risk Control Services

• Aggregate Coverage Available

• Webinars

• Installment Schedule Available

• Technical Safety Documentation

• Minimum Premiums:

• Ergonomic Evaluation & Training

• Individual: $50,000 • Groups: $100,000 • SIRs starting at $300,000 • Claims Management Available

• Disaster Protection & Recovery Planning Toolkit • Safety Training • Loss History Analysis / Accident Investigation • Program Evaluation • Risk Improvement

For submission requirements & applications, please visit our website: midlandsmgt.com

ExcessWorkersComp@midman.com 800.800.4007 midlandsmgt.com

34| THE Directory 2014 • www.sipconline.net


SECTION 5 MEDICAL PROVIDER NETWORKS – ONSITE CLINICS

CareHere

GBG

Bernie Livers, Vice President of Sales 5141 Virginia Way Suite 350, TN 37027 - United States Phone: (615) 767-5511 Email: blivers@carehere.com Website: www.carehere.com

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

CareHere is a leader in providing on-site clinics and behavioral management programs for companies across all industries.The patient-centered medical home approach practiced by CareHere integrates services such as primary care, case/disease management, behavior modification programs, occupational healthcare, wellness tracking and more. CareHere’s on-site services provide companies with the means to significantly decrease claims costs, while improving the overall health and morale of employees.

eMindful Inc. Nigel Wallbank, Executive Vice President of Business Development 1201 19th Place Vero Beach, FL 32960 - United States Phone: (305) 632-3334 Email: nigelwallbank@msn.com Website: www.emindful.com eMindful Inc.’s focus is reducing employee health care costs and increasing productivity.We offer courses designed to address significant health issues including Workplace stress,Weight management, Chronic pain,Tobacco cessation, Diabetes and Depression relapse management. Because our programs are offered live via the internet, they are easily accessible by students worldwide.

First Health John Bryan, Director of Sales 10260 Meanley Drive San Diego, CA 92131 - United States Phone: (800) 247-2898 Email: johnbryan@firsthealth.com Website: www.firsthealth.com First Health provides a national PPO and other cost containment programs to help clients manage their benefit plans and maximize savings.We hold direct contracts with more than 5,000 hospitals, over 90,000 ancillary facilities, and over 1 million health care professional service locations nationwide. For quality, value, accessibility and service, First Health is the right choice for national network solutions.

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

Global Medical Conexions Robert Repke, President 236 West Portal Avenue, #353 San Francisco, CA 94127 - United States Phone: (415) 895-6757 Email: rrepke@globalmedconex.com Website: www.gogmcx.com GMCx, an International Select Provider Organization, is a network of premiere, accredited health care facilities located around the globe.With their Passport to Health, clients have access to highly qualified doctors, their choice of exceptional hospitals, a wide range of procedures, first-class accommodations, and comprehensive customer service for the ultimate care experience.

Golden Triangle Specialty Network, LLC Polli Yount, Senior Vice President & Chief Operating Officer 5115 Maryland Way Brentwood, TN 37027 - United States Phone: (615) 377-0779 Email: yountp@gtspecnet.com Website: www.gtspecnet.com GTSN is a national cost containment network featuring provider sign-off on all savings. Discount services: Dialysis, Specialty Pharmacy and Medical Implants.To bring more savings to our clients our extended services include Early Medical Risk Identification, Diabetes Management, and a National Imaging Network for Workers Comp & Group Health. 888.394.5688 • THE Directory 2014 |35


SECTION 5  H.H.C. Group

HFN, Inc.

Bruce Roffe’, President & Chief Executive Officer 438 North Frederick Avenue Gaithersburg, MD 20877 - United States Phone: (301) 963-0762 Email: broffe@hhcgroup.com Website: www.hhcgroup.com

David Kolb, President & Chief Executive Officer 1315 West 22nd Street, Suite 300 Oak Brook, IL 60523 - United States Phone: (630) 472-6511 Email: kolbd@hfninc.com Website: www.hfninc.com

H.H.C. Group is a national health insurance consulting company providing cost containment services including Claims Negotiations/ Repricing • Medical Audit • Medicare Based Pricing • Peer Review • Case Management/Utilization Review • Data Mining • Claims Editing • Disease Management • DRG Validation • Regular /Specialty Networks • URAC Accredited IRO

HFN is the largest independently owned PPO network in Illinois, providing healthcare to individuals in Illinois, NW Indiana,Wisconsin, St. Louis and the Quad Cities. HFN offers innovative Group Health, Workers’ Comp and Auto programs and a wide selection of other preventive and custom healthcare delivery options for our clients, members and providers.

For more than 25 years First Health has worked extensively with employers, insurance carriers, TPAs and health plans to develop and deliver products that consistently provide optimal cost and care outcomes for employers and their members. First Health’s national PPO networks offer: • Access to more than 5,000 hospitals, over 90,000 ancillary locations and over 1 million health care professional service locations nationwide • Network solutions with providers directly contracted in all 50 states, DC and Puerto Rico • Superior PPO network savings • Outstanding customer service • Multiple repricing options, including EDI First Health also offers complementary networks, supplemental network partners, non-network fee negotiations, a transplant network and clinical management programs.

Quality, Value, Accessibility and Service— Your National Choice for Network Solutions www.firsthealth.com ©2013 First Health Group Corp. All rights reserved.

36| THE Directory 2014 • www.sipconline.net


MEDICAL PROVIDER NETWORKS – ONSITE CLINICS

Innovative Healthware Services

Olympus Managed Healthcare

Robert Schmidt, President 1511 Ritchie Highway, Suite 206 Arnold, MD 21012 - United States Phone: (410) 349-3222 Email: RSchmidt@claimsbridge.com Website: www.ClaimsBridge.com

Caridad Acevedo, Director of Operations 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States Phone: (305) 798-9341 Email: cacevedo@omhc.com Website: www.omhc.com

IHS is committed to providing complete technology solutions for all parties of the claims adjudication process. IHS has combined the ClaimsBridge Connects infrastructure with its ability to facilitate and build Custom Provider Networks, providing self-funded plans more control over healthcare coverage with Flexibility, Efficiency, and a reduction in plan costs.

A market leader in strategic healthcare claims management, Olympus specializes in the complete spectrum of medical cost containment strategies.The foundation of Olympus’ approach lays in the skillful management of a robust mix of networks, coupled with an unyielding commitment to the latest in enterprise-class, technology-driven solutions.

LifeTrac, Inc.  Barry Thompson, Vice President Sales 11100 Wayzata Boulevard, Suite 350 Minneapolis, MN 55305 - United States Phone: (763) 647-5087 Email: bthompson@lifetracnetwork.com Website: 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 100 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.

MagnaCare Steven Kokulak, Senior Vice President, Workers’ Compensation and No Fault 44 West Gilbert Street Tinton Falls, NJ 07701 - United States Phone: (732) 667-8923 Email: skokulak@magnacare.com Website: www.magnacare.com MagnaCare is a health plan management company that offers a broad set of self funded solutions to Taft Hartley Funds, commercial organizations, workers compensation programs, no fault carriers, and TPA’s. Our extensive provider network, cost containment programs, wellness initiatives and administrative services provide clients with flexible, cost-effective options.

Personalized Prevention Lisa Van Ackeren, President/Chief Executive Officer 13750 San Pedro Avenue, Suite 530 San Antonio, TX 78232 - United States Phone: (210) 481-7584 Email: lisa@personalizedprevention.com Website: www.personalizedprevention.com Personalized Prevention has developed a niche by providing quality onsite health promotion services and wellness administration to selfinsured companies across the country. Designed with the principles of risk management and the full understanding that hands-on support & interpersonal engagement are the key drivers to successful programming and lifestyle transformation, Personalized Prevention provides a unique service model delivering impactful participation rates and measurable results.

Preferred Medical Claim Solutions Brian Caliendo, Executive Vice President and Chief Operating Officer 9060 East Via Lindia, Suite 250 Scottsdale, AZ 85258 - United States Phone: (480) 922-8987 Email: bcaliendo@pmcsonline.com Website: www.pmcsonline.com Preferred Medical Claim Solutions is a progressive, transactionbased healthcare network dedicated to serving Payers, Providers, and ultimately Patients, by providing proven revenue cycle management solutions that reduce healthcare costs. Our products - PMCS Advance and PMCS Select - are specifically developed to manage out-ofnetwork claim settlements.

888.394.5688 • THE Directory 2014 |37


SECTION 5  Premier Healthcare Exchange, Inc. (PHX)

TC³ Health, an Emdeon Company

Clara Pachomski, Executive Assistant 2 Crossroads Drive Bedminster, NJ 07921 - United States Phone: (888) 311-3505 Email: cpachomski@phx-online.com Website: www.phx-online.com

Timothy Huke, Vice President, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States Phone: (949) 943-8707 Email: thuke@tc3health.com Website: www.tc3health.com

PHX is the leader in advanced cost management solutions for health plans,TPA’s and Reinsurers. By providing “The Power of 3” – Product, Performance, and Partnership- we deliver measurable business value in the form of significant reduction of payment errors, decrease in time needed for claim resolution, and savings that substantially reduce healthcare costs to clients. Results, performance, and expertise you can trust: that is our commitment to our clients.Visit www.phx-online.com for more information.

TC³ Health, an Emdeon company, is a leading provider of claims cost management solutions, including payment integrity and out-of-network claims management.TC³ electronically integrates claims transaction systems with pre-payment and post-pay fraud, waste, and abuse and overpayment identification technology, out-of-network claims management systems, complex claims review and settlement, data analytics and reporting tools & post-pay audit and recovery services. Self-insured employers benefit from state-of-the-art loss control systems delivered through a single connectivity source to prevent claims errors and overpayments while generating significant cost savings.

Quest Diagnostics Beth Kalianof, Director 10101 Renner Boulevard Lenexa, KS 66219 - United States Phone: (866) 649-5833 Email: beth.x.kalianoff@questdiagnostics.com Website: www.questdiagnostics.com or www.labcard.com Quest Diagnostics’ Lab Card program brings significant value to many employer and TPA customers.With the increase in CDHPs, Lab Card can achieve substantial savings on lab services utilizing Quest Diagnostics vast footprint, as well as employer on-site clinics. Lab Card reduces lab cost by minimizing use of higher cost providers.

Satori World Medical Steven Lash, President and Chief Executive Officer 591 Camino De La Reina, Suite 400 San Diego, CA 92108 - United States Phone: (619) 704-2000 Email: info@satoriwm.com Website: www.satoriwm.com Satori World Medical, the leader in surgical tourism, features a world-class global healthcare network, delivers significant savings, and coordinates all travel services. All-inclusive medical travel benefit is easy to implement into existing employee healthcare plan at no cost to the plan sponsor.

38| THE Directory 2014 • www.sipconline.net

TransformHealthRx Shannon Middleton, Chief Financial Officer/ Chief Operating Officer 1221 Merchants Way, Suite 302 Statesboro, GA 30458 - United States Phone: (912) 871-5219 Email: mhagan@transformhealthrx.com Website: www.TransformHealthRx.com TransformHealthRx partners with employers to provide services to employees and family members that include primary and urgent care.We have extensive experience in case management and provide a medical home for early detection and intervention.TransformHealthRx reduces pharmacy, lab costs, emergency and specialty visits.We have a better way.

United Claim Solutions Corte Iarossi, Vice President, Sales & Marketing 23048 North 15th Avenue Phoenix, AZ 85027 - United States Phone: (602) 393-4553 Ext. 120 Email: ciarossi@unitedclaim.com Website: www.unitedclaimsolutions.com United Claim Solutions is an innovative Medical Cost Reduction and Claims Flow Management company providing customizable programs for payers, employers, unions, reinsurers and carriers. Contact UCS if you want: 1) A partner that puts SERVICE first; 2) Industry leading SAVINGS on medical bills; 3) Flexible SOLUTIONS to reduce administrative costs.


MEDICAL PROVIDER NETWORKS – ONSITE CLINICS

WorkSTEPS, Inc. Cindy Gallaher, Vice President of Business Development 3019 Alvin Devane Boulevard, Suite 150 Austin, TX 78741 - United States Phone: (888) 597-8377 Email: testing@worksteps.com Website: www.worksteps.com WorkSTEPS is the leading provider of functional employment testing in the nation, and was founded to meet a critical employer need – to create a medically safe, legally compliant, scientific and objective means of matching a worker’s functional capabilities with the essential functions of the job. Our suite of services includes post-offer preemployment testing, as well as post-employment testing which includes fit-for-duty testing, functional capacity evaluations and sincerity-ofeffort testing.

Preferred Medical Claim Solutions

The

Out-of-Network Experts

Preferred Medical Claim Solutions is a progressive, transaction-based PLEASE VISIT US AT BOOTHS

611

AND

healthcare network dedicated to serving Payers, Providers and ultimately Patients by providing proven revenue cycle management solutions that reduce healthcare costs.

613

PMCS Advance Advance funding of out-of-network claim

Allows select Payers to remit payment

settlements to Providers while ensuring

and an Explanation of Benefits (EOB)

Payers receive the best possible discounts.

directly to PMCS Providers.

>> Maximizes discounting capabilities

>> Supplements current strategy

>> Provides prompt, predictable payment

>> Automates payment & EOB

>> Eliminates settlement disputes

>> Leverages existing PMCS agreements

>> Simplifies & reduces administration

>> Eliminates Provider recourse

SIMPLIFYING SETTLEMENT. REDEFINING REIMBURSEMENT.

877.768.1968 pmcsonline.com 888.394.5688 • THE Directory 2014 |39


SECTION 6 SECTION 6 TECHNOLOGY VENDORS

Attune Health Management, Inc.

Claim Innovative Solutions LLC

John Ellis, President/Chief Executive Officer 3608 Preston Road, Suite 220 Plano, TX 75093 - United States Phone: (866) 756-5434 Email: john.ellis@attunelife.com Website: www.attunelife.com

Phil Kentfield, Managing Principal 3158 Sparks Drive Cookeville, TN 38506 - United States Phone: (931) 854-9070 Email: phil@claiminnovations.com Website: www.claiminnovations.com

Attune Health Management provides web and mobile wellness services to self-insured employers in order to contain and lower behavior related health care costs. Our unique service design leverages a high-tech approach combined with “smart-touch” use of skilled professionals that provides an effective/affordable outcomes-based incentive design.

It’s about time that someone automated those troublesome manual processes used to calculate workers’ compensation benefits and reserves.Well we have. Our state specific and federal act calculators give you accurate and consistent answers in record time.Want a software demonstration and a 30-day free trial? Call us.

Benefitfocus (Benefit Informatics) Chris Metcalf, Solution Engineer 100 Benefitfocus Way Charleston, SC 29492 - United States Phone: (918) 491-3600 Email: cmetcalf@benefitfocus.com Website: www.benefitfocus.com Benefitfocus is a leading provider of benefits technology. More than 20 million consumers manage all types of benefits in the Benefitfocus cloud. Our Benefit Informatics technology provides healthcare data integration and data analytics to employers, insurers,TPA/ASOs and broker/consultants and helps organizations identify, predict and control healthcare costs. www.benefitfocus.com.

Christian Brothers Services Brian Page, Director of Sales and Business Development 1205 Windham Parkway Romeoville, IL 60446 - United States Phone: (630) 378-2900 Email: brian.page@cbservices.org Website: www.cbservices.org Christian Brothers Services is a nonprofit organization that administers cooperative programs in health/retirement, property/casualty and consulting/technology to church organizations. Founded in 1960, the company has grown to administer and serve 11 Trusts, which provide a variety of programs to congregations, organizations and dioceses both in the United States and Canada. 40| THE Directory 2014 • www.sipconline.net

Complete Health Systems, LC Carolyn Jonker, Project Manager 200 West Douglas, Suite 240 Wichita, KS 67202 - United States Phone: (316) 263-1035 Email: carolynj@completehealthsys.com Website: www.completehealthsys.com Since 1990, CHS has been providing Health Claims Administration, Adjudication and Premium Billing systems.Today, our software systems hAvenue approx. a million lives under management. Our Windows based system, available in on-site or ASP versions includes a realtime web portal.We make it easier for you to do business! www. completehealthsys.com

Data Dimensions Corp Jon Boumstein, President and Chief Executive Officer 400 Midland Court Janesville, WI 53546 - United States Phone: (800) 782-2907 Email: info@datadimensions.com Website: www.datadimensions.com Data Dimensions provides business process automation (BPA) services to the healthcare insurance industry. Our HIPPA compliant solutions include medical claims processing, network management/repricing, adjudication, workflow efficiencies and claims payment through virtual, ACH/EFT or check delivery.Visit www.datadimensions.com for more information on how we can help you reduce costs and improve quality.


TECHNOLOGY VENDORS

ECHO Health, Inc.

gBehavior

Tom Penko, Brand Manager 868 Corporate Way Westlake, OH 44145 - United States Phone: (440) 249-4148 Email: tpenko@echohealthinc.com Website: www.echohealthinc.com

Don Doster, President and Chief Executive Officer 3525 Piedmont Road, Building 5, Suite 400 Atlanta, GA 30305 - United States Phone: (888) 949-0541 Email: ddoster@gbehavior.com Website: www.gbehavior.com

ECHO Health, Inc. offers efficient, cost-effective healthcare payment solutions for Administrators of self-funded plans.With over thirty years of related experience, ECHO’s one-of-a-kind ERISA and HIPPA compliant payment solution CONSOLIDATES multiple financial obligations into single Provider payments, DELIVERS payments and EOBs electronically, and REWARDS your bottom line from day one.

gBehavior offers wellness and safety incentive solutions that track participants’ progress against pre-determined goals and reward them for achieving these goals. gBehavior handles all phases of implementation, program engagement, rewards management and in depth reporting. gBehavior offers a unique value proposition – no monthly fees.We get paid only on results.

Health Dialog Sean Aherne, Senior Director, Sales 60 State Street Boston, MA 02109 - United States Phone: (617) 406-5287 Email: saherne@healthdialog.com Website: www.healthdialog.com Health Dialog is a leading provider of care management, healthcare analytics, and decision support.

Healthx delivers cloud-based solutions that lower costs and improve health by providing timely and relevant information to healthcare organizations, members and providers.

FOR MORE INFORMATION WWW.HEALTHX.COM 888.394.5688 • THE Directory 2014 |41


SECTION 6  Health Portal Solutions

HST

James Burkholder, President and Chief Executive Officer 11550 IH-10 West San Antonio, TX 78230 - United States Phone: (855) 414-1014 Email: jburkholder@hpsglobal.net Website: www.hpsglobal.net

Casey Trujillo, Vice President of Sales 120 Newport Center Drive, Suite 240 Newport Beach, CA 92660 - United States Phone: (801) 561-5424 Email: ctrujillo@hstechnology.com Website: www.hstechnology.com

Health Portal Solutions is a leading provider in data integration web portals. Our portals make benefit management easy and integrate with any providers or systems currently in place. HPS is dedicated to providing you with the best solution available and helps you get the maximum value of your web portal.

HST reduces medical claims payments with our reference-based price (RBP) services through the use of RBP negotiations, pricing data services, network replacement and quality measures. Our RBP pricing technologies enables value payments while facilitating transparency and care accountability. HST’s payment strategies are revolutionizing the way our clients pay for health care.

Health Solutions Plus, Inc. Carol Bennett, Marketing Director 48 South Service Road, Suite 301 Melville, NY 11747 - United States Phone: (800) 244-8718 Email: carol.bennett@hspweb.com Website: www.hspweb.com HSP provides the most comprehensive single-source software solution focused on TPA and Payer administration automation. HSP’s solution provides end to end medical, dental and vision benefit automation including claims processing, provider, member, utilization, and document management, customer service, workflow and more. HSP’s approach eliminates the complicated and costly issues associated with “multi-vendor” interfacing systems.

Healthx, Inc.  Kevin Moore, Director, Healthcare Marketing 9339 Priority Way West Drive Indianapolis, IN 46240 - United States Phone: (317) 218-0632 Email: kmoore@healthx.com Website: www.healthx.com Healthx provides cloud-based solutions for health plans to improve member engagement and provider collaboration. Over 150 payers across the U.S. use Healthx solutions to provide self-service web applications resulting in 16 million logins by health plan members and over nine million logins by providers associated with these health plans.

42| THE Directory 2014 • www.sipconline.net

IBM Susan Wagy, Marketing Manager 325 JS McDonnell Boulevard, MC 1550 Hazelwood, MO 63042 - United States Phone: (800) 548-2040, Option 1 Email: swagy@us.ibm.com Website: www.ibm.com/insurance/genelco Add new products or change benefit and coverage options through dynamic business rules. Use flexible administration for group, individual & worksite programs that is 5010 and ICD-10 regulatory mandate compliant. Drive down costs. Obtain optimal claim processing efficiency. Enhance customer service.

Innovative Healthware Services Robert Schmidt, President 1511 Ritchie Highway, Suite 206 Arnold, MD 21012 - United States Phone: (410) 349-3222 Email: RSchmidt@claimsbridge.com Website: www.ClaimsBridge.com IHS is committed to providing complete technology solutions for all parties of the claims adjudication process. IHS has combined the ClaimsBridge Connects infrastructure with its ability to facilitate and build Custom Provider Networks, providing self-funded plans more control over healthcare coverage with Flexibility, Efficiency, and a reduction in plan costs.


TECHNOLOGY VENDORS

inVentiv Medical Management

RedCard

Jason Twombly, Vice President and Chief Sales Officer 11525 North Community House Road, Suite 410 Charlotte, NC 28277 - United States Phone: (877) 447-2778 Email: jason.twombly@inventivmm.com Website: www.inventivmm.com

Eric Schaefer, President 7700 Bonhomme Avenue, Suite 200 Saint Louis, MO 63105 - United States Phone: (314) 445-6020 Email: eschaefer@redcard.com Website: www.redcard.com

inVentiv Medical Management (iMM) is a leading national provider of physician-directed, nurse-supported, technology-enabled, population health management solutions.With a mission of improving healthcare quality, costs, and outcomes, enabled by the fully integrated inFinite platform, iMM delivers seamless clinical interventions and cost management services that support consumers, providers, and payers.

RedCard provides data management and BPO services for the production of ID Cards, enrollment materials, checks, electronic payments, EOBs, and letters. RedCard utilizes its proprietary DOCS system to manage all facets of these communications with innovative document designs, enabling a payer to enjoy substantial savings while creating an enhanced member/provider experience.

Is January 2014 Your Next Y2K?

We understand the Affordable Care Act (ACA) has brought a lot of change, and more is about to occur. Are you ready? Are you still cobbling together population health and cost management solutions from several sources? Are you ready to begin reporting on quality metrics defined in the ACA? To Make a Difference, You Have to Be Different. inVentiv Medical Management (iMM), aggregates more than a dozen population health and cost management services into a single solution. All combined, the power of this synergy delivers outcomes you can count on to meet the demands of the future. – Building new network relationships with best-in-class care providers and suppliers to provide optimal care at more reasonable costs – Continuous surveillance of claims, predicting and mitigating possible risks and finding outliers in costs and care – Benefitting from decisions that are grounded in evidence-based medicine and your business rules, and that direct consumers and their claims to the most appropriate interventions – Finding meaningful ways of engaging consumers in taking charge of their own health – URAC accredited Population Health Management programs yielding outcomes reporting based on industry and CMS standards.

To find out how iMM can help you be ready to meet the demands of the future of healthcare today, visit inVentivMedicalManagement.com, email us at info@inventivmm.com, or call us at 877.447.2778. ©2013 inVentiv Medical Management Oct 2013 DIR02

888.394.5688 • THE Directory 2014 |43


SECTION 6 TC³ Health, an Emdeon Company Timothy Huke, Vice President, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States Phone: (949) 943-8707 Email: thuke@tc3health.com Website: www.tc3health.com TC³ Health, an Emdeon company, is a leading provider of claims cost management solutions, including payment integrity and out-of-network claims management.TC³ electronically integrates claims transaction systems with pre-payment and post-pay fraud, waste, and abuse and overpayment identification technology, out-of-network claims management systems, complex claims review and settlement, data analytics and reporting tools & post-pay audit and recovery services. Self-insured employers benefit from state-of-the-art loss control systems delivered through a single connectivity source to prevent claims errors and overpayments while generating significant cost savings.

TriZetto Corporation Bruce Dorr, Senior Manager Solution and Segment Marketing 9655 Maroon Circle Englewood, CO 80112 - United States Phone: (800) 569-1222 Email: bruce.dorr@trizetto.com Website: www.trizetto.com TriZetto delivers world-class information solutions that enable healthcare organizations to work more efficiently and collaboratively to deliver better health. Benefits administration solutions include enterprise and component software, and application hosting, BMS and consulting services, as well as access to the CIGNA national provider network. For information, visit: www.trizetto.com/PayerSolutions/CoreAdministration

WLT Software Enterprises Michael Tuomey, Business Development and Vendor Relations 26133 US 19 North, 4th Floor Clearwater, FL 33763 - United States Phone: (877) 807-4730 Email: mtuomey@wltsoftware.com Website: www.WLTSoftware.com WLT Software is an international leader in providing advanced benefits administration and claims adjudication systems for Insurance Companies, Government Employee Plans,TPAs and Self Administered Groups.WLT’s systems are 5010, ICD10 and CAQH CORE compliant and are available in either licensed or SaaS deployment models. 44| THE Directory 2014 • www.sipconline.net

TECHNOLOGY VENDORS


SECTION 7 BROKERS/CONSULTANTS

Advanced Benefit Consulting and Insurance Services, Inc. Dorothy Cociu, President P.O. Box 6677 Fullerton, CA 92834-6677 - United States Phone: (714) 693-9754 Ext. 3 Email: dmcociu@advancedbenefitconsulting.com Website: www.advancedbenefitconsulting.com We are an employee benefit compliance consulting firm and health insurance agency specializing in self-insured health plans.We offer compliance assistance with HIPAA Privacy, ACA and other related laws and regulations. Most agency clients receive complimentary compliance implementation assistance, along with the highest level of self-funded expertise available!

Advanced Medical Strategies Peter Borans, President 7 Kimball Lane, Building A Lynnfield, MA 01940 - United States Phone: (781) 224-9711 Email: peter.borans@mdstrat.com Website: www.mdstrat.com Advanced Medical Strategies is a physician-led organization serving small to medium sized TPAs, Health Plans, HMOs,Worker’s Compensation Payers, MGUs, Stop-Loss Carriers, Specialty Risk Insurers, Occupational Accident Insurers, A&H Insurers, and SelfAdministered Group Health Plans. AMS provides: doctor-driven complimentary screens, independent medical reviews, deep savings opportunities through cost containment services, underwriting services, aggregate audits, MGU review services and plan document reviews.

Alternative Risk Solutions (ARS) John Mengarelli, President 250 Bel Marin Keys Boulevard, Suite G3 Novato, CA 94949 - United States Phone: (415) 883-8900 Email: jmengarelli@altrisk.biz Website: www.alternativerisksolutionsllc.net ARS was formed in July of 2006 and has become the leading wholesaler of Stop Loss Insurance in the US. ARS provides Stop Loss, Risk Management and Claims services to over 100 employers through a network of Brokers and Consultants.

ARMSRx Pharmacy Benefit Consultants Jennifer Kingsley Wilson, Chief Executive Officer 105 Down Court Windermere, FL 34786 - United States Phone: (800) 578-9714 Email: Jennifer@ARMSRx.com Website: www.ARMSRx.com ARMSRx Pharmacy Benefit Consulting – ARMSRx are backroom experts in the PBM industry. Private label or let us help you get a leveraged PBM or Specialty contract. ARMSRx unlocks the secrets of PBM pricing, contract language, audits, modeling, and PBM analytics. Let us do the work for you and build in your own compensation. ARMSRx represents TPA’s, employer groups, brokers and consultants. “We’ll do the work, you get the credit!”

Benefit Dynamics, Co Allison Johnson, Partner 618 North Tejon Colorado Springs, CO 80903 - United States Phone: (719) 575-0411 Email: ajohnson@benedyn.com Website: www.benedyn.com We are the single source for exclusive solutions for self-funded insurance programs.We specialize in offering your clients customized benefit plans that help to manage their claim costs.We work with Brokers/TPA’s on fully insured to self-funded transition programs including those hard to place accounts.

Canyon RE, LLC Michael Melnik, Managing Director 1400 Buford Highway, Suite T-2 Buford, GA 30518 - United States Phone: (770) 614-1636 Email: mmelnik@canyonre.com Canyon RE, LLC is a brokerage/consulting entity focusing on medical excess-loss and special risks within partially self-funded group benefits arena.

888.394.5688 • THE Directory 2014 |45


SECTION 7

Pharmacy Benefit Management

Backroom Experts

Private Label or Let Us Help Get a Leveraged PBM & Specialty Contract

Let us do the

work for you, build in compensation if desired

“We’ll do all the work, you get the credit” Unlock the Secrets of Pharmacy Benefit in: 1. 2. 3. 4. 5. 6. 7.

Leveraged Contracts Contract Language Audits PBM Analytics Modeling Disruption Analysis PBM Pricing

www.ARMSRx.com | 800-578-9714 46| THE Directory 2014 • www.sipconline.net

Representing: 1. 2. 3. 4.

Third Party Administrators Employer Groups Brokers Consultants


BROKERS/CONSULTANTS

Claim Innovative Solutions LLC Phil Kentfield, Managing Principal 3158 Sparks Drive Cookeville, TN 38506 - United States Phone: (931) 854-9070 Email: phil@claiminnovations.com Website: www.claiminnovations.com

Coulter & Associates, Inc. Susan Coulter, Principal Consultant 379 Princeton-Hightstown Road Cranbury, NJ 08512 - United States Phone: (609) 443-7540 Email: Susan@coulter-and-associates.com Website: www.coulter-and-associates.com

Sometimes you need to know where you stand, seeking validation or because you have issues and concerns that need addressing so that appropriate action can be taken.That’s were we come in. As claim management consultants we audit claim handling organizations to make sure your needs are met. Call us.

Coulter & Associates has provided actuarial and compliance services since 1988. Our services include product development, precise reserve calculation, form, rate, and advertising filings, state admissions, ongoing compliance and regulatory review. Our consultants are experienced in a variety of product areas including PPACA, supplemental health, managed care, life, A&H, and P&C.

Commercial Group Intermediaries

D.W.Van Dyke & Co., Inc. 

Brian Cieply, Vice President - Sales & Marketing 16 Executive Court Soth Barrington, IL 60010 - United States Phone: (847) 713-4700 Email: bcieply@cgi-illinois.com Website: www.cgi-illinois.com

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States Phone: (203) 761-9300 Email: ckoehler@dwvd.com Website: www.dwvd.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 TPA communities.We 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 marketing tools that will ultimately produces sales for your organization.

Life and A&H Intermediary providing access to carriers, reinsurance, distribution,TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx,Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.

Companion Global Healthcare, Inc.

Lisa Greenblott, President and Chief Executive Officer P.O. Box 718 Sandpoint, ID 83864 - United States Phone: (866) 265-1719 Email: lgreenblott@dccinc-us.com Website: www.dccinc-us.com

David Boucher, President and Chief Operating Officer I-20 at Alpine Road, AE-222 Columbia, SC 29219 - United States Phone: (803) 264-9382 Email: david.boucher@companiongroup.com Website: www.CompanionGlobalHealthcare.com Companion Global Healthcare, Inc. (CGH) facilitates international medical tourism by contracting with select Joint Commission accredited facilities and by providing concierge travel and case management services. CGH assists employers with modifying their benefit plans to create significant savings and assists patients with accessing CGH network facilities for medically necessary surgeries.

DCC, Inc.

DCC, Inc., the premier dialysis cost containment consulting firm has serviced the self-funded industry for over a decade. DCC is now offering specialized Chronic Kidney Disease Management programs tailored to meet the specific and ever-changing needs of the marketplace.We provide solutions that improve patient outcomes while delivering maximum savings.

888.394.5688 • THE Directory 2014 |47


SECTION 7  Digital Benefit Advisors

Hanover Stone Partners

David Goldfarb, Managing Principal 7616 LBJ Freeway, Suite 630 Dallas, TX 75209 - United States Phone: (214) 389-9650 Email: dgoldfarb@digitlbenefitadvisors.com Website: www.digitalbenefitadvisors.com

John J. Kelly, CPCU, Managing Partner 260 Madison Avenue, 8th Floor New York, NY 10016 - United States Phone: (646) 216-2181 Email: john.kelly@hanoverstonepartners.com Website: www.HanoverStonePartners.com

Benefits consulting firm that delivers game-changing industry innovation that transforms the benefits experience for employers and employees.

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.

Employee Benefits International Stephanie Waldrop, Principal 2525 East Arizona Biltmore Circle, Suite D144 Phoenix, AZ 85016 - United States Phone: (855) 806-5958 Email: swaldrop@employeebenefitsint.com Website: www.employeebenefitsint.com EBI approaches every client the same way--we listen and we respond, ready with our assesment, risk management solutions and comprehensive compliance support.We are passionate about cost containment and employee engagement to ensure long-term success of any benfits program.

Garner Consulting John Garner, Chief Executive Officer 630 North Rosemead Boulevard Pasadena, CA 91107 - United States Phone: (626) 351-2300 Email: john@garnerconsulting.com Website: www.garnerconsulting.com Employee benefits consulting.The company consults to both public and private sector employers on a wide range of employee benefit issues. We assist in developing cost-effective approaches to employee benefit programs consistent with clients’ overall operating philosophy.

Gregory & Appel Insurance Sheri Alexander, Senior Vice President 1402 North Capitol, #400 Indianapolis, IN 46202 - United States Phone: (317) 634-7491 Email: salexander@gregoryappel.com Website: www.gregoryappel.com Founded in 1884, Gregory & Appel is the oldest independently-owned insurance agency in Indiana and one of the largest.We offer a wide spectrum of employee benefits, property & casualty, risk management and personal insurance solutions to businesses and individuals throughout the Midwest and the world. 48| THE Directory 2014 • www.sipconline.net

Hi-Tech Health, Inc. Michael A Carrara, President 1500 Route 517, Suite 200 Hackettstown, NJ 07840 - United States Phone: (908) 813-3440 Email: mcarrara@hi-techhealth.com Website: www.hi-techhealth.com Hi-Tech Health, Inc. Series 3000™ Claims Administration System It doesn’t matter if your company is in its infancy or one that’s been around for many years. 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 us at www.hi-techhealth.com for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.

InVision Group, LLC Karl Fry, Managing Director 205 Route 9 North, Suite 38 Freehold, NJ 07728 - United States Phone: (206) 452-2040 Email: kfry@invgrp.com Website: www.invisiongroupllc.com InVision Group is a specialized intermediary focused on providing risk solutions to insurance companies and other risk bearing entities.We tackle the toughest risk management issues for our clients and with our enhanced network of strategic alliances can provide customized solutions for all your insurance and reinsurance needs.


BROKERS/CONSULTANTS

Kinder & Associates, Inc.

Pancoast Benefits Inc.

Jim Kinder, Chairman/Chief Executive Officer 418 Terry Road Fountain Inn, SC 29644 - United States Phone: (864) 409-8347 Email: jkinder120@aol.com

Pat Lund, Vice President Group Benefits 4250 Hillsboro Road Nashville, TN 37215 - United States Phone: (615) 292-3400 Email: patl@pancoastbenefits.com Website: www.pancoastbenefits.com

Kinder & Associates, Inc. offers consulting services to the self-insurance alternative risk transfer community including government relations/ lobbying service. Jim Kinder principal of K&A also is available to serve as an independent director to companies within the insurance/selfinsurance/alternative risk transfer community. Mr. Kinder assisted in the formation of SIIA and served as CEO of the organization from its inception until his retirement in 2006.

Lawley Benefits Group TJ Revelas, Managing Partner 361 Delaware Avenue Buffalo, NY 14202 - United States Phone: (716) 849-8252 Email: tjrevelas@lawleyinsurance.com Website: www.lawleyinsurance.com Broker Consultant for Health Benefits

Northshore International  Insurance Services, Inc. David W. Ives, Chief Executive Officer 199 Rosewood Drive Danvers, MA 01923 - United States Phone: (978) 745-6655 Email: dives@niis.com Website: www.niis.com Improving performance and saving money through verification and compliance audits 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 professional staff experienced in all lines of Medical, Life, Workers’ Compensation and all Property Casualty coverages.

Pancoast Benefits is a leading provider of health and benefits consulting. Our goal is to provide clients with proven expertise in consulting and compliance with a strong committment to adminstrative services and technology.You will find us dedicated to exceptional services with a focus on excellence.

Premier Consulting Associates, LLC Kristy Long, Chief Operating Officer 1416 Sweet Home Road, Suites 5 & 6 Amherst, NY 14228 - United States Phone: (716) 688-5600 Email: klong@premierconsultingassociates.com Website: www.premierconsultingassoc.com Collectively our firm has over 225 years of healthcare experience and currently manages over $1 billion in insured and self-funded medical and prescription drug claims. Our technology and analytics provide better cost and risk management to improve employer’s return on investment.

Premier Healthcare Exchange, Inc. (PHX) Clara Pachomski, Executive Assistant 2 Crossroads Drive Bedminster, NJ 07921 - United States Phone: (888) 311-3505 Email: cpachomski@phx-online.com Website: www.phx-online.com PHX is the leader in advanced cost management solutions for health plans,TPA’s and Reinsurers. By providing “The Power of 3” – Product, Performance, and Partnership- we deliver measurable business value in the form of significant reduction of payment errors, decrease in time needed for claim resolution, and savings that substantially reduce healthcare costs to clients. Results, performance, and expertise you can trust: that is our commitment to our clients.Visit www.phx-online.com for more information.

888.394.5688 • THE Directory 2014 |49


SECTION 7  Prodigy Health Insurance

Re-Solutions Intermediaries, LLC

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States Phone: (949) 478-0119 Email: Jyoungs@prodigystoploss.com Website: www.prodigystoploss.com

Elizabeth Mariner, Executive Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States Phone: (612) 766-9782 Email: lmariner@re-solutions.net Website: www.re-solutions.net

Prodigy is a full service medical stop loss MGU providing solutions to self-funded employers through consultants, brokers and TPAs. Our team has extensive experience in healthcare and public agency sectors, as well as Cost Plus or Medicare based programs. Additionally, we work with clients to control the escalating costs of high dollar disease states.

We are reinsurance intermediaries who specialize in the life, accident and health markets. Our size makes us nimble and responsive. Our experience makes us knowledgeable and connected. And our independence makes us free to search our global contacts for the right risk partner – and reinsurance solution – for you.

Professional Reinsurance  Marketing Services, Inc.

Risk & Insurance Consulting Services, LLC

Thomas Belding, President 10917 Old River Trail Edmond, OK 73013 - United States Phone: (405) 771-5115 Email: tbelding2@cox.net We provide marketing services to TPA’s assisting them in securing medical stop-loss for their clients.We represent a number of quality MGU’s and carriers that are established leaders in the industry.We partner with a number of cost containment companies to ensure that our clients are maximizing savings in claims dollars.We also are General Agents for a number of carriers assisting Brokers with Group Life, AD&D, Dental, STD, LTD and Vision Plans for their clients.

Reinsurance Services Company, LLC Brad Quinn, Principal 23505 Smithtown Road, Suite 210 Excelsior, MN 55331 - United States Phone: (952) 401-0017 Email: Bradq@reservco.com Website: www.reservco.com RSC is a privately held reinsurance intermediary firm specializing in A & H business.We understand our success is tied directly to our client’s own success and we strive to provide them with the finest service and a host of ideas to help achieve their growth and financial objectives.

50| THE Directory 2014 • www.sipconline.net

Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States Phone: (770) 923-3133 Email: Jamie.Brown@rics-reinsurance.com Website: www.rics-reinsurance.com RICS provides innovative solutions for your risk management objectives. We bring access to carriers, reinsurance and distribution, along with extensive experience negotiating reinsurance; including unlimited benefits and facultative reinsurance for groups with critical mass. Our goal is to add value to relationships through strategic solutions tailored to our clients’ needs.

RMC Consultants  Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.


BROKERS/CONSULTANTS

Solid Benefit Guidance Rx Solutions

Strategic Underwriting Solutions LLC

Bill Resnick, Principal and Co-Founder 85 Chestnut Ridge Road, Suite 214 Montvale, NJ 07645 - United States Phone: (201) 358-1132 Email: bresnick@sbgbenefits.com Website: www.sbgbenefits.com

Joe Toohill, Director, TPA Management & Compliance 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States Phone: (920) 338-1970 Email: jtoohill@stratuw.com Website: www.strategicunderwritingsolutions.com

As one of the nation’s leading Pharmacy Benefit Consulting firms, we know where to focus to achieve the best results for TPAs, employers, and health plans alike. Our first-hand knowledge of the PBM business model will bring you the greatest results while providing a level of service and expertise unrivaled in the industry.Whether through contract negotiations, clinical and financial oversight or ongoing vendor management – we do whatever it takes to uncover savings and deliver to your bottom line.

Strategic Underwriting Solutions provides “best in class” underwriting solutions to the health insurance industry. SUS employs top underwriting talent with strong financial and medical knowledge.We continuously refine underwriting models and utilize the best technology to ensure the most appropriate underwriting decisions are made in the quickest time frames possible.

Spring Consulting Group Karin Landry, Managing Partner 84 State Street, Suite 500 Boston, MA 02109 - United States Phone: (617) 589-0930 Email: insight@springgroup.com Website: www.springgroup.com Spring Consulting Group is a leading professional service firm that works with insurance and financial service organizations, employers and captive insurance companies to clarify and achieve their strategic business objectives.Through innovative risk financing and wealth strategies, our clients gain long-term, measurable financial benefits.

Stop Loss Insurance Brokers, Inc. Denise Doyle, President 20 Park Plaza, Suite 912 Boston, MA 02116 - United States Phone: (617) 542-1600 Email: ddoyle@stoplossins.com Website: 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.

Supportive Insurance Services Jeff Brinkmann, Vice President, Sales and Marketing 2735 Washington Avenue Vincennes, IN 47591 - United States Phone: (317) 257-5734 Email: jabrinkmann@supportiveis.com Website: www.SupportiveIS.com Supportive Insurance Services works with adjusters, adjuster firms, agents, agencies and insurance companies to obtain and maintain nonresident licenses across the country. Our staff averages 20 years of insurance experience.We minimize the time and effort needed to fulfill your licensing needs. Let us eliminate your licensing headaches!

The Benecon Group Matthew Kirk, President 147 West Airport Road Lititz, PA 17543 - United States Phone: (717) 723-4600 Email: mkirk@benecon.com Website: www.benecon.com Benecon has 2 decades of experience developing and administering stand-alone and aggregated, self-insured healthcare benefits programs. In addition, Benecon is a General Agent for Highmark, Capital BlueCross, Health America and United Health Care. Employees include actuaries, compliance attorneys, benefit consultants, account managers, accountants, financial specialists and quality assurance specialists.

888.394.5688 • THE Directory 2014 |51


SECTION 7

BROKERS/CONSULTANTS

The Crowne Group

Trean Reinsurance Services, LLC

Roxane Herbstsommer, Director of Account Management 2710 Rew Circle Ocoee, FL 34761 - United States Phone: (407) 654-5414 Email: rherbstsommer@crowneinc.com

Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States Phone: (952) 974-2221 Email: kplath@treancorp.com Website: www.treanre.com

The Crowne Group has served in an advisory and consultant role for public and private sector employers since 1986. Crowne has an extensive background as consultants in employee benefits, human resources and has conducted numerous workshops, seminars and presentations for public and private sector employers on various topics.

The Phia Group, LLC Cindy Monfils, Paralegal 163 Bay State Drive Braintree, MA 02184 - United States Phone: (781) 535-5655 Email: cmonfils@phiagroup.com The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive recovery, documentation and consulting services designed to control health care costs and protect plan assets.

A refreshing approach to medical management

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.

USI Insurance Services Robert J. Melillo, National Vice President, Risk Financing Solutions 95 Glastonbury Boulevard, 4th Floor Glastonbury, CT 06033 - United States Phone: (203) 634-5917 Email: robert.melillo@usi.biz Website: www.usi.biz Founded in 1994, USI Insurance Services is the 10th largest insurance broker in the United States, the 3rd largest privately held, and 14th largest in the world. USI is headquartered in Briarcliff Manor, NY, and operates out of approximately 100 offices across the United States.

We are flexible and client focused. We respond to our clients’ needs and work to deliver the best solution possible. • Utilization Management • Case Management • Specialty Case Management • Pre-Admission and Post-Discharge Counseling • Population Health Management • Maternity Management • Onsite Medical Management • Medical Evacuation • Medical Review • Independent External Review • Medical Disclosure • Integrated Behavioral Health • 24/7 Physician Consultations • 24/7 Nurse Line • Medical Cost Containment • iSuite Medical Management Software

Call us at 866-614-4244 or visit our new web site at AmericanHealthHolding.com 52| THE Directory 2014 • www.sipconline.net


SECTION 8 UTILIZATION REVIEW/ CASE MANAGEMENT

Visit www.usi.biz for more information.

American Health Holding, Inc.

DCC, Inc.

Paul Lavin, President and Chief Executive Officer 7400 West Campus Road, F-510 New Albany, OH 43054 - United States Phone: (866) 614-4244 Email: marketing@ahhinc.com Website: www.AmericanHealthHolding.com

Lisa Greenblott, President and Chief Executive Officer P.O. Box 718 Sandpoint, ID 83864 - United States Phone: (866) 265-1719 Email: lgreenblott@dccinc-us.com Website: www.dccinc-us.com

American Health Holding is a multi-URAC accredited medical management firm that provides services spanning the healthcare continuum, including Utilization Management, Case Management, Disease Management,Wellness, Maternity Management, 24/7 Physician Consultations, 24/7 Nurse Line, Medical Review and more. American Health provides integrated solutions that maximize savings and create healthy outcomes.

DCC, Inc., the premier dialysis cost containment consulting firm has serviced the self-funded industry for over a decade. DCC is now offering specialized Chronic Kidney Disease Management programs tailored to meet the specific and ever-changing needs of the marketplace.We provide solutions that improve patient outcomes while delivering maximum savings.

Considine & Associates (HealthClaim Review®)

EBMS

Jim Considine, MD MBA, President and Chief Executive Officer 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States Phone: (949) 470-1800 Email: jim.considine@healthclaimreview.com Website: www.healthclaimreview.com Considine & Associates (HealthClaim Review®) is a URAC-accredited Independent Review Organization providing medical review services to group and comp healthcare payers and administrators worldwide. Medical necessity, coding/claims review, dental, hospital bill audit/ repricing/DRG, surgery center repricing are key product areas. Large domestic/international physician panel covers 125 medical specialties.

CPR Risk Management

Shelley Van Atta, Strategic Marketing and Public Relations 2075 Overland Avenue Billings, MT 59102 - United States Phone: (406) 869-6543 Email: svanatta@ebms.com Website: www.ebms.com EBMS, a national leader in health risk management and third-party administration of self-funded health benefit plans, specializes in valuebased benefit design; data analytics and customized reporting; onsite medical clinics; mail-order pharmacy; wellness programs with online personal health records, consumer decision support; online enrollment with consolidated billing for multiple lines of coverage; benefits communications; medical, dental, vision, COBRA/HIPAA administration.

H.H.C. Group

Mary Pozuelo, Chief Executive Officer 270 First Avenue South #100 St. Petersburg, FL 33701 - United States Phone: (727) 565-2992 Email: mary@cpr-rm.com Website: www.cpr-rm.com

Bruce Roffe’, President and Chief Executive Officer 438 North Frederick Avenue Gaithersburg, MD 20877 - United States Phone: (301) 963-0762 Email: broffe@hhcgroup.com Website: www.hhcgroup.com

CPR offers a fully integrated claim management solution combining medical expertise and health insurance knowledge. Our services include: Case Management, Utilization Management, Disease Management, Population Management/Risk Stratification, Patient Advocacy, Risk Assessment/Cost Projections, Claims Management and PPACA Compliance Support.

H.H.C. Group is a national health insurance consulting company providing cost containment services including Claims Negotiations/ Repricing • Medical Audit • Medicare Based Pricing • Peer Review • Case Management/Utilization Review • Data Mining • Claims Editing • Disease Management • DRG Validation • Regular /Specialty Networks • URAC Accredited IRO. 888.394.5688 • THE Directory 2014 |53


SECTION 8  Hines & Associates, Inc.

inVentiv Medical Management

Judy Hines, President 115 East Highland Avenue Elgin, IL 60120 - United States Phone: (800) 735-1200 Email: jhines@hinesassoc.com Website: www.hinesassoc.com

Jason Twombly, Vice President and Chief Sales Officer 11525 North Community House Road, Suite 410 Charlotte, NC 28277 - United States Phone: (877) 447-2778 Email: jason.twombly@inventivmm.com Website: www.inventivmm.com

Hines, independent leader in Utilization Management, Case Management,Wellness and Disease Management, promotes evidenced based, quality care across the continuum. From Hines Healthy Tomorrows Wellness Program through Excellence in Specialty Case Management (oncology, dialysis, transplant, behavioral, neonatal), Hines promotes health for all members, reducing current and future costs. URAC accredited.

Hi-Tech Health, Inc. Michael A Carrara, President 1500 Route 517, Suite 200 Hackettstown, NJ 07840 - United States Phone: (908) 813-3440 Email: mcarrara@hi-techhealth.com Website: www.hi-techhealth.com Hi-Tech Health, Inc. Series 3000™ Claims Administration System It doesn’t matter if your company is in its infancy or one that’s been around for many years. 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 us at www.hi-techhealth.com for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.

INETICO, Inc. Danae Lambeth, Business Development 400 North Ashley Drive, Suite 1550 Tampa, FL 33602 - United States Phone: (813)258-2200 Ext. 1009 Email: DanaeLambeth@inetico.com Website: www.inetico.com INETICO, Inc. provides comprehensive Claims Administration and Care Management. INETICO delivers effective PPO Network solutions and Medicare Cost Plus repricing, providing maximum savings to the plan and members. INETICARE focuses on early identification, member outreach/ participation/ compliance measures, wellness initiatives, and measurable results. Ask about our innovative OCTANE wellness and PAR3 Medicare repricing programs! 54| THE Directory 2014 • www.sipconline.net

inVentiv Medical Management (iMM) is a leading national provider of physician-directed, nurse-supported, technology-enabled, population health management solutions.With a mission of improving healthcare quality, costs, and outcomes, enabled by the fully integrated inFinite platform, iMM delivers seamless clinical interventions and cost management services that support consumers, providers, and payers.

Med-Cert, Inc. Sharon Reynolds, Director of Business Development 13902 North Dale Mabry Highway, #121 Tampa, FL 33618 - United States Phone: (813) 418-8701 Email: sreynolds@medcertinc.com Website: www.medcertinc.com Med-Cert is an innovative, proactive, action-oriented, URAC compliant medical management company. Located in Tampa, Florida and headquartered in Nashville,Tennessee, Med-Cert offers various utilization and case management services to help manage our clients’ medical claims and, as a result, lower claims expenditures and reinsurance costs.

Medical ReviewStream by Concentra Michael Southwick, Assistant Vice President 5080 Spectrum Drive, Suite 1200, West Tower Addison, TX 75001 - United States Phone: (972) 364-8147 Email: mike_southwick@concentra.com Website: www.MedicalReviewStream.com Medical ReviewStream by Concentra provides independent peer review services to self-insured entities,TPA’s, carriers, and Managed Care Organizations to help them make appropriate decisions as a part of the claims process.

MedWatch, LLC Cynthia Hom, Vice President of Business Development 120 International Parkway #220 Lake Mary, FL 32746 - United States Phone: (800) 432-8421 Email: cynthia.hom@urmedwatch.com Website: www.urmedwatch.com MedWatch, a national, triple URAC accredited, Health Risk Management Company originally founded 25 years ago by a reinsurer.This foundation provides clients high quality, clinically sound solutions that mitigate financial risk & improved outcomes. Our cost containment services range from wellness/early detection programs to case management of complex cases.


UTILIZATION REVIEW/CASE MANAGEMENT

Olympus Managed Healthcare

Partner Administrators

Caridad Acevedo, Director of Operations 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States Phone: (305) 798-9341 Email: cacevedo@omhc.com Website: www.omhc.com

Heather Reimer, Sales and Marketing Manager 830 Harvard Way Reno, NV 89502 - United States Phone: (775) 982-3100 Email: sales@partneradministrators.com

A market leader in strategic healthcare claims management, Olympus specializes in the complete spectrum of medical cost containment strategies.The foundation of Olympus’ approach lays in the skillful management of a robust mix of networks, coupled with an unyielding commitment to the latest in enterprise-class, technology-driven solutions.

Partner Administrators is a premier TPA company specializing in the Health,Welfare and Trust Administration. Partner Administrators offers a tailor-made plan management for a fit that is unique to each group. Over 20 years in the TPA industry, partnering to offer the most affordable plan options and strategies.

Your Concerns Are Our Specialty. For a “quarter” of a century, Hines and Associates celebrate program excellence as a leader in personalized managed healthcare. International National Independent

Since 1987. Consumer Focused. Result Driven.

The superior skills of specialty nurses result in Hines high rate of success and savings.

“It is rewarding to witness the original goals from so many years ago remain strong, innovative and effective.” – Judy Hines Founder/Hines and Associates, Inc.

800.735.1200

www.hinesassoc.com

Simplifying Heathcares Complexities. Case Management | Disease Management | Utilization Review | Healthy Tomorrows Wellness TM

1350_Hines Half Page Ad_Final.indd 1

888.394.5688 • THE Directory |55 8/12/13 2014 2:03 PM


SECTION 9 SECTION 5 ATTORNEYS

Aronberg Goldgehn

CROFT LAW, LLC

Mitchell Melamed, Partner 330 North Wabash, Suite 1700 Chicago, IL 60611 - United States Phone: (312) 755-3162 Email: mmelamed@agdglaw.com Website: www.agdglaw.com

Thomas Croft, Owner 823 Barrington Oaks Ridge Roswell, GA 30075 - United States Phone: (770) 674-4292 Email: tac@xsloss.com Website: www.stoplosslaw.com

Attorneys speicalizing in representation of TPAs, Stop Loss Carriers and health plans.

Tom Croft provides legal representation and consulting services related to medical stop loss insurance to the self-insured community, including reinsurers, stop loss carriers, MGUs,TPAs, brokers, and self-insured groups. See www.stoplosslaw.com for more information.

Carr Allison Melisa Zwilling, Chair, Medicare Compliance Group 100 Vestavia Parkway Birmingham, AL 35216 - United States Phone: (205) 949-2949 Email: mzwilling@carrallison.com Website: www.carrallisonmsa.com Carr Allison’s Medicare Compliance Group is dedicated to assisting clients with Medicare Secondary Payer issues including Section 111 Reporting, Conditional Payment Claims and Medicare Set asides. Our group of attorneys, nurses and Medicare specialists are extensively trained on all aspects of Medicare compliance.We deliver the highest quality work product at very reasonable, competitive rates.

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb, P.A. Richard Fidei, Shareholder 100 South East Third Avenue 23 Floor Fort Lauderdale, FL 33394 - United States Phone: (954) 492-4010 Email: rfidei@cftlaw.com Website: www.cftlaw.com Colodny, Fass,Talenfeld, Karlinsky, Abate & Webb, P.A. represents insurers, reinsurers,TPAs, self-insureds, and other insurance entities in matters involving formation and transactional projects; capitalization and debt structuring; risk mitigation and transfer; mergers and acquisitions; market conduct and financial examinations; in addition to other national regulatory and transactional matters.

56| THE Directory 2014 • www.sipconline.net

Koeller, Nebeker, Carlson & Haluck, LLP William Nebeker, Managing Partner 3200 North Central Avenue, Suite 2250 Phoenix, AZ 85012 - United States Phone: (602) 256-0000 Email: nebeker@knchlaw.com Website: www.knchlaw.com Koeller, Nebeker, Carlson & Haluck, LLP is recognized for its expertise in construction litigation and its attorneys have significant trial and appellate experience.The firm also handles complex litigation matters involving business and employment law, insurance coverage/bad faith, professional liability, as well as tort litigation and government liability. For additional information, please visit: www.knchlaw.com.

McDermott Will & Emery LLP Thomas Jones, Partner 227 West Monroe Street, Suite 4400 Chicago, IL 60606-5096 - United States Phone: (312) 984-7536 Email: tjones@mwe.com Website: www.mwe.com McDermott is a leading expert in captive and other self-insurance legal, tax and regulatory matters. With one of the largest tax, benefits and healthcare law practices in the country, we are ideally suited to assist with structuring and implementing your self-insurance solutions.


ATTORNEYS

Moulton Bellingham PC John T. Jones, Shareholder/Attorney 27 North 27th Street, Suite 1900 Billings, MT 59101 - United States Phone: (406) 248-7731 Email: john.jones@moultonbellingham.com The attorneys at Moulton Bellingham specialize in many legal areas affecting captive insurance companies. The firm assists with the regulatory, legal, and tax aspects of formation and capitalization, provides guidance related to captive and ART administration, and defends claims when they arise. Moulton Bellingham is actively involved with MCIA and SIIA, and works closely with various captive insurance companies and captive service providers regionally and nationally.

888.394.5688 • THE Directory 2014 |57


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ECHo processes more than 40 million claims and over $7 billion in payments annually.

Discover the ECHO Way For more details visit us at ECHOHealthinc.com Or call us at 440.249.0863

58| THE Directory 2014Health, • www.sipconline.net ECHO Inc. | |

868 Corporate Way

||

Westlake, OH 44145

||

440.835.3511


SECTION 10 Visit www.usi.biz for more information.

FINANCIAL SERVICES

AAM

GBG

Colin Dowdall, Director of Marketing and Business Development 30 West Monroe Street, 3rd Floor Chicago, IL 60603-2405 - United States Phone: (312) 263-2900 Email: colin.dowdall@aamcompany.com Website: www.aamcompany.com

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

AAM has managed investment portfolios exclusively for insurance companies since 1982. Additional services include investment accounting, tax modeling, dynamic asset-liability management, and management of convertible bond, high yield and bank loan strategies. AAM customizes our investment management service to suit each client’s investment policy, risk parameters, and ongoing client communication expectations.

CapVisor Associates, LLC Carl Terzer, Principal 219 Main Street #693 Chatham, NJ 07928 - United States Phone: (973) 665-6370 Email: carl.terzer@capvisorassociates.com Website: www.capvisorassociates.com CapVisor, an SEC-Registered Investment Advisor, collectively has more than 75 years of experience working exclusively with insurers, over 30 of which have been focused on investment solutions to self-insureds and other ART vehicles.We offer: Consulting and Manager Search services, both of which include plan design, implementation and managing the managers.

ECHO Health, Inc. Tom Penko, Brand Manager 868 Corporate Way Westlake, OH 44145 - United States Phone: (440) 249-4148 Email: tpenko@echohealthinc.com Website: www.echohealthinc.com ECHO Health, Inc. offers efficient, cost-effective healthcare payment solutions for Administrators of self-funded plans.With over thirty years of related experience, ECHO’s one-of-a-kind ERISA and HIPPA compliant payment solution CONSOLIDATES multiple financial obligations into single Provider payments, DELIVERS payments and EOBs electronically, and REWARDS your bottom line from day one.

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

Global Excel Management Benjamin Tabah, Vice President-Business Development 73 Queen Sherbrooke, QC J1M1N7 - Canada Phone: (819) 566-1130 Email: benjamin.tabah@globalexcel.com Website: www.globalexcel.com Global Excel Management Inc (GEM) focuses on specific client needs and builds customized medical cost-containment solutions by leveraging expertise in clinical reviews and audits, cost-based financial negotiations, clinical peer reviews, live case negotiations, supplemental PPO management, code edits, customized contracting, Medicare repricing and UCR reviews and support.

GlobalCare, Inc. Heather Veteto, Marketing Program Administrator 6875 Shiloh Road East Alpharetta, GA 30005 - United States Phone: (687) 341-1635 Email: hveteto@globalcare.net Website: www.globalcare.net GlobalCare provides medical savings management services to TPAs, self-funded groups and health plans, whereby clients access a composite of 150+ PPO networks and Alternative Reimbursement Methodologies. After 19 years of service, GlobalCare has developed relationships with 200+ partners, created innovative software and advanced its workflow process to serve the varied needs of clients. GlobalCare – Simply More. 888.394.5688 • THE Directory 2014 |59


SECTION 10  Hannover Life Reassurance  Company of America Jeff Burt, Executive Vice President, Financial Solutions 200 South Orange Avenue, Suite 1900 Orlando, FL 32801 - United States Phone: (407) 996-2618 Email: jeff.burt@hlramerica.com Website: www.hlramerica.com Hannover Life Reassurance Company of America is the North American life and health reinsurance subsidiary of the Hannover Re Group, one of the largest reinsurance groups in the world.We offer financial solutions for companies who need capital to pursue new lines of business or increase capital reserves.These insurance based solutions can offer considerable benefits over traditional capital market equity or debt.

Payspan Jennifer Spencer, Executive Assistant Two Ravinia Drive Atlanta, GA 30346 - United States Phone: (404) 665-3000 Email: jennifer.spencer@payspan.com Website: www.payspan.com PaySpan®, Inc., is the market leader in healthcare payment and reimbursement automation, representing providers and health plans that provide care and benefits to more than 64 million covered lives. With more than 25 years of payments expertise, PaySpan is a trusted source of innovative healthcare reimbursement solutions, Empowering the Healthcare EconomyTM for health plans, providers, members and banks. PaySpan’s customers comprise an elite array of industry leaders representing all benefit types, spanning both commercial and government sectors.

ING Employee Benefits Kristine Lange, Director of Stop Loss Underwriting 20 Washington Avenue South Minneapolis, MN 55401 - United States Phone: (612) 342-3755 Email: kristine.lange@us.ing.com Website: www.ing.us ING Employee Benefits, a division of ReliaStar Life Insurance Company and ReliaStar Life Insurance Company of New York, offers excess risk insurance products from one of the nation’s largest direct writers of excess risk insurance. It has more than 90 years of experience in delivering group benefit solutions to employers. ING Employee Benefits offers stop loss, group life, voluntary, and disability products.

Optum Kurt Haag, National Vice President of Sales and Account Management 6101 Carnegie Boulevard, Suite 500 Charlotte, NC 28209 - United States Phone: (704) 442-4102 Email: engage@optumhealth.com Website: www.optum.com Optum is a leading diversified health services company dedicated to making the health care system work better for everyone. Optum businesses include services and products for clinical management, operations and administrative efficiencies, sales and marketing programs and financial services offering health savings accounts, financing, electronic payments and stop loss insurance.

60| THE Directory 2014 • www.sipconline.net

RMC Consultants Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.


FINANCIAL SERVICES

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• THE 2014 |61 Stop Loss insurance products are issued by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance 888.394.5688 Company of New YorkDirectory (Woodbury, NY). Within the state of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the ING family


SECTION 11 SECTION 5 ACTUARIES/ACCOUNTANTS/AUDITORS

Actuarial Advisors, Inc.

Conner Ash P.C.

Mark A. Doepke, President 100 South Fifth Street, Suite 1230 Minneapolis, MN 55402 - United States Phone: (612) 455-3331 Email: Mark.Doepke@ActuarialAdvisors.com Website: www.ActuarialAdvisors.com

Alicia Drouant, Principal 12101 Woodcrest Executive Drive, Suite 300 St. Louis, MO 63141 - United States Phone: (314) 205-2510 Email: adrouant@connerash.com Website: www.connerash.com

AAI is an independent property/casualty actuarial consulting firm. We provide reserve analyses, rate reviews, cost allocation studies, and optimal risk retention analyses to individual self-insured entities and groups, insurers, reinsurers, captives, and public entity risk pools.We effectively communicate our work and are a trusted source of advice to our clients.

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.

Bauknight Pietras & Stormer, P.A. Bryan Hudson, Audit Partner 1517 Gervais Street Columbia, SC 29201 - United States Phone: (803) 771-8943 Email: bhudson@bpscpas.com Website: www.bpscpas.com BPS is a full service accounting firm that focuses on providing assurance, tax, and consulting services to the property and casualty insurance industry.We serve both commercial carriers and alternative risk vehicles, including captive insurance companies, risk retention groups, mutuals, and reciprocals located in domiciles throughout the United States.

Casualty Actuarial Consultants, Inc. Ed Costner, President 7000 Executive Center Drive, Suite 312 Brentwood, TN 37027 - United States Phone: (615) 371-5339 Ext. 3100 Email: ecostner@caci1.com Website: www.caci1.com CACI is a full-service actuarial consulting firm which specializes in working with group and individual self-insureds. Clients include selfinsured groups, corporations, governmental entities, captive insurance companies, risk retention groups, and insurance companies. Services include reserving, rate making, and general consulting. 62| THE Directory 2014 • www.sipconline.net

Coulter & Associates, Inc. Susan Coulter, Principal Consultant 379 Princeton-Hightstown Road Cranbury, NJ 08512 - United States Phone: (609) 443-7540 Email: Susan@coulter-and-associates.com Website: www.coulter-and-associates.com Coulter & Associates has provided actuarial and compliance services since 1988. Our services include product development, precise reserve calculation, form, rate, and advertising filings, state admissions, ongoing compliance and regulatory review. Our consultants are experienced in a variety of product areas including PPACA, supplemental health, managed care, life, A&H, and P&C.

GPW Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States Phone: (602) 200-6900 Email: lprudhomme@gpwa.com Website: www.gpwa.com GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and selfinsureds. 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.


ACTUARIES/ACCOUNTANTS/AUDITORS

Liscord, Ward & Roy, Inc.

Merlinos & Associates

John Hanna, Consulting Actuary 1361 Elm Street, Suite #405 Manchester, NH 03101 - United States Phone: (603) 657-7055 Email: jhanna@LWRinc.com Website: www.LWRinc.com

Rosemary Wickham, Principal and Consulting Actuary 3274-B Medlock Bridge Road Peachtree Corners, GA 30092 - United States Phone: (678) 684-4844 Email: rwickham@merlinosinc.com Website: www.merlinosinc.com

Liscord,Ward & Roy is a full service, fully independent, casualty actuarial consulting firm serving self-insured cities, corporations and groups since 1978. Focusing on workers’ compensation and property and liability coverages, we have a proven record of delivering timely, useful, understandable and cost effective reserve valuation, funding and risk analysis services.

Merlinos & Associates is one of the largest independent property, casualty, health, & disability 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.

Mark Haarer Consulting, LLC Mark Haarer, President 23270 County Road 28 Elkhart, IN 46517 - United States Phone: (574) 875-4500 Email: mark@mhcllc.com Website: www.mhcllc.com We are an independent actuarial firm with a long history in the world of self-insurance. Our clients include self-insured groups, MGUs, reinsurers, brokers, captive managers, and others who serve the self-insurance industry.We bring insight and get quickly to the heart of the matter.

PROVIDING SERVICE TO THE INSURANCE INDUSTRY FOR OVER 35 PROVIDING SERVICE TO THEIN INSURANCE INDUSTRY FOR OVER 35 YEARS OVER 30 STATES YEARS IN OVER 30 STATES Audits Tax Preparation, Compliance and Minimization Audits NAIC Annual Statements, assistance and preparation Tax Preparation, Compliance and Minimization Management Consultationassistance and preparation NAIC Annual Statements, Expert Witness Management Consultation Regulatory Matters Expert Witness

Regulatory Matters Contact: William L. Shores, CPA S. Magnolia Ave.CPA Contact: 17 William L. Shores, Orlando, Florida 32801 17 S. Magnolia Ave. (407) 872-0744 214 Orlando, Florida Ext. 32801 Lshores@shorescpa.com (407) 872-0744 Ext. 214

Lshores@shorescpa.com

888.394.5688 • THE Directory 2014 |63


SECTION 11  Milliman, Inc.

RMC Consultants

Steve DiCenso, Consulting Actuary 80 Lamberton Road Windsor, CT 06095 - United States Phone: (860) 687-0160 Email: stephen.dicenso@milliman.com Website: www.milliman.com

Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com

Milliman is among the world’s largest independent actuarial and consulting firms. The company currently has 55 offices in key locations worldwide and employs over 2,600 people, with a professional staff of more than 1,400 qualified consultants and actuaries. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations.

RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

Northshore International  Insurance Services, Inc.

Shores,Tagman, Butler & Company, P.A.

David W. Ives, Chief Executive Officer 199 Rosewood Drive Danvers, MA 01923 - United States Phone: (978) 745-6655 Email: dives@niis.com Website: www.niis.com Improving performance and saving money through verification and compliance audits 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 professional staff experienced in all lines of Medical, Life, Workers’ Compensation and all Property Casualty coverages.

Oliver Wyman Chad C. Wischmeyer, FCAS, MAAA, CFA, Partner and Property and Casualty Self-Insurance Actuarial Practice Leader 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 - United States Phone: (404) 239-6422 Email: chad.wischmeyer@oliverwyman.com Website: www.oliverwyman.com Since 1986, the actuarial practice of Oliver Wyman has assisted clients with all aspects of managing P&C, Health, and Life risks.We maintain 14 actuarial offices and employ over 80 actuaries with credentials from the CAS, the SOA or the CIA. Oliver Wyman Group employs more than 3,000 employees worldwide.

64| THE Directory 2014 • www.sipconline.net

William L. Shores, President 17 South Magnolia Avenue Orlando, FL 32801 - United States Phone: (407) 872-0744 Email: lshores@shorescpa.com Website: www.shorescpa.com Providing superior professional service to the Insurance Industry for over 35 years in over 30 States: Audits:Tax Preparation; Compliance and Minimization; NAIC Annual Statements; Assistance and preparation; Management Consultation; Expert Witness; Regulatory Matters.

The Benecon Group Matthew Kirk, President 147 West Airport Road Lititz, PA 17543 - United States Phone: (717) 723-4600 Email: mkirk@benecon.com Website: www.benecon.com Benecon has 2 decades of experience developing and administering stand-alone and aggregated, self-insured healthcare benefits programs. In addition, Benecon is a General Agent for Highmark, Capital BlueCross, Health America and United Health Care. Employees include actuaries, compliance attorneys, benefit consultants, account managers, accountants, financial specialists and quality assurance specialists.


ACTUARIES/ACCOUNTANTS/AUDITORS

Towers Watson Richard Nelson, FSA, MAAA, Senior Consultant 101 South Hanley Road St. Louis, MO 63105-3411 - United States Phone: (314) 719-5810 Email: rick.j.nelson@towerswatson.com Website: www.towerswatson.com Towers Watson is a leading global professional services company. Towers Watson has more than 20 years’ experience in providing actuarial consulting services; stop-loss manual/software tools (HealthMAPS) and reinsurance brokering services to stop-loss carriers, MGUs and reinsurers.Towers Watson also provides health benefits consulting services to large employers.

Trilogy Consulting Group, Inc. Kathy Martin-Smith, Vice-President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States Phone: (630) 953-6278 Email: kmartin-smith@trilogy-consulting.com Website: 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!

Windsor Strategy Partners, LLC. David Wilson, Senior Partner 196 Princeton Hightstown Road, Building 2, Suite 16 Princeton Junction, NJ 08550 - United States Phone: (609) 275-6550 Email: info@wspactuaries.com Website: www.wspactuaries.com Windsor Strategy Partners (WSP) provides actuarial and strategic consulting expertise to a variety of clients in the risk taking community as well as professional experience and resources to assist our broker/ consultant community and the health insurance industry.Visit www. wspactuaries.com and learn more about WSP’s underwriting solutions and healthcare cost modeling tools. Request a software trial or schedule an online demo today.

888.394.5688 • THE Directory 2014 |65


66| THE Directory 2014 • www.sipconline.net


SECTION 12 CONSUMER DRIVEN HEALTH CARE SERVICES

Visit www.usi.biz for more information.

AccessOnTime

EBMS

Melven Nehleber, President 3210 Lake Emma Road, Suite 3090 Lake Mary, FL 32746 - United States Phone: (888) 748-7575 Email: mnehleber@accessontime.com Website: www.accessontime.com

Shelley Van Atta, Strategic Marketing and Public Relations 2075 Overland Avenue Billings, MT 59102 - United States Phone: (406) 869-6543 Email: svanatta@ebms.com Website: www.ebms.com

AccessOnTime provides language services including interpretation in-person / over-the-phone, recorded statements, document translation and transcription and non-emergency medical logistics nationwide. Our core competency is in the workers’ compensation arena, but we offer our language services across all business sectors. Our company prides itself on integrity, quality, passion, and commitment to providing the best service we possibly can.

EBMS, a national leader in health risk management and third-party administration of self-funded health benefit plans, specializes in valuebased benefit design; data analytics and customized reporting; onsite medical clinics; mail-order pharmacy; wellness programs with online personal health records, consumer decision support; online enrollment with consolidated billing for multiple lines of coverage; benefits communications; medical, dental, vision, COBRA/HIPAA administration.

Advanced Risk Managers, LLC

Fairmont Specialty

Mimi Choi, Founder and President 298 4th Avenue, #398 San Francisco, CA 94118 - United States Phone: (415) 854-0800 Email: mimichoi@advanrm.com Website: www.advanrm.com

Lauren Woods, Assistant Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States Phone: (732) 676-9833 Email: lwoods@fairmontspecialty.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.

Beazley Group Peter Slot, Head of Accident & Health Reinsurance 333 West Wacker Drive, Suite 1400 Chicago, IL 60606 - United States Phone: (312) 506-1308 Email: peter.slot@beazley.com Website: www.beazley.com/accident&health Beazley specializes in Accident and Health insurance and reinsurance. We offer a suite of gap protection products that provides employees with valuable protection against life’s uncertainties, and helps employers broaden benefit options to address employees’ changing needs. Our underwriters and claims staff span the globe from the UK, US and Australia, with an average of 25 years experience.

Fairmont Specialty is part of Crum & Forster group, rated “A” by AM Best.The Accident & Health division of Fairmont offers a variety of products including Stop Loss, Organ Transplant, HMO Re, Provider Excess, Limited Medical, Accident Medical, K-12, College A&S, Special Risk, Occupational Accident, Inbound/Outbound,Travel and Pet insurance.

gBehavior Don Doster, President and Chief Executive Officer 3525 Piedmont Road, Building 5, Suite 400 Atlanta, GA 30305 - United States Phone: (888) 949-0541 Email: ddoster@gbehavior.com Website: www.gbehavior.com gBehavior offers wellness and safety incentive solutions that track participants’ progress against pre-determined goals and reward them for achieving these goals. gBehavior handles all phases of implementation, program engagement, rewards management and in depth reporting. gBehavior offers a unique value proposition – no monthly fees.We get paid only on results. 888.394.5688 • THE Directory 2014 |67


SECTION 12 Medical Advocate Program “MAP”, a Delphi of Florida Product Edward Dillabough, President 12425 28th Street North, Suite 100 Saint Petersburg, FL 33716 - United States Phone: (727) 561-9553 Email: ed@delphifl.com Website: www.delphifl.com MEDICAL ADVOCATE PROGRAM “MAP : Medical Advocate Programs (“MAP”) assists employees in making better, more-informed choices about their medical care. A MAP RN counselor can help your employee review and compare several treatment options and discuss the cost of each. MAP gives employees the information they need to make better choices about physicians and facilities.When employees are in control of their healthcare, they become better purchasers of healthcare services. Consequently, they get better care, return to work faster, and have fewer complications.

Nova Healthcare Administrators Todd Martin, Sales Executive 6400 Main Street, Suite 210 Williamsville, NY 14221 - United States Phone: (716) 932-5105 Email: tmartin@novahealthcare.com Website: www.novahealthcare.com Nova specializes in employee benefit administration with a strong emphasis on exceptional service, offering medical, dental, vision, FSA, HRA, HSA and COBRA administration as well as in-house Medical, Disease and Case Management services. Nova promotes health and wellness providing access to high quality, cost-effective benefits to more than 185,000 members.

Optum Kurt Haag, National Vice President of Sales and Account Management 6101 Carnegie Boulevard, Suite 500 Charlotte, NC 28209 - United States Phone: (704) 442-4102 Email: engage@optumhealth.com Website: www.optum.com Optum is a leading diversified health services company dedicated to making the health care system work better for everyone. Optum businesses include services and products for clinical management, operations and administrative efficiencies, sales and marketing programs and financial services offering health savings accounts, financing, electronic payments and stop loss insurance. 68| THE Directory 2014 • www.sipconline.net

CONSUMER DRIVEN HEALTH CARE SERVICES

The Alliance Teri Van Tassel, Vice President, Marketing and Member Services 5510 Nobel Drive, Suite 200 Fitchburg, WI 53711 - United States Phone: (608) 276-6620 Email: tvantassel@the-alliance.org Website: www.the-alliance.org The Alliance is a cooperative of employers moving health care forward by controlling costs, improving quality, and engaging individuals in their health.

WeCare TLC Raegan Garber, Director, Sales and Marketing 120 Crown Oak Centre Drive Longwood, FL 32750 - United States Phone: (800) 941-0644 Email: raegan.garber@wecaretlc.com Website: www.wecaretlc.com WeCare TLC is a Medical Risk Management Company based in Longwood (Orlando), Florida that develops and operates advanced primary care “medical home” clinics. Grounded in a philosophy that we can facilitate better quality care while protecting our clients’ financial interests,WeCare TLC’s health centers are distinct because they become platforms for clinical and financial health care risk management, positively influencing care and cost throughout the health care continuum.


SECTION 13 CAPTIVE MANAGEMENT SERVICES/ RISK RETENTION GROUPS (RRG (RRGs)

Visit www.usi.biz for more information.

Active Captive Management

Global Captive Management Ltd.

Park Eddy, Executive Vice President 16485 Laguna Canyon Road Irvine, CA 92618 - United States Phone: (949) 727-0155 Email: Peddy@activecaptive.com Website: www.activecaptive.com

Peter MacKay, Chairman 2nd Floor, Governors Square, 23 Lime Tree Bay Avenue, P.O. Box 1363 George Town, AB KY1-1108 - Cayman Islands Phone: (345) 949-7966 Email: pmackay@global.ky Website: www.global.ky

Independent Captive Manager

Affinity Group Administrators Gene Axtell, Chief Legal Officer P.O. Box 7138 Folsom, CA 95763-7138 - United States Phone: (916) 983-3387 Email: gaxtell@affinitygroupadmin.com Website: www.affinitygroupadmin.com Affinity Group Administrators (Affinity) is a group self-insurance administration company domiciled in Folsom California serving employers in California. Affinity was founded in 2001 and is recognized as one of the leading SIG administrators in California.

Berkley Accident and Health James Hoitt, Vice President of Sales 2445 Kuser Road, Suite 201 Hamilton, NJ 08690 - United States Phone: (609) 584-6990 Email: JHoitt@BerkleyAH.com Website: www.BerkleyAH.com Berkley Accident and Health is an innovative risk management company and a leading provider of medical stop loss protection. As a pioneer in benefit captives, Berkley offers EmCap, a group captive for midsize employers looking for an alternative to fully insured plans. As part of the W.R. Berkley Corporation, Berkley Accident and Health has a flexible, entrepreneurial spirit with the resources of a Fortune 500 company.

Global Captive Management Ltd. is one of the Cayman Islands’ leading captive managers.With no affiliation to any insurance broker, insurance company or bank, our success is driven by our knowledge, experience and dedication to serving the interests of our clients. For more information contact Peter MacKay at 345-949-7966. www.global.ky

GPW Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States Phone: (602) 200-6900 Email: lprudhomme@gpwa.com Website: www.gpwa.com GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and selfinsureds. 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.

Kinder & Associates, Inc. Jim Kinder, Chairman/Chief Executive Officer 418 Terry Road Fountain Inn, SC 29644 - United States Phone: (864) 409-8347 Email: jkinder120@aol.com Kinder & Associates, Inc. offers consulting services to the self-insurance alternative risk transfer community including government relations/ lobbying service. Jim Kinder principal of K&A also is available to serve as an independent director to companies within the insurance/selfinsurance/alternative risk transfer community. Mr. Kinder assisted in the formation of SIIA and served as CEO of the organization from its inception until his retirement in 2006. 888.394.5688 • THE Directory 2014 |69


SECTION 13

CAPTIVE MANAGEMENT SERVICES/RISK RETENTION GROUPS (RRGs)

Pareto Captive Services

RMC Consultants

Andrew Cavenagh, Managing Director and Founder 2929 Arch Street, Suite 100 Philadelphia, PA 19104-7342 - United States Phone: (484) 362-0225 Email: cavenagh@paretocaptive.com Website: www.paretocaptive.com

Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com

Pareto Captive Services forms and manages employee benefit group captives that allow employers to reduce costs and increase control over its employee benefit program.We serve as the management team of the group captive, representing the interests of the group.We offer employers with between 50 and 500 employees access to existing group captives and we also create new group captives for groups of employers.We assist the group captive in choosing a policy issuing carrier, negotiate the reinsurance agreement, and underwrite new and renewal members.

RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

Pro Group Management, Inc. Robert Vogel, Vice President 575 South Saliman Road Carson City, NV 89701 - United States Phone: (775) 887-2480 Email: tanyaolson@pgmnv.com Website: www.pgmnv.com Pro Group is an administrator of self insured groups for workers’compensation and Captive Manager specializing in alternative risk transfer solutions for businesses of all sizes and types managing five self insured workers’ compensation groups and over 50 captives for clients from 36 states.

Risk & Insurance Consulting Services, LLC Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States Phone: (770) 923-3133 Email: Jamie.Brown@rics-reinsurance.com Website: www.rics-reinsurance.com RICS provides innovative solutions for your risk management objectives. We bring access to carriers, reinsurance and distribution, along with extensive experience negotiating reinsurance; including unlimited benefits and facultative reinsurance for groups with critical mass. Our goal is to add value to relationships through strategic solutions tailored to our clients’ needs.

Roundstone Michael Schroeder, President 27887 Clemens Road Westlake, OH 44145 - United States Phone: (440) 617-0333 Email: mschroeder@roundstoneinsurance.com Website: www.roundstoneinsurance.com Roundstone delivers on its promise of speed to market, transparency and expertise through a consistent and thorough approach to captives. Our captive programs can help you lower risks, reduce costs, realize premium savings, and improve your bottom line through programs such as Medical Expense Stop Loss,Workers’ Compensation, and Livery.

The Taft Companies Dick Goff, Managing Member 1620 Providence Road Towson, MD 21286 - United States Phone: (877) 587-1763 Email: dick@taftcos.com Website: www.taftcos.com Taft is a captive management firm which excels at creativity in captive structural design and ART market knowledge.

Willis Captive & Consulting Practice Les Boughner, Executive Vice President and Managing Director 40 Main Street Burlington, VT 05401 - United States Phone: (802) 264-2064 Email: les.boughner@willis.com Website: www.willis.com Captive & Consulting Management

70| THE Directory 2014 • www.sipconline.net


SECTION 14 Visit www.usi.biz for more information.

REINSURANCE

Aon Benfield

BenefitMall

Ellsworth Whiteman, Executive Managing Director 199 Water Street, 7th Floor New York, NY 10038 - United States Phone: (212) 441-1526 Email: ellsworth.whiteman@aonbenfield.com Website: www.aonbenfield.com

Kim Johnson, Director, Business Operations 5090 North 40th Street Suite 100, AZ 85018 - United States Phone: (602) 308-0862 Email: kim.johnson@benefitmall.com Website: www.benefitmall.com

Aon Benfield’s Accident Health and Life (AHL) team has expertise for individual and group accident, health and life reinsurance, surplus relief, new business financing, and in-force block dispositions. AHL’s services include proprietary, transparent catastrophe modeling for natural perils and terrorism, dynamic financial analysis, capital adequacy analysis, pandemic modeling, and actuarial.

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.

AXIS Accident & Health

Coulter & Associates, Inc.

Michael Updyke, Area Vice President, Marketing 1 University Square Drive Princeton, NJ 08540 - United States Phone: (609) 375-9132 Email: michael.updyke@axiscapital.com Website: www.axisaccidenthealth.com

Susan Coulter, Principal Consultant 379 Princeton-Hightstown Road Cranbury, NJ 08512 - United States Phone: (609) 443-7540 Email: Susan@coulter-and-associates.com Website: www.coulter-and-associates.com

AXIS Accident & Health delivers worldwide accident, specialty health and travel-related insurance and reinsurance solutions through industry-leading product, underwriting and claims specialists. Backed by the financial strength of a diversified global leader, AXIS offers flexible, customized programs through key distribution partners for employers, participant groups and financial institutions.

Coulter & Associates has provided actuarial and compliance services since 1988. Our services include product development, precise reserve calculation, form, rate, and advertising filings, state admissions, ongoing compliance and regulatory review. Our consultants are experienced in a variety of product areas including PPACA, supplemental health, managed care, life, A&H, and P&C.

Beazley Group

Cypress Creek Intermediaries, Inc.

Peter Slot, Head of Accident and Health Reinsurance 333 West Wacker Drive, Suite 1400 Chicago, IL 60606 - United States Phone: (312) 506-1308 Email: peter.slot@beazley.com Website: www.beazley.com/accident&health

Andrew Pyle, President/Principal 680 Stonefield Loop Heathrow, FL 32746 - United States Phone: (407) 333-9002 Email: Treatyman@AOL.com Website: www.CypressReinsurance.com

Beazley specializes in Accident and Health insurance and reinsurance. We offer a suite of gap protection products that provides employees with valuable protection against life’s uncertainties, and helps employers broaden benefit options to address employees’ changing needs. Our underwriters and claims staff span the globe from the UK, US and Australia, with an average of 25 years experience.

With over 3 decades of experence in the Insurance/Reinsurance marketplace, the staff of CCI looks forward to assisting with your risk requirements.We’re a full service NY licensed Reinsurance Intermediary and Insurance Consultant specializing in risk placements for Carriers, Reinsurers, MGU’s and TPA’s of both a Life/Health/ Accident and Property/Casualty nature. 888.394.5688 • THE Directory 2014 |71


SECTION 14  D.W.Van Dyke & Co., Inc.

Equinox Management Group, Inc.

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States Phone: (203) 761-9300 Email: ckoehler@dwvd.com Website: www.dwvd.com

Paul Skrtich, Vice President and Chief Actuary 800 Kinderkamack Road Oradell, NJ 07649 - United States Phone: (201) 261-8525 Email: pskrtich@eqmgmt.com

Life and A&H Intermediary providing access to carriers, reinsurance, distribution,TPA’s, MGU’s and others. Product expertise in Life, Accident, Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental, Rx,Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe, Provider and HMO Excess, Reserve Transfers and others.

Equinox Management Group, Inc provides reinsurance solutions for Excess Medical (Stop Loss and Fully Insured), Aggregate Covers, Limited Medical Plans,Travel Insurance Products, International Medical Plans, Catastrophe Covers, AD&D and other Special Risk lines of business.We underwrite on behalf of multiple reinsurance companies and certain underwriters at Lloyds.

Fairmont Specialty Lauren Woods, Assistant Vice President of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States Phone: (732) 676-9833 Email: lwoods@fairmontspecialty.com Fairmont Specialty is part of Crum & Forster group, rated “A” by AM Best.The Accident & Health division of Fairmont offers a variety of products including Stop Loss, Organ Transplant, HMO Re, Provider Excess, Limited Medical, Accident Medical, K-12, College A&S, Special Risk, Occupational Accident, Inbound/Outbound,Travel and Pet insurance.

Assistance for Stop Loss Coverage At BenefitMall, we know that some employer groups benefit most from treating their medical plan as an investment rather than an expense. Our self funded team of experts represents numerous direct writers of medical stop-loss. We can help you succeed by offering: • Marketing • Billing & Premium Collection • Licensing, Commission & Bonus Programs • Claims Expedition • Compliance Services

www.benefitmall.com

(888) 248-8952 ©2013 BenefitMall. All rights reserved. BenefitMall, the BenefitMall Logo, the BenefitMall ALL TOGETHER, BETTER Logo, the ALL Logo, ALL TOGETHER, BETTER, CompuPay and Self Funded Products and Services are trademarks or registered trademarks of Centerstone Insurance and Financial Services, Inc. d/b/a BenefitMall or its affiliates in the U.S. California License #063979. *All other trademarks are the property of their respective owners.

72| THE Directory 2014 • www.sipconline.net


REINSURANCE

GBG

Hi-Tech Health, Inc.

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

Michael A Carrara, President 1500 Route 517, Suite 200 Hackettstown, NJ 07840 - United States Phone: (908) 813-3440 Email: mcarrara@hi-techhealth.com Website: www.hi-techhealth.com

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

Hi-Tech Health, Inc. Series 3000™ Claims Administration System It doesn’t matter if your company is in its infancy or one that’s been around for many years. 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 us at www.hi-techhealth.com for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.

Guy Carpenter & Company, LLC David Rains, Global L, A&H Practice Leader - Managing Director 1717 Arch Street, Suite 800 Philadelphia, PA 19103 - United States Phone: (215) 864-3786 Email: david.a.rains@guycarp.com Website: www.guycarp.com Guy Carpenter & Company, LLC, the leading global risk and reinsurance specialist, has over a 90-year history of providing integrated solutions to the (re)insurance industry.With more than 50 offices around the world, GC delivers a powerful combination of analytics, reinsurance broking expertise and strategic advisory services to help our clients achieve profitable growth.

Hannover Life Reassurance  Company of America Miriam Kaufman, Director of Marketing 112 Main Street, 2nd Floor East Rockaway, NY 11518 - United States Phone: (516) 593-9733 Email: miriam.kaufman@hlramerica.com Website: www.hlramerica.com Hannover Life Reassurance Company of America (HLR America) is the North American life and health reinsurance subsidiary of the Hannover Re Group, one of the largest reinsurance groups in the world. HLR America reinsures Group Life, Accident, Medical Stop-loss, Medical Excess, Dental, PPACA Solutions, Critical Illness and other Specialty Health Products.

JLT Re North America Steven Pekala, Executive Vice President 300 South Wacker Drive, Suite 2424 Chicago, IL 60606 - United States Phone: (312) 235-8218 Email: Steven.Pekala@jltrena.com Website: www.jltrena.com JLT Re is a specialized reinsurance broking and consulting company focusing on lines of business including, but not limited to, property & casualty, workers’ compensation, and accident & health. JLT Re provides its clients with advice and solutions to protect their capital and enhance their shareholders’ value.

Maiden Re Neil Levine, Vice President 6000 Midlantic Drive Mt Laurel, NJ 08054 - United States Phone: (856) 359-2412 Email: nlevine@maidenre.com Website: 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.

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SECTION 14  Navigators Re

Prodigy Health Insurance

Joann DeBlasis, President, A&H 83 Wooster Heights Road Danbury, CT 06810 - United States Phone: (203) 546-2851 Email: jdeblasis@navg.com Website: www.navg.com

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States Phone: (949) 478-0119 Email: Jyoungs@prodigystoploss.com Website: www.prodigystoploss.com

Navigators Re is a division of Navigators Management Company and a part of Navigators Group Inc. (rated “A” by AM Best).While this is a new division within Navigators, 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.

Prodigy is a full service medical stop loss MGU providing solutions to self-funded employers through consultants, brokers and TPAs. Our team has extensive experience in healthcare and public agency sectors, as well as Cost Plus or Medicare based programs. Additionally, we work with clients to control the escalating costs of high dollar disease states.

PartnerRe

Reinsurance Services Company, LLC

Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States Phone: (415) 354-5533 Email: dennis.heinzig@PresidioRe.com Website: www.PartnerRe.com

Brad Quinn, Principal 23505 Smithtown Road, Suite 210 Excelsior, MN 55331 - United States Phone: (952) 401-0017 Email: Bradq@reservco.com Website: www.reservco.com

PartnerRe provides tailored and effective risk solutions for medical exposures through its Health Division, formerly known as Presidio. Its broad portfolio of products and services includes HMO and medical reinsurance, employer, provider, ACO and CO-OP excess of loss insurance, international medical reinsurance and its Pulse medical management support services program.

RSC is a privately held reinsurance intermediary firm specializing in A & H business.We understand our success is tied directly to our client’s own success and we strive to provide them with the finest service and a host of ideas to help achieve their growth and financial objectives.

Premier Healthcare Exchange, Inc. (PHX) Clara Pachomski, Executive Assistant 2 Crossroads Drive Bedminster, NJ 07921 - United States Phone: (888) 311-3505 Email: cpachomski@phx-online.com Website: www.phx-online.com PHX is the leader in advanced cost management solutions for health plans,TPA’s and Reinsurers. By providing “The Power of 3” – Product, Performance, and Partnership- we deliver measurable business value in the form of significant reduction of payment errors, decrease in time needed for claim resolution, and savings that substantially reduce healthcare costs to clients. Results, performance, and expertise you can trust: that is our commitment to our clients.Visit www.phx-online.com for more information.

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Re-Solutions Intermediaries, LLC Elizabeth Mariner, Executive Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States Phone: (612) 766-9782 Email: lmariner@re-solutions.net Website: www.re-solutions.net We are reinsurance intermediaries who specialize in the life, accident and health markets. Our size makes us nimble and responsive. Our experience makes us knowledgeable and connected. And our independence makes us free to search our global contacts for the right risk partner – and reinsurance solution – for you.


REINSURANCE

Risk & Insurance Consulting Services, LLC

Trean Reinsurance Services, LLC

Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States Phone: (770) 923-3133 Email: Jamie.Brown@rics-reinsurance.com Website: www.rics-reinsurance.com

Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States Phone: (952) 974-2221 Email: kplath@treancorp.com Website: www.treanre.com

RICS provides innovative solutions for your risk management objectives. We bring access to carriers, reinsurance and distribution, along with extensive experience negotiating reinsurance; including unlimited benefits and facultative reinsurance for groups with critical mass. Our goal is to add value to relationships through strategic solutions tailored to our clients’ needs.

RMC Consultants Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

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 Reinsurance America, Inc. Steve Donnelly, Senior Vice President - Accident & Health Reinsurance Seaview House - 70 Seaview Avenue Stamford, CT 06902 - United States Phone: (203) 964-3899 Email: steve.donnelly@xlgroup.com Website: www.xlgroup.com With an experienced A&H staff XL Reinsurance is focused on providing creative solutions to meet the demands of a dynamic Medical Reinsurance marketplace.

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SECTION 15 SECTION 5 INTERNATIONAL

AXIS Accident & Health

International Healthcare Advisors, LLC

Michael Updyke, Area Vice President, Marketing 1 University Square Drive Princeton, NJ 08540 - United States Phone: (609) 375-9132 Email: michael.updyke@axiscapital.com Website: www.axisaccidenthealth.com

Javier Sobrado, MD, President/Managed Care Director 12904 South West 133rd Court Miami, FL 33186 - United States Phone: (305) 259-7705 Email: javiers@iha.us.com Website: www.iha.us.com

AXIS Accident & Health delivers worldwide accident, specialty health and travel-related insurance and reinsurance solutions through industry-leading product, underwriting and claims specialists. Backed by the financial strength of a diversified global leader, AXIS offers flexible, customized programs through key distribution partners for employers, participant groups and financial institutions.

IHA is a worldwide Managed Care Administrator with a Unique Managed Care Program that meets today’s Healthcare Industry demands. IHA owns its provider network maximizing true savings. IHA’s objectives: maximizing healthcare & savings, emphasizing cost containment and superior Customer Service satisfaction.

Europ Assistance - Global Corporate Solutions (GCS) ITPA Division (formerly CMN Global Inc.) Peter Lozier, Chief Network Officer 150 Commerce Valley Drive West, 9th Floor Thornhill, ON L3T 7Z3 - Canada Phone: (905) 669-4333 Email: plozier@tpa.ea-gcs.com Website: www.gcs.europ-assistance.com Founded in 1995, Europ Assistance - Global Corporate Solutions (GCS) ITPA Division, formerly CMN Global Inc., is a leading international third party administrator (TPA) and health management company that assists clients, including insurance companies and government entities, and their insured members to successfully navigate the increasingly complex global healthcare system with economic ease.

Hanover Stone Partners John J. Kelly, CPCU, Managing Partner 260 Madison Avenue, 8th Floor New York, NY 10016 - United States Phone: (646) 216-2181 Email: john.kelly@hanoverstonepartners.com Website: 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. 76| THE Directory 2014 • www.sipconline.net

PartnerRe Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States Phone: (415) 354-5533 Email: dennis.heinzig@PresidioRE.com Website: www.PartnerRe.com PartnerRe provides tailored and effective risk solutions for medical exposures through its Health Division, formerly known as Presidio. Its broad portfolio of products and services includes HMO and medical reinsurance, employer, provider, ACO and CO-OP excess of loss insurance, international medical reinsurance and its Pulse medical management support services program.

Quality Health Management, LLC Patricia Ziomek, Principal 15280 North West 79th Court, Suite 100 Miami Lakes, FL 33014 - United States Phone: (305) 821-8430 Email: PZiomek@QHManagement.com Website: www.QHManagement.com QHM is a cost containment company offering access to medical care globally. QHM has a proprietary International PPO Network of physicians and hospitals located in over 80 countries. QHM service includes: access to International Network, direct billing, efficient claims service and re-pricing, contracted discounts, case by case negotiation, auditing, account management and 24 hour member scheduling and concierge services.


INTERNATIONAL

Re-Solutions Intermediaries, LLC Elizabeth Mariner, Executive Vice President 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States Phone: (612) 766-9782 Email: lmariner@re-solutions.net Website: www.re-solutions.net We are reinsurance intermediaries who specialize in the life, accident and health markets. Our size makes us nimble and responsive. Our experience makes us knowledgeable and connected. And our independence makes us free to search our global contacts for the right risk partner – and reinsurance solution – for you.

RMC Consultants Christina Welsh, Executive Assistant 791 10th Street South Naples, FL 34102 - United States Phone: (239) 298-8210 Email: support@rmcinsurance.com Website: www.rmcreinsurance.com RMC Consultants is a national actuarial consulting firm, third party administrator and captive manager with over 40 years of experience. RMC specializes in providing consulting services on risk management issues, captive management and actuarial valuation for closely held companies. RMC is comprised of: RMC RE, RMC P&C, and RMC Consultants.

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SECTION 16 SUBROGATION

Aronberg Goldgehn

Prairie States Enterprises, Inc.

Mitchell Melamed, Partner 330 North Wabash, Suite 1700 Chicago, IL 60611 - United States Phone: (312) 755-3162 Email: mmelamed@agdglaw.com Website: www.agdglaw.com

Felicia Wilhelm RN, Chief Executive Officer 401 North Michigan, Suite 2902 Chicago, IL 60611 - United States Phone: (800) 232-2899 Email: fwilhelm@prairieontheweb.com Website: www.prairieontheweb.com

Attorneys speicalizing in representation of TPAs, Stop Loss Carriers and health plans.

Prairie States is a nimble technology driven company that provides comprehensive group employee health benefit plan administration and clinically oriented health enhancement services for self-insured organizations. At Prairie States, our hallmark is to improve the health care benefit experience of employees and their families. Moneyback performance guarantees for all services.

HealthCare Subrogation Group (HCSG) Brian Brumit, President 375 Bridgeport Avenue Shelton, CT 06484 - United States Phone: (203) 312-1750 Email: BBrumit@hcsg.net Website: www.hcsg.net Founded in 2001, HCSG offers a wide range of specialized recovery programs and are relentless in finding “leakage” in regards to claim overpayments and uncovering liable third-party payers along with extensive experience as Certified Information System Auditors (CISA) in both medical billing and payment adjudication software systems.

International Subrogation Management, Inc. Richard M Ives, President 24402 West Lockport Street, Suite 214 Plainfield, IL 60544 - United States Phone: (815) 267-5000 Email: rives@niis.com Website: www.ism.niis.com ISM’s experienced staff is dedicated to recovering medical benefit payments on behalf of the self-funded market; our clients include self-funded groups,TPAs, MGUs, Excess (Stop Loss) Carriers, Managed Care Organizations, Reinsurers and Lloyd’s of London Syndicates.

Spartan Recoveries Kathleen Smith, Managing Director 4250 Veterans Memorial Highway Holbrook, NY 11741 - United States Phone: (866) 527-1434 Email: ksmith@spartanrecoveires.com Website: www.spartanrecoveries.com Spartan Recoveries LLC is an independent corporation providing recovery services nationwide, delivering superior service and results to their Property & Casualty clients. Spartan’s recovery process is tailored to the needs of their clients, and The SpartanConnection provides clients with Electronic Reporting and Self-Service Claim Access.The powerful automation offered by Spartan Recoveries in combination with demonstrated recovery strategies, proprietary application and processes reduce recovery cycle times and increase net recoveries.

The Phia Group, LLC Cindy Monfils, Paralegal 163 Bay State Drive Braintree, MA 02184 - United States Phone: (781) 535-5655 Email: cmonfils@phiagroup.com The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive recovery, documentation and consulting services designed to control health care costs and protect plan assets.

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A TOTAL SOLUTION FOR NON-PAR CLAIMS Consilium, with its patent-pending Consilium Decision Engine (CDE) business intelligence

tool, exceptional performance, and a competitive pricing strategy, has become the preferred out-of-network solution for health plans and third-party administrators (TPAs) across the United States.

Consilium allows its customers to experience the deepest level of savings on each individual

out-of-network claim by leveraging robust data analytics, business intelligence technology, and strategic partnerships.

CLAIMS NEGOTIATION SOLUTION Consilium utilizes the methods of negotiation by certified medical coders in combination with the use of code edits, bill review, historical results by provider, and most importantly an automated Medicare equivalent as the basis for negotiation.

Providers sign off on 100% of every negotiated claim which eliminates any potential pushback after a negotiation is settled – and leaves employees with no balance billing.

CONSILIUM SUCCESSES & HIGHLIGHTS: • Claims Negotiated at an Average of 265% of Medicare • Average 38% Savings off Billed Charges • Achieve 70% Success Rates

• Built-in Bill Review Services for No Additional Fee

• Client Flexibility, Implementation & Account Management DETERMINE YOUR POTENTIAL SAVINGS TODAY Contact: Dean Vaden, Chief Marketing Officer (727) 253.0365 dvaden@devonhealth.com 888.394.5688 • THE Directory 2014 |79


SECTION 17 SECTION 5 LOSS PREVENTION/CONTROL SERVICES

Assent Medical Cost Management

EthiCare Advisors, Inc.

Sandy Hamilton, MSW, Senior Business Development Executive 777 Brickell Avenue, Suite 455 Miami, FL 33131 - United States Phone: (877) 882-8289 Ext. 572 Email: shamilton@assentmcm.com Website: www.AssentMCM.com

Mark Hartmann, Jr., Partner 350 Clark Drive, Suite 104 Budd Lake, NJ 07828 - United States Phone: (888) 838-4422 Email: mark@ethicareadvisors.com Website: www.ethicareadvisors.com

Assent Medical Cost Management is a leading cost containment company with experience in domestic and international markets.Specializing in sign-off negotiation solutionsfor in and out of network claims. Assent’s cost up solutions are transparent and provide payers with the assurance that medical charges are true,accurate,and reasonable.

For over ten years, EthiCare Advisors, Inc. has been the only medical claims settlement specialists in the industry. Our settlement options include: direct negotiation; pricing data; and medical bill review/audit. Consistent results, our dedicated service team, and fair pricing built our organization; continued referrals validate our industry leadership.

Christian Brothers Services

GBG

Brian Page, Director of Sales and Business Development 1205 Windham Parkway Romeoville, IL 60446 - United States Phone: (630) 378-2900 Email: brian.page@cbservices.org Website: www.cbservices.org

Julie Onitsuka, Marketing/Communications 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States Phone: (949) 421-3339 Email: julie.onitsuka@gbg.com Website: www.gbg.com

Christian Brothers Services is a nonprofit organization that administers cooperative programs in health/retirement, property/casualty and consulting/technology to church organizations. Founded in 1960, the company has grown to administer and serve 11 Trusts, which provide a variety of programs to congregations, organizations and dioceses both in the United States and Canada.

Global Benefits Group is the largest independent, fully integrated provider of international benefits in the world, serving the needs of expatriates, third-country nationals and local nationals. GBG provides the full gamut of TPA and stop-loss services for large groups, including claims administration, 24/7 customer service, and preferred provider networks.

Consilium Dean Vaden, Chief Marketing Officer 1100 First Avenue, Suite 100 King of Prussia, PA 19406 - United States Phone: (610) 757-4110 Email: dvaden@devonhealth.com Consilium, a national healthcare cost containment company, utilizes its patent-pending business intelligence technology to assist clients who are struggling with skyrocketing healthcare costs. Boasting a team of expert negotiators and a visionary process, Consilium is helping clients to lower costs, mitigate risks and manage their block of out-of-network claims.

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inVentiv Medical Management Jason Twombly, Vice President and Chief Sales Officer 11525 North Community House Road, Suite 410 Charlotte, NC 28277 - United States Phone: (877) 447-2778 Email: jason.twombly@inventivmm.com Website: www.inventivmm.com inVentiv Medical Management (iMM) is a leading national provider of physician-directed, nurse-supported, technology-enabled, population health management solutions.With a mission of improving healthcare quality, costs, and outcomes, enabled by the fully integrated inFinite platform, iMM delivers seamless clinical interventions and cost management services that support consumers, providers, and payers.


LOSS PREVENTION/CONTROL SERVICES

Meadowbrook TPA Associates

The Assist Group

Carol DiPietro, Region Vice President 10 New England Business Center, Suite 303 Andover, MA 01810 - United States Phone: (978) 933-4115 Email: cdipietro@meadowbrook.com Website: www.meadowbrook.com

Ward Dye, Regional Sales Vice President 300 Union Boulevard, Suite 515 Lakewood, CO 80228 - United States Phone: (877) 631-9080 Email: wdye@assistgroup.com Website: www.assistgroup.com

We pledge to provide you with timely, effective and efficient Self Insured Group, Risk Control and Claim Management services.We do this by establishing good working relationships with each client, at every level of an organization. Contact us today and see we will put our expertise to work for you!

The Assist Group serves health care providers, insurers, reinsurers, third party administrators, and managing group underwriters in the comprehensive management of healthcare costs.The company offers claim review, DRG validation, Medication Therapy Management and NICU consulting.The professional team consists of physicians, nurses, pharmacists, attorneys, financial analysts and coding experts.

Personalized Prevention Lisa Van Ackeren, President/Chief Executive Officer 13750 San Pedro Avenue, Suite 530 San Antonio, TX 78232 - United States Phone: (210) 481-7584 Email: lisa@personalizedprevention.com Website: www.personalizedprevention.com Personalized Prevention has developed a niche by providing quality onsite health promotion services and wellness administration to selfinsured companies across the country. Designed with the principles of risk management and the full understanding that hands-on support & interpersonal engagement are the key drivers to successful programming and lifestyle transformation, Personalized Prevention provides a unique service model delivering impactful participation rates and measurable results.

WorkSTEPS, Inc. Cindy Gallaher, Vice President of Business Development 3019 Alvin Devane Boulevard, Suite 150 Austin, TX 78741 - United States Phone: (888) 597-8377 Email: testing@worksteps.com Website: www.worksteps.com WorkSTEPS is the leading provider of functional employment testing in the nation, and was founded to meet a critical employer need – to create a medically safe, legally compliant, scientific and objective means of matching a worker’s functional capabilities with the essential functions of the job. Our suite of services includes postoffer pre-employment testing, as well as post-employment testing which includes fit-for-duty testing, functional capacity evaluations and sincerity-of-effort testing.

TC³ Health, an Emdeon Company Timothy Huke, Vice President, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States Phone: (949) 943-8707 Email: thuke@tc3health.com Website: www.tc3health.com TC³ Health, an Emdeon company, is a leading provider of claims cost management solutions, including payment integrity and out-of-network claims management.TC³ electronically integrates claims transaction systems with pre-payment and post-pay fraud, waste, and abuse and overpayment identification technology, out-of-network claims management systems, complex claims review and settlement, data analytics and reporting tools & post-pay audit and recovery services. Self-insured employers benefit from state-of-the-art loss control systems delivered through a single connectivity source to prevent claims errors and overpayments while generating significant cost savings. 888.394.5688 • THE Directory 2014 |81


SECTION 18 PUBLICATIONS/RESOURCES

Bar List/Insurance Field Publishing Companies

Trilogy Consulting Group, Inc.

Robert Sonnhalter, Publisher 25000 Center Ridge Road Cleveland, OH 44145 - United States Phone: (866) 533-0400 Email: info@barlist.com Website: www.barlist.com

Kathy Martin-Smith, Vice-President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States Phone: (630) 953-6278 Email: kmartin-smith@trilogy-consulting.com Website: www.trilogy-consulting.com

Since 1889 insurance professionals have preferred using “The Green Books”, CLAIM SERVICE GUIDE, INSURANCE BAR and STATE AGENT HANDBOOKS to locate and retain, adjusters, attorneys, independent insurance agents and insurance industry service providers worldwide. Please visit www.barlist.com or call 1-866-533-0400 for book orders and listing qualifications.

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!

David Kirby Public Relations David Kirby, President 17 West Lee Street Baltimore, MD 21201 - United States Phone: (410) 539-6888 Email: davidkirby@aol.com David Kirby provides strategic communications planning, media relations and creative services to corporations, non-profit organizations and trade associations.The firm has been on assignment for SIIA since 2002.

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SECTION 19 Visit www.usi.biz for more information.

TRADE ASSOCIATIONS

Captive Insurance Council of The District of Columbia, Inc. (CIC-DC)

National Association of Subrogation Professionals (NASP)

1250 H Street, North West, 9th Floor Washington, DC 20005 - United States Phone: (202) 463-8163 Email: info@dccaptives.org Website: www.dccaptives.org

Leslie Wiernik, Executive Director 3 Robinson Plaza, Suite 130, 6600 Steubenville Pike Pittsburgh, PA 15205 - United States Phone: (800) 574-9961 Email: leslie.wiernik@subrogation.org Website: www.subrogation.org

The Captive Insurance Council of the District of Columbia, Inc. (CICDC) was formed in November, 2001 and represents the corporate and association community interested in operating captive insurance companies in the District of Columbia, one of America’s newest domiciles for captives. 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. CIC-DC provides a forum to review legislation, regulations and other government action which affects the interests of its members.

Delaware Captive Insurance Association, Inc. (DCIA) 4023 Kennett Pike, Box 801 Wilmington, DE 19807 - United States Phone: (888) 413-7388 Email: info@delawarecaptive.org Website: www.delawarecaptive.org DCIA was formed to support the development and growth of the industry through marketing, networking, education and legislative initiatives. DCIA provides educational and networking events for companies and individuals doing business in Delaware or want to learn more about captives and domiciling in Delaware.

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 Website: www.mtcaptives.org 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.

The National Association of Subrogation Professionals (NASP) is the world’s largest insurance subrogation association and leader in subrogation education. NASP’s mission is to enhance the stature and effectiveness of subrogation and recovery professionals through education, training and the exchange of information.

Self-Insurance Institute of America, Inc. (SIIA) P.O. Box 1237 Simpsonville, SC 29681 - United States Phone: (800) 851-7789 Email: info@siia.org Website: www.siia.org The Self-Insurance Institute of America, Inc. (SIIA) is a dynamic, member based association dedicated to protecting and promoting the business interests of companies involved in the self-insurance/alternative risk transfer (ART) industry, both domestically and internationally.

Tennessee Captive Insurance Association, Inc. (TCIA) Justin Miller, Executive Director One Nashville Place 150 Fourth Avenue North, Suite 1100 Nashville, TN 37219 - United States Phone: (888) 668-3188 Email: jmiller@tncaptives.org Website: www.tncaptives.org The Tennessee Captive Insurance Association, Inc. (TCIA) is a notfor-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 • THE Directory 2014 |83


SECTION 20 SECTION 5 OTHER

Accelera Health, LLC

Data Dimensions Corp

Tina Lucchesi, President 5000 Executive Parkway #510 San Ramon, CA 94583 - United States Phone: (510) 337-3329 Email: tlucchesi@accelerahealth.com Website: www.accelerahealth.com

Jon Boumstein, President and Chief Executive Officer 400 Midland Court Janesville, WI 53546 - United States Phone: (800) 782-2907 Email: info@datadimensions.com Website: www.datadimensions.com

Accelera Health, LLC offers a wide variety of Cost Containment & Medical Management products, while providing the highest quality service. Specializing in Taft Hartley Trust Fund business.

Data Dimensions provides business process automation (BPA) services to the healthcare insurance industry. Our HIPPA compliant solutions include medical claims processing, network management/repricing, adjudication, workflow efficiencies and claims payment through virtual, ACH/EFT or check delivery.Visit www.datadimensions.com for more information on how we can help you reduce costs and improve quality.

Advanced Risk Managers, LLC Mimi Choi, Founder and President 298 4th Avenue, #398 San Francisco, CA 94118 - United States Phone: (415) 854-0800 Email: mimichoi@advanrm.com Website: 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.

Advantria.net Larry Taylor, President and Chief Marketing Officer 255 North Sierra Street #1207 Reno, NV 89501 - United States Phone: (866) 756-8666 Ext. 200 Email: ltaylor@advantria.net A specialized cost containment company focused on Catastrophice Claims Negotiations, both in and our of network, competitive Dialysis claims repricing and Medicare Like Repricing for TPAs who work in the Native American Indian arena.

DCC, Inc. Lisa Greenblott, President and Chief Executive Officer P.O. Box 718 Sandpoint, ID 83864 - United States Phone: (866) 265-1719 Email: lgreenblott@dccinc-us.com Website: www.dccinc-us.com DCC, Inc., the premier dialysis cost containment consulting firm has serviced the self-funded industry for over a decade. DCC is now offering specialized Chronic Kidney Disease Management programs tailored to meet the specific and ever-changing needs of the marketplace.We provide solutions that improve patient outcomes while delivering maximum savings.

FAIR Health Chris O’Donnell, Director of Marketing 575 Fifth Avenue 22nd Floor New York, NY 10017 - United States Phone: (212) 257-2367 Email: codonnell@fairhealth.org Website: www.fairhealth.org FAIR Health is a national, independent not-for-profit corporation whose mission is to bring transparency to healthcare costs and insurance information. Its claims database of over 16 billion billed procedures is the foundation for data products, custom analytics, cost estimation tools for plan members and support of health systems research.

84| THE Directory 2014 • www.sipconline.net


OTHER

INTERLINK Health Services

National Bill Audit Services, LLC

Heath Potter, Vice President, Sales and Development 4660 North East Belknap Court, Suite 209 Hillsboro, OR 97124 - United States Phone: (800) 599-9119 Email: heath.potter@interlinkhealth.com Website: www.interlinkhealth.com

Jeremy Perkinson, Chief Operating Officer 150 - 153rd Avenue, Suite 303 St. Petersburg, FL 33708 - United States Phone: (800) 719-6227 Email: jperkinson@nbasaudits.com Website: www.nbasaudits.com

INTERLINK® COE Networks & Programs builds Centers of Excellence networks for high-cost medical procedures. INTERLINK offers 7 COE networks. INTERLINK’s Predictive Modeling Program ranks transplant providers by predicted outcomes for the upcoming 6-12 months. Our flagship CancerCARE program, uses three COE networks, ACA adjusted cancer benefit language and integrated CM.

National Bill Audit Services, LLC is an independent medical bill auditing firm specializing in the commercial payor market. Our experienced team of professionals works with health plans, insurance companies, TPAs, MGUs and reinsurance carriers, auditing large dollar hospital and physician claims and ensuring appropriate reimbursement in accordance with the individual specification of each plan/policy.

Affordable Medical Care At The Workplace WeCare TLC is a Medical Risk Management Company that implements and manages employer sponsored onsite, or near site, primary care clinics

WeCare TLC Differentiators • Transparent, Accountable Business Relationship • Physician Led Health and Wellness Clinics • Staff Dedicated To Your Clinic Only • Onsite, Face-to-Face Lifestyle Management • Services Customized for Each Client • Performance Guarantees • Local Clinic Oversight by WeCare TLC’s Corporate Clinicians

Learn More at

www.WeCareTLC.com 800-941-0644 info@wecaretlc.com

Better Care | Lower Cost 888.394.5688 • THE Directory 2014 |85


SECTION 20

OTHER

Nuquest/Bridge Pointe

Self Insured Solutions, LLC

Tracey Lazzopina, President 280 Wekiva Springs Road Longwood, FL 32779 - United States Phone: (321) 460-5035 Email: TLazzopina@NQBP.com Website: www.NQBP.com

Parley Call, Director of New Business Development 430 North Vineyard Avenue, Suite 102 Ontario, CA 91764 - United States Phone: (800) 592-0047 Email: parley.call@selfinsuredsolutions.com Website: www.selfinsuredsolutions.com

NuQuest/Bridge Pointe is the one source solution for all your Medicare Secondary Payer compliance needs. NQBP provides Medicare SetAside Allocations, Conditional Payment Resolution and Post-Settlement Services – the gold standard for excellence – enabling our clients to lower costs and control utilization.

Self Insured Solutions specializes in the creation and administration of workers’ compensation self-insured groups.We currently administrate seven SIG’s and specialize in administration, regulatory compliance, underwriting and loss control.We also work with established SIG’s who are looking to evaluate their program and grow their bottom line.

Partners Rx

United Claim Solutions

Steve Harper, Senior Director of Marketing 15950 North 76th Street, Suite 200 Scottsdale, AZ 85260 - United States Phone: (480) 624-9400 Email: steve.harper@partnersrx.com Website: www.partnersrx.com

Corte Iarossi, Vice President, Sales and Marketing 23048 North 15th Avenue Phoenix, AZ 85027 - United States Phone: (602) 393-4553 Ext. 120 Email: ciarossi@unitedclaim.com Website: www.unitedclaimsolutions.com

At Partners Rx, our 30 years of experience can help you find cost savings solutions that are right for your business, give you access to reporting to make better decisions, and provide a partner that wants to adapt to your needs.Welcome to a better PBM.Welcome to Partners Rx.

United Claim Solutions is an innovative Medical Cost Reduction and Claims Flow Management company providing customizable programs for payers, employers, unions, reinsurers and carriers. Contact UCS if you want: 1) A partner that puts SERVICE first; 2) Industry leading SAVINGS on medical bills; 3) Flexible SOLUTIONS to reduce administrative costs.

86| THE Directory 2014 • www.sipconline.net


INDEX OF COMPANIES

Company Name

Page(s)

Company Name

Page(s)

AAM

59

Bauknight Pietras & Stormer, P.A.

62

Accelera Health, LLC

84

Beacon Risk Strategies, an AmWINS Group Benefits Co.

19

AccessOnTime

67

Beazley Group

67,71

Benefit Dynamics, Co

19,45

ACS Benefit Services, Inc.

7

Active Captive Management

69

Benefitfocus (Benefit Informatics)

Actuarial Advisors, Inc.

62

BenefitMall

Advanced Benefit Consulting & Insurance Services, Inc.

45

Berkley Accident and Health

Advanced Medical Strategies

45

Brentwood Reinsurance Intermediaries, Inc.

21

Canyon RE, LLC

45

Advanced Risk Managers, LLC

67,84

40 20,71,72 20,69

Advantria.net

84

Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 83

Affinity Group Administrators

69

CapVisor Associates, LLC

59

Affordable Benefit Administrators, Inc.

7

CareHere

35

AIG Benefit Solutions

7

Carr Allison

56

Allegiance

7

Casualty Actuarial Consultants, Inc.

62

Alternative Risk Solutions (ARS)

45

Christian Brothers Services

Alternative Service Concepts

17

Chubb Accident & Health

American Fidelity Assurance Company

19

Claim Innovative Solutions LLC

American Health Holding, Inc. American Trust Administrators

52,53 7

8,17,40,80 21 17,40,47

CNIC Health Solutions

8

Coastal TPA, Inc.

8

AmeriHealth Administrators

6,7

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb, P.A.

56

Aon Benfield

71

Commercial Group Intermediaries

47

Arbor Benefit Group, L.P.

19

Companion Global Healthcare, Inc.

47

ARMSRx Pharmacy Benefit Consultants

45,46

Complete Health Systems, LC

40

Aronberg Goldgehn

56,78

Conner Ash P.C.

62

Considine & Associates (HealthClaim ReviewÂŽ)

53

ASG Risk Management, Inc.

19 8

Consilium

Assent Medical Cost Management

80

Consociate

9

Attune Health Management, Inc.

40

CoreSource

9

ASR Health Benefits

AvMed AXIS Accident & Health

8 71,76

Coulter & Associates, Inc.

53 56

82

CROFT LAW LLC

Bardon Insurance Group

19

Custom Design Benefits

8

21,33,47,62,71,75

CPR Risk Management

Bar List/Insurance Field Publishing Companies BAS

79,80

9

Cypress Creek Intermediaries, Inc.

71

888.394.5688 • THE Directory 2014 |87


SECTION 20  Company Name

Page(s)

Company Name

D.W. Van Dyke & Co., Inc.

9,22,47,72

HCC Life

23

Health Dialog

41

Health Plans, Inc

10

Health Portal Solutions

42

Data Dimensions Corp

40,84

David Kirby Public Relations DCC, Inc.

82 47,53,84

Page(s)

Delaware Captive Insurance Association, Inc. (DCIA)

83

Health Reinsurance Management Partnership

10

Digital Benefit Advisors

48

Health Solutions Plus, Inc.

42

East Coast Underwriters

22

Healthcare Management Administrators, Inc. (HMA)

11

Ebix,Inc. 9

HealthCare Subrogation Group (HCSG)

11,78

EBMS 9,53,66,67

Healthx, Inc.

41,42

EBS-RMSCO, Inc.

HFN, Inc.

ECHO Health, Inc.

10 41,58,59

Elite Underwriting Services

20,22

eMindful Inc.

35

Employee Benefits International

48

Employee Plans, LLC

10

Equinox Management Group, Inc.

72

EthiCare Advisors, Inc.

80

Europ Assistance - Global Corporate Solutions (GCS) ITPA Division (formerly CMN Global Inc.)

76

Excess Reinsurance Underwriters

22

Excess Risk Reinsurance/Ironshore Insurance Service LLC

22

FAIR Health

84

Hines & Associates, Inc. Hi-Tech Health, Inc. HM Insurance Group

36 54,55 11,24,48,54,73 IFC, 24

HST 42 IBM 11,42 IHC Risk Solutions

24,26

Indigo Insurance Serices

23,24

INETICO, Inc. ING Employee Benefits Innovative Healthware Services

54 24,60,61 37,42

Insurance Administrative Solutions, L.L.C.

11

INTERLINK Health Services

85

Intermediary Insurance Services, Inc. (IISI)

24

International Healthcare Advisors, LLC

76

gBehavior 41,67

International Insurance Agency Services, LLC (IIS)

25

GBG 10,23,35,59,73,80

International Medical Group-Stop Loss, Inc

25

Gilsbar LLC

10

International Risk Consultants

25

Global Captive Management Ltd.

69

International Subrogation Management, Inc.

78

Global Excel Management

59

inVentiv Medical Management

Global Medical Conexions

35

InVision Group, LLC

48

GlobalCare, Inc.

59

IOA Re, Inc.

25

Golden Triangle Specialty Network, LLC

35

J. Allan Hall & Associates, Inc.

25

GPW 62,69

JLT Re North America

73

Gregory & Appel Insurance

48

Key Benefit Administrators, Inc.

11

Guy Carpenter & Company, LLC

73

Kinder & Associates, Inc.

Fairmont Specialty

22,67,72

First Health

35,36,84

Garner Consulting

48

43,54,80

49,69

H.H.C. Group

36,53

Koeller, Nebeker, Carlson & Haluck, LLP

56

Hannover Life Reassurance Company of America

60,73

Lawley Benefits Group

49

Hanover Stone Partners 88| THE Directory 2014 • www.sipconline.net

48,76

LifeTrac, Inc.

37


INDEX OF COMPANIES

Company Name

Page(s)

Company Name

Page(s)

63

Personalized Prevention

37,81

Liscord, Ward & Roy, Inc.

MagnaCare 12,25,37

Phoenix Excess Risk Underwriters, LLC

Maiden Re

73

POMCO Group

13,17

Mark Haarer Consulting, LLC

63

Prairie States Enterprises, Inc.

13,78

Mayo Clinic Health Solutions

12

Preferred Medical Claim Solutions

McDermott Will & Emery LLP

56

Premier Consulting Associates, LLC

Meadowbrook TPA Associates

16,17,81

Med-Cert, Inc.

54

27

13,18,37,39

Premier Healthcare Exchange, Inc. (PHX)

49 13,27,38,49,74, IBC

Pro Group Management, Inc.

18,70

Medical Advocate Program - “MAP”, a Delphi of Florida Product 68

Prodigy Health Insurance

Medical ReviewStream by Concentra

Professional Reinsurance Marketing Services, Inc.

50

25,31

QBE Insurance

28

MedWatch, LLC

54

QualCare, Inc.

14

Meritain Health

12

Quality Health Management, LLC

Merlinos & Associates

63

Quest Diagnostics

54

Medical Risk Managers, Inc.

28,50,74

14,28,76 38

Midlands 33,34

RedCard 14,43

Milliman, Inc.

64

Reinsurance Services Company, LLC

28,50,74

Montana Captive Insurance Association, Inc. (MCIA)

83

Re-Solutions Intermediaries, LLC

50,74,77

Moulton Bellingham PC

57

Resolve Health Plan Administrators

Mutual Assurance Administrators, Inc.

12,17

Risk & Insurance Consulting Services, LLC

14 28,50,70,75

National Association of Subrogation Professionals (NASP)

83

Risk Solution Resources, LLC

National Bill Audit Services, LLC

85

RMC Consultants

National Underwriting Services, Inc.

27

Roundstone 29,33,70

Nationwide Specialty Insurance

12

RxReins, Inc.

29

Navigators Re

74

Safety National

33

Satori World Medical

38

Self Insured Solutions, LLC

86

Self-Insurance Institute of America, Inc. (SIIA)

83

Northshore International Insurance Services, Inc. NorthWind, LLC Nova Healthcare Administrators

49,64 27 12,68

28 14,18,29,33,50,60,64,70,75,77

Nuquest/Bridge Pointe

86

Shores, Tagman, Butler & Company, P.A.

Oliver Wyman

64

Solid Benefit Guidance Rx Solutions

51

Spartan Recoveries

78

Optum 27,60,68

Special Markets Insurance Consultants, Inc.

33

PAI 13

Spectrum Underwriting Managers, Inc.

29

Pancoast Benefits Inc.

49

Spring Consulting Group

51

Pareto Captive Services

70

StarLine Group

29

Stop Loss Insurance Brokers, Inc.

51

Olympus Managed Healthcare

Partner Administrators

13,37,55

13,15,55

PartnerRe 27,74,76

Strategic Underwriting Solutions LLC

Partners Rx

Summit Reinsurance Services, Inc.

86

Payspan 60

Sun Life Financial

63,64

29,51 30 30,32

888.394.5688 • THE Directory 2014 |89


SECTION 20  Company Name Supportive Insurance Services

INDEX OF COMPANIES

Page(s) 51

Symetra 30 TC³ Health, an Emdeon Company

38,44,81

Tennessee Captive Insurance Association, Inc. (TCIA)

83

The Alliance

68

The Assist Group

81

The Benecon Group

14,51,64

The Crowne Group

52

The Phia Group, LLC

52,78

The Taft Companies

70

Towers Watson

65

TPAC Underwriters, Inc.

30

TransformHealthRx 38 Trean Reinsurance Services, LLC Trilogy Consulting Group, Inc.

30,52,75 65,82

TriZetto Corporation

44

Ullico Inc.

30

United Claim Solutions

38,86

USBenefits Insurance Services, LLC

30

USI Insurance Services

52

Waterstone Benefit Administrators

15

WeCare TLC

68,85

WellDyne Rx

15

WellPoint, Inc.

31

Willis Captive & Consulting Practice

70

Windsor Strategy Partners, LLC.

65

WLT Software Enterprises

44

WorkSTEPS, Inc.

39,81

Xchange Benefits, LLC

31

XL Reinsurance America, Inc.

75

Zurich Insurance Company

31

90| THE Directory 2014 • www.sipconline.net


WHAt MAKES A LEAdEr IN HealtHcare cost MaNageMeNt?

tS

Produc

cE

AN PErForM

P

SHI PArtNEr

At PHX, we offer a comprehensive solution that’s tailored to fit your business – take advantage of our suite of innovative Products and outstanding Performance while building a long-term Partnership. >> 888.311.3505 | PHX-online.com

©2013 Premier Healthcare Exchange, Inc. All Rights Reserved.

888.394.5688 • THE Directory 2014 |91


P.O. Box Box1237 184 P.O. Simpsonville, SC28107 29681 Midland, NC

2014

Connecting Employers and Self-Funded Vehicles with Alternative Risk Transfer Professionals WORLD WIDE.

CONNECTING EMPLOYERS AND SELF-FUNDED VEHICLES 92 | THE Directory 2014 • www.sipconline.net WITH ALTERNATIVE RISK TRANSFER PROFESSIONALS WORLD WIDE.

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