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THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

ANNUAL EDITION

THE

Directory 2015

Connecting Employers and Self-Funded Vehicles with Alternative Risk Transfer Professionals World Wide.

www.sipconline.net | 888.394.5688

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THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

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www.sipconline.net | 888.394.5688


ADVERTISERS AmWINS Group Benefits........................................... 52 BenefitMall.........................................................................22 BioRx....................................................................................11 Careington Benefit Solutions..................................... 43 Choice Rx Solutions.........................................................6 DCC, Inc..............................................................................57 DentaQuest.......................................................................14 ECHO Health, Inc...........................................................47

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TABLE of CONTENTS

01

THIRD PARTY ADMINISTRATORS (TPAs)................................................7

02

THIRD PARTY ADMINISTRATORS (TPAs)............................................. 21

LIFE & HEALTH/EMPLOYEE BENEFITS

PROPERTY & CASUALTY/WORKERS’ COMPENSATION/CAPTIVES

03

MANAGING GENERAL UNDERWRITERS (MGUs)............................. 23 MEDICAL STOP-LOSS CARRIERS – LIFE & HEALTH/EMPLOYEE BENEFITS

04

MGU/EXCESS INSURANCE CARRIER..................................................... 37

05

MEDICAL PROVIDER NETWORKS/ONSITE CLINICS...................... 39

06

TECHNOLOGY VENDORS...............................................................................45 ..

07

BROKERS/CONSULTANTS.............................................................................53

08

UTILIZATION REVIEW/CASE MANAGEMENT...................................... 60

09

ATTORNEYS..........................................................................................................64

10

FINANCIAL SERVICES....................................................................................65

11

ACTUARIES/ACCOUNTANTS/AUDITORS................................................ 67

12

CONSUMER DRIVEN HEALTH CARE........................................................ 71

13

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REINSURANCE....................................................................................................79

15

INTERNATIONAL................................................................................................85

16

SUBROGATION....................................................................................................87

17

LOSS PREVENTION/CONTROL SERVICES........................................... 89

PUBLISHING DIRECTOR Erica Massey

18

PUBLICATIONS/RESOURCES......................................................................91

EDITOR Jennifer Ivy

19

TRADE ASSOCIATIONS...................................................................................92

DIRECTOR OF OPERATIONS Justin Miller

20

OTHER.....................................................................................................................94

Elite Underwriting Services........................................ 29 EmblemHealth..................................................................19 Fairmont Specialty..........................................................74 Hannover Life Reassurance Company of America....................................................78 Healthx, Inc........................................................................51 Hines & Associates, Inc.................................................63

PROPERTY & CASUALTY/WORKERS’ COMPENSATION/CAPTIVES

HM Insurance Group.................................................. IFC IHC Risk Solutions..........................................................24 Indigo Insurance Services............................................ 38 Medical Risk Managers, Inc.......................................... 40 Midlands..............................................................................20 Partner Administrators.................................................61 Pay-Plus® Solutions, Inc. (PPS)................................... 72 Preferred Medical Claim Solutions......................... 44 Premier Healthcare Exchange, Inc. (PHX)...............IBC Shores, Tagman, Butler & Company, P.A................. 68 Softheon, Inc......................................................................48 Sun Life Financial.............................................................36 The Guardian Life Insurance Company of America (Guardian)..........................................................................32 The Taft Companies.......................................................77 US Script, Inc.....................................................................93

WeCare TLC.....................................................................97

ACCOUNTING Grace Chen DIRECTOR OF ADVERTISING Shane Byars Published as a community service by: SELF-INSURERS’ PUBLISHING CORP. P.O. 1237, Simpsonville, SC 29681 888.394.5688 | www.sipconline.net

CAPTIVE MANAGEMENT SERVICES........................................................ 75

RISK RETENTION GROUPS (RRGs)

21 INDEX......................................................................................................................98 © 2014/2015 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.


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 fulltime 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.

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• THE WASHINGTON REPORT An electronic newsletter covers the news and events taking place on Capitol Hill of specific interest to companies involved in the self-insurance/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.

www.sipconline.net | 888.394.5688


WELCOME We are pleased to provide the 28th Edition of THE Directory published by Self-Insurers’ Publishing Corp. (SIPC), in conjunction with the Self-Insurance Institute of America, Inc. (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.

www.sipconline.net | 888.394.5688

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www.sipconline.net | 888.394.5688


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THIRD PARTY ADMINISTRATORS (TPAs)

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LIFE & HEALTH / EMPLOYEE BENEFITS

MEMBER

ACS Benefit Services, Inc.

Lisa Scalzo, Senior Vice President 8025 North Point Boulevard Winston-Salem, NC 27106 - United States

PHONE (336) 714-1402 EMAIL Lscalzo@acsbenefitservices.com WEB www.acsbenefitservicesinc.com

ACS Benefit Services is the premier Third Party Administrator for Self-Funded Medical, Dental and Drug Plans with a comprehensive suite of administrative services. We offer national PPO solutions in addition to Reference Based Pricing programs. We also offer HRA’s, FSA’s and HSA’s and Dependent Eligibility Audits.

MEMBER

Affordable Benefit Administrators, Inc.

Marie Ackad, Marketing Operations Manager 444 Irving Drive, Suite 202 Burbank, CA 91504 - United States

PHONE (800) 350-0148 or (818) 842-0147 EMAIL m_ackad@benefitsaba.com WEB www.benefitsaba.com

A Third Party Administrator specializing in Medical, Dental, & Vision Self-funded Plans. COBRA administration, H.S.A/HRA; Packaging EPO/PPO networks; Utilization Review/Case Management; Cafeteria Plans Administration; Insurance and Stop Loss Access with Traditional and Innovative stop loss. We also specialize in creating and administering custom plan designs that are based on Fair Market Value Pricing Model. Please call with questions.

MEMBER

Allegiance

Aaron Bay, VP of Marketing and Service P.O. Box 3018 Missoula, MT 59806 - United States

PHONE (406) 721-2222 EMAIL aaron.bay@askallegiance.com WEB www.askallegiance.com

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.

MEMBER

AmeriHealth Administrators

Dennis Foley, Director Sales and Marketing 720 Blair Mill Road Horsham, PA 19044 - United States

PHONE (215) 830-2709 EMAIL Dennis.Foley@ahatpa.com WEB www.ahatpa.com

AmeriHealth Administrators, Inc. creates smart, winning solutions for self-funded plan sponsors and health care payers. We listen, anticipate and respond by leveraging new technology and carefully crafting strategies, tools and services to help our customers not only prepare for the future of healthcare, but capitalize on it. Visit www.ahatpa.com

www.sipconline.net | 888.394.5688

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ASR Health Benefits 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 WEB www.asrhealthbenefits.com

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, wellness education and wellness incentive plans. MEMBER

AvMed

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 WEB www.avmed.org

AvMed collaborates with employers to customize benefits, manage risk and provide access to quality care. Clients enjoy AvMed’s culture of award-winning service. AvMed’s member-focused programs engage employees so employers can have a healthier, more productive workforce, translating to a healthy bottom line. AvMed inspires its membership to “Embrace Better Health”.

BioRx

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PHONE (610) 924-5128 EMAIL jlouis@biorx.net WEB www.biorx.com

BioRx is a national pharmacy and infusion services provider specializing in the delivery of extremely complex, costly pharmaceutical therapies – typically those for rare, ultra-orphan diseases, including hemophilia, immune deficiencies, autoimmune disorders, hereditary angioedema, alpha-1 antitrypsin deficiency and nutrition disorders. For an introduction, please contact us at mcinfo@biorx.com, or visit www.biorx.com.

MEMBER

Careington Benefit Solutions

Greg Rudisill, Senior VP, Strategic Partnerships 7400 Gaylord Parkway Frisco, TX 75034 - United States

PHONE (800) 441-0380 EMAIL rudisill@careington.com WEB www.careingtonbenefitsolutions.com

Careington BenefitSolutions is your single-source solution for industry-best dental and medical PPO network options and administrative capabilities for self-insured and fully insured business. As a market leader and innovator, we’re wellpositioned to work with any client to customize a superior product package, provide comprehensive administration and deliver high-touch service.

MEMBER

Choice Rx Solutions

Dino Dibella, Director of Sales 2751 Shellingham Drive Lisle, IL 60532 - United States

PHONE (217) 720-3085 EMAIL ddibella@choicerxsolutions.com WEB www.choicerxsolutions.com

Choice Rx Solutions delivers low cost pass through and traditional pricing through our national network of pharmacies. TPAs and brokers gain value though our equitable business model. Regardless of plan size, we offer customized solutions and seamless transitions earning us recognition as providing the best customer service in the industry.

MEMBER

CNIC Health Solutions

Brendan Krelle, Regional Sales Director 6251 Greenwood Plaza Boulevard, Suite 300 Greenwood Village, CO 80111 - United States

PHONE (303) 749-1125 EMAIL bkrelle@cnichs.com

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.

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THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

John Louis, Director of Marketing 302 Misty Autumn Drive Exton, PA 19341 - United States

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www.sipconline.net | 888.394.5688


MEMBER

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Coastal TPA, Inc.

Coastal specializes in third party claims administration for self-insured 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.

Concentrix Insurance Solutions Susan Wagy, Marketing Manager 325 JS McDonnell Boulevard , MC1550 Hazelwood, MO 63042-2513 - United States

PHONE (720) 396-4956 EMAIL swagy@us.concentrix.com WEB www.concentrix.com

Use a hassle-free, open enrollment tool and flexible billing options. Have optimal claim processing efficiency. Add new products, change benefit and coverage options without IT. Handle group, individual and voluntary/worksite programs with a 5010/ICD-10 regulatory compliant software. Drive down costs. Enhance plan member services. MEMBER

Conifer Health Solutions

Priscilla Sanchez, Content Marketing Manager 3560 Dallas Parkway Frisco, TX 75034 - United States

PHONE (469) 803-3649 EMAIL priscilla.sanchez@coniferhealth.com WEB www.coniferhealth.com

Conifer Health Solutions is a healthcare services company helping more than 700 clients strengthen their financial performance, transition from volume to value-based care and enhance the consumer and patient healthcare experience, with the goal of improving quality and access to healthcare, while controlling costs. Conifer Health has more than 19 million patient interactions across all service lines, manages more than $25 billion in patient revenue and $17 billion in medically managed spend; and provides technology and health management services to support care management for more than 4 million lives, annually. For more information, visit coniferhealth.com or follow @coniferhealth on Twitter. MEMBER

Consociate

Darren Reynolds, JD, Pres./Chief Exec. Officer 2828 North Monroe Street Decatur, IL 62526 - United States

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THIRD PARTY ADMINISTRATORS (TPAs)

PHONE (831) 754-3800 EMAIL DHardwick@coastalmgmt.com WEB www.coastalmgmt.com

LIFE & HEALTH/EMPLOYEE BENEFITS

Debi Hardwick, President/Chief Executive Officer 928 East Blanco Road, Suite 235 Salinas, CA 93901 - United States

PHONE (217) 423-7788 or (800) 798-2422 EMAIL darrenr@consociate.com WEB www.consociate.com

Consociate is a U.S. based Third Party Administrator focused on advanced technology utilization in claims administration and claims management. Our high touch customer service center provides clients a resource when their expectations exceed what a traditional TPA provides. MEMBER

CoreSource

Rob Corrigan, VP Prod. Management & Planning 400 Field Drive Lake Forest, IL 60045 - United States

PHONE (800) 832-3332 EMAIL rcorrigan@coresource.com OR inquiries@coresource.com WEB www.coresource.com

CoreSource is one of the nation’s leading TPAs, delivering flexible, integrated solutions. Through actionable data, our clients tailor their benefit plans to what works best for their company and to engage employees in their healthcare. More than 600 clients trust us to administer benefits for 1.1 million members. MEMBER

Custom Design Benefits

Julie D. Mueller, President 5589 Cheviot Road Cincinnati, OH 45247 - United States

PHONE (513) 598-2929 EMAIL jmueller@customdesignbenefits.com WEB 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 Medicare-plus reimbursement plan. www.sipconline.net | 888.394.5688

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MEMBER

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

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States

PHONE (203) 761-9300 EMAIL ckoehler@dwvd.com WEB www.dwvd.com

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

DAKOTACARE

Terra Zahn 2600 West 49th Sioux Falls, SD 57105 - United States

PHONE (605) 334-4000 EMAIL tzahn@dakotacare.com WEB www.dakotacare.com

DAKOTACARE Administrative Services, Inc. is a third party administrator that manages claims processing for many self-funded health plans. DAS may also provide COBRA administration,Flexible Spending Account administration, disease management, health and well-being programs and ancillary products such as Life and AD&D. MEMBER

DentaQuest

Jill Tobacco, Director of Mktg. & Public Relations 465 Medford Street Charlestown, MA 02129 - United States

PHONE (617) 886-1818 EMAIL Jill.Tobacco@greatdentalplans.com WEB www.dentaquest.com

MEMBER

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ELAP Services, LLC

Stephen Kelly, Chief Exec. Officer/President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care. MEMBER

EmblemHealth

John Iusi, Director, Business Strategy & Analytics 55 Water Street New York, NY 10041 - United States

PHONE (646) 447-5000 x53743 EMAIL JIusi@emblemhealth.com WEB www.emblemhealth.com

EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides quality health care coverage and administrative services to approximately 3.4 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO plans, as well as coverage for prescription drugs and dental and vision care. EmblemHealth offers a choice of networks, including quality doctors and other health care professionals throughout the region, leading acute care hospitals across the tristate area and physicians and hospitals across all 50 states. For more information, visit www.emblemhealth.com. MEMBER

Employee Benefit Management Services, Inc. (EBMS) Kevin Larson, President 2075 Overland Avenue P.O. Box 21367 Billings, MT 59104-1367 - United States

PHONE (800) 777-3575 EMAIL kjlarson@ebms.com WEB www.ebms.com

As a nationally-known TPA for benefits administration services, EBMS offers a full suite of health management services, including onsite clinics, wellness, disease management and medical management programs, along with an online PHR and other transparency tools for members. EBMS has offices in Billings, MT, Portland, OR and Denver, CO and serves clients throughout the U.S.

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THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

Over the past 40 years, DentaQuest has grown to manage the dental and vision benefits of over 20 million members across all market segments, from commercial to Medicaid and Medicare. We’re trusted because of our experience – and because we care deeply about what we do and the people we serve.

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www.sipconline.net | 888.394.5688


MEMBER

Employee Plans, LLC

Deb Eovaldi, Director of TPA Operations 1111 Chestnut Hills Parkway Fort Wayne, IN 46845 - United States

PHONE (260) 625-7347 EMAIL Deb.Eovaldi@oldnationalins.com WEB www.employeeplansllc.com

Employee Plans LLC, a subsidiary of Old National Insurance, offers a wide array of employee benefit services. 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.

MEMBER

Everence

Lynn Wigley, Sr. Director, Group Health Services P.O. Box 483 Goshen, IN 46527 - United States

PHONE (800) 348-7468 EMAIL lynn.wigley@everence.com WEB www.everence.com

Faith-based plans and pools: Everence puts your values to work with our comprehensive employee benefit and TPA services with deep expertise in developing and administering pools, particularly church plans and in working with faith-based organizations. Visit us at www.everence.com or call (800) 348-7468.

MEMBER

Gilsbar

Stephen Cali, National Sales Manager 2100 Covington Centre Covington, LA 70433 - United States

PHONE (800) 445-7227 EMAIL scali@gilsbar.com WEB www.gilsbar.com

MEMBER

SECTION

Group & Pension Administrators, Inc.

Kathy Enochs, Chief Operating Officer 12770 Merit Drive, Suite 200 Dallas, TX 75251 - United States

PHONE (972) 744-2530 EMAIL lindabi@gpatpa.com WEB www.gpatpa.com

Since 1968, GPA has delivered the highest-quality, custom healthcare services to self-insured employers and their members. The driving force behind this success is this simple fact: We Care. GPA is the largest privately owned TPA in the Southwest. It has long-standing client relationships with high satisfaction levels Serving Fortune 500 companies and smaller industry leaders, GPA offers customized total wellness solutions with proven savings and outcomes. Innovative GPA Nurse NavigatorSM service supports wise consumerism and GPA has an entrepreneurial culture with ongoing investment in the future.

MEMBER

Group Insurance Center, Inc.

Douglas Morse, President and Owner 20 Winter Street Pembroke, MA 02359 - United States

PHONE (781) 829-8595 EMAIL dmorse@giscinc.com WEB www.mygisc.com

Group Insurance Service Center, Inc. (GISC) has been in business for over 40 years. GISC offers services to our self funded employer groups that include: Medical Claims Administration,Dental Claims Administration, Rx Plan Administration,Cobra administration, FSA,HSA and stop loss quoting.

MEMBER

Health Alliance

Linda Burk, Director of Self-Funded Services 301 South Vine Street Urbana, IL 61801 - United States

PHONE (800) 851-3379 EMAIL linda.burk@healthalliance.org WEB www.healthalliance.org

Health Alliance is a plan administrator and the largest health insurance company in downstate Illinois. We have an extensive network of top-notch doctors and hospitals and an award-winning Customer Service team. We keep our members satisfied with comprehensive coverage, tips to help them use their benefits and money-saving extras.

01

THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

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

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MEMBER

SECTION

Health Plans, Inc.

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.

MEMBER

Healthcare Management Administrators, Inc.

Courtney Bowman, Corp. Mktg. and Project Coor. 220 120th Avenue North East Bellevue, WA 98005 - United States

PHONE (425) 289-5266 EMAIL courtney.bowman@accesstpa.com WEB www.accesshma.com

Healthcare Management Administrators (HMA) provides flexible, comprehensive benefits administration ser vices to accommodate the diverse spectrum of clients we ser ve. Always mindful of cost management solutions that increase the value and effectiveness of our products while also ensuring quality care, our clients benefit from their HMA relationship in many ways.

MEMBER

HealthCare Subrogation Group (HCSG) Brian Brumit, President 375 Bridgeport Avenue Shelton, CT 06484 - United States

PHONE (203) 312-1750 EMAIL BBrumit@hcsg.net WEB www.hcsg.net

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THIRD PARTY ADMINISTRATORS (TPAs)

PHONE (508) 475-6105 EMAIL cmagnusson@healthplansinc.com WEB www.healthplansinc.com

LIFE & HEALTH/EMPLOYEE BENEFITS

William Breidenbach, President 1500 West Park Drive, Suite 330 Westborough, MA 01581 - United States

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.

MEMBER

HealthFirst

Kevin Hall, Dir. of Underwriting and Analytics 821 ESE Loop 323, Suite 200 Tyler, TX 75701 - United States

MEMBER

HealthSmart

Mark Stadler, Chief Marketing Officer 222 West Las Colinas Boulevard, Suite 600 N Irving, TX 75039 - United States

PHONE (903) 509-5727 EMAIL kwhall@hfbenefits.com WEB www.hfbenefits.com

PHONE (214) 574-1166 EMAIL mark.stadler@healthsmart.com WEB www.healthsmart.com

HealthSmart offers a wide range of health plan solutions for self-funded employers. Our comprehensive service suite addresses individual health from all angles. This includes claims/benefits administration, provider networks, pharmacy benefit management, business intelligence, onsite clinics, care management and a variety of wellness initiatives. HealthSmart’s mission is to improve health and reduce healthcare costs.

MEMBER

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 WEB 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. www.sipconline.net | 888.394.5688

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A smart way to grow MAKE DENTAQUEST YOUR STRATEGIC PARTNER FOR SMART, SUCCESSFUL GROWTH. We have over 40 years of experience managing dental benefits in the commercial and government sectors. Our full-service suite of dental services can help you expand your portfolio, increase profitability, lower costs and retain membership. It’s a turbulent marketplace. But we’re used to that. Let us help you turn your dental program into a competitive advantage in a crowded field.

Contact Mike Enright today to start growing your business with DentaQuest. Michael.Enright@DentaQuest.com • (262) 834-3544 • www.SmartGrowthDentaQuest.com


MEMBER

SECTION

HRMP, LLC

HRMP is a distinctive third party administrator and reinsurance manager, positioned to offer creative solutions to underwriters, insurance carriers and reinsurers. Our unique solutions include back office or run-out administration, auditing services, medical and life conversions, quota share medical reinsurance and more. Our Success Can Only Follow Yours.

MEMBER

Key Benefit Administrators

Craig Frazier, Director, Human Resources 534 Rivercrossing Drive Ft. Mill, SC 29716 - United States

PHONE (803) 396-4837 EMAIL craig.frazier@keybenefit.com WEB 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.

MEMBER

Leading Edge Administrators

Trey Wilder, Vice President 1430 Broadway New York, NY 10018 - United States

PHONE (212) 278-0754 EMAIL twilder@leadingedgeadmin.com WEB www.leadingedgeadmin.com

01

THIRD PARTY ADMINISTRATORS (TPAs)

PHONE (978) 762-9780 EMAIL jmange@hrmp.com WEB www.hrmp.com

LIFE & HEALTH/EMPLOYEE BENEFITS

John I. Mange, President 300 Rosewood Drive, Suite 250 Danvers, MA 01923 - United States

Completely independent Third Party Administrator for Employee Benefits.

MEMBER

Lifetime Benefit Solutions

Tom Cauthorn, Chief Sales & Marketing Officer 115 Continuum Drive Liverpool, NY 13088 - United States

PHONE (315) 671-9871 EMAIL Tom.Cauthorn@LifetimeBenefitSolutions.com WEB www.LifetimeBenefitSolutions.com

Matching proven experience with knowledge of emerging trends, Lifetime Benefit Solutions is singular in its ability to design, develop and deploy win-win benefits plans in a constantly changing environment. Lifetime Benefit Solutions delivers self-funded medical, dental, prescription and vision plans and payroll services, COBRA, FSA, HRA, HSA and 401(k) plans.

MEMBER

Mayo Clinic Health Solutions

Steve Weber, Director of Sales and Marketing 4001 41st Street North West Rochester, MN 55901 - United States

PHONE (507) 293-1789 EMAIL weber.stephen@mayo.edu WEB www.gbs.mayoclinic.org

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.

MEMBER

Meritain Health

David Parker, Head of National Accounts 300 Corporate Parkway Buffalo, NY 14226 - United States

PHONE (800) 242-6226 EMAIL dave.parker@meritain.com WEB www.meritain.com

At Meritain Health, we deliver exceptional and customizable self-funded plan administration. We assemble best-in-class products and provide a depth of self-funded expertise to serve as trusted advisors for our clients and their consultants. We believe employers want quality, affordable healthcare for their employees to lead healthy and productive lives. www.sipconline.net | 888.394.5688

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MEMBER

Nova Healthcare Administrators Todd Martin, Sales Executive 6400 Main Street, Suite 210 Buffalo, NY 14221 - United States

PHONE (716) 932-5105 EMAIL tmartin@novahealthcare.com WEB www.novahealthcare.com

Nova, specializing in employee benefit administration since 1982, is a trusted advisor to over 600 clients while delivering exceptional service their members. Nova partners with clients to provide a holistic, innovative and costeffective long-term plan to improve their financial well-being and the overall wellness of their employees.

Olympus Managed Health Care Paula Gamboa, Business Development 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States

PHONE (800) 250-3271 EMAIL pgamboa@omhc.com WEB www.omhc.com

Olympus provides healthcare payors comprehensive claims administration services. With 20 years of industry experience, we are experts in the entire claims process. Our services include provider network management and medical management as well as claims arbitration and editing. Our clients include insurers, reinsurers, MGUs and assistance companies. We service millions of individuals in over 100 countries.

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Partner Administrators

Windy Culver-Molezzo, Sr. Account Executive 830 Harvard Way Reno, NV 89502 - United States

PHONE (800) 982-3128 EMAIL wculver-molezzo@partneradministrators.com WEB www.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.

MEMBER

® Pay-Plus Solutions, Inc. (PPS)

Valerie Woods, Executive Assistant 18167 US Highway 19 North, Suite 300 Clearwater, FL 33764 - United States

PHONE (877) 828-8913 EMAIL vwoods@ppsonline.com WEB www.ppsonline.com

Pay-Plus® Solutions, Inc. is a leading healthcare ePayment company which delivers turnkey, CAQH CORE® certified, claims payment and 835 solutions for Healthcare Payers and Providers. Through the systems’ designs and integrations built with adjudication partners, Pay-Plus has established a streamlined process which improves operational efficiencies. In addition, Pay-Plus offers a unique, high touch, Customer Support Team ensuring quality assurance, satisfaction and results.

MEMBER

Pequot Health Care

Charles Barger, Director 1 Annie George Drive P.O. Box 3620 Mashantucket, CT 06338-3620 - United States

PHONE (860) 396-6331 EMAIL cbarger@prxn.com WEB www.pequothealthcare.com

Pequot Health Care is a full service Third Party Administrator and Pharmacy Benefit Manager for self-funded employee benefit plans. Dedicated to managing cost through common sense, we are expanding our services in all states to employers from 50 to 5,000 employees. We are a Native American minority business enterprise wholly owned by the Mashantucket Pequot Tribal Nation.

MEMBER

01

THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

MEMBER

Planned Administrators, Inc.

Susan Nicolai, Director of Marketing 17 Technology Circle Columbia, SC 29203 - United States

PHONE (803) 462-0151 EMAIL snicolai@paisc.com WEB www.paisc.com

PAI is a nationally licensed TPA; your one stop shop for benefit administration, including self-funded plans, limited benefits and supplemental gap plans, as well as Critical Illness, Accident and Hospital Indemnity.

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MEMBER

SECTION

POMCO Group

POMCO Group is one of the nation’s largest third party administrators developing customized, flexible group health benefits and risk management solutions for clients. Comprised of specialized divisions with a united focus on offering, customized, flexible employee benefits, risk management and outsourcing options. POMCO Group has been leading the self- funded industry for more than 35 years. Visit www.pomcogroup.com for more information.

MEMBER

Prairie States Enterprise, Inc.

Felicia Wilhelm, RN, Chief Executive Officer 401 North Michigan Avenue, Suite 2902 Chicago, IL 60611 - United States

PHONE (312) 464-1888 EMAIL fwilhelm@prairieontheweb.com WEB www.prairieontheweb.com

Prairie States is a third party administrator focused on reducing health care costs. Clinicians make up 30% of the company staff that provide comprehensive health benefit claims administration, data driven plan modeling, subrogation, FSA, HSA, HRA, short term disability, utilization management, wellness and other health enhancement services.

MEMBER

Preferred Medical Claim Solutions

Brian Caliendo, Exec. VP and Chief Operating Officer PHONE (480) 905-8987 9060 East Via Linda, Suite 250 EMAIL bcaliendo@pmcsonline.com Scottsdale, AZ 85258 - United States WEB www.pmcsonline.com

01

THIRD PARTY ADMINISTRATORS (TPAs)

PHONE (315) 432-9171 EMAIL ebritt@pomcogroup.com WEB www.POMCOGroup.com

LIFE & HEALTH/EMPLOYEE BENEFITS

Eboni Britt, Marketing Manager 2425 James Street Syracuse, NY 13206 - United States

Preferred Medical Claim Solutions is a progressive, transaction-based 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-of-network claim settlements.

MEMBER

Premier Healthcare Exchange, Inc. (PHX)

Clara Pachomski, Executive Administrator 2 Crossroads Drive Bedminster, NJ 07921 - United States

PHONE (888) 311-3505 EMAIL cpachomski@phx-online.com WEB 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.

MEMBER

RedCard

Eric Schaefer, President 7700 Bonhomme Avenue, Suite 200 Saint Louis, MO 63105 - United States

PHONE (314) 445-6000 EMAIL eschaefer@redcard.com WEB www.redcard.com

RedCard provides data management and BPO services for the production of 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.

www.sipconline.net | 888.394.5688

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MEMBER

Regional Care, Inc.

Michael Shine, President 905 West 27th Street Scottsbluff, NE 69361 - United States

PHONE (308) 635-2260 EMAIL mshine@regionalcare.com WEB www.regionalcare.com

Regional Care, Inc. (RCI) is one of the nation’s premier independent third-party administrators. We have continued to grow our business by offering unique products and delivering exemplary services to our clients and broker partners while managing health care costs effectively. We are based in Scottsbluff, Nebraska but our client base is located nationally. This is accomplished through use of leading-edge technology, partnerships with leading-edge business partners and staff dedicated to identifying the best available PPO networks in each geographical area.

MEMBER

Revolv

Kathleen Ryland, Sales Engineer 5415 Airport Road Roanoke, VA 24012 - United States

PHONE (866) 903-3582 EMAIL tellmemore@myrevolv.com WEB www.myrevolv.com

Revolv is a dental benefits administration and health informatics company specializing in helping employers administer their dental benefits more efficiently. We’re transforming the dental industry through cutting edge systems, dynamic business intelligence tools and a passionate focus on client-specific needs. How? With our smart, flexible and cost effective-High-Tech, High-Touch approach.

The Benecon Group

Matthew Kirk, President 147 West Airport Road Lititz, PA 17543 - United States

PHONE (717) 723-4600 EMAIL mkirk@benecon.com WEB 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.

MEMBER

WellDyneRx

Jack Feingold, VP Account Development 7472 South Tucson Way Centennial, CO 80112 - United States

PHONE (888) 479-2000 EMAIL savitia@welldynerx.com WEB www.welldynerx.com

WellDyneRx maximizes the value of pharmacy benefits through custom solutions and personalized service. With innovative and integrated health strategies, clinical expertise and proactive consultation, WellDyneRx provides clients with the tools and resources they need to optimize their benefit plans, ensuring the highest levels of customer service and member satisfaction.

MEMBER

WellNet

David Feinberg, Executive Vice President 950 Third Avenue, 4th Floor New York, NY 10022 - United States

PHONE (888) 947-9478 EMAIL dfeinberg@wellnet.com WEB www.wellnet.com

WellNet provides smaller group, self-funded (level-funded) health plans and workplace wellness solutions that enable businesses around the nation to get to the root of their healthcare cost problem. Using data and analytics, WellNet’s approach effectively manages healthcare spend by prioritizing the most promising areas of cost-reduction opportunities in real time.

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THIRD PARTY ADMINISTRATORS (TPAs)

LIFE & HEALTH/EMPLOYEE BENEFITS

MEMBER

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www.sipconline.net | 888.394.5688


Care for New Yorkers by New Yorkers At EmblemHealth, we put care first - for all of our members as well as our community. Employers can count on us to provide them with innovative health plans and wellness benefits to help their employees stay healthy, get well, and live better. Care is at the heart of every successful community and it is our privilege to care for our members and the neighborhoods where they live and work.

emblemhealth.com


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


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THIRD PARTY ADMINISTRATORS (TPAs)

02

PROPERTY & CASUALTY/ WORKERS’ COMPENSATION /CAPTIVES

MEMBER

Alternative Service Concepts Glenn Backus, President 2501 McGavock Pike, Suite 802 Nashville, TN 37214 - United States

PHONE (800) 322-1276 EMAIL glenn.backus@ascrisk.com WEB www.ascrisk.com

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

MEMBER

Benefit Dynamics Company

Allison R. Johnson, Partner 618 North Tejon Street Colorado Springs, CO 80903 - United States

PHONE (719) 575-0411 EMAIL ajohnson@benedyn.com WEB www.benedyn.com

Benefit Dynamics Company is your single source for exclusive stop loss quotes. We offer competitive pricing and excellent back office services with our focus being your client.

MEMBER

DAVID Corporation

Ronald Peterson, Marketing Director 200 Pine Street, 2nd Floor San Francisco, CA 94104 - United States

PHONE (415) 743-3825 EMAIL rpeterson@davidcorp.com WEB www.davidcorp.com

DAVID Corporation is a Risk, Claims, and Insurance software provider. We offer solutions for the alternative risk market as well as self-insured organizations, insured’s, public entity risk pools, third party administrators (TPAs) and related insurance users. We help our clients run their businesses more efficiently, focusing on risk reduction and client retention, leveraging data to improve their bottom line.

MEMBER

Midlands

Charles Caldwell, Chief Executive Officer 3817 Northwest Expressway, Suite 1000 Oklahoma City, OK 73112 - United States

PHONE (800) 800-4007 EMAIL marketing@midman.com WEB www.midlandsmgt.com

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 TPA services.

www.sipconline.net | 888.394.5688

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MEMBER

PMA Companies

Mike MacAulay, Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States

PHONE (856) 727-3157 EMAIL Michael_MacAulay@pmagroup.com WEB www.pmacompanies.com

Known for high levels of customer satisfaction, PMA is a leading provider of Third-Party Administration (TPA) and Risk Services. Over the past five independent client satisfaction surveys, on average, 96% of respondents reported PMA Companies met or exceeded their service expectations. Our holistic approach integrates pre-loss, loss reduction and post-loss strategies to reduce clients’ total cost of risk. MEMBER

Preferred Medical Claim Solutions

Brian Caliendo, Exec. VP and Chief Operating Officer 9060 East Via Linda, Suite 250 Scottsdale, AZ 85258 - United States

PHONE (480) 905-8987 EMAIL bcaliendo@pmcsonline.com WEB www.pmcsonline.com

MEMBER

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 WEB 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 40 states.

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02

THIRD PARTY ADMINISTRATORS (TPAs)

PROPERTY & CASUALTY/WORKERS’ COMPENSATION/CAPTIVES

Preferred Medical Claim Solutions is a progressive, transaction-based 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-of-network claim settlements.

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SECTION

MANAGING GENERAL UNDERWRITERS (MGUs)

03

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

MEMBER

AIG Benefit Solutions

Jeff Gavlick, VP, Prod. Development & Mgmt.-Stop Loss PHONE (732) 922-7535 3600 Route 66 EMAIL Jeff.Gavlick@aigbenefits.com Neptune, NJ 07753 - United States WEB www.aigbenefits.com AIG Benefit Solutions offers a diverse portfolio of insurance products, including medical stop loss, organ transplant and captive solutions. Our proprietar y medical management program, MedCAT®, offers innovative cost containment strategies to help mitigate catastrophic losses. We offer significant discounts for “best in class” wellness, care management and reference-based pricing models.

MEMBER

Arbor Benefit Group, L.P.

Gerald Kiernan, President 281 Farmington Avenue Farmington, CT 06032 - United States

PHONE (860) 674-9748 EMAIL JerryK@arborbg.com WEB 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 self-funded group health plans and excess loss policies. Since 2000, Arbor has been helping businesses maintain profitability with customized stop loss products and cost containment services all backed by integrity, financial stability and an unwavering dedication to personal service.

ASG Risk Management, Inc. Peter Parent, President Two Monument Square Portland, ME 04101 - United States

PHONE (207) 232-2686 EMAIL peter@asgrmi.com WEB 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.

MEMBER

Bardon Insurance Group, Inc.

Don Thaler, President 8326 East Hartford Drive, Suite 100 Scottsdale, AZ 85255 - United States

PHONE (480) 682-1400 EMAIL don.thaler@bardon.net WEB www.bardon.net

Bardon Insurance Group is a consistently top rated MGU whose business is built on the principles of honesty, integrity and excellence. It is our goal to form partnerships with companies like ours where these values are the top priority. We represent AM Best “A” rated carriers with products aimed at 25 to 250+ life employers.

www.sipconline.net | 888.394.5688

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MEMBER

Beacon Risk Strategies, An AmWINS Group Company

Specialty underwriter and program manager for medical stop loss and other niche A&H products. Brokers, TPAs and reinsurers rely on the higher standard set by Beacon in everything we do, from our underwriting expertise to our delivery of superior claims administration and customer service. Beacon specializes in giving you more.

MEMBER

Benefit Dynamics Company

Allison R. Johnson, Partner 618 North Tejon Street Colorado Springs, CO 80903 - United States

PHONE (719) 575-0411 EMAIL ajohnson@benedyn.com WEB www.benedyn.com

Benefit Dynamics Company is your single source for exclusive stop loss quotes. We offer competitive pricing and excellent back office services with our focus being your client.

MEMBER

BenefitMall

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 WEB www.benefitmall.com

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

MEMBER

Berkley Accident and Health

James Hoitt, Vice President, Sales 2445 Kuser Road Hamilton Square, NJ 08690 - United States

03 MANAGING GENERAL UNDERWRITERS (MGUs)

PHONE (206) 298-0092 EMAIL wright.dickinson@amwins.com WEB www.beaconrisk.com

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Wright Dickinson, Principal 180 Nickerson Street, Suite 304 Seattle, WA 98109 - United States

SECTION

PHONE (609) 584-6990 EMAIL jhoitt@berkleyah.com WEB 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.

MEMBER

BEST Re

Marie Pacheco, VP of Operations 17701 Mitchell North Irvine, CA 92614 - United States

PHONE (800) 433-0088 EMAIL mpacheco@bestre.net WEB www.bestre.net

Let BEST Re’s Team of Experts work for you! As a full service managing general underwriter we provide medical stop loss insurance through a partnership with qualified TPA’s and Brokers. With a professional and knowledgeable staff BEST Re delivers financially viable stop loss products for your clients.

MEMBER

Brentwood Reinsurance Intermediaries, Inc.

Al Rusnak, Dir. of A&H Reinsurance Marketing P.O. Box 1949 Brentwood, TN 37027 - United States

PHONE (800) 524-0604 EMAIL brentre@bwood.com WEB www.brentre.com

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.

www.sipconline.net | 888.394.5688

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MEMBER

Chubb Accident & Health MEMBER

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Greg Arms, COO of the Accident & Health Division 15 Mountain View Road Warren, NJ 07059 - United States

PHONE (908) 903-4864 EMAIL garms@chubb.com WEB www.chubb.com/accident

Jim Villa, Sr. VP, North American Manager 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States

PHONE (908) 572-2581 EMAIL jvilla@chubb.com WEB www.chubb.com/accident

Nicole Pitney, AVP, Special Risk Manager 233 South Wacker Drive, Suite 4700 Chicago, IL 60606 - United States

PHONE (312) 681-1301 EMAIL npitney@chubb.com WEB www.chubb.com/accident

Michael Feighan, Sr. VP of Worldwide Underwriting PHONE (908) 572-2887 202 Hall’s Mill Road EMAIL mfeighan@chubb.com Whitehouse Station, NJ 08889 - United States WEB www.chubb.com/accident For over the past 50 years, Chubb has been providing accident and health solutions. Chubb Accident & Health (CAH) has the core products and enhancements to provide comprehensive solutions. CAH serves six broad categories of customer segments around the world: Employer Group, Association Group, Affinity Sponsored, Financial Institutions, Direct to Consumer and Reinsurance Assumed.

MEMBER

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

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States

PHONE (203) 761-9300 EMAIL ckoehler@dwvd.com WEB www.dwvd.com

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

MEMBER

East Coast Underwriters

Aaron Wilkie, President 121 West Main Street, Suite B Spartanburg, SC 29306 - United States

PHONE (864) 542-1592 EMAIL awilkie@ecumgu.com WEB 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 Funding, 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 have a Captive program (Blue Ridge Captive Solutions) and quote Life Insurance as well as AD&D.

MEMBER

ELAP Services, LLC

Stephen Kelly, Chief Exec. Officer/President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care.

03

MANAGING GENERAL UNDERWRITERS (MGUs)

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

David Stimus, Area VP, Assumed Reinsurance Mgr. PHONE (908) 572-3605 202 Hall’s Mill Road EMAIL dstimus@chubb.com Whitehouse Station, NJ 08889 - United States WEB www.chubb.com/accident

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MEMBER

SECTION

Elite Underwriting Services

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.

MEMBER

Excess Reinsurance Underwriters, Inc. Brian Zidek, President 48 North Broad Street Woodbury, NJ 08096 - United States

PHONE (856) 251-2280 EMAIL bzidek@excessre.com WEB www.excessre.com

Excess Re is a national, full service managing general underwriter specializing in employer stop-loss insurance, referenced based pricing, MEC and MVP coverage and captive reinsurance solutions. Excess Re’s history, reputation and innovative underwriting enable it to deliver products and services to meet the needs of an evolving industry.

MEMBER

Excess Risk Reinsurance/Ironshore Insurance Service LLC David Johnson, Marketing Manager P.O. Box 1170 Ridgeland, MS 39158 - United States

PHONE (601) 427-0235 EMAIL david.johnson@ironshore.com WEB www.ironshore.com

Excess Risk Reinsurance, 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 company’s partners.

MEMBER

Fairmont Specialty

Lauren Woods, Assistant VP of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States

03 MANAGING GENERAL UNDERWRITERS (MGUs)

PHONE (610) 280-4301 EMAIL mnaylor@eliteuw.com WEB www.eliteuw.com

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Matthew Naylor, Chief Executive Officer 40 General Warren Boulevard, Suite 200 Malvern, PA 19355 - United States

PHONE (732) 676-9833 EMAIL lauren.woods@fairmontspecialty.com WEB www.fairmontspecialty.com

The Accident & Health team of Fairmont Specialty is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products, while providing excellent customer service and support. Our portfolio includes: Stop Loss, Organ Transplant, Kidney Carve Out, Provider Excess, Medical Excess Re, HMO Reinsurance, Limited Medical Indemnity, Dental, Vision, AD&D, Occupational Accident, Special Risk, College A&S, College Sports, K-12/K-12 Cat, Travel Insurance, International Travel Medical and Pet Insurance.

MEMBER

GW Global Insurance, LLC

Mike Tate, CMO 1025 Plain Street Marshfield, CA 94595 - United States

PHONE (925) 457-5929 EMAIL mptate1542@gmail.com WEB www.gwglobalins.com

GW Global is a insurance product development and distribution company focused on speciality risk and niche products in both the H&W and P&C markets. GWG has offices across the US and London.

MEMBER

HCC Life Insurance Company

David Grider, Sr. VP, Corporate Mktg. and Sales 225 TownPark Drive, Suite 350 Kennesaw, GA 30144 - United States

PHONE (800) 447-0460 EMAIL dgrider@hcclife.com WEB www.hcc.com/hcclife

For more than 35 years, HCC Life Insurance Company has been leading the way in medical stop loss insurance for employers who self-fund 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. www.sipconline.net | 888.394.5688

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MEMBER

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 WEB www.hi-techhealth.com

MEMBER

SECTION

HM Insurance Group

Judi Hast, Director, Corporate Events 120 Fifth Avenue Pittsburgh, PA 15222 - United States

PHONE (412) 544-1321 EMAIL judi.hast@hmig.com WEB www.hmig.com

Through expert risk assessment and exceptional service, HM Insurance Group provides Stop Loss coverage to self-insured groups. Our performance, policy and protection set us apart by providing clients the financial assurance they need in a challenging health benefits market. A recognized leader, HM achieves results –and confidence – with smart solutions.

MEMBER

IHC Risk Solutions

Michael Kemp, President 1699 King Street, Suite 404 Enfield, CT 06082 - United States

PHONE (860) 469-2074 EMAIL mkemp@ihcrisksolutions.com WEB 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 billion in assets as of January 1, 2014. With over 30 years of stop-loss experience we are amongst the largest direct stop-loss writers in the US.

MEMBER

Indigo Insurance Services

Kevin Manthorpe, Director 401 Park Drive Boston, MA 02215 - United States

PHONE (888) 483-7083 EMAIL kevin.manthorpe@bcbsma.com WEB www.indigo-insurance.com

Indigo Insurance Services is a national Managing General Underwriter (MGU) providing best-in-class stop loss coverage for accounts looking for self-funded protection. Indigo stop loss provides the highest possible quality protection from A and A+ rated carriers, just as you’d expect from a market leader.

MEMBER

Intermediary Insurance Services, Inc. (IISI) Jim Henry, Executive Vice President 731 Sansome Street, 2nd Floor San Francisco, CA 94111 - United States

PHONE (415) 399-6700 EMAIL jim_henry@iisinet.com WEB 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.

MEMBER

International Medical Group-Stop Loss, Inc. Steve Butz, Vice President, Marketing 2960 North Meridian Street Indianapolis, IN 46208 - United States

PHONE (877) 884-6475 x4673 EMAIL steve.butz@imglobal.com WEB www.imgstoploss.com

IMG-Stop Loss, Inc. 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.

03

MANAGING GENERAL UNDERWRITERS (MGUs)

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

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.

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SECTION

International Risk Consultants

MEMBER

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 WEB www.ioare.com

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, agent/broker and employer community. Besides East Norriton, we maintain underwriting staff in Indianapolis, Kansas City and Minneapolis; and a new sales presence in Nashville.

MEMBER

J. Allan Hall & Associates, Inc. J. Allan Hall, President 55 Monument Circle, Suite 1115 Indianapolis, IN 46204 - United States

PHONE (317) 264-0020 EMAIL jahall@jahall.com WEB www.jahall.com

JAH is a full-service MGU and Coverholder at Lloyd’s (London) plus admitted A rated carriers. We specialize in bot ususl and unusual stop-loss and group underwriting and administration. We underwrite and administer ancillary products for captives, fully insured and self-insured domestic and international group and individual products. Underwrite and administer Associations, PEOs, Health Co-Ops, Agriculture, MEC, Gap and kother innovative programs.

MANAGING GENERAL UNDERWRITERS (MGUs)

International Risk Consultants a full service MGU has been setting the standard for Medical Stop Loss risk solutions for over 25 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.

03 MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Michael S. McGrath, President & Chief Exec. Officer PHONE (781) 581-9800 One Corporation Way EMAIL MMcGrath @ irc-ohu.com Peabody, MA 01960 - United States WEB www.irc-inc.org

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 www.sipconline.net | 888.394.5688

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M-D Underwriting Services, Inc. Cathy B. Guenther, President 1880 General George Patton Drive, Suite 102 Franklin, TN 37067 - United States

PHONE (615) 662-3535 EMAIL cathy@mdusi.com WEB www.mdusi.com

MDU is dedicated to providing customers with the medical excess products, expertise and service that best serves our clients. We do this by open, honest and direct communication with our customers. Since 2000, MDU has earned a reputation as a RELIABLE, INNOVATIVE and SECURE choice as your Managing General Underwriter.

SECTION

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 WEB www.mrm-mgu.com

MRM is the largest full service MGU in the country. Our services include underwriting, extensive network evaluation, consulting, stop loss claim adjudication, actuarial and accounting support. MRM currently has over $250 million and has profitably underwritten over $2 billion of stop loss throughout our history.

National Underwriting Services, Inc. Tom Gage, President Dana Driscoll, Executive Vice President 14893 S.H. 16 North, Suite 1 Helotes, TX 78023 - United States

PHONE (210) 695-2381 EMAIL ddriscoll@nus1.com WEB www.nus1.com

NUS celebrates 30 years in the MGU business in 2015! With highly experienced management and team members, we provide stop loss solutions for groups 50+ with an A+ rated carrier, including underwriting expertise in Medicare Reference Based Pricing.

NorthWind, LLC Douglas Thomas, President 3162 Phoenixville Pike Malvern, PA 19355 - United States

PHONE (610) 840-0401 x103 EMAIL dthomas@northwindllc.com WEB www.northwindllc.com

NorthWind is a full ser vice MGU providing stop loss, RX car ve 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.

MEMBER

Optum

Kurt Haag, National VP of Sales and Account Mgmt. 6101 Carnegie Boulevard, Suite 500 Charlotte, NC 28209 - United States

PHONE (704) 442-4102 EMAIL engage@optum.com WEB 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.

MEMBER

PartnerRe

Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States

PHONE (415) 354-1551 EMAIL dennis.heinzig@partnerre.com WEB www.partnerre.com/health

PartnerRe continues its strong tradition of providing tailored, effective risk solutions for medical exposures through the Health Division. Its broad portfolio of products and ser vices includes HMO, CO-OP and medical reinsurance, employer, provider and ACO excess of loss insurance, international medical reinsurance and its PULSE + Plus™ Medical Management Program.

03

MANAGING GENERAL UNDERWRITERS (MGUs)

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

MEMBER

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MEMBER

Phoenix Excess Risk Underwriters, LLC

PERU is a Managing General Underwriter of self funded health insurance plans.

MEMBER

Premier Healthcare Exchange, Inc. (PHX)

Clara Pachomski, Executive Administrator 2 Crossroads Drive Bedminster, NJ 07921 - United States

PHONE (888) 311-3505 EMAIL cpachomski@phx-online.com WEB 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.

MEMBER

Prodigy Health Insurance

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States

PHONE (949) 478-0119 EMAIL Jyoungs@prodigystoploss.com WEB www.prodigystoploss.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.

MEMBER

Risk & Insurance Consulting Services Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States

03 MANAGING GENERAL UNDERWRITERS (MGUs)

PHONE (770) 977-9601 EMAIL thomaspower@perullc.com WEB www.perullc.com

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Thomas Power, Managing Member 3730 Roswell Road, Suite 275 Marietta, GA 30062 - United States

SECTION

PHONE (770) 923-3133 EMAIL jamie.brown@rics-reinsurance.com WEB 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; from Medical Excess to facultative reinsurance for groups with critical mass. Our goal is to add value to relationships through strategic solutions tailored to our clients’ needs.

MEMBER

MEMBER

RxReins, Inc.

Crystal Williams, President P.O. Box 2284 Palm Springs, CA 92263 - United States

PHONE (888) 797-3467 EMAIL cwilliams@rxreins.com

Spectrum Underwriting Managers, Inc. Kurt Ridder, President 41 East Washington Street, Suite 100 Indianapolis, IN 46204 - United States

PHONE (800) 804-7732 EMAIL k.ridder@spectrumhq.com WEB www.spectrumhq.com

Spectrum is a full-ser vice Managing General Underwriter of specific, aggregate & integrated medical stop loss insurance. Spectrum specializes in the prompt deliver y of a comprehensive line of competitive products and ser vices designed for employer groups as small as 15 employee lives. Stability, experience, dependability & focus – make Spectrum’s qualities your assets.

www.sipconline.net | 888.394.5688

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You need a stop loss provider with a

long-term commitment

and over 150 years of financial

strength and stability

Guardian Stop Loss Insurance Mitigate the risk of your self-funded medical plan with Guardian. Employers have counted on us to protect their employees with products like Life and Disability insurance for over 50 years – now we can protect their companies too. With a strong mutual foundation and exemplary financial ratings, Guardian has been there for our customers – and we plan to always be there – especially when they need us most. What we offer: • A comprehensive stop loss contract with no new lasering • Immediate reimbursement on specific stop loss claims • No minimum thresholds for monthly aggregate accommodation

Visit www.guardianlife.com/AboutGuardian/ContactUs

DENTAL

DISABILITY

LIFE

VISION

CRITICAL ILLNESS

CANCER

ACCIDENT

STOP LOSS

GuardianAnytime.com The Guardian Life Insurance Company of America, 7 Hanover Square, New York, NY 10004. GUARDIAN® and the GUARDIAN G® logo are registered service marks of The Guardian Life Insurance Company of America and are used with express permission. Guardian Stop Loss Insurance is underwritten by The Guardian Life Insurance Company of America, New York, NY. Products are not available in all states. Policy limitations and exclusions apply. Optional riders and/or features may incur additional costs. Financial information concerning The Guardian Life Insurance Company of America as of December 31, 2013 on a statutory basis: Admitted Assets = $42.1 Billion; Liabilities = $37.1 Billion (including $32.7 Billion of Reserves); and Surplus = $5.0 Billion. Ratings as of 7/14. Policy Form # GP-1-SL-13. File # 2014-8924 Exp. 7/15.


MEMBER

SECTION

StarLine Group

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.

MEMBER

Stop Loss Insurance Services, an AmWINS Group Company Gerald M. Gates, President 100 Front Street, Suite 610 Worcester, MA 01608 - United States

PHONE (800) 944-7659 x3073 EMAIL gerald.gates@amwins.com WEB www.stoploss.amwins.com

Stop Loss Insurance Services, leverages more than 25 years of stop loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop Loss to SLIS.

MEMBER

Strategic Underwriting Solutions, LLC

Joe Toohill, TPA Management and Compliance 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States

PHONE (920) 338-1970 EMAIL jtoohill@stratuw.com WEB 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.

MEMBER

Summit Reinsurance Services, Inc. Jon Anderson, Vice President 7030 Pointe Inverness Way, Suite 350 Fort Wayne, IN 46804 - United States

03 MANAGING GENERAL UNDERWRITERS (MGUs)

PHONE (508) 444-0720 EMAIL c.manzone@starlinegroup.com WEB www.starlinegroup.com

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Christine Manzone, Vice President 180 Teaticket Highway East Falmouth, MA 02536 - United States

PHONE (260) 469-3002 EMAIL janderson@summit-re.com WEB www.summit-re.com

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

MEMBER

Sun Life Financial

Michael Hoefler, VP Central Region Mkt. Leader One Sun Life Executive Park Wellesley Hills, MA 02481 - United States

PHONE (866) 683-6334 EMAIL michael.hoefler@sunlife.com WEB www.sunlife.com/us

Founded in 1865, the Sun Life Financial group of companies serves millions of customers in 24 countries worldwide. Today, Sun Life Financial U.S. is a leading stop-loss insurance carrier. Put our expertise to work for you.

www.sipconline.net | 888.394.5688

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MEMBER

Sutton Special Risk America

Founded in 1978, Sutton Special Risk has been a Lloyd’s coverholder for over 30 years. Initially specializing in providing insurance products and services to respond to the unique needs of professional sports teams and athletes, over time, the company has developed into a premier provider of Accident & Health, Life, Stop Loss and Contingency products and services. We have a diverse range of clients including Employer and Affinity Groups, Expatriates, Key Persons, Associations, Entertainment Professionals and Professional Athletes. Sutton Special Risk is Canadian-owned and located in downtown Toronto. Our US headquarters are in NY, NY.

MEMBER

SECTION

Symetra

Michael Fry, Executive VP, Benefits Division 777 108th Avenue North East, Suite 1200 Bellevue, WA 98004 - United States

PHONE (800) 426-7784 EMAIL GRPLIF@symetra.com WEB www.symetra.com

Symetra Life Insurance Company has been delivering creative, cost-effective stop loss solutions to self-funded clients for over 39 years. Our Benefits portfolio also includes group life and AD&D, short- and long-term disability income, critical illness and accident policies, fixed-payment medical and gap plans, MEC administration and absence management programs.

MEMBER

The Guardian Life Insurance Company of America (Guardian) Robert J. Melillo, 2nd VP and Head of Stop Loss 1699 King Street Enfield, CT 06082 - United States

PHONE (860) 903-0775 EMAIL robert_melillo@glic.com WEB www.guardianlife.com

Guardian is dedicated to helping customers provide the right group benefits by offering innovative plan designs, leading technology platforms and more effective ways to engage employees. Our expert ability to deliver high quality customer solutions is backed by over 150 years in the insurance industry and a strong mutual foundation. Our long term focus helps make us an ideal choice for Stop Loss insurance protection - from identifying the right solutions to ongoing service, customers of all sizes rely on our comprehensive approach to meeting their benefits needs.

MEMBER

Trean Reinsurance Services, LLC Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States

PHONE (952) 974-2221 EMAIL kplath@treancorp.com WEB www.treanre.com

Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation and servicing; consultation to HMOs, MGUs, TPAs and insurers on small group stop-loss development; and captive stop-loss development and implementation.

MEMBER

Trustmark/Starmark

Starmark Sales 400 Field Drive Lake Forest, IL 60045 - United States

PHONE (800) 522-1246 x33057 EMAIL starmark@starmarkinc.com WEB www.starmarkinc.com

With expertise in group healthcare benefits, Starmark offers self-funded plan designs, tools to manage healthcare costs, paperless employee enrollment, nationwide network access and seamless HRA administration for small to mid-size businesses. Self-funded plans are administered by Starmark and stop-loss insurance is provided by Trustmark Life Insurance Company.

03

MANAGING GENERAL UNDERWRITERS (MGUs)

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Arleigh Kennedy, VP, Stop Loss and Spec. Benefits PHONE (781) 670-6881 P.O. Box 527 EMAIL akennedy@suttonspecialrisk.com North Reading, MA 01864 – United States WEB www.suttonspecialrisk.com 810 7th Avenue, Suite 1700 New York, NY 10019 - United States

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MEMBER

SECTION

Ullico Inc.

Ullico is the only labor-owned insurance and investment company, which is why union members and employers across America trust us with protecting their families, employees, businesses and investments. We have proudly been there for the union workplace for more than 85 years... here’s to many more!

MEMBER

Universal Fidelity Life Insurance Company Brent Haggard, Chief Executive Officer 13931 Quail Pointe Drive Oklahoma City, OK 73134 - United States

PHONE (405) 608-0174 EMAIL cbhaggard@uflic.com WEB www.uflic.com

As an MGU for A-rated carriers, we underwrite and administer the Preferred Choice Health Plan, an aggregate only self-funded medical plan for employers. We market traditional stop loss coverages through select TPA’s and Brokers. As a nationally licensed TPA, we administer worksite products and insurer programs.

MEMBER

USBenefits Insurance Services, LLC

Marcus Floyd, Executive VP, Marketing 43 Corporate Park, Suite 101 Irvine, CA 92606 - United States

PHONE (949) 468-3023 EMAIL mf@usbins.net WEB www.usbins.net

USBenefits Insurance Services, 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.

MEMBER

™ Voya Employee Benefits

Laurie Broucek, Stop Loss Product Manager 20 Washington Avenue South Minneapolis, MN 55401 - United States

03 MANAGING GENERAL UNDERWRITERS (MGUs)

PHONE (202) 682-6908 EMAIL dwolak@ullico.com WEB www.ullico.com

MEDICAL STOP-LOSS CARRIERS – LIFE AND HEALTH/EMPLOYEE BENEFITS

Daniel Wolak, Pres., The Union Labor Life Ins. Co. 8403 Colesville Road, 13th Floor Silver Spring, MD 20910 - United States

PHONE (612) 372-5743 EMAIL laurie.broucek@voya.com WEB www. voya.com

Voya™ Employee Benefits, a division of ReliaStar Life Insurance Company and ReliaStar Life Insurance Company of New York, has offered excess risk insurance products from one of the nation’s largest direct writers of excess risk insurance for more than 35 years. We also offer group life, voluntary and disability income products and have more than 90 years of experience in delivering group benefit solutions to employers.

MEMBER

WellPoint, Inc.

Jim Sheffield 220 Virginia Avenue Indianapolis, IN 46204 - United States

PHONE (317) 287-5700 EMAIL Jim.Sheffield@anthem.com WEB www.wellpoint.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.

MEMBER

Xchange Benefits, LLC

James Denison, Executive VP and CUO 3 Barker Avenue, 1st Floor White Plains, NY 10601 - United States

PHONE (914) 437-7361 EMAIL jdenison@xbllc.com WEB www.xbllc.com

Xchange Benefits is a leader in providing benefit solutions to our client markets throughout the U.S. and beyond. Our Medical Stop Loss solutions successfully enable employer groups to maximize benefit schemes while protecting their balance sheets from otherwise financially unsustainable events. www.sipconline.net | 888.394.5688

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8.5” 7.5”

HELP YOUR CLIENTS

Life’s brighter under the sun

sunlife.com/wakeup

Stop-loss insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 07-SL. In New York, stop-loss insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Windsor, CT) under Policy Form Series 07-NYSL REV 7-12. Product offerings may be subject to state variations. © 2014 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.

SLPC 24843 11/13 (exp. 11/15)

11”

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.

10”

TO THE BENEFITS OF STOP-LOSS.


SECTION

MGU/EXCESS INSURANCE CARRIER

04

PROPERTY AND CASUALTY/WORKERS’ COMPENSATION/CAPTIVES

MEMBER

AIG Benefit Solutions

Jeff Gavlick, VP, Product Dev. and Mgmt.-Stop Loss PHONE (732) 922-7535 3600 Route 66 EMAIL Jeff.Gavlick@aigbenefits.com Neptune, NJ 07753 - United States WEB www.aigbenefits.com AIG Benefit Solutions offers a diverse portfolio of insurance products, including medical stop loss, organ transplant and captive solutions. Our proprietary medical management program, MedCAT®, offers innovative cost containment strategies to help mitigate catastrophic losses. We offer significant discounts for “best in class” wellness, care management and reference-based pricing models.

MEMBER

DAVID Corporation

Ronald Peterson, Marketing Director 200 Pine Street, 2nd Floor San Francisco, CA 94104 - United States

PHONE (415) 743-3825 EMAIL rpeterson@davidcorp.com WEB www.davidcorp.com

DAVID Corporation is a Risk, Claims, & Insurance software provider. We offer solutions for the alternative risk market as well as self-insured organizations, insured’s, public entity risk pools, third party administrators (TPAs) and related insurance users. We help our clients run their businesses more efficiently, focusing on risk reduction and client retention, leveraging data to improve their bottom line.

MEMBER

GW Global Insurance, LLC

Mike Tate, Chief Marketing Officer 1025 Plain Street Marshfield, CA 94595 - United States

PHONE (925) 457-5929 EMAIL mptate1542@gmail.com WEB www.gwglobalins.com

GW Global is a insurance product development and distribution company focused on speciality risk and niche products in both the H&W and P&C markets. GWG has offices across the US and London.

MEMBER

Midlands

Charles Caldwell, Chief Executive Officer 3817 Northwest Expressway, Suite 1000 Oklahoma City, OK 73112 - United States

PHONE (800) 800-4007 EMAIL marketing@midman.com WEB www.midlandsmgt.com

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 TPA services.

www.sipconline.net | 888.394.5688

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MEMBER

Safety National

Tom Grove, VP-Business Development 1832 Schuetz Road St. Louis, MO 63146 - United States

PHONE (888) 995-5300 EMAIL tom.grove@safetynational.com WEB www.safetynational.com

Safety National is a 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.

MEMBER

Special Markets Insurance Consultants, Inc. J. Kim Walker, Chief Executive Officer 10 South LaSalle Street, Suite 2000 Chicago, IL 60603 - United States

PHONE (312) 263-1711 EMAIL gail@specialmarkets.com WEB www.specialmarkets.com

SECTION

04

MGU/EXCESS INSURANCE CARRIER

PROPERTY AND CASUALTY/WORKERS’ COMPENSATION/CAPTIVES

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

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SECTION

MEDICAL PROVIDER NETWORKS/ONSITE CLINICS MEMBER

CareHere, LLC

Chris Murphy 5141 Virginia Way, Suite 350 Brentwood, TN 37027 - United States

05

PHONE (615) 661-7818 EMAIL cmurphy@carehere.com WEB www.carehere.com

CareHere is an industry leader in providing on-site health and wellness centers with over 10 years of experience. We follow a patient-centered approach to healthcare and integrate a wide range of resources, such as primary care, case/ disease management, wellness and behavioral modification programs, occupational health, workers’ compensation and much more. Our services provide companies with the means to significantly decrease claims costs, while improving the overall health and morale of their employees.

MEMBER

COMP, LLC

Derrick Amato, Chief Executive Officer 1000 Asylum Avenue, Suite 2111 A Hartford, CT 06105 - United States

PHONE (860) 714-6188 EMAIL damato@stfranciscare.org WEB www.compllc.org

Connecticut Occupational Medicine Partners, LLC (COMP) was formed in 2000 and consists of 8 occupational health clinics throughout Connecticut. We specialize in the treatment of work related injuries and illnesses. Our offices are “pure play” and only treat work related injuries. Our focus is returning employees back to functional work and back to their private lives through specific treatment plans. We work collaboratively with employers to identify modified duty opportunities. We work with a network of specialists to insure timely referrals when appropriate. On-site Physical Therapy, X-ray and Lab services are available at most locations. We have helped over 10,500 employers throughout Connecticut.

MEMBER

ELAP Services LLC

Stephen Kelly, Chief Executive Officer/President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care.

MEMBER

Employee Benefit Management Services, Inc. (EBMS) Kevin Larson, President 2075 Overland Avenue P.O. Box 21367 Billings, MT 59104-1367 - United States

PHONE (800) 777-3575 EMAIL kjlarson@ebms.com WEB www.ebms.com

As a nationally-known TPA for benefits administration ser vices, EBMS offers a full suite of health management ser vices, including onsite clinics, wellness, disease management and medical management programs, along with an online PHR and other transparency tools for members. EBMS has offices in Billings, MT, Portland, OR and Denver, CO and ser ves clients throughout the U.S. www.sipconline.net | 888.394.5688

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MEMBER

First Health

John Bryan, Director of Sales 10260 Meanley Drive San Diego, CA 92131 - United States

PHONE (800) 247-2898 EMAIL johnbryan@firsthealth.com WEB www.firsthealth.com

First Health® and Cofinity® provide access to directly-contracted PPO network providers at over 1 million service locations nationally. Together, we offer multiple network solutions – primary and complementary national networks, supplemental network partners and non-network fee negotiations – as well as the Cofinity Institutes of Excellence™ transplant program, the Aetna Dental® Administrators dental program and medical management.

MEMBER

Global Excel Management, Inc.

Benjamin Tabah, Product Dev. and Marketing 73 Queen Street Sherbrooke, Quebec, J1M 1N7 - Canada

PHONE (819) 437-2277 EMAIL benjamin.tabah@globalexcel.com WEB www.globalexcel.com

Global Excel Management (GEM) has been leading the market in cost containment strategies since 1996. GEM reviews and negotiates the majority of claims received as opposed to relying on PPOs for discounts. For a fresh approach on high-dollar claims including live case negotiations, seamless clinical audits, detailed bill review reports and secure, market-leading savings, consider Global Excel. Contact us today for a free claims analysis.

MEMBER

Global Medical Conexions, Inc.

Robert Repke, President 236 West Portal Avenue #353 San Francisco, CA 94127 - United States

PHONE (415) 845-4418 EMAIL rrepke@globalmedconex.com WEB www.passportforhealth.com

Global Medical Conexions has created Passport For Health, a consumer focused, custom international medical network. We specialize in work with self funded health plans that wish to offer a medical travel option as part of their PPO.

MEDICAL PROVIDER NETWORKS/ONSITE CLINICS

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.

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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!

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MEMBER

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GlobalCare, Inc.

PHONE (678) 341-1635 EMAIL hingram@globalcare.net WEB www.globalcare.net

GlobalCare provides medical access and cost containment services to TPAs, health plans, self-funded groups and carriers, all through one efficient workflow process. After 20 years of service, our clients gain seamless integration to a portfolio of proven savings solutions to reduce medical spending and enhance member satisfaction. GlobalCare – Simply More.

MEMBER

Golden Triangle Specialty Network, LLC

Polli Yount, Sr. VP and Chief Operating Officer 5115 Maryland Way, Suite 300 Brentwood, TN 37027 - United States

PHONE (615) 377-0779 EMAIL yountp@gtspecnet.com WEB www.gtspecnet.com

Golden Triangle Specialty Network is a secure cost containment organization providing the largest National Contracted Dialysis Network and Specialty Pharmacy Cost Containment. Golden Triangle is the self-funded industry’s solution for secure discounts, claim review, consulting and multi-claim settlements on disputed payments. What makes us different; provider sign-off on all savings.

MEMBER

HealthLink, Inc.

Ann Henry, Senior Proposal Coordinator 1831 Chestnut Street St. Louis, MO 63103 - United States

PHONE (314) 925-6088 EMAIL ahenry@healthlink.com WEB www.healthlink.com

A subsidiary of WellPoint, Inc., HealthLink builds regional provider networks and makes them available by contract to more than 90 payors of health benefits, including insurers, third party administrators, union trust funds and employers. HealthLink’s 500,000 members access approximately 90,000 participating physicians, hospitals and other health care professionals.

MEMBER

Innovative Healthware Services Robert Schmidt, President 1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States

PHONE (410) 349-3222 EMAIL rschmidt@claimsbridge.com WEB www.claimsbridge.com

05 MEDICAL PROVIDER NETWORKS/ONSITE CLINICS

Heather Ingram, Director of Marketing 6875 Shiloh Road East Alpharetta, GA 30005 - United States

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.

MEMBER

Olympus Managed Health Care

Paula Gamboa, Business Development 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States

PHONE (800) 250-3271 EMAIL pgamboa@omhc.com WEB www.omhc.com

Olympus, a leading provider of strategic claims management, facilitates domestic and international access to healthcare through our proprietary network, regional and national PPOs, single payor networks, transplant and dental networks and pharmacy benefit managers. We provide additional flexibility and savings through closed, tiered and specialty networks. Alternative methods include reference-based pricing and visiting physician network.

MEMBER

® Pay-Plus Solutions, Inc. (PPS)

Valerie Woods, Executive Assistant 18167 US Highway 19 North, Suite 300 Clearwater, FL 33764 - United States

PHONE (877) 828-8913 EMAIL vwoods@ppsonline.com WEB www.ppsonline.com

Pay-Plus® Solutions, Inc. is a leading healthcare ePayment company which delivers turnkey, CAQH CORE® certified, claims payment and 835 solutions for Healthcare Payers and Providers. Through the systems’ designs and integrations built with adjudication partners, Pay-Plus has established a streamlined process which improves operational efficiencies. In addition, Pay-Plus offers a unique, high touch, Customer Support Team ensuring quality assurance, satisfaction and results. www.sipconline.net | 888.394.5688

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MEMBER

Preferred Medical Claim Solutions

Brian Caliendo, Exec. VP and Chief Operating Officer PHONE (480) 905-8987 9060 East Via Linda, Suite 250 EMAIL bcaliendo@pmcsonline.com Scottsdale, AZ 85258 - United States WEB www.pmcsonline.com Preferred Medical Claim Solutions is a progressive, transaction-based 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-of-network claim settlements.

MEMBER

Premier Healthcare Exchange, Inc. (PHX)

Clara Pachomski, Executive Administrator 2 Crossroads Drive Bedminster, NJ 07921 - United States

PHONE (888) 311-3505 EMAIL cpachomski@phx-online.com WEB 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.

MEMBER

Quest Diagnostics

Beth Kalianof, Director 10101 Renner Boulevard Lenexa, KS 66219 - United States

PHONE (866) 649-5833 EMAIL beth.x.kalianoff@questdiagnostics.com WEB 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.

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Satori World Medical

Steve Illions, Director of Sales 591 Camino de la Reina, Suite 400 San Diego, CA 92108 - United States

PHONE (619) 704-2007 EMAIL info@satoriworldmedical.com WEB www.satoriworldmedical.com

Satori World Medical is a medical travel company with a global network of 28 hospitals in eight countries. Satori’s primary focus is quality medical care with significant savings. With Satori, companies can offer their employees a great benefit while at the same time save 40% to 60% on medical expenses.

MEMBER

Script Care, Ltd.

Tab Bryan, VP of Sales and Marketing 6380 Folsom Drive Beaumont, TX 77706 - United States

PHONE (800) 880-9902 EMAIL tbryan@scriptcare.com www.scriptcare.com

Script Care, Ltd. is a true independent full service pharmacy benefits manager. Additionally, we offer SCL Managed Care, SCL Correctional Services, SCL Outsourced Business Services and 340B Administration through SCL 340B CARE. Our success is traced to superior customer service, expansive scope of services and exceptional level of client retention.

TC³ Health part of EMDEON Timothy Huke, VP, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States

PHONE (949) 943-8707 EMAIL thuke@tc3health.com WEB www.tc3health.com

TC³ Health, an Emdeon company, is a leading provider of cost containment solutions, including payment integrity and out-of-network claims cost management. Self-insured employers benefit from a single integrated source for pre-payment fraud, waste and abuse overpayment identification technology, out-of-network claims management systems and data analytics and reporting tools to prevent claims errors and overpayments while generating significant cost savings.

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MEDICAL PROVIDER NETWORKS/ONSITE CLINICS

MEMBER

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Careington BenefitSolutions

Insurance and Administration Services


MEMBER

The Alliance

Tierney Anderson, Marketing Comm. Coordinator PHONE (608) 210-6642 5510 Nobel Drive, Suite 200 EMAIL tanderson@the-alliance.org Fitchburg, WI 53711 - United States WEB www.the-alliance.org The Alliance moves health care forward by controlling costs, improving quality and engaging individuals in their health. An employer-owned, not-for-profit cooperative, our more than 200 members provides coverage to more than 90,000 individuals in Wisconsin, Illinois and Iowa. We use our purchasing power to negotiate with and provide access to an extensive network of doctors and hospitals that are paid to improve quality by performing better not doing more.

MEMBER

WorkSTEPS, Inc.

Stacy Clark, Promotions and Special Events Dir. 3019 Alvin Devane Boulevard, Suite 150 Austin, TX 78741 - United States

PHONE 512-617-4100 x202 EMAIL stacyc@worksteps.com WEB www.worksteps.com

WorkSTEPS is the largest provider of standardized, pre-offer, post-offer, fit-for-duty and return to work employment tests, FCE and upper quadrant/carpal tunnel tests through their national network. The system was developed to meet a critical need of employers for a medically safe, legally compliant/defensible and scientific means of matching a worker’s functional capabilities with the essential functions of the job. Reducing work injury costs, turnover and increasing profitability and an overall safer workplace.

MEMBER

Wound Care Partners

Joann Schultheiss, VP of Business Development 304 West Sierra Madre Boulevard Sierra Madre, CA 91024 - United States

PHONE (888) 484-3922 EMAIL joann@woundcarepartners.com WEB www.woundcp.com

Wound Care Partners runs cost effective, non hospital-based wound care programs. Our model is designed to help manage population health for chronic wound patients and decrease costs by changing the delivery of wound care.

MEDICAL PROVIDER NETWORKS/ONSITE CLINICS

The

Preferred Medical Claim Solutions

Preferred Medical Claim Solutions (PMCS) is a progressive, transaction-based healthcare network dedicated to serving Payers, Providers and ultimately Patients by providing proven revenue cycle management solutions that reduce healthcare costs.

PMCS PMCSAdvance Advance Advance funding of out-of-network claim

Allows select Payers to remit payment and

settlements to Providers while ensuring

an Explanation of Benefits (EOB) directly to

Payers receive the best possible discounts.

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.

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Out-of-Network Experts

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877.768.1968 | pmcsonline.com

www.sipconline.net | 888.394.5688


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TECHNOLOGY VENDORS MEMBER

A&G Healthcare/Amera-Net

Doug Cohen, Senior Vice President 5048 Tennyson Parkway, Suite 200 Plano, TX 75024 - United States

PHONE (732) 792-2174 EMAIL dougc@aghealth123.com WEB www.aghealth123.com

A&G Healthcare has been an established leader in the medical claims cost containment industry, specializing in out-of network claims, medical bill reviews and fee negotiations since 1995. A&G services TPA’s, health plans, self-insured companies, unions and reinsurers across the country. A&G offers state-of-the-art technology, including Real-Time Claims Editing, Fraud Waste and Abuse as well as XML repricing to their proprietary National Travel Wrap Network, Amera-Net consisting of over 1 MILLION contracted healthcare providers.

ClearHealth Strategies Brian Wroblewski, Exec. VP-Sales and Marketing 1755 Park Road, Suite 200 Naperville, IL 60563 - United States

PHONE (414) 899-4100 EMAIL bwroblewski@clearhealthstrategies.com WEB www.clearhealthstrategies.com

ClearHealth Strategies enables self-insured organizations to capitalize on the current industry shift to Medicarebased pricing through a robust program comprised of risk mitigation and appeal management to maximize savings and minimize member disruption. This approach can be combined with traditional supplemental network and claim negotiation programs resulting in significant savings.

MEMBER

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 WEB www.completehealthsys.com

Since 1990, CHS has been providing Health Claims Administration, Adjudication and Premium Billing systems. Today, our software systems have approx. a million lives under management. Our Windows based system, available in on-site or ASP versions includes a real-time web portal. We make it easier for you to do business! www.completehealthsys.com

Concentrix Insurance Solutions Susan Wagy, Marketing Manager 325 JS McDonnell Boulevard, MC1550 Hazelwood, MO 63042-2513 - United States

PHONE (720) 396-4956 EMAIL swagy@us.concentrix.com WEB www.concentrix.com

Use a hassle-free, open enrollment tool and flexible billing options. Have optimal claim processing efficiency. Add new products, change benefit and coverage options without IT. Handle group, individual and voluntary/worksite programs with a 5010/ICD-10 regulatory compliant software. Drive down costs. Enhance plan member services.

www.sipconline.net | 888.394.5688

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MEMBER

Data Dimensions

Jon Boumstein, Pres., Chief Executive Officer 400 Midland Court Janesville, WI 53546 - United States

PHONE (800) 782-2907 EMAIL info@datadimensions.com WEB www.datadimensions.com

Data Dimensions provides business process automation (BPA) services to the healthcare insurance industry. Our HIPAA 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.

MEMBER

DAVID Corporation

Ronald Peterson, Marketing Director 200 Pine Street, 2nd Floor San Francisco, CA 94104 - United States

PHONE (415) 743-3825 EMAIL rpeterson@davidcorp.com WEB www.davidcorp.com

DAVID Corporation is a Risk, Claims and Insurance software provider. We offer solutions for the alternative risk market as well as self-insured organizations, insured’s, public entity risk pools, third party administrators (TPAs) and related insurance users. We help our clients run their businesses more efficiently, focusing on risk reduction and client retention, leveraging data to improve their bottom line.

MEMBER

ECHO Health, Inc.

Tom Penko, Brand Manager 868 Corporate Way Westlake, OH 44145 - United States

PHONE (440) 835-3511 EMAIL info@echoHealthinc.com WEB www.echoHealthinc.com

ECHO® offers efficient, cost-effective healthcare payment solutions for healthcare plan payers. With over seventeen years of related experience, ECHO Health, Inc.’s one-of-a-kind ERISA, HIPPA and CORE compliant payment solution CONSOLIDATES multiple financial obligations into single provider payments, DELIVERS payments and EOBs electronically and REWARDS your bottom line from day one.

FormFire Colin Ingram, Co-founder 1360 East 9th Street, Suite 850 Cleveland, OH 44114 - United States

PHONE (216) 502-2321 EMAIL colin@formfire.com WEB www.formfire.com

FormFire’s Quote, Sell, Enroll™ platform is carrier’s preferred choice for selling self-funded products. The platform enables brokers to gather the data needed for underwriting a self-funded group, sell in their own private marketplace and enroll group business. Talk to us about our carrier-sponsored programs that make FormFire a cost-effective solution.

Carolyn Willbanks, Director of Marketing 3525 Piedmont Road, Building 5, Suite 400 Atlanta, GA 30305 - United States

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PHONE (888) 949-0541 EMAIL cwillbanks@gbehavior.com WEB www.gbehavior.com

gBehavior offers comprehensive wellness and safety engagement solutions that empower program participants to change behavior by rewarding them for achieving program goals. gBehavior handles all phases of implementation, program engagement, rewards management and in-depth tracking and reporting. gBehavior offers a unique value proposition – no monthly fees. We get paid only on results.

MEMBER

Health Portal Solutions

James Burkholder, President 11550 West IH-10, Suite 220 San Antonio, TX 78230 - United States

PHONE (210) 641-7715 EMAIL sales@hpsglobal.net WEB www.hpsglobal.net

Health Portal Solutions provides integrated web portals that enable healthcare entities to manage multiple aspects of employee benefits and patient care. By consolidating insurance, clinical and wellness information into a privately-branded portal, your company can streamline operations, enhance communication and effectively grow your business.

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TECHNOLOGY VENDORS

gBehavior

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A Trusted Partner with A Trusted Solution ECHO® is the leading provider of electronic healthcare payment solutions, serving over 50,000 ERISA health plans and fully insured groups through a single secure ERISA, HIPAA and CORE compliant system.

What’s Our Secret? We:

ECHO Health, Inc. | 868 Corporate Way Westlake, Ohio 44145 | 888.834.3511 Info@echoHealthinc.com | www.echoHealthinc.com


MEMBER

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 WEB 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.

MEMBER

HealthCare Strategies, Inc.

Tom Dolsak, President 9841 Broken Land Parkway Columbia, MD 21076 - United States

PHONE (410) 423-9400 EMAIL tom.dolsak@hcare.net WEB www.hcare.net

HCS is a single source for clinical and healthcare technology services. Having over 30 years experience as a medical management provider has enabled HCS to deploy next generation, informatics driven technology services. Please visit our website or contact sales@hcare.net for more information about our comprehensive suite of services.

MEMBER

Healthx, Inc.

Marty Samples, Sr. VP, Marketing and Product 9339 Priority Way West Drive, Suite 150 Indianapolis, IN 46240 - United States

PHONE (317) 218-0548 EMAIL msamples@healthx.com WEB www.healthx.com

Healthx provides cloud-based solutions for health plans and TPAs to drive member engagement and provider collaboration. The Healthx solutions reside on a highly evolved healthcare payer platform that has unparalleled integration, configuration and scalability competencies. Healthx is powered by healthcare and technology experts that are passionate about improving population health.

Softheon MC2

TECHNOLOGY VENDORS

Are Your Prepared for the World of Private Exchanges?

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Exchanges are essential to Health Plans’ growth strategy. According to Accenture, Private Exchanges for both individuals and employees are projected to reach 40 million members by 2018. With Softheon Marketplace Connector Cloud (MC2) Private Exchange, we set out to enhance your exchange-based business model.

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·

sales@softheon.com

www.sipconline.net | 888.394.5688

·

www.softheon.com


MEMBER

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Innovative Healthware Services

PHONE (410) 349-3222 EMAIL rschmidt@claimsbridge.com WEB 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.

MEMBER

JMS and Associates, Inc.

Frank Gigliotti, Chief Executive Officer 37735 Enterprise Court, Suite 600 Farmington Hills, MI 48331 - United States

PHONE (248) 489-8888 EMAIL frankg@jmsassoc.com WEB www.jmsassoc.com

JMS and Associates is a global information management company focused on providing Business Process Outsourcing (BPO) services to the health care industry, specializing in the frontend paper claim conversion to electronic format and online data entry services directly into the clients adjudication systems. Other health care solutions include manual and automated repricing of claims, mail room and scanning services. We also provide Claims Adjudication, Audit Services, Plan Building and testing, Dependent Audits and Call Center capabilities.

MEMBER

LifeTrac, Inc.

Barry Thompson, Vice President Sales 11100 Wayzata Boulevard, Suite 350 Minneapolis, MN 55305 - United States

06 TECHNOLOGY VENDORS

Robert Schmidt, President 1511 Ritchie Highway, Suite 205 Arnold, MD 21012 - United States

PHONE (800) 968-8722 EMAIL bthompson@lifetracnetwork.com WEB www.lifetracnetwork.com

LifeTrac provides transplant network and cost containment ser vices 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 ser vice teams to secure impressive discounts for clients.

NexPay Inc. Greg McReynolds, Director of Marketing 15455 North Dallas Parkway, Suite 525 Addison, TX 75001 - United States

PHONE (270) 293-6436 EMAIL gmcreynolds@nexpayinc.com WEB www.nexpayinc.com

NexPay offers TPA’s a ONE VENDOR SOLUTION for provider payment delivery using EFT, Virtual Payment and check. NexPay COMPLETELY ELIMINATES ALL cost including customer service, positive pay, stop pay, voids and reissues, disputes, print, postage, FAX and EFT cost. We share MORE REVENUE and deliver more value than any of our competitors. NexPay is compliant with ERISA, HIPPA and PPACA. Our services are completely FREE of charge. No startup, setup, or PEPM fees. If you are looking for the most experienced team with proven technology and the most reliable company to handle all your printing and payment delivery needs NexPay is the clear choice.

MEMBER

® Pay-Plus Solutions, Inc. (PPS)

Valerie Woods, Executive Assistant 18167 US Highway 19 North, Suite 300 Clearwater, FL 33764 - United States

PHONE (877) 828-8913 EMAIL vwoods@ppsonline.com WEB www.ppsonline.com

Pay-Plus ® Solutions, Inc. is a leading healthcare ePayment company which delivers turnkey, CAQH CORE® certified, claims payment and 835 solutions for Healthcare Payers and Providers. Through the systems’ designs and integrations built with adjudication partners, Pay-Plus has established a streamlined process which improves operational efficiencies. In addition, Pay-Plus offers a unique, high touch, Customer Support Team ensuring quality assurance, satisfaction and results.

www.sipconline.net | 888.394.5688

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Softheon Inc. Brendan Miller, Mng. Dir. of Healthcare Reform, Bus. Dev. and Sales PHONE (800) 236-7941 1500 Stony Brook Road EMAIL info@softheon.com Stony Brook, NY 11794 - United States WEB www.softheon.com Softheon’s Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state and private exchange integration platform. Softheon MC2 is a SaaS solution where insurers pay a one-time activation & ongoing PMPM fees for exchange members only, while eliminating most risks associated with ACA compliance of 2014 enrollment & other mandates.

TC³ Health Timothy Huke, VP, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States

PHONE (949) 943-8707 EMAIL thuke@tc3health.com WEB www.tc3health.com

TC³ Health, an Emdeon company, is a leading provider of cost containment solutions, including payment integrity and out-of-network claims cost management. Self-insured employers benefit from a single integrated source for pre-payment fraud, waste and abuse overpayment identification technology, out-of-network claims management systems and data analytics and reporting tools to prevent claims errors and overpayments while generating significant cost savings.

MEMBER

The Assist Group

Barry Schapiro, Marketing and Comm. Specialist 300 Union Boulevard, Suite 200 Lakewood, CO 80228 - United States

PHONE (720) 213-2283 EMAIL bschapiro@assistgroup.com WEB www.assistgroup.com

Founded in 1999, 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. The Assist Group’s suite of resolution and negotiation services combines hands-on clinical and financial expertise with advanced technology and data management, to ensure the highest-dollar savings are realized. Claim review services include ClinAssist, Workers’ Compensation and DRG Validation.

MEMBER

TriZetto Corporation

Bruce Dorr, Sr. Manager, Solution Marketing 9655 Maroon Circle Englewood, CO 80112 - United States

PHONE (800) 569-1222 EMAIL bruce.dorr@trizetto.com WEB www.trizetto.com

TECHNOLOGY VENDORS

TriZetto innovates to deliver world-class information solutions that improve the efficiency and effectiveness of the business of healthcare. Benefits Administration solutions include enterprise and component software and application hosting, BPO 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 Dev. and Vendor Relations PHONE (877) 807-4730 26133 US 19 North, 4th Floor EMAIL mtuomey@wltsoftware.com Clearwater, FL 33763 - United States WEB www.WLTSoftware.com

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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.

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MEMBER

Young Consulting, Inc.

PHONE (770) 321-9818 EMAIL dyoung@youngconsulting.com WEB www.youngconsulting.com

Young Consulting is the leading provider of software solutions to the employer stop loss marketplace. We develop integrated software solutions to assist in the marketing, underwriting and administration of medical stop-loss insurance for both carriers and third party administrators. With our ESLOffice solution, carriers effectively manage underwriting, policy administration, premium accounting, claims adjudication, reinsurance and block reporting. Third party administrators can manage the marketing and solicitation of stop loss quotes, client services, funding, claim recovery and reporting, benefit plan schedules and client implementation with our tpaAdvantage solution.

www.sipconline.net | 888.394.5688

06 TECHNOLOGY VENDORS

David Young, President 1945 The Exchange, Suite 100 Atlanta, GA 30339 - United States

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SOLUTIONS. SERVICE. INSIGHTS. PHONE

WITH AmWINS GROUP BENEFITS, YOUR CLIENTS GET THE TOTAL PACKAGE. When you partner with AmWINS, you can help your clients select from an extensive range of products and administrative solutions, including medical stop loss, small group self-funding, audit services, care management, dialysis management solutions and healthcare benefits administration. We provide them with seamless customer service through our proprietary administrative systems, and you keep them in the know with timely insights from our practice experts — ensuring you’re the first place they turn for new program information. To learn more about offering your clients the most comprehensive self-funded healthcare solutions, visit amwins.com.


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BROKERS/CONSULTANTS MEMBER

Advanced Medical Strategies

Danae Lambeth, National Sales Director 7 Kimball Lane, Building A Lynnfield, MA 01940 - United States

PHONE (781) 224-9711 x107 EMAIL danae@mdstrat.com WEB www.mdstrat.com

AMS is a leading provider of physician-driven medical reviews with a unique focus on hard-to-see problems in healthcare claims. As a full service provider of negotiations, claim auditing services, aggregate audits and MGA reviews, AMS saves clients millions of dollar annually. Most recently, AMS has streamlined the way Carriers, Reinsurers, MGUs, TPAs and Brokers predict and manage costs associated with trigger diagnoses with PredictDx, the online database.

MEMBER

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 WEB 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.

MEMBER

AmWINS Group Benefits

Lisa Kuszmar, Vice President of Marketing 50 Whitecap Drive North Kingstown, RI 02852 - United States

PHONE (704) 749-2780 EMAIL lisa.kuszmar@amwins.com WEB www.amwins.com

AmWINS Group Benefits offers the industry’s most compelling solutions for self funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding. Through individual attention and responsiveness, we become an invaluable partner to those we serve.

MEMBER

Benefit Dynamics Company

Allison R. Johnson, Partner 618 North Tejon Street Colorado Springs, CO 80903 - United States

PHONE (719) 575-0411 EMAIL ajohnson@benedyn.com WEB www.benedyn.com

Benefit Dynamics Company is your single source for exclusive stop loss quotes. We offer competitive pricing and excellent back office services with our focus being your client.

MEMBER

Canyon RE, LLC

Michael Melnik, Managing Director 1400 Buford Highway, Suite A-3 Buford, GA 30518 - United States

PHONE (770) 614-1636 EMAIL mmelnik@canyonre.com

Canyon RE, LLC is a brokerage/consulting entity focusing on group medical excess-loss and special risks within partially self-funded group benefits arena.

www.sipconline.net | 888.394.5688

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MEMBER

Croft Law, LLC/StopLossLaw.com

Thomas A. Croft, Owner 823 Barrington Oaks Ridge Roswell, GA 30075 - United States

PHONE (770) 674-4292 EMAIL tac@xsloss.com WEB www.stoplosslaw.com

Provide consulting and legal services relating to stop loss and reinsurance issues for Carriers, MGUs, Reinsurers, TPAs, Brokers and Employer Groups.

Crystal Clear Rx Tim Thomas, President 19753 East Pikes Peak Court #G103 Parker, CO 80138 - United States

PHONE (720) 414-2749 EMAIL tim.thomas@crystalclearrx.com WEB www.crystalclearrx.com

Crystal Clear Rx is a PBM consulting company specializing in saving clients up to 20% on Rx benefit costs. We combine years of industry expertise with unique and proprietary software to help create a level playing field and allowing payors to understand and regain control of their Rx costs.

MEMBER

D.W. Van Dyke & Company, Inc. Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States

PHONE (203) 761-9300 EMAIL ckoehler@dwvd.com WEB www.dwvd.com

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

MEMBER

DAVID Corporation

Ronald Peterson, Marketing Director 200 Pine Street, 2nd Floor San Francisco, CA 94104 - United States

PHONE (415) 743-3825 EMAIL rpeterson@davidcorp.com WEB www.davidcorp.com

DAVID Corporation is a Risk, Claims, & Insurance software provider. We offer solutions for the alternative risk market as well as self-insured organizations, insured’s, public entity risk pools, third party administrators (TPAs) and related insurance users. We help our clients run their businesses more efficiently, focusing on risk reduction and client retention, leveraging data to improve their bottom line.

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DCC, Inc.

Lisa Greenblott, Chief Exec. Officer and President PHONE (866) 265-1719 P.O. Box 718 EMAIL lgreenblott@dccinc-us.com Sandpoint, ID 83864 - United States WEB www.dccinc-us.com DCC, Inc. is a premier renal disease consulting firm has serviced the self-funded industry for over a decade. In addition to its proven cost containment services, DCC is now offering specialized Chronic Kidney Disease Management programs tailored to meet the specific and ever-changing needs of the marketplace. They provide solutions that improve patient outcomes while delivering maximum savings.

MEMBER

ELAP Services, LLC

Stephen Kelly, Chief Exec. Officer/President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care.

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Global Excel Management, Inc.

PHONE (819) 437-2277 EMAIL benjamin.tabah@globalexcel.com WEB www.globalexcel.com

Global Excel Management (GEM) has been leading the market in cost containment strategies since 1996. GEM reviews and negotiates the majority of claims received as opposed to relying on PPOs for discounts. For a fresh approach on high-dollar claims including live case negotiations, seamless clinical audits, detailed bill review reports and secure, market-leading savings, consider Global Excel. Contact us today for a free claims analysis.

MEMBER

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 WEB 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.

MEMBER

07 BROKERS/CONSULTANTS

Benjamin Tabah, Product Dev. and Marketing 73 Queen Street Sherbrooke, Quebec, J1M 1N7 - Canada

Guy Carpenter & Company, LLC

David Rains, Healthcare & Life Specialty Practice Co-Leader - Managing Director Three Logan Square PHONE (215) 864-3600 1717 Arch Street, Suite 800 EMAIL david.a.rains@guycarp.com Philadelphia, PA 19103 - United States WEB www.guycarp.com Guy Carpenter, a leading integrated solutions provider to the (re)insurance industry, has approximately a 90-year history of helping clients optimize the use of their capital and achieve profitable growth. Guy Carpenter’s Healthcare & Life Specialty is focused on this evolving market and is committed to offering clients seamless, innovative coverage solutions to meet their specialized needs.

MEMBER

H.H.C. Group

Bruce D. Roffe, Pres. and Chief Executive Officer 438 North Frederick Avenue, Suite #200A Gaithersburg, MD 20877 - United States

PHONE (301) 963-0762 EMAIL broffe@hhcgroup.com WEB www.hhcgroup.com

H.H.C. Group, a leading national healthcare consulting company, provides cost containment solutions to self-insured companies, TPAs, ERISA plans and government entities. Services include Claims Negotiation and Repricing, Reference Based Repricing, Medical Bill Review, DRG Validation, Peer Reviews, Case Management/Utilization Review and Disease Management. H.H.C. Group is a URAC Accredited IRO.

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 WEB www.HanoverStonePartners.com

Hanover Stone Partners provides risk consulting, risk management services and human capital consulting on a global scale through a network of professional, independent senior advisors and partner firms. HSP offers a wide array of specialized services to organizations of all sizes in the public, private, government and non-profit sectors.

www.sipconline.net | 888.394.5688

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MEMBER

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 WEB 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. MEMBER

Kinder & Associates, Inc.

James A. Kinder, Chairman/Chief Exec. 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/self-insurance/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. MEMBER

Lawley Benefits Group

Thomas J. Revelas, Managing Partner 361 Delaware Avenue Buffalo, NY 14202 - United States

PHONE (716) 849-8252 EMAIL bwhite@lawleyinsurance.com WEB www.lawleyinsurance.com

Lawley Benefits Group is a large, privately-held firm, providing employee benefits brokerage and consulting services to employers. The firm provides clients an entire team of specialists within one organization. As a division of Lawley Insurance, the firm has been recognized as one of the top 100 brokers in the U.S. MEMBER

New Horizon Insurance Solutions Nigel Wallbank, President 2601 Sheltingham Drive Wellington, FL 33414 - United States

PHONE (305) 632-3334 EMAIL nigelwallbank@msn.com

New Horizon Insurance Solutions (NHIS) offers risk management, value-added health care insurance products and solutions to the individual and Association markets. NHIS provides first class customer service and ethical solutions based on over 30 years of knowledge and experience in the risk management and self-funded community.

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Northshore International Insurance Services, Inc. David W. Ives, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States

PHONE (978) 745-6655 EMAIL dives@niis.com WEB www.niis.com

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. MEMBER

Pancoast Benefits Inc.

Pat Lund, Vice President Group Benefits 4250 Hillsboro Road Nashville, TN 37215 - United States

PHONE (615) 292-3400 EMAIL patl@pancoastbenefits.com WEB www.pancoastbenefits.com

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

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Pay Yourself First

PHONE (855) 793-2582 EMAIL acowan@payyourselffirst.com WEB www.payyourselffirst.com

Our custom designed telehealth solutions will save your clients money. We offer the only no upfront capital expenditure model in the telehealth industry. Whether your client is fully insured or self insured, our unique solutions provide an essential component that all modern quality healthcare programs must include – cost effective telemedicine.

MEMBER

Premier Healthcare Exchange, Inc. (PHX)

Clara Pachomski, Executive Administrator 2 Crossroads Drive Bedminster, NJ 07921 - United States

PHONE (888) 311-3505 EMAIL cpachomski@phx-online.com WEB 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.

MEMBER

Prodigy Health Insurance

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States

07 BROKERS/CONSULTANTS

Augusteen Cowan, Account Executive 206 North Washington Street, #B11 Alexandria, VA 22314 - United States

PHONE (949) 478-0119 EMAIL Jyoungs@prodigystoploss.com WEB www.prodigystoploss.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.

$77(17,216(/),1685(',1'8675< ,W'V safe  WRVWHSRXt RIWKHER[ /HDUQPRUHDERXWRXUUHYROXWLRQDU\VROXWLRQV IRU&KURQLF.LGQH\'LVHDVH Call Us Today 1-866-265-1719 or Visit www.dccinc-us.com www.sipconline.net | 888.394.5688

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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 WEB 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.

MEMBER

Intermediaries, LLC Re-Solutions Alison Salo, Executive Assistant 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States

PHONE (612) 766-9781 EMAIL asalo@re-solutions.net WEB 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.

MEMBER

& Insurance Consulting Services Risk Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States

PHONE (770) 923-3133 EMAIL jamie.brown@rics-reinsurance.com WEB www.rics-reinsurance.com

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

MEMBER

Loss Insurance Brokers, Inc. Stop Denise Doyle, President 20 Park Plaza, Suite 912 Boston, MA 02116 - United States

PHONE (617) 542-1600 EMAIL ddoyle@stoplossins.com WEB www.stoplossins.com

Insurance Brokers specializing in the placement of Stop Loss Insurance for Self-Funded employers. Full services include tracking, reporting and filing of all stop loss claims.

MEMBER

Loss Insurance Services, an AmWINS Group Company Stop Gerald M. Gates, President

Stop Loss Insurance Services, leverages more than 25 years of stop loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop Loss to SLIS.

MEMBER

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Strategic Underwriting Solutions, LLC

Joe Toohill, TPA Management and Compliance 2593 Development Drive, Suite 200 Green Bay, WI 54311 - United States

PHONE (920) 338-1970 EMAIL jtoohill@stratuw.com WEB 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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BROKERS/CONSULTANTS

100 Front Street, Suite 610 Worcester, MA 01608 - United States

PHONE (800) 944-7659 x3073 EMAIL gerald.gates@amwins.com WEB www. stoploss.amwins.com

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The Crowne Group

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.

MEMBER

Phia Group, LLC The Adam Russo, Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States

PHONE (781) 535-5622 EMAIL arusso@phiagroup.com WEB www.phiagroup.com

The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive recovery, documentation and consulting services designed to control health care costs and protect plan assets. The Phia Groupâ&#x20AC;&#x2122;s overall mission is to reduce the cost of health care through innovative technologies, legal expertise and focused, flexible customer service.

07 BROKERS/CONSULTANTS

Roxane Herbstsommer, Dir. of Acct. Management PHONE (407) 654-5414 2710 Rew Circle EMAIL rherbstsommer@crowneinc.com Ocoee, FL 34761 - United States

Total Claims Management, LLC Randy Scott, President 55 Monument Circle, Suite 1122 Indianapolis, IN 46204 - United States

PHONE (317) 423-2334 EMAIL rscott@tcm4u.com

TCM specializes in audit, claim review and consulting services for the self-insurance industry. Our clients are Brokers, Carriers, Consultants, MGUs, Reinsurers and Self-funded employers We offer our Specific claim review services on a temporary or permanent basis. Our staffâ&#x20AC;&#x2122;s experience allows us to provide the highest quality of expertise.

MEMBER

Reinsurance Services, LLC Trean Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States

PHONE (952) 974-2221 EMAIL kplath@treancorp.com WEB www.treanre.com

Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation and servicing; consultation to HMOs, MGUs, TPAs and insurers on small group stop-loss development; and captive stop-loss development and implementation.

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UTILIZATION REVIEW/CASE MANAGEMENT MEMBER

Advanced Medical Pricing Solutions (AMPS)

Mike Dendy, Pres. and Chief Executive Officer 5100 Peachtree Parkway, Suite 200 Norcross, GA 30092 - United States

08

PHONE (800) 809-0513 EMAIL info@advancedpricing.com WEB www.advancedpricing.com

Advanced Medical Pricing Solutions (AMPS), Reference Based Reimbursement (RBR) and Medical Bill Review (MBR) help employer groups and TPAs put an end to illusionary PPO discounts. AMPS physician led, technology driven solution ensures accurate and reasonable reimbursement levels while protecting the member, plan and all stakeholders from balance billing and adverse outcomes.

American Health Holding, Inc. Paul Lavin, Pres. and Chief Executive Officer 7400 West Campus Road, F-510 New Albany, OH 43054 - United States

PHONE (866) 614-4244 EMAIL khollingshead@ahhinc.com WEB www.americanhealthholding.com

American Health Holding is a multi-URAC accredited medical management company that provides services spanning the health care 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.

MEMBER

Conifer Health Solutions

Priscilla Sanchez, Content Marketing Manager 3560 Dallas Parkway Frisco, TX 75034 - United States

PHONE (469) 803-3649 EMAIL priscilla.sanchez@coniferhealth.com WEB www.coniferhealth.com

Conifer Health Solutions is a healthcare services company helping more than 700 clients strengthen their financial performance, transition from volume to value-based care and enhance the consumer and patient healthcare experience, with the goal of improving quality and access to healthcare, while controlling costs. Conifer Health has more than 19 million patient interactions across all service lines, manages more than $25 billion in patient revenue and $17 billion in medically managed spend; and provides technology and health management services to support care management for more than 4 million lives, annually. For more information, visit coniferhealth.com or follow @coniferhealth on Twitter.

MEMBER

速 Considine & Associates (HealthClaim Review )

Jim Considine, MD, MBA, President and CEO 25401 Cabot Road, Suite 200 Laguna Hills, CA 92653 - United States

PHONE (949) 470-1800 EMAIL jimconsidine@healthclaim.net WEB www.healthclaim.net

Considine & Associates (HealthClaim Review速) 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.

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DCC, Inc.

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

MEMBER

ELAP Services, LLC

Stephen Kelly, Chief Exec. Officer and President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care.

MEMBER

H.H.C. Group

Bruce D. Roffe, Pres. and Chief Executive Officer 438 North Frederick Avenue, Suite #200A Gaithersburg, MD 20877 - United States

PHONE (301) 963-0762 EMAIL broffe@hhcgroup.com WEB www.hhcgroup.com

H.H.C. Group, a leading national healthcare consulting company, provides cost containment solutions to self-insured companies, TPAs, ERISA plans and government entities. Services include Claims Negotiation and Repricing, Reference Based Repricing, Medical Bill Review, DRG Validation, Peer Reviews, Case Management/Utilization Review and Disease Management. H.H.C. Group is a URAC Accredited IRO.

www.sipconline.net | 888.394.5688

08 UTILIZATION REVIEW/CASE MANAGEMENT

Lisa Greenblott, Chief Exec. Officer and President PHONE (866) 265-1719 P.O. Box 718 EMAIL lgreenblott@dccinc-us.com Sandpoint, ID 83864 - United States WEB www.dccinc-us.com

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MEMBER

HealthCare Strategies, Inc.

Tom Dolsak, President 9841 Broken Land Parkway Columbia, MD 21076 - United States

PHONE (410) 423-9400 EMAIL tom.dolsak@hcare.net WEB www.hcare.net

HCS is a single source for clinical and healthcare technology services. Having over 30 years experience as a medical management provider has enabled HCS to deploy next generation, informatics driven technology services. Please visit our website or contact sales@hcare.net for more information about our comprehensive suite of services. MEMBER

Hines & Associates, Inc. Judy Hines, President 115 East Highland Avenue Elgin, IL 60120 - United States

PHONE (800) 735-1200 EMAIL jhines@hinesassoc.com WEB www.hinesassoc.com

Hines, since 1987, a leader in medical management. From Excellence in Specialty Precertification and Case Management Programs (oncology, dialysis, transplant, behavioral, neonatal) through Healthy Tomorrows wellness and disease management program, Hines promotes health for all members, reducing current and future costs. Independent. URAC accredited. MEMBER

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 WEB 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.

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INETICO, Inc.

Nancy Young, CSFS, RHU, VP of Sales & Acct. Mgmt. PHONE (877) 601-2200 400 North Ashley Drive, Suite 1550 EMAIL NancyYoung@inetico.com Tampa, FL 33602 - United States WEB www.inetico.com INETICO provides comprehensive Claims and Care Management cost containment. Claims Management - PPO Network Optimization, Claims Repricing, Medicare Cost Plus Repricing, Negotiations and Subrogation providing maximum savings to the plan and members. Care Management (Utilization, Case, Disease, Oncology, Maternity, Wellness) - focuses on early identification of risk, member outreach, engagement, compliance/incentive based programs, wellness initiatives and measurable outcomes.

MEMBER

Med-Cert, Inc.

Sharon R. Reynolds, Dir. of Business Development 13902 North Dale Mabry Highway, Suite 121 Tampa, FL 33618 - United States

PHONE (866) 633-2378 EMAIL sreynolds@medcertinc.com WEB www.medcertinc.com

Med-Cert services include utilization review, case management, research reviews and assistance with stop loss underwriting. Our goal to provide quality work and excellent customer service is driven by a teamwork attitude, being patient advocates and a belief in “empowerment by education”. Our partnership with the TPA and MGU creates a positive outcome for everyone. MEMBER

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UTILIZATION REVIEW/CASE MANAGEMENT

MEMBER

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 WEB 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.

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MINES & Associates

PHONE (800) 873-7138 EMAIL info@minesandassociates.com WEB www.minesandassociates.com

MINES & Associates is a national behavioral healthcare firm with over 30 years experience providing cost-saving managed care and risk management strategies. Our Specialty Network of Behavioral Health providers reduces healthcare costs for organizations of any size or industry.

MEMBER

Olympus Managed Health Care

Paula Gamboa, Business Development 777 Brickell Avenue, Suite 410 Miami, FL 33131 - United States

PHONE (800) 250-3271 EMAIL pgamboa@omhc.com WEB www.omhc.com

Olympusâ&#x20AC;&#x2122; dedicated medical team and nurse case managers provide telephonic and on-site case management, coordination of benefits, utilization management, discharge planning, repatriation arrangements and specialist second opinions. We work concurrently with clients to estimate costs for reserves and enable informed decisions based on accurate medical and financial information, allowing for optimal management of healthcare expenses. MEMBER

Partner Administrators

Windy Culver-Molezzo, Sr. Account Executive 830 Harvard Way Reno, NV 89502 - United States

PHONE (800) 982-3128 EMAIL wculver-molezzo@partneradministrators.com WEB www.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.

www.sipconline.net | 888.394.5688

08 UTILIZATION REVIEW/CASE MANAGEMENT

Robert A. Mines, Chief Executive Officer 10367 West Centennial Road Littleton, CO 80127 - United States

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ATTORNEYS MEMBER

Aronberg Goldgehn

Mitchell Melamed, Partner 330 North Wabash, Suite 1700 Chicago, IL 60611 - United States

PHONE (312) 755-3162 EMAIL mmelamed@agdglaw.com WEB www.agdglaw.com

Attorneys specializing in representation of TPAs, Stop Loss Carriers and Health Plans.

MEMBER

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb, P.A. Richard J. Fidei, Shareholder 100 South East Third Avenue, 23 Floor Fort Lauderdale, FL 33394 - United States

PHONE (954) 492-4010 EMAIL rfidei@cftlaw.com WEB www.cftlaw.com

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb represents insurance companies, reinsurers, producers, reinsurance intermediaries and other insurance entities. The Firm assists clients with formation projects, capitalization and debt structuring; mergers and acquisitions; expansion activities; market conduct and financial examinations; agent matters and other regulatory, compliance, corporate and transactional matters.

MEMBER

CROFT LAW, LLC/StopLossLaw.com Thomas A. Croft, Owner 823 Barrington Oaks Ridge Roswell, GA 30075 - United States

â&#x201E;˘

PHONE (770) 674-4292 EMAIL tac@xsloss.com WEB www.stoplosslaw.com

Provide consulting and legal services relating to stop loss and reinsurance issues for Carriers, MGUs, Reinsurers, TPAs, Brokers and Employer Groups.

MEMBER

Smith Moore Leatherwood, LLP

Aaron E. Pohlmann, Partner 1180 West Peachtree Street, Suite 2300 Atlanta, GA 30309 - United States

PHONE (404) 962-1076 EMAIL aaron.pohlmann@smithmoorelaw.com WEB www.smithmoorelaw.com

Smith Moore Leatherwoodâ&#x20AC;&#x2122;s ERISA team enjoys a national reputation for excellence. Its attorneys represent TPAs, selfinsured plan administrators and life, health and disability insurance companies in cases throughout the Southeast. They routinely handle a broad variety of matters involving ERISA, the ADA, discrimination claims, agent misconduct, breach of contract, breach of fiduciary duty and bad faith.

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10

FINANCIAL SERVICES MEMBER

Ansley Capital Group

Russell Burks, Managing Director 25 West Jefferson Avenue, Suite 200 Naperville, IL 60540 - United States

PHONE (630) 579-1683 EMAIL russburks@ansleycapital.com WEB www.ansleycapital.com

Ansley Capital Group provides strategic consulting, financial advisory and investment banking services exclusively to companies in the healthcare market, including technology-enabled healthcare services and health information technology companies providing care management, clinical decision support, medical informatics, revenue cycle management and online health content and services.

MEMBER

CapVisor Associates, LLC

Carl Terzer, Principal 219 Main Street #693 Chatham, NJ 07928 - United States

PHONE (973) 665-6370 EMAIL carl.terzer@capvisorassociates.com WEB www.capvisorassociates.com

CapVisor, an SEC-RIA, collectively has more than 100 years of experience working exclusively with insurers, over 35 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.

MEMBER

ECHO Health, Inc.

Tom Penko, Brand Manager 868 Corporate Way Westlake, OH 44145 - United States

PHONE (440) 835-3511 EMAIL info@echoHealthinc.com WEB www.echoHealthinc.com

ECHOÂŽ offers efficient, cost-effective healthcare payment solutions for healthcare plan payers. With over seventeen years of related experience, ECHO Health, Inc.â&#x20AC;&#x2122;s one-of-a-kind ERISA, HIPPA and CORE compliant payment solution CONSOLIDATES multiple financial obligations into single provider payments, DELIVERS payments and EOBs electronically and REWARDS your bottom line from day one.

MEMBER

GPW

Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States

PHONE (602) 200-6900 EMAIL lprudhomme@gpwa.com WEB www.gpwa.com

GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and self-insureds. GPW provides financial, actuarial, tax and regulatory compliance services to assist clients in the efficient and cost effective management of their risk and insurance issues.

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MEMBER

Nationwide Specialty Insurance

Tom DeNoma, Head of Program Business Dev. U.S. PHONE (614) 677-3843 One Nationwide Plaza, MC 4-06-101 EMAIL denomat@nationwide.com Columbus, OH 43215 - United States WEB www.nationwide.com 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, Travel and Employers.

NexPay Inc. Greg McReynolds, Director of Marketing 15455 North Dallas Parkway, Suite 525 Addison, TX 75001 - United States

PHONE (270) 293-6436 EMAIL gmcreynolds@nexpayinc.com WEB www.nexpayinc.com

NexPay offers TPA’s a ONE VENDOR SOLUTION for provider payment delivery using EFT, Virtual Payment and check. NexPay COMPLETELY ELIMINATES ALL cost including customer service, positive pay, stop pay, voids and reissues, disputes, print, postage, FAX and EFT cost. We share MORE REVENUE and deliver more value than any of our competitors. NexPay is compliant with ERISA, HIPPA and PPACA. Our services are completely FREE of charge. No startup, setup, or PEPM fees. If you are looking for the most experienced team with proven technology and the most reliable company to handle all your printing and payment delivery needs NexPay is the clear choice.

MEMBER

Optum

Kurt Haag, National VP of Sales and Account Mgmt. PHONE (704) 442-4102 6101 Carnegie Boulevard, Suite 500 EMAIL engage@optum.com Charlotte, NC 28209 - United States WEB 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.

MEMBER

Sage Advisory Services, LLC

Jeffrey L. Sims, Dir. of Insurance Investment Mgmt. PHONE (512) 327-5530 5900 Southwest Parkway, Building 1 EMAIL jsims@sageadvisory.com Austin, TX 78735 - United States WEB www.sageadvisory.com Sage provides comprehensive portfolio management and services that integrate the operational aspects of the insurer with the appropriate investment solutions, including Schedule D preparation. Our customized strategies address the client’s business environment, enterprise risk, liability characteristics, cash flow requirements, as well as administrative, tax, regulatory and risk-based capital constraints.

FINANCIAL SERVICES

MEMBER

Barry Schapiro, Marketing and Comm. Specialist 300 Union Boulevard, Suite 200 Lakewood, CO 80228 - United States

PHONE (720) 213-2283 EMAIL bschapiro@assistgroup.com WEB www.assistgroup.com

Founded in 1999, 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. The Assist Group’s suite of resolution and negotiation services combines hands-on clinical and financial expertise with advanced technology and data management, to ensure the highest-dollar savings are realized. Claim review services include ClinAssist, Workers’ Compensation and DRG Validation.

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The Assist Group

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ACTUARIES/ACCOUNTANTS/AUDITORS MEMBER

AmeRisk Consulting, LLC

James E. Rech, Consultant 9002 North Cobre Drive Phoenix, AZ 85028 - United States

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PHONE (480) 719-5661 EMAIL jrech@ameriskconsulting.com WEB www.ameriskconsulting.com

AmeRisk Consulting LLC provides actuarial, capital management and enterprise risk management and investment management consulting services to insurance companies, risk retention groups, captives and self-insurance programs. AmeRiskâ&#x20AC;&#x2122;s professionals have significant experience in preparing actuarial studies, performing risk analysis and making recommendations to senior management.

Bauknight Pietras & Stormer, P.A. Bryan Hudson, Audit Partner 1517 Gervais Street Columbia, SC 29202 - United States

PHONE (803) 771-8943 EMAIL bhudson@bpscpas.com WEB 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.

MEMBER

Casualty Actuarial Consultants, Inc. Ed Costner, President 7000 Executive Center Drive, Suite 312 Brentwood, TN 37027 - United States

PHONE (615) 371-5339 x3100 EMAIL ecostner@caci1.com WEB www.caci1.com

CACI is a full-service actuarial consulting firm which specializes in working with group and individual self-insureds. Clients include self-insured groups, corporations, governmental entities, captive insurance companies, risk retention groups and insurance companies. Services include reserving, rate making and general consulting.

MEMBER

Conner Ash P.C.

Alicia Brockland, Principal 12101 Woodcrest Executive Drive, Suite 300 Saint Louis, MO 63141 - United States

PHONE (314) 205-2510 EMAIL abrock@connerash.com WEB www.connerash.com

We are a CPA firm with more than 25 years experience in auditing, tax planning and compliance, financial reporting and consulting for self-insured groups, risk retention groups, captives and public entity risk pools. These groups provide health, workersâ&#x20AC;&#x2122; compensation, medical malpractice, as well as property and casualty coverage.

www.sipconline.net | 888.394.5688

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MEMBER

Mark Haarer Consulting, LLC Mark Haarer, President 23270 County Road 28 Elkhart, IN 46517 - United States

PHONE (574) 875-4500 EMAIL mark@mhcllc.com WEB 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.

MEMBER

Merlinos & Associates, Inc.

Scott Wellham 3274 Medlock Bridge Road Peachtree Corners, GA 30092 - United States

PHONE (678) 684-4871 EMAIL swellham@merlinosinc.com WEB www.merlinosinc.com

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

MEMBER

Milliman, Inc.

Steve DiCenso, Consulting Actuary 80 Lamberton Road Hartford, CT 06095 - United States

PHONE (860) 687-0160 EMAIL stephen.dicenso@milliman.com WEB www.milliman.com

Milliman is among the worldâ&#x20AC;&#x2122;s largest independent actuarial and consulting firms. The firm employs over 2,800 people, including a professional staff of over 1,400 qualified actuaries and consultants in 55 offices around the world. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations.

ACTUARIES/ACCOUNTANTS/AUDITORS

PROVIDING SERVICE TO THE SELF INSURANCE INDUSTRY FOR OVER 36 YEARS IN OVER 30 STATES Audits Tax Preparation, Compliance and Minimization NAIC Annual Statements, assistance and preparation Management Consultation Expert Witness Regulatory Matters

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Contact: William L. Shores, CPA 17 S. Magnolia Ave. Orlando, Florida 32801 (407) 872-0744 Ext. 214 Lshores@shorescpa.com [ 68 ]

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MEMBER

Northshore International Insurance Services, Inc.

PHONE (978) 745-6655 EMAIL dives@niis.com WEB 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, Workersâ&#x20AC;&#x2122; Compensation and all Property Casualty coverages.

MEMBER

Oliver Wyman

Chad C. Wischmeyer, FCAS, MAAA, CFA, Partner and Property & Casualty Self-Insurance Actuarial Practice Leader PHONE (404) 239-6422 3560 Lenox Road, Suite 2400 EMAIL chad.wischmeyer@oliverwyman.com Atlanta, GA 30326 - United States WEB 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.

MEMBER

Shores, Tagman, Butler & Company, P.A. William L. Shores, President 17 S. Magnolia Avenue Orlando, FL 32801 - United States

PHONE (407) 872-0744 EMAIL lshores@shorescpa.com WEB www.shorescpa.com

11 ACTUARIES/ACCOUNTANTS/AUDITORS

David W. Ives, Chief Executive Officer 199 Rosewood Drive, Suite 310 Danvers, MA 01923 - United States

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Providing superior professional service to the Insurance Industry for over 36 years in over 30 States: Audits: Tax Preparation; Compliance and Minimization; NAIC Annual Statements; Assistance and preparation; Management Consultation; Expert Witness; Regulatory Matters.

MEMBER

The Benecon Group

Matthew Kirk, President 147 West Airport Road Lititz, PA 17543 - United States

PHONE (717) 723-4600 EMAIL mkirk@benecon.com WEB 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.

Total Claims Management, LLC Randy Scott, President 55 Monument Circle, Suite 1122 Indianapolis, IN 46204 - United States

PHONE (317) 423-2334 EMAIL rscott@tcm4u.com

TCM specializes in audit, claim review and consulting services for the self-insurance industry. Our clients are Brokers, Carriers, Consultants, MGUs, Reinsurers and Self-funded employers We offer our Specific claim review services on a temporary or permanent basis. Our staffâ&#x20AC;&#x2122;s experience allows us to provide the highest quality of expertise.

MEMBER

Towers Watson

Richard Nelson, Senior Consultant 101 South Hanley Road, Suite 900 St. Louis, MO 63105 - United States

PHONE (314) 719-5810 EMAIL rick.j.nelson@towerswatson.com WEB www.towerswatson.com

Towers Watson is a leading global professional ser vices company. Towers Watson has more than 25 years experience in providing actuarial consulting ser vices and stop-loss manual/software tools (HealthMAPS) to stop-loss carriers, MGUs and reinsurers. Towers Watson also provides health benefits consulting ser vices and private exchange solutions to large employers. www.sipconline.net | 888.394.5688

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MEMBER

Trilogy Consulting Group, Inc.

Kathy Martin-Smith, Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States

PHONE (630) 953-6278 EMAIL kathymartinsmith@msn.com WEB www.trilogy-consulting.com

Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for self-funded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!

MEMBER

Windsor Strategy Partners

David Wilson, Principal 196 Princeton Hightstown Road, Building 2, Suite 16 Princeton Junction, NJ 08550 - United States

PHONE (609) 275-6550 EMAIL info@wspactuaries.com WEB www.wspactuaries.com

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ACTUARIES/ACCOUNTANTS/AUDITORS

WSP provides actuarial and strategic services to a wide variety of clients who assume risk. We have expertise in all forms of healthcare, life, disability and property and casualty coverage. We excel at developing software tools, building stochastic models and the analysis and interpretation of health care data.

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CONSUMER DRIVEN HEALTH CARE MEMBER

AccessOnTime

Melven Nehleber, President 3210 Lake Emma Road, Suite 3090 Lake Mary, FL 32746 - United States

12

PHONE (888) 748-7575 EMAIL mnehleber@accessontime.com WEB www.accessontime.com

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

MEMBER

Advanced Risk Managers, LLC

Mimi Choi, Founder and President 298 4th Avenue, #398 San Francisco, CA 94118 - United States

PHONE (415) 854-0800 EMAIL mimichoi@advanrm.com WEB www.advanrm.com

ARM is the industry’s leading catastrophic claims specialist company. Using a unique approach with propriety tools, ARM’s clinically trained analysts identify, project and manage high cost claims. From medical underwriting risk assessment to transplant case management, ARM has long, proven track record in transforming the bottom lines of its clients.

MEMBER

Beazley Group

Peter G. Slot, Head of Accident & Health Reinsurance USA PHONE (312) 476-6212 333 West Wacker Drive, Suite 1400 EMAIL peter.slot@beazley.com Chicago, IL 60606 - United States WEB www.beazley.com Beazley specializes in Accident and Health insurance and reinsurance. In the USA and Canada we provide both Catastrophe and Risk Excess of loss protections on a whole account and facultative basis. We also write proportional reinsurance for specialist clients and producers. We offer a suite of gap protection insurance products that provide employees with valuable protection against life’s uncertainties and help 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 15 years experience.

MEMBER

Conifer Health Solutions

Priscilla Sanchez, Content Marketing Manager 3560 Dallas Parkway Frisco, TX 75034 - United States

PHONE (469) 803-3649 EMAIL priscilla.sanchez@coniferhealth.com WEB www.coniferhealth.com

Conifer Health Solutions is a healthcare services company helping more than 700 clients strengthen their financial performance, transition from volume to value-based care and enhance the consumer and patient healthcare experience, with the goal of improving quality and access to healthcare, while controlling costs. Conifer Health has more than 19 million patient interactions across all service lines, manages more than $25 billion in patient revenue and $17 billion in medically managed spend; and provides technology and health management services to support care management for more than 4 million lives, annually. For more information, visit www.coniferhealth.com or follow @coniferhealth on Twitter. www.sipconline.net | 888.394.5688

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PAYMENT TRANSFORMED? How? … with Pay-Plus® Solutions!

Secure electronic healthcare payments from a CAQH CORE® certified provider. For more information, contact: Art Hoath, Executive VP of Sales (727) 483 – 3180 or ahoath@ppsonline.com Visit us at: PPSONLINE.COM ©2013 Pay-Plus™ Solutions, Inc. All Rights Reserved. CAQH CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH® Copyright 2010, Council For Affordable Quality Healthcare®. All rights reserved.


MEMBER

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Doctella

PHONE (408) 234-0520 EMAIL amer@doctella.com WEB www.doctella.com

Doctella is a unique electronic family and patient engagement solution that can help your employees optimize doctor visits, improve experience, reduce medical errors and costs. Doctella has a content license from Johns Hopkins University. Give your employees the extra edge by linking www.doctella.com to your patient portal.

MEMBER

Fairmont Specialty

Lauren Woods, Assistant VP of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States

PHONE (732) 676-9833 EMAIL lauren.woods@fairmontspecialty.com WEB www.fairmontspecialty.com

The Accident & Health team of Fairmont Specialty is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products, while providing excellent customer service and support. Our portfolio includes: Stop Loss, Organ Transplant, Kidney Carve Out, Provider Excess, Medical Excess Re, HMO Reinsurance, Limited Medical Indemnity, Dental, Vision, AD&D, Occupational Accident, Special Risk, College A&S, College Sports, K-12/K-12 Cat, Travel Insurance, International Travel Medical and Pet Insurance.

gBehavior Carolyn Willbanks, Director of Marketing 3525 Piedmont Road, Building 5, Suite 400 Atlanta, GA 30305 - United States

PHONE (888) 949-0541 EMAIL cwillbanks@gbehavior.com WEB www.gbehavior.com

12 CONSUMER DRIVEN HEALTH CARE

Amer Haider 440 North Wolfe Road Sunnyvale, CA 94085 - United States

gBehavior offers comprehensive wellness and safety engagement solutions that empowerprogram participants to change behavior by rewarding them for achieving program goals. gBehavior handles all phases of implementation, program engagement, rewards management and in-depth tracking and reporting. gBehavior offers a unique value proposition â&#x20AC;&#x201C; no monthly fees. We get paid only on results.

MEMBER

HealthCare Strategies, Inc.

Tom Dolsak, President 9841 Broken Land Parkway Columbia, MD 21076 - United States

PHONE (410) 423-9400 EMAIL tom.dolsak@hcare.net WEB www.hcare.net

HCS is a single source for clinical and healthcare technology services. Having over 30 years experience as a medical management provider has enabled HCS to deploy next generation, informatics driven technology services. Please visit our website or contact sales@hcare.net for more information about our comprehensive suite of services.

MEMBER

Innovative Healthcare Delivery Shelli Lara, President 3540 West Sahara Avenue, #444 Las Vegas, NV 89102 - United States

PHONE (702) 534-5537 EMAIL slara@ihdcare.com WEB www.ihdcare.com

Innovative Healthcare Delivery provides non-clinical care navigation services that complement existing healthcare resources. The result is reduced medical spending, reduced readmission rates and engaged patients who feel empowered to make better healthcare decisions. IHD provides services to self funded plans, fully insured plans, state and federal plans and hospitals.

MEMBER

Nova Healthcare Administrators Todd Martin, Sales Executive 6400 Main Street, Suite 210 Buffalo, NY 14221 - United States

PHONE (716) 932-5105 EMAIL tmartin@novahealthcare.com WEB www.novahealthcare.com

Nova, specializing in employee benefit administration since 1982, is a trusted advisor to over 600 clients while delivering exceptional service their members. Nova partners with clients to provide a holistic, innovative and costeffective long-term plan to improve their financial well-being and the overall wellness of their employees. www.sipconline.net | 888.394.5688

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MEMBER

® Pay-Plus Solutions, Inc. (PPS)

Valerie Woods, Executive Assistant 18167 US Highway 19 North, Suite 300 Clearwater, FL 33764 - United States

PHONE (877) 828-8913 EMAIL vwoods@ppsonline.com WEB www.ppsonline.com

Pay-Plus® Solutions, Inc. is a leading healthcare ePayment company which delivers turnkey, CAQH CORE® certified, claims payment and 835 solutions for Healthcare Payers and Providers. Through the systems’ designs and integrations built with adjudication partners, Pay-Plus has established a streamlined process which improves operational efficiencies. In addition, Pay-Plus offers a unique, high touch, Customer Support Team ensuring quality assurance, satisfaction and results.

MEMBER

Prairie States Enterprise, Inc.

Felicia Wilhelm, RN, Chief Executive Officer 401 North Michigan Avenue, Suite 2902 Chicago, IL 60611 - United States

PHONE (312) 464-1888 EMAIL fwilhelm@prairieontheweb.com WEB www.prairieontheweb.com

Prairie States is a third party administrator focused on reducing health care costs. Clinicians make up 30% of the company staff that provide comprehensive health benefit claims administration, data driven plan modeling, subrogation, FSA, HSA, HRA, short term disability, utilization management, wellness and other health enhancement services.

MEMBER

WeCare TLC

Raegan Garber Le Douaron, Sr. VP Sales and Marketing PHONE (800) 941-0644 120 International Parkway #220 EMAIL raegan.garber@wecaretlc.com Lake Mary, FL 32746 - United States WEB www.wecaretlc.com

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CONSUMER DRIVEN HEALTH CARE

WeCare TLC is a medical risk management company that leverages the onsite primary care clinic to provide solutions to your rising health care costs. WeCare TLC is uniquely positioned to answer today’s health care needs. With over 75 years of risk management experience, WeCare TLC understands if you do not manage risk you cannot decrease the cost of health care.

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CAPTIVE MANAGEMENT SERVICES

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RISK RETENTION GROUPS (RRGs)

MEMBER

Active Captive Management

Park Eddy, President 16485 Laguna Canyon Road, Suite 200 Irvine, CA 92618 - United States

PHONE (800) 921-0155 EMAIL peddy@activecaptive.com WEB www.activecaptive.com

Active Captive Management, is an independent captive manager, specializing in the design and management of captive insurance companies and alternative risk transfer methods. Focusing on creating and innovative strategies for all kinds of companies and on delivering personal service. Working with risk managers, agents and consultants to develop the best solutions for a broad spectrum of businesses issues.

MEMBER

AIG Benefit Solutions

Jeff Gavlick, VP, Product Dev. & Mgmt.-Stop Loss 3600 Route 66 Neptune, NJ 07753 - United States

PHONE (732) 922-7535 EMAIL Jeff.Gavlick@aigbenefits.com WEB www.aigbenefits.com

AIG Benefit Solutions offers a diverse portfolio of insurance products, including medical stop loss, organ transplant and captive solutions. Our proprietary medical management program, MedCAT®, offers innovative cost containment strategies to help mitigate catastrophic losses. We offer significant discounts for “best in class” wellness, care management and reference-based pricing models.

MEMBER

Berkley Accident and Health

James Hoitt, Vice President, Sales 2445 Kuser Road Hamilton Square, NJ 08690 - United States

PHONE (609) 584-6990 EMAIL jhoitt@berkleyah.com WEB 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.

MEMBER

Blue Ridge Captive Solutions

Aaron Wilkie, President 121 West Main Street, Suite B Spartanburg, SC 29306 - United States

PHONE (864) 542-1592 EMAIL awilkie@ecumgu.com WEB www.ecumgu.com

Blue Ridge Captive Solutions is a proprietary captive program developed by East Coast Underwriters. The segregated captive cell seeks to achieve economies of scale by allowing like-minded employers striving for health and well-being to pool their risk in a cost effective manner. Additional captive cells are available for lease.

www.sipconline.net | 888.394.5688

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Captive Experts, LLC Tom Cifelli, Managing Director Box 190 Scottsdale, AZ 85252 - United States

PHONE (602) 677-7578 EMAIL tom@captiveexperts.com WEB www.CaptiveExperts.com

Captive Experts (and the Harbor Risk Pool, a 3rd party reinsurance exchange/facility open to other managers)offers high quality affordable comprehensive captive design, formation and management services. We also do strategic reviews of existing captives and consult on a wide range of special projects. Contact us for a free consultation today.

Global Captive Management Ltd. Peter MacKay, Chairman 2nd Floor, Governors Square, 23 Lime Tree Bay Avenue P.O. Box 1363 Grand Cayman, KY1-1108 - Cayman Islands

PHONE (345) 949-7966 EMAIL pmackay@global.ky WEB www.global.ky

Global Captive Management Ltd. is one of the 10 Largest Captive Managers worldwide. As an independent manager, with no affiliation to other vendors, our success is driven by our knowledge, experience and our ability to provide objective guidance to our clients. For more information, contact Peter MacKay at (345) 949-7966. www.global.ky

MEMBER

GPW

Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States

PHONE (602) 200-6900 EMAIL lprudhomme@gpwa.com WEB www.gpwa.com

MEMBER

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HealthCare Strategies, Inc.

Tom Dolsak, President 9841 Broken Land Parkway Columbia, MD 21076 - United States

PHONE (410) 423-9400 EMAIL tom.dolsak@hcare.net WEB www.hcare.net

HCS is a single source for clinical and healthcare technology services. Having over 30 years experience as a medical management provider has enabled HCS to deploy next generation, informatics driven technology services. Please visit our website or contact sales@hcare.net for more information about our comprehensive suite of services.

MEMBER

Kinder & Associates, Inc.

James A. Kinder, Chairman/Chief Exec. 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/self-insurance/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.

MEMBER

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 WEB www.pgmnv.com

Pro Group is an administrator of self insured groups for workersâ&#x20AC;&#x2122; compensation and Captive Manager specializing in alternative risk transfer solutions for businesses of all sizes and types managing five self insured workersâ&#x20AC;&#x2122; compensation groups and over 50 captives for clients from 40 states.

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CAPTIVE MANAGEMENT SERVICES

RISK RETENTION GROUPS (RRGS)

GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and self-insureds. GPW provides financial, actuarial, tax and regulatory compliance services to assist clients in the efficient and cost effective management of their risk and insurance issues.

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MEMBER

Risk & Insurance Consulting Services

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

MEMBER

The Taft Companies

Richard C. Goff, Managing Member 1620 Providence Road Towson, MD 21286 - United States

PHONE (877) 587-1763 EMAIL dick@taftcos.com WEB www.taftcos.com

Taft is a captive management firm that excels at creativity in captive structural design and ART market knowledge.

MEMBER

Willis Global Captive Practice

Les Boughner, Exec. VP and Deputy MD 40 Main Street Burlington, VT 05401 - United States

PHONE (802) 264-2064 EMAIL les.boughner@willis.com WEB www.willis.com

Captive and Consulting Management.

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CAPTIVE MANAGEMENT SERVICES

PHONE (770) 923-3133 EMAIL jamie.brown@rics-reinsurance.com WEB www.rics-reinsurance.com

RISK RETENTION GROUPS (RRGS)

Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States

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Practicing the ART of Imagination. ®

The Taft Companies provide Alternative Risk Transfer (ART) solutions and captive management services. As an independent non-aligned entity, Taft provides clients with the most innovative and creative alternative risk funding structure designs and supporting management services.

OUR SERVICES INCLUDE:

Captive Formation Captive Management Fronting Arrangements Reinsurance Placement

Put our experience and innovative solutions to work for you.

www.taftcos.com | 877.587.1763 DELAWARE · MONTANA · SOUTH CAROLINA · TENNESSEE · WASHINGTON, DC

www.sipconline.net | 888.394.5688

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At Hannover Life Reassurance Company of America, we believe that mutually profitable client relationships are based on listening to our clients, understanding their needs, and developing innovative solutions. Our New York office offers a broad range of reinsurance products and services, including:

• ACA Solutions • Accident Medical • Medical Excess • Gap Medical • Medical Specific and Aggregate

• Short-term and Intermediate-term Disability • Critical Illness • Student Accident and Health • Limited Medical • Dental

(Medical Stop Loss) In addition, we offer a wide range of Group Life and Accident products and services.

61 percent of U.S. workers are covered under a self-funded plan

Hannover Life Reassurance Company of America 112 Main Street, 2nd Floor East Rockaway, NY 11518 Tel. 516-593-9733 www.hlramerica.com Member of the Hannover Re Group


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REINSURANCE MEMBER

Aon Benfield

Ellsworth P. Whiteman, Exec. Managing Director 199 Water Street, 7th Floor New York, NY 10038 - United States

PHONE (212) 441-1526 EMAIL ellsworth.whiteman@aonbenfield.com WEB www.aonbenfield.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.

MEMBER

AXIS Accident & Health

Christopher DiSipio, Chief Exec. Officer and President 1 University Square Drive, Suite 200 Princeton, NJ 08540 - United States

PHONE (609) 375-9191 EMAIL chris.disipio@axiscapital.com WEB www.axisaccidentthealth.com

AXIS Accident & Health delivers worldwide accident, specialty health and travel-related insurance and reinsurance through industry-leading product, underwriting and claims specialists. Backed by a diversified global leader whose companies are rated A+ by AM BEST and S&P, AXIS offers customized programs through key distribution partners for employers, participant groups and associations.

MEMBER

Beazley Group

Peter G. Slot, Head of Accident and Health Reinsurance USA PHONE (312) 476-6212 333 West Wacker Drive, Suite 1400 EMAIL peter.slot@beazley.com Chicago, IL 60606 - United States WEB www.beazley.com Beazley specializes in Accident and Health insurance and reinsurance . In the USA and Canada we provide both Catastrophe and Risk Excess of loss protections on a whole account and facultative basis. We also write proportional reinsurance for specialist clients and producers. We offer a suite of gap protection insurance products that provide employees with valuable protection against life’s uncertainties and help 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 15 years experience.

MEMBER

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

Christopher Koehler, President 195 Danbury Road, Suite 300 Wilton, CT 06897 - United States

PHONE (203) 761-9300 EMAIL ckoehler@dwvd.com WEB www.dwvd.com

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

www.sipconline.net | 888.394.5688

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MEMBER

ELAP Services, LLC

Stephen Kelly, Chief Exec. Officer/President 961 Pottstown Pike Chester Springs, PA 19425 - United States

PHONE (610) 321-1030 EMAIL jkelly@elapservices.com WEB www.elapservices.com

Founded in 2003, ELAP Services is the nation’s only healthcare cost management provider that delivers a comprehensive solution that combines expert cost reduction, employee advocacy services and legal defense for both the plan and individual plan members. ELAP’s mission is to increase clients’ profit by reducing the cost of healthcare while improving the quality of care. MEMBER

Equinox Management Group, Inc.

Paul Skrtich, Vice President and Chief Actuary 800 Kinderkamack Road Oradell, NJ 07649 - United States

PHONE (201) 261-8525 EMAIL pskrtich@eqmgmt.com WEB www.meridianmanagementgroup.com

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. MEMBER

Fairmont Specialty

Lauren Woods, Assistant VP of Marketing 5 Christopher Way Eatontown, NJ 07724 - United States

PHONE (732) 676-9833 EMAIL lauren.woods@fairmontspecialty.com WEB www.fairmontspecialty.com

The Accident and Health team of Fairmont Specialty is dedicated to developing and distributing a wide variety of niche insurance and reinsurance products, while providing excellent customer service and support. Our portfolio includes: Stop Loss, Organ Transplant, Kidney Carve Out, Provider Excess, Medical Excess Re, HMO Reinsurance, Limited Medical Indemnity, Dental, Vision, AD&D, Occupational Accident, Special Risk, College A&S, College Sports, K-12/K-12 Cat, Travel Insurance, International Travel Medical and Pet Insurance. MEMBER

GPW

Lawrence Prudhomme, Vice President 2700 North Third Street, Suite 3050 Phoenix, AZ 85004 - United States

PHONE (602) 200-6900 EMAIL lprudhomme@gpwa.com WEB www.gpwa.com

GPW is a management and actuarial consulting firm providing professional services to insurance companies, captives and self-insureds. GPW provides financial, actuarial, tax and regulatory compliance services to assist clients in the efficient and cost effective management of their risk and insurance issues.

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Guy Carpenter & Company, LLC

David Rains, Healthcare & Life Specialty Practice Co-Leader - Managing Director Three Logan Square PHONE (215) 864-3600 1717 Arch Street, Suite 800 EMAIL david.a.rains@guycarp.com Philadelphia, PA 19103 - United States WEB www.guycarp.com Guy Carpenter, a leading integrated solutions provider to the (re)insurance industry, has approximately a 90-year history of helping clients optimize the use of their capital and achieve profitable growth. Guy Carpenter’s Healthcare & Life Specialty is focused on this evolving market and is committed to offering clients seamless, innovative coverage solutions to meet their specialized needs.

MEMBER

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MEMBER

GW Global Insurance, LLC

Mike Tate, Chief Marketing Officer 1025 Plain Street Marshfield, CA 94595 - United States

PHONE (925) 457-5929 EMAIL mptate1542@gmail.com WEB www.gwglobalins.com

GW Global is a insurance product development and distribution company focused on speciality risk and niche products in both the H&W and P&C markets. GWG has offices across the US and London.

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Hannover Life Reassurance Company of America

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, ACA Solutions, Critical Illness and other Specialty Health Products.

MEMBER

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 WEB www.hi-techhealth.com

14 REINSURANCE

Miriam Kaufman, Asst. VP, Mktg.-Group Life & Special Risk PHONE (516) 593-9733 112 Main Street, 2nd Floor EMAIL miriam.kaufman@hlramerica.com East Rockaway, NY 11518 - United States WEB www.hlramerica.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.

MEMBER

Maiden Re

Neil Levine, Vice President 6000 Midlantic Drive, Suite 200 Mt. Laurel, NJ 08054 - United States

PHONE (856) 359-2412 EMAIL nlevine@maidenre.com WEB www.maidenre.com

Our extensive knowledge of the Accident and Health market, combined with innovative thinking, allows Maiden Re to work with our clients and develop customized solutions for their reinsurance needs.

MEMBER

Munich Health North America

Michael Shevlin, Senior Vice President 555 College Road East Princeton, NJ 08543 - United States

PHONE (609) 243-4893 EMAIL mshevlin@munichhealth.com WEB www.munichhealthna.com

Munich Health North America provides comprehensive, innovative and flexible healthcare risk transfer solutions to self funded employers, reinsurance intermediaries, managing general underwriters, third party administrators, health plans and providers. Our solutions combine world class service, underwriting, actuarial and medical expertise with exceptional financial strength. Munich Health North America is a division of Munich Reinsurance America, Inc., a member of the Munich Re Group, one of the world’s largest reinsurance organizations.

MEMBER

Navigators Re

Joann DeBlasis, President, A&H 83 Wooster Heights Road Danbury, CT 06810 - United States

PHONE (203) 546-2851 EMAIL jdeblasis@navg.com WEB www.navg.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.

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MEMBER

Oxford Insurance Brokers Limited Dominic Hagger, Director 6 Bevis Marks London, EC3A 7HL - United Kingdom

PHONE +44 207 220 4196 EMAIL Dominic.Hagger@oxfordinsurancebrokers.co.uk WEB www.oxfordinsurancebrokers.co.uk

Oxford Insurance Brokers is an international Lloyd’s insurance and reinsurance broker. The Accident and Health/Workers’ Compensation team has extensive experience in Healthcare placements including Employers’ Stop Loss, Student Medical, Short Term Medical and Travel Assistance; handling of Personal Accident placements on an individual and group basis and in Workers’ Compensation.

MEMBER

PartnerRe

Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States

PHONE (415) 354-1551 EMAIL dennis.heinzig@partnerre.com WEB www.partnerre.com/health

PartnerRe continues its strong tradition of providing tailored, effective risk solutions for medical exposures through the Health Division. Its broad portfolio of products and services includes HMO, CO-OP and medical reinsurance, employer, provider and ACO excess of loss insurance, international medical reinsurance and its PULSE + Plus™ Medical Management Program.

MEMBER

Premier Healthcare Exchange, Inc. (PHX)

Clara Pachomski, Executive Administrator 2 Crossroads Drive Bedminster, NJ 07921 - United States

PHONE (888) 311-3505 EMAIL cpachomski@phx-online.com WEB 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.

MEMBER

Prodigy Health Insurance

John Youngs, Chief Executive Officer 5000 Birch Street, Suite 3000 Newport Beach, CA 92660 - United States

PHONE (949) 478-0119 EMAIL Jyoungs@prodigystoploss.com WEB www.prodigystoploss.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.

MEMBER

Professional Reinsurance Marketing Services, Inc. Thomas R. Belding, President 10917 Old River Trail Edmond, OK 73013 - United States

PHONE (405) 771-5115 EMAIL tbelding2@cox.net

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REINSURANCE

We provide marketing services representing a number of quality established MGU’s and Reinsurance Carriers assisting Third Party Administrators in placing Medical Stop-Loss Insurance. We partner with various cost containment vendors to ensure they are saving their clients Claims Dollars thereby reducing the overall costs to their Plans. We also are General Agents for a number of carriers assisting Brokers with their Life, AD&D, Dental, STD, LTD and Vision Plans.

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Reinsurance Services Company, LLC PHONE (952) 401-0017 EMAIL Bradq@reservco.com WEB 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 clients’ 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.

MEMBER

Re-Solutions Intermediaries, LLC Alison Salo, Executive Assistant 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States

PHONE (612) 766-9781 EMAIL asalo@re-solutions.net WEB www.re-solutions.net

14 REINSURANCE

Brad Quinn, Principal 23505 Smithtown Road, Suite 210 Excelsior, MN 55331 - United 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.

MEMBER

Risk & Insurance Consulting Services Jamie Brown, Vice President 5500 Lilburn Stone Mountain Road, Suite B Stone Mountain, GA 30087 - United States

PHONE (770) 923-3133 EMAIL jamie.brown@rics-reinsurance.com WEB www.rics-reinsurance.com

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

MEMBER

Stop Loss Insurance Services, an AmWINS Group Company Gerald M. Gates, President 100 Front Street, Suite 610 Worcester, MA 01608 - United States

PHONE 800-944-7659 x3073 EMAIL gerald.gates@amwins.com WEB www.stoploss.amwins.com

Stop Loss Insurance Services, leverages more than 25 years of stop loss experience to deliver a competitive edge to our broker, consultant and TPA clients. Our value-added services deliver peace-of-mind and frees you to focus on what really matters – satisfying clients’ needs. Your time matters. Leave the Stop Loss to SLIS.

MEMBER

Trean Reinsurance Services, LLC Kyle Plath, Senior Vice President 100 Lake Street West Wayzata, MN 55391 - United States

PHONE (952) 974-2221 EMAIL kplath@treancorp.com WEB www.treanre.com

Trean Re is one of the top independent, employee-owned reinsurance intermediary and risk consultants in the medical A&H arena. The areas of expertise include developing carrier relationships; reinsurance placement, negotiation and servicing; consultation to HMOs, MGUs, TPAs and insurers on small group stop-loss development; and captive stop-loss development and implementation.

MEMBER

XL Reinsurance America, Inc.

Steve Donnelly, Sr. VP-Accident & Health Reinsurance PHONE (203) 964-3899 Seaview House - 70 Seaview Avenue EMAIL steve.donnelly@xlgroup.com Stamford, CT 06902 - United States WEB 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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INTERNATIONAL MEMBER

Assist America Inc.

Mark Fiechter, Vice President-Sales 202 Carnegie Center, Suite 302A Princeton, NJ 08540 - United States

PHONE (609) 921-0868 EMAIL mfiechter@assistamerica.com WEB www.assistamerica.com

Assist America, Inc. is the nation’s largest provider of global emergency medical services through employee and student benefit plans. Our company was formed specifically to address the unique requirements of the insurance industry’s large membership groups. We cover employees and their dependents for business travel, vacations and personal trips for which the moral and legal employer responsibility is lifted. Our 24-hour-a-day, 365-day-a-year Operations Centers are staffed by experienced, knowledgeable, multilingual emergency certified medical and assistance professionals.

MEMBER

AXIS Accident & Health

Christopher DiSipio, Chief Exec. Officer and President PHONE (609) 375-9191 1 University Square Drive, Suite 200 EMAIL chris.disipio@axiscapital.com Princeton, NJ 08540 - United States WEB www.axisaccidentthealth.com AXIS Accident & Health delivers worldwide accident, specialty health and travel-related insurance and reinsurance through industry-leading product, underwriting and claims specialists. Backed by a diversified global leader whose companies are rated A+ by AM BEST and S&P, AXIS offers customized programs through key distribution partners for employers, participant groups and associations.

MEMBER

Chubb Accident & Health

David Stimus, AVP, Assumed Reinsurance Mgr. 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States

PHONE (908) 572-3605 EMAIL dstimus@chubb.com WEB www.chubb.com/accident

Greg Arms, CEO of the Accident & Health Div. 15 Mountain View Road Warren, NJ 07059 - United States

PHONE (908) 903-4864 EMAIL garms@chubb.com WEB www.chubb.com/accident

Jim Villa, Sr. VP, North American Manager 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States

PHONE (908) 572-2581 EMAIL jvilla@chubb.com WEB www.chubb.com/accident

Nicole Pitney, Area VP, Special Risk Manager 233 South Wacker Drive, Suite 4700 Chicago, IL 60606 - United States

PHONE (312) 681-1301 EMAIL npitney@chubb.com www.chubb.com/accident

Michael Feighan, Sr. VP of Worldwide Underwriting 202 Hall’s Mill Road Whitehouse Station, NJ 08889 - United States

PHONE (908) 572-2887 EMAIL mfeighan@chubb.com WEB www.chubb.com/accident

For over the past 50 years, Chubb has been providing accident and health solutions. Chubb Accident & Health (CAH) has the core products and enhancements to provide comprehensive solutions. CAH serves six broad categories of customer segments around the world: Employer Group, Association Group, Affinity Sponsored, Financial Institutions, Direct to Consumer and Reinsurance Assumed.

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MEMBER

Companion Global Healthcare, Inc.

PHONE (803) 264-9382 EMAIL phil.midden@companiongroup.com WEB www.CompanionGlobalHealthcare.com

Companion Global Healthcare, Inc. (CGH) facilitates international medical tourism by contracting with select 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

MEMBER

GBG

John O’Connor, President 26000 Towne Centre Drive, Suite 100 Foothill Ranch, CA 92610 - United States

PHONE (949) 421-3359 EMAIL john.oconnor@gbg.com WEB www.gbg.com

15 INTERNATIONAL

Phil Midden, Sales Manager I-20 at Alpine Road, AE-222 Columbia, SC 29205 - United States

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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.

MEMBER

GW Global Insurance, LLC

Mike Tate, Chief Marketing Officer 1025 Plain Street Marshfield, CA 94595 - United States

PHONE (925) 457-5929 EMAIL mptate1542@gmail.com WEB www.gwglobalins.com

GW Global is a insurance product development and distribution company focused on speciality risk and niche products in both the H&W and P&C markets. GWG has offices across the US and London.

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 WEB www.HanoverStonePartners.com

Hanover Stone Partners provides risk consulting, risk management services and human capital consulting on a global scale through a network of professional, independent senior advisors and partner firms. HSP offers a wide array of specialized services to organizations of all sizes in the public, private, government and non-profit sectors.

Nueterra Global Alliance David Miller, President 11221 Roe Avenue, Suite 320 Leawood, KS 66211 - United States

PHONE (913) 647-6437 EMAIL dmiller@nueterra.com WEB www.nueterraglobalalliance.com

Nueterra reinvented the delivery of healthcare with the creation of Nueterra Global Alliance – an international and domestic network of best-in-class doctors and health systems, all utilizing a proprietary, cloud-based patient management system to strategically recreate healthcare delivery and facilitate medical exchange worldwide.

MEMBER

PartnerRe

Dennis Heinzig, President, PRAIC 199 Fremont Street San Francisco, CA 94105 - United States

PHONE (415) 354-1551 EMAIL dennis.heinzig@partnerre.com WEB www.partnerre.com/health

PartnerRe continues its strong tradition of providing tailored, effective risk solutions for medical exposures through the Health Division. Its broad portfolio of products and ser vices includes HMO, CO-OP and medical reinsurance, employer, provider and ACO excess of loss insurance, international medical reinsurance and its PULSE + Plus™ Medical Management Program. www.sipconline.net | 888.394.5688

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Quality Health Management (QHM) Patricia Ziomek, Principal 7945 Stone Creek Drive, Suite 20 Chanhassen, MN 55317 - United States

PHONE (952) 767-2606 x11 EMAIL PZiomek@QHManagement.com WEB 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.

MEMBER

Re-Solutions Intermediaries, LLC Alison Salo, Executive Assistant 10 South 5th Street, Suite 1108 Minneapolis, MN 55402 - United States

PHONE (612) 766-9781 EMAIL asalo@re-solutions.net WEB www.re-solutions.net

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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 â&#x20AC;&#x201C; and reinsurance solution â&#x20AC;&#x201C; for you.

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SUBROGATION MEMBER

Aronberg Goldgehn

Mitchell Melamed, Partner 330 North Wabash, Suite 1700 Chicago, IL 60611 - United States

PHONE (312) 755-3162 EMAIL mmelamed@agdglaw.com WEB www.agdglaw.com

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

MEMBER

HealthCare Strategies, Inc.

Tom Dolsak, President 9841 Broken Land Parkway Columbia, MD 21076 - United States

PHONE (410) 423-9400 EMAIL tom.dolsak@hcare.net WEB www.hcare.net

HCS is a single source for clinical and healthcare technology services. Having over 30 years experience as a medical management provider has enabled HCS to deploy next generation, informatics driven technology services. Please visit our website or contact sales@hcare.net for more information about our comprehensive suite of services.

MEMBER

HealthCare Subrogation Group (HCSG) Brian Brumit, President 375 Bridgeport Avenue Shelton, CT 06484 - United States

PHONE (203) 312-1750 EMAIL BBrumit@hcsg.net WEB www.hcsg.net

Founded in 2001, HCSG offers a wide range of specialized recovery programs and are relentless in finding â&#x20AC;&#x153;leakageâ&#x20AC;? 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.

MEMBER

INETICO, Inc.

Nancy Young, CSFS, RHU, VP of Sales & Acct. Mgmt. PHONE (877) 601-2200 400 North Ashley Drive, Suite 1550 EMAIL NancyYoung@inetico.com Tampa, FL 33602 - United States WEB www.inetico.com INETICO provides comprehensive Claims and Care Management cost containment. Claims Management - PPO Network Optimization, Claims Repricing, Medicare Cost Plus Repricing, Negotiations and Subrogation providing maximum savings to the plan and members. Care Management (Utilization, Case, Disease, Oncology, Maternity, Wellness) - focuses on early identification of risk, member outreach, engagement, compliance/incentive based programs, wellness initiatives and measurable outcomes.

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MEMBER

Smith Moore Leatherwood, LLP

Aaron E. Pohlmann, Partner 1180 West Peachtree Street, Suite 2300 Atlanta, GA 30309 - United States

PHONE (404) 962-1076 EMAIL aaron.pohlmann@smithmoorelaw.com WEB www.smithmoorelaw.com

Smith Moore Leatherwoodâ&#x20AC;&#x2122;s ERISA team enjoys a national reputation for excellence. Its attorneys represent TPAs, selfinsured plan administrators and life, health and disability insurance companies in cases throughout the Southeast. They routinely handle a broad variety of matters involving ERISA, the ADA, discrimination claims, agent misconduct, breach of contract, breach of fiduciary duty and bad faith.

MEMBER

The Phia Group, LLC

Adam Russo, Chief Executive Officer 163 Bay State Drive Braintree, MA 02184 - United States

PHONE (781) 535-5622 EMAIL arusso@phiagroup.com WEB www.phiagroup.com

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SUBROGATION

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. The Phia Groupâ&#x20AC;&#x2122;s overall mission is to reduce the cost of health care through innovative technologies, legal expertise and focused, flexible customer service.

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LOSS PREVENTION/CONTROL SERVICES MEMBER

Advanced Medical Pricing Solutions (AMPS) Mike Dendy, President & Chief Exec. Officer 5100 Peachtree Parkway, Suite 200 Norcross, GA 30092 - United States

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PHONE (800) 809-0513 EMAIL info@advancedpricing.com WEB www.advancedpricing.com

Advanced Medical Pricing Solutions (AMPS), Reference Based Reimbursement (RBR) and Medical Bill Review (MBR) help employer groups and TPAs put an end to illusionary PPO discounts. AMPS physician led, technology driven solution ensures accurate and reasonable reimbursement levels while protecting the member, plan and all stakeholders from balance billing and adverse outcomes.

MEMBER

Advanced Medical Strategies

Danae Lambeth, National Sales Director 7 Kimball Lane, Building A Lynnfield, MA 01940 - United States

PHONE (781) 224-9711 x107 EMAIL danae@mdstrat.com WEB www.mdstrat.com

AMS is a leading provider of physician-driven medical reviews with a unique focus on hard-to-see problems in healthcare claims. As a full service provider of negotiations, claim auditing services, aggregate audits and MGA reviews, AMS saves clients millions of dollar annually. Most recently, AMS has streamlined the way Carriers, Reinsurers, MGUs, TPAs and Brokers predict and manage costs associated with trigger diagnoses with PredictDx, the online database.

MEMBER

Assent Medical Cost Management

Sandy Hamilton, MSW, Sr. Business Dev. Executive PHONE (877) 882-8289 x572 777 Brickell Avenue, Suite 455 EMAIL shamilton@assentmcm.com Miami, FL 33131 - United States WEB www.AssentMCM.com Assent Medical Cost Management is a leading cost containment company with experience in domestic and international markets. Specializing in sign-off negotiation solutions for in and out of network claims. Assentâ&#x20AC;&#x2122;s cost up solutions are transparent and provide payers with the assurance that medical charges are true,accurate,and reasonable.

ClearHealth Strategies Brian Wroblewski, Executive VP-Sales & Marketing PHONE (414) 899-4100 1755 Park Road, Suite 200 EMAIL bwroblewski@clearhealthstrategies.com Naperville, IL 60563 - United States WEB www.clearhealthstrategies.com ClearHealth Strategies enables self-insured organizations to capitalize on the current industry shift to Medicarebased pricing through a robust program comprised of risk mitigation and appeal management to maximize savings and minimize member disruption. This approach can be combined with traditional supplemental network and claim negotiation programs resulting in significant savings.

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MEMBER

DAVID Corporation

Ronald Peterson, Marketing Director 200 Pine Street, 2nd Floor San Francisco, CA 94104 - United States

PHONE (415) 743-3825 EMAIL rpeterson@davidcorp.com WEB www.davidcorp.com

DAVID Corporation is a Risk, Claims and Insurance software provider. We offer solutions for the alternative risk market as well as self-insured organizations, insured’s, public entity risk pools, third party administrators (TPAs) and related insurance users. We help our clients run their businesses more efficiently, focusing on risk reduction and client retention, leveraging data to improve their bottom line.

MEMBER

Enquiron

Tino Versoza, Senior Sales Executive 434 Massachusetts Avenue Boston, MA 02118 - United States

PHONE (617) 532-6959 EMAIL tversoza@enquiron.com WEB www.Enquiron.com

Enquiron, where Questions Become Answers. Employers need answers to tough questions about Healthcare, Employment Law and HR. Enquiron provides employers of all sizes in private, nonprofit and public sectors, actionable answers to their most pressing workplace questions.

MEMBER

ePlan

Lisa Pagliaro, VP Sales & Business Development 22601 North 19th Avenue Phoenix, AZ 95377 - United States

PHONE (443) 463-8638 EMAIL lpagliaro@eplanllc.com WEB www.eplanllc.colm

Maximize your savings on out-of-network claims. ePlan’s team of claims experts utilizes the latest technology in health claims analysis including: comprehensive clinical and technical edits, UCR, proprietary benchmarking data and fraud and abuse detection tools. With our ‘eyes on every claim’ approach, our negotiators have everything they need to deliver savings averaging beyond 50%.

EthiCare Advisors, Inc.

Mark S. Hartmann, Jr. MSC, Mng. Partner/CEO PHONE (888) 838-4422 350 Clark Drive, Suite 104 EMAIL mark@ethicareadvisors.com Budd Lake, NJ 07828 - United States WEB www.ethicareadvisors.com Since 2002, 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; referrals are the mark of our success.

MEMBER

INETICO, Inc.

Nancy Young, CSFS, RHU, VP of Sales & Acct. Mgmt. PHONE (877) 601-2200 400 North Ashley Drive, Suite 1550 EMAIL NancyYoung@inetico.com Tampa, FL 33602 - United States WEB www.inetico.com INETICO provides comprehensive Claims and Care Management cost containment. Claims Management - PPO Network Optimization, Claims Repricing, Medicare Cost Plus Repricing, Negotiations and Subrogation providing maximum savings to the plan and members. Care Management (Utilization, Case, Disease, Oncology, Maternity, Wellness) - focuses on early identification of risk, member outreach, engagement, compliance/incentive based programs, wellness initiatives and measurable outcomes.

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MEMBER

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PMA Companies

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PHONE (856) 727-3157 EMAIL Michael_MacAulay@pmagroup.com WEB www.pmacompanies.com

Known for high levels of customer satisfaction, PMA is a leading provider of Third-Party Administration (TPA) and Risk Services. Over the past five independent client satisfaction surveys, on average, 96% of respondents reported PMA Companies met or exceeded their service expectations. Our holistic approach integrates pre-loss, loss reduction and post-loss strategies to reduce clients’ total cost of risk.

TC³ Health Timothy Huke, VP, Payment Integrity Sales 19732 MacArthur Boulevard, Suite 100 Irvine, CA 92612 - United States

PHONE (949) 943-8707 EMAIL thuke@tc3health.com WEB www.tc3health.com

TC³ Health, an Emdeon company, is a leading provider of cost containment solutions, including payment integrity and out-of-network claims cost management. Self-insured employers benefit from a single integrated source for pre-payment fraud, waste and abuse overpayment identification technology, out-of-network claims management systems and data analytics and reporting tools to prevent claims errors and overpayments while generating significant cost savings.

LOSS PREVENTION/CONTROL SERVICES

Mike MacAulay, Senior Vice President, Sales 380 Sentry Parkway Blue Bell, PA 19422 - United States

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18

PUBLICATIONS/RESOURCES MEMBER

Trilogy Consulting Group, Inc.

Kathy Martin-Smith, Vice President 2021 Midwest Road, Suite 200 Oak Brook, IL 60523 - United States

PHONE (630) 953-6278 EMAIL kathymartinsmith@msn.com WEB www.trilogy-consulting.com

Trilogy is a focused consulting practice specializing in the performance of claim administration audits and operational reviews for self-funded employers, Taft-Hartley Funds, TPAs, MGUs, HMOs, Excess Loss Carriers and Reinsurers. Trilogy also publishes The Trilogy Claims Administrative Handbook - the most comprehensive and up to date claims administration manual in the industry today!

www.sipconline.net | 888.394.5688

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TRADE ASSOCIATIONS Captive Insurance Council of The District of Columbia, Inc. (CIC-DC) 1250 H Street, North West, 9th Floor Washington, DC 20005 - United States

PHONE (202) 463-8163 EMAIL info@dccaptives.org WEB www.dccaptives.org

The Captive Insurance Council of the District of Columbia, Inc. (CIC-DC) 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 ggrote@delawarecaptive.org WEB 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.

MEMBER

Montana Captive Insurance Association, Inc. (MCIA) 1302 24th Street West, #303 Billings, MT 59102-3861 - United States

PHONE (866) 388-6242 EMAIL info@mtcaptives.org WEB www.mtcaptives.org

The Montana Captive Insurance Association, Inc. (MCIA) is 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.

MEMBER

National Association of Subrogation Professionals (NASP) 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 WEB www.subrogation.org

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, advocacy and the exchange of information.

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MEMBER

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

19

PHONE (800) 851-7789 EMAIL info@siia.org WEB 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 WEB www.tncaptives.org

The Tennessee Captive Insurance Association, Inc. (TCIA) is a not-for-profit trade association focused on building a successful captive insurance domicile in Tennessee. Consistent with this objective, TCIA invites captive insurance industry professionals to join the association so they can be part of this exciting initiative while receiving valuable membership benefits. If you intend to do captive insurance business in Tennessee, then TCIA membership is a must.

TRADE ASSOCIATIONS

P.O. Box 1237 Simpsonville, SC 29681 - United States

SECTION

You know your members. We know pharmacy beneďŹ t management.

Weâ&#x20AC;&#x2122;ll bring the roadmap. www.usscript.com

(800) 413-7721 www.sipconline.net | 888.394.5688

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20

OTHER MEMBER

Advanced Medical Pricing Solutions (AMPS)

Mike Dendy, President and Chief Executive Officer PHONE (800) 809-0513 5100 Peachtree Parkway, Suite 200 EMAIL info@advancedpricing.com Norcross, GA 30092 - United States WEB www.advancedpricing.com Advanced Medical Pricing Solutions (AMPS), Reference Based Reimbursement (RBR) and Medical Bill Review (MBR) help employer groups and TPAs put an end to illusionary PPO discounts. AMPS physician led, technology driven solution ensures accurate and reasonable reimbursement levels while protecting the member, plan and all stakeholders from balance billing and adverse outcomes.

MEMBER

Advantria.net

Larry Taylor, President and Chief Mktg. Officer PHONE (866) 756-8666 x200 255 North Sierra Street #1207 EMAIL ltaylor@advantria.net Reno, NV 89501 - United States WEB www.advantria.net A specialized cost containment company focused on Catastrophic Claims Negotiations, both in and out of network, competitive Dialysis claims repricing and Medicare Like Repricing for TPAs who work in the Native American Indian arena.

Captive Experts LLC Tom Cifelli, Managing Director Box 190 Scottsdale, AZ 85252 - United States

PHONE (602) 677-7578 EMAIL tom@captiveexperts.com WEB www.CaptiveExperts.com

Captive Experts (and the Harbor Risk Pool, a 3rd party reinsurance exchange/facility open to other managers)offers high quality affordable comprehensive captive design, formation and management services. We also do strategic reviews of existing captives and consult on a wide range of special projects. Contact us for a free consultation today.

MEMBER

CVS Caremark

Tom Wendorf, Director, Strategic Accounts 9501 East Shea Boulevard Northbrook, IL 85260 - United States

PHONE (480) 314-8512 EMAIL tom.wendorf@caremark.com WEB www.caremark.com

As one of the largest pharmacy benefits managers (PBMs), CVS Caremark provides access to a network of 68,000+ pharmacies, including 7,600+ CVS/pharmacy速 stores and 815 MinuteClinics速 that provide unparalleled service. Our specialty Care Management Model provides therapy-specific pharmacists and clinicians (CareTeams), who are experts in the management of conditions and therapies.

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MEMBER

SECTION

Data Dimensions

PHONE (800) 782-2907 EMAIL info@datadimensions.com WEB www.datadimensions.com

Data Dimensions provides business process automation (BPA) services to the healthcare insurance industry. Our HIPAA 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.

MEMBER

20 OTHER

Jon Boumstein, President, Chief Exec. Officer 400 Midland Court Janesville, WI 53546 - United States

DCC, Inc.

Lisa Greenblott, Chief Exec. Officer and President PHONE (866) 265-1719 P.O. Box 718 EMAIL lgreenblott@dccinc-us.com Sandpoint, ID 83864 - United States WEB www.dccinc-us.com DCC, Inc. is a premier renal disease consulting firm has serviced the self-funded industry for over a decade. In addition to its proven cost containment services, DCC is now offering specialized Chronic Kidney Disease Management programs tailored to meet the specific and ever-changing needs of the marketplace. They provide solutions that improve patient outcomes while delivering maximum savings.

MEMBER

Equian

Mike Morrison, Chief Revenue Officer 5975 Castle Creek Parkway, Suite 100 Indianapolis, IN 46250 - United States

PHONE (800) 962-6831 EMAIL marketing@equian.com WEB www.equian.com

Equian is a healthcare information services company focused on lowering the cost of care by eliminating waste. Our pre-payment, post-payment and data analytic solutions help you save more now and identify ways to save in the future. Find out more about how we work at www.equian.com.

MEMBER

FAIR Health, Inc.

Chris O’Donnell, Director of Marketing 575 Fifth Avenue, 22nd Floor New York, NY 10017 - United States

PHONE (855) 301-3247 EMAIL codonnell@fairhealth.org WEB www.fairhealth.org

FAIR Health, a national not-for-profit corporation, brings transparency to healthcare costs and insurance. Its data products, analytics and cost transparency tools, based on its claims database of over 17 billion medical and dental procedures, assist organizations to manage costs, develop fee schedules, administer claims and engage plan members.

MEMBER

Golden Triangle Specialty Network, LLC

Polli Yount, Sr. VP and Chief Operating Officer 5115 Maryland Way, Suite 300 Brentwood, TN 37027 - United States

PHONE (615) 377-0779 EMAIL yountp@gtspecnet.com WEB www.gtspecnet.com

Golden Triangle Specialty Network is a secure cost containment organization providing the largest National Contracted Dialysis Network and Specialty Pharmacy Cost Containment. Golden Triangle is the self-funded industry’s solution for secure discounts, claim review, consulting and multi-claim settlements on disputed payments. What makes us different; provider sign-off on all savings.

Health Advocate Jennifer Fox, Assistant Vice President, Sales 3043 Walton Road Plymouth Meeting, PA 19462 - United States

PHONE (303) 218-5272 EMAIL jfox@healthadvocate.com WEB www.healthadvocate.com

Health Advocate is the nation’s leading independent healthcare advocacy and assistance company, ser ving 40+ million Americans by helping members navigate healthcare and insurance-related issues, saving time and money. All supported by a powerful data analytics engine, the power of pricing transparency and more, delivering improved health and financial results. www.sipconline.net | 888.394.5688

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MEMBER

INTERLINK Health Services

Heath Potter, VP, Sales and Development 4660 North East Belknap Court, Suite 209 Hillsboro, OR 97124 - United States

PHONE (503) 640-2000 EMAIL heath.potter@interlinkhealth.com WEB www.interlinkhealth.com

INTERLINK® builds Centers of Excellence networks with the ability to turn them into complete COE programs. INTERLINK® is well recognized for its Predictive Modeling TransplantCARE Program and now offers an innovative CancerCARE Program featuring NCCN® evidence based guidelines powered by ACA adjusted benefit language, three custom built COE networks and integrated oncology case management.

MEMBER

Magellan Rx Management

Steve Harper, Vice President of Marketing 15950 North 76th Street, Suite 200 Scottsdale, AZ 85260 - United States

PHONE (480) 624-9400 EMAIL sharper2@magellanhealth.com WEB www.magellanhealth.com

At Magellan Rx Management, we’re providing a smarter approach to pharmacy benefits. By truly understanding your needs, we empower you with easy-to-use tools and insightful cost savings solutions that leverage our collective scale in managing total drug spend and help you make more informed decisions. Welcome to a better PBM.

National Bill Audit Services, LLC Jeremy Perkinson, Chief Operating Officer 5999 Central Avenue, Suite 401 St. Petersburg, FL 33710 - United States

PHONE (800) 719-6227 EMAIL jperkinson@nbasaudits.com WEB www.nbasaudits.com

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.

MEMBER

Self Insured Solutions

Parley Call, Senior Vice President of Marketing 430 North Vineyard Avenue, Suite 102 Ontario, CA 91764-0047 - United States

PHONE (800) 592-0047 EMAIL parley.call@selfinsuredsolutions.com WEB www.selfinsuredsolutions.com

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

MEMBER

United Claim Solutions

Corte Iarossi, VP, Sales and Marketing 23048 North 15th Avenue Phoenix, AZ 85027 - United States

PHONE (866) 762-4455 EMAIL ciarossi@unitedclaim.com WEB www.unitedclaimsolutions.com

SECTION

20

OTHER

UCS is a Medical Cost Reduction and Claims Flow Management company providing customizable programs for payers, employers, unions and insurers. UCS offers end to end services including Bill Review, Out-of-Network Repricing, PPO Administration, Medicare repricing, Clearinghouse Services, Data Warehousing and Plan Modeling. For more information call 866-762-4455 or visit www.unitedclaimsolutions.com.

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US Script, Inc. Elisa McNamara, Dir., Mktg. and Strategic Planning PHONE (800) 413-7721 2425 West Shaw Avenue EMAIL sales@usscript.com Fresno, CA 93711 - United States WEB www.usscript.com US Script® is a full-service Pharmacy Benefit Manager (PBM) that delivers a flexible, high-touch benefit supported by innovative clinical programs and analytics. We believe in providing high-touch, personalized client and member service and are constantly improving how we deliver pharmacy benefit solutions. We are committed to the health of our members and providing the solutions that are right for our clients. When clients partner with US Script, they receive an expert advisor that helps them successfully navigate the complex benefit landscape.

MEMBER

WeCare TLC

Raegan Garber Le Douaron, Sr. VP Sales and Mktg. PHONE (800) 941-0644 120 International Parkway #220 EMAIL raegan.garber@wecaretlc.com Lake Mary, FL 32746 - United States WEB www.wecaretlc.com WeCare TLC is a medical risk management company that leverages the onsite primary care clinic to provide solutions to your rising healthcare costs. WeCare TLC is uniquely positioned to answer today’s health care needs. With over 75 years of risk management experience, WeCare TLC understands if you do not manage risk you cannot decrease the cost of health care.

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

www.sipconline.net | 888.394.5688

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SECTION

21

INDEX OF COMPANIES Company Name

Page(s) Company Name

Page(s)

A&G Healthcare/Amera-Net..........................................................45

BioRx...................................................................................................... 8,11

AccessOnTime.......................................................................................71

Blue Ridge Captive Solutions..........................................................75

ACS Benefit Services, Inc......................................................................7

Brentwood Reinsurance Intermediaries, Inc.............................25

Active Captive Management............................................................75

Canyon Re................................................................................................53

Advanced Medical Pricing Solutions (AMPS).............. 60,89,94

Captive Experts, LLC....................................................................76,94

Advanced Medical Strategies.....................................................53,89

Captive Insurance Council

Advanced Risk Managers, LLC........................................................71

of The District of Columbia, Inc. (CIC-DC)..............................92

Advantria.net...........................................................................................94.

CAPVISOR ASSOCIATES, LLC......................................................65

Affordable Benefit Administrators, Inc............................................7

CareHere, LLC.......................................................................................39

AIG Benefit Solutions............................................................. 23,37,75

Careington Benefit Solutions....................................................... 8,43

Allegiance....................................................................................................7

Casualty Actuarial Consultants, Inc...............................................67

Alternative Risk Solutions (ARS)...................................................53

Choice Rx Solutions...........................................................................6,8

Alternative Service Concepts.........................................................21

Chubb Accident & Health...........................................................26,84

American Health Holding, Inc.........................................................60

ClearHealth Strategies..................................................................45,89

AmeriHealth Administrators..............................................................7

CNIC Health Solutions.........................................................................8

AmeRisk Consulting, LLC..................................................................67

Coastal TPA, Inc.........................................................................................9

AmWINS Group Benefits...........................................................52,53

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb, P.A.................... 64

Ansley Capital Group.........................................................................65

COMP, LLC..............................................................................................39

Aon Benfield............................................................................................79

Companion Global Healthcare, Inc...............................................85

Arbor Benefit Group, L.P....................................................................23

Complete Health Systems, LC........................................................45.

Aronberg Goldgehn......................................................................64,87

Concentrix Insurance Solutions................................................. 9,45

ASG Risk Management, Inc...............................................................23

Conifer Health Solutions.........................................................9,60,71

ASR Health Benefits.............................................................................. 8.

Conner Ash P.C......................................................................................67

Assent Medical Cost Management...............................................89

Considine & Associates (HealthClaim Review®)....................60

Assist America Inc.................................................................................84

Consociate..................................................................................................9

AvMed...........................................................................................................8

CoreSource................................................................................................9

AXIS Accident & Health..............................................................79,84

CROFT LAW, LLC/StopLossLaw.com™................................54,64

Bardon Insurance Group, Inc...........................................................23

Crystal Clear Rx....................................................................................54

Bauknight Pietras & Stormer, P.A....................................................67

Custom Design Benefits.......................................................................9

Beacon Risk Strategies, An AmWINS Group Co...................25

CVS Caremark.......................................................................................94

Beazley Group..................................................................................71,79

D.W. Van Dyke & Co., Inc...............................................10,26,54,79

Benefit Dynamics Company................................................ 21,25,53

DAKOTACARE......................................................................................10

BenefitMall..........................................................................................22,25

Data Dimensions.............................................................................46,95

Berkley Accident and Health.....................................................25,75

DAVID Corporation...................................................21,37,46,54,90

BEST Re.....................................................................................................25

DCC, Inc.................................................................................54,57,61,95

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Company Name

Page(s) Company Name

Page(s)

Healthcare Management Administrators, Inc...........................13

DentaQuest.......................................................................................10,14

HealthCare Strategies, Inc........................................48,62,73,76,87

Doctella.....................................................................................................73

HealthCare Subrogation Group (HCSG)............................13,87

East Coast Underwriters...................................................................26

HealthFirst................................................................................................13

ECHO Health, Inc.................................................................... 46,47,65

HealthLink, Inc........................................................................................41

ELAP Services, LLC.............................................. 10,26,39,54,61,80

HealthSmart............................................................................................13

Elite Underwriting Services........................................................27,29

Healthx, Inc........................................................................................48,51

EmblemHealth..................................................................................10,19

Hines & Associates, Inc.................................................................62,63

Employee Benefit Management Services, Inc. (EBMS)......10,39

Hi-Tech Health, Inc......................................................13,28,56,62,81

Employee Plans, LLC............................................................................12

HM Insurance Group..................................................................IFC,28

Enquiron....................................................................................................90

HRMP, LLC...............................................................................................15

ePlan...........................................................................................................90

IHC Risk Solutions..........................................................................24,28

Equian.........................................................................................................95

Indigo Insurance Services............................................................28,38

Equinox Management Group, Inc..................................................80

INETICO, Inc.............................................................................. 62,87,90

EthiCare Advisors, Inc.........................................................................90

Innovative Healthcare Delivery......................................................73

Everence...................................................................................................12

Innovative Healthware Services...............................................41,49

Excess Reinsurance Underwriters, Inc.........................................27

INTERLINK Health Services............................................................96

Excess Risk Reinsurance/Ironshore Insurance Service, LLC............27

Intermediary Insurance Services, Inc. (IISI)................................28

FAIR Health, Inc......................................................................................95

International Medical Group-Stop Loss, Inc..............................28

Fairmont Specialty.............................................................27,73,74,80

International Risk Consultants........................................................29

First Health..............................................................................................40

IOA Re, Inc...............................................................................................29

FormFire....................................................................................................46

J. Allan Hall & Associates, Inc............................................................29

gBehavior............................................................................................46,73

JMS and Associates, Inc.......................................................................49

GBG............................................................................................................85

Key Benefit Administrators...............................................................15

Gilsbar........................................................................................................12

Kinder & Associates, Inc................................................................56,76

Global Captive Management, Ltd...................................................76

Lawley Benefits Group.......................................................................56

Global Excel Management, Inc..................................................40,55

Leading Edge Administrators...........................................................15

Global Medical Conexions, Inc........................................................40

Lifetime Benefit Solutions.................................................................15

GlobalCare, Inc.......................................................................................41

LifeTrac, Inc..............................................................................................49

Golden Triangle Specialty Network, LLC.............................41,95

Magellan Rx Management.................................................................96

GPW.............................................................................................. 65,76,80

Maiden Re................................................................................................81

Gregory & Appel Insurance.............................................................55

Mark Haarer Consulting, LLC..........................................................68

Group & Pension Administrators, Inc...........................................12

Mayo Clinic Health Solutions..........................................................15

Group Insurance Center, Inc............................................................12

M-D Underwriting Services, Inc.....................................................30

Guy Carpenter & Company, LLC............................................55,80

Med-Cert, Inc..........................................................................................62

GW Global Insurance, LLC........................................... 27,37,80,85

Medical ReviewStream by Concentra.........................................62

H.H.C. Group...................................................................................55,61

Medical Risk Managers, Inc..........................................................30,40

Hannover Life Reassurance Company of America..........78,81

Meritain Health......................................................................................15

Hanover Stone Partners..............................................................55,85

Merlinos & Associates, Inc.................................................................68

HCC Life Insurance Company........................................................27

Midlands....................................................................................... 20,21,37

Health Advocate....................................................................................95

Milliman, Inc..............................................................................................68

Health Alliance.......................................................................................12

MINES & Associates............................................................................63

Health Plans, Inc.....................................................................................13

Montana Captive Insurance Association, Inc. (MCIA).........92

Health Portal Solutions......................................................................46

Munich Health North America......................................................81

Health Solutions Plus, Inc...................................................................48

National Assoc. of Subrogation Professionals (NASP).............. 92

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21 INDEX OF COMPANIES

Delaware Captive Insurance Association, Inc. (DCIA).........92

SECTION

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Company Name

Page(s) Company Name

Page(s)

National Bill Audit Services, LLC...................................................96

Shores, Tagman, Butler & Company, P.A.................................68,69

National Underwriting Services, Inc.............................................30

Smith Moore Leatherwood, LLP..............................................64,88

Nationwide Specialty Insurance.....................................................66

Softheon, Inc......................................................................................48,50

Navigators Re.........................................................................................81

Special Markets Insurance Consultants, Inc...............................38

New Horizon Insurance Solutions................................................56

Spectrum Underwriting Managers, Inc........................................31

NexPay, Inc.........................................................................................49,66

StarLine Group......................................................................................33

Northshore International Insurance Services, Inc..............56,69

Stop Loss Insurance Brokers, Inc...................................................58

NorthWind, LLC...................................................................................30

Stop Loss Insurance Services, an AmWINS Group Co...........33,58,83

Nova Healthcare Administrators.............................................16,73

Strategic Underwriting Solutions, LLC..................................33,58

Nueterra Global Alliance..................................................................85

Summit Reinsurance Services, Inc.................................................33

Oliver Wyman........................................................................................69

Sun Life Financial.............................................................................33,36

Olympus Managed Health Care........................................ 16,41,63

Sutton Special Risk America............................................................34

Optum.................................................................................................30,66 Oxford Insurance Brokers Limited...............................................82 Pancoast Benefits, Inc...........................................................................56 Partner Administrators.......................................................... 16,61,63 PartnerRe.................................................................................... 30,82,85 Pay Yourself First....................................................................................57 Pay-Plus® Solutions, Inc. (PPS)................................16,41,49,72,74 Pequot Health Care.............................................................................16 Phoenix Excess Risk Underwriters, LLC.....................................31 Planned Administrators, Inc..............................................................16 PMA Companies.............................................................................22,91 POMCO Group....................................................................................17 Prairie States Enterprise, Inc......................................................17,74 Preferred Medical Claim Solutions............................ 17,22,42,44 Premier Healthcare Exchange, Inc. (PHX)....... 17,31,42,57,82, IBC Pro Group Management, Inc......................................................22,76 Prodigy Health Insurance..................................................... 31,57,82 Professional Reinsurance Marketing Services, Inc..................82 Quality Health Management (QHM)..........................................86 Quest Diagnostics................................................................................42

TC³ Health.................................................................................. 42,50,91 Tennessee Captive Insurance Association, Inc. (TCIA)........93 The Alliance.............................................................................................44 The Assist Group............................................................................50,66 The Benecon Group.....................................................................18,69 The Crowne Group.............................................................................59 The Guardian Life Insurance Co. of America (Guardian)..........32,34 The Phia Group, LLC.....................................................................59,88 The Taft Companies.............................................................................77 Total Claims Management, LLC................................................59,69 Towers Watson......................................................................................69 Trean Reinsurance Services, LLC...................................... 34,59,83 Trilogy Consulting Group, Inc....................................................70,91 TriZetto Corporation.........................................................................50 Trustmark/Starmark.............................................................................34 Ullico, Inc...................................................................................................35 United Claim Solutions......................................................................96 Universal Fidelity Life Insurance Company...............................35 US Script, Inc.....................................................................................93,97 USBenefits Insurance Services, LLC.............................................35 WeCare TLC.....................................................................................74,97

Reinsurance Services Company, LLC.....................................58,83

WellDyneRx............................................................................................18

Re-Solutions Intermediaries, LLC..................................... 58,83,86

WellNet.....................................................................................................18

Revolv.........................................................................................................18

WellPoint, Inc..........................................................................................35

Risk & Insurance Consulting Services....................... 31,58,77,83

Willis Global Captive Practice........................................................77

RxReins, Inc..............................................................................................31

Windsor Strategy Partners...............................................................70

Safety National.......................................................................................38

WLT Software Enterprises...............................................................50

Sage Advisory Services, LLC............................................................66

WorkSTEPS, Inc.....................................................................................44

Satori World Medical..........................................................................42

Wound Care Partners........................................................................44

Script Care, Ltd......................................................................................42

Xchange Benefits, LLC........................................................................35

Self Insured Solutions..........................................................................96

XL Reinsurance America, Inc...........................................................83

Self-Insurance Institute of America, Inc. (SIIA).........................93

Young Consulting, Inc..........................................................................51

INDEX OF COMPANIES

Regional Care, Inc.................................................................................18

21

Voya™ Employee Benefits..................................................................35

SECTION

RedCard....................................................................................................17

Symetra.....................................................................................................34

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Copyright 2014 Premier Healthcare Exchange, Inc. All Rights Reserved.


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

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TH

ANNUAL EDITION

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Directory 2015

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

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