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TABLE

of CONTENTS

SECTION I ..........................................................................5
Third Party Administrators (TPA)
Life and Health/Employee Benefits
SECTION 2 .......................................................................20
Third Party Administrators (TPA)
Property and Casualty/Workers Compensation/Captives
SECTION 3 .......................................................................25

ADVERTISERS INDEX

Managing General Underwriters (MGU)

American Health Holding, Inc. ...........................................................................62


Ancillary Care Services ..........................................................................................42

Medical Stop-Loss Carriers Life and Health/Employee Benefits


SECTION 4 .......................................................................38

AWAC .............................................................................................................................71

MGU/Excess Insurance Carriers

BenefitMall ....................................................................................................................91

Property and Casualty/Workers Compensation/Captives

Cevian Intermediaries, LLC .................................................................................52


Companion Global Healthcare, Inc. ................................................................46
Considine & Associates .........................................................................................19
Insur I.Q. LLC ...............................................................................................................79
Elite Underwriting Services .................................................................................30
Fairmont Specialty ....................................................................................................81
H.H.C. Group ..............................................................................................................59
HM Insurance Group ............................................................................................IFC
IHC Risk Solutions ....................................................................................................24
Milliman, Inc. ..................................................................................................................77
Newkirk Products, Inc. .............................................................................................. 4
Optum .............................................................................................................................39
Premier Health Care Exchange, Inc. ............................................................ IBC
PUBLISHING DIRECTOR
EDITOR
DIRECTOR OF OPERATIONS
ACCOUNTING
DIRECTOR OF ADVERTISING

Erica Massey
Jennifer Ivy
Justin Miller
Michiale Machado
Shane Byars

Published as a community service by:


SELF-INSURERS PUBLISHING CORP.
P.O. BOX 184
MIDLAND, NC 28107

SECTION 5 .......................................................................40
Medical Provider Networks Onsite Clinics
SECTION 6 .......................................................................47
Technology Vendors
SECTION 7 .......................................................................53
Brokers/Consultants
SECTION 8 .......................................................................61
Utilization Review/Case Management
SECTION 9 .......................................................................67
Attorneys
SECTION 10 .....................................................................69
Financial Services
SECTION 11 .....................................................................73
Actuaries/Accountants/Auditors
SECTION 12 .....................................................................78
Consumer Driven Health Care Services
SECTION 13 .....................................................................82
Captive Management Services/Risk Retention Groups (RRGs)
SECTION 14 .....................................................................86
Reinsurance
SECTION 15 .....................................................................92
International

2011/2012 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.

SECTION 16 .....................................................................95
Subrogation
SECTION 17 .....................................................................97
Loss Prevention/Control Services
SECTION 18 .................................................................. 100
Publications/Resources
INDEX ............................................................................ 102

Welcome
We are very pleased to provide you with the 2011/12 edition of THE Directory. As
power flows from knowledge in this fast-paced world, you are now equipped to
access the best of the self-insurance and alternative risk transfer industry.
THE Directory is your direct path to locate and engage with specialists who serve the
rapidly expanding self-funding universe. In a time of restrictive government regulation
and a trend toward consolidation of traditional insurance, self-insurance has grown to
comprise a majority of commercial risk management.
THE Directory is an information service to members of the Self-Insurance Institute
of America, Inc. (SIIA), which is THE trade association representing self-insurance
and ART. Produced by the Self-Insurers Publishing Corporation, THE Directory is
your year round resource to complement the monthly Self-Insurer magazine in both
printed and digital formats.
With a national election and continued volatile business and financial environment,
2012 is destined to provide both great opportunities and great challenges. THE
Directory is your tool to grasp the opportunities and surmount the challenges.
Heres wishing you a very successful year ahead.
Sincerely,

Erica Massey
President
Self-Insurers Publishing Corp.

2 THE Directory 2012

www.sipconline.net

About
The Self-Insurance Institute of America, Inc. (SIIA) is a dynamic, member-based association dedicated to protecting and
promoting the business interests of companies that utilize self-insurance/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 selfinsurance/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:
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.

II. Education
For nearly three decades, SIIA has been producing cuttingedge 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.

PROTECTING & PROMOTING SELFINSURANCE/ART ON CAPITOL HILL


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

The Washington Report


This weekly electronic newsletter covers the news and events
taking place on Capitol Hill of specific interest to companies
involved in the self-insurance/ART industry.

III. Information

Special Bulletins

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.

In-depth reports focused on developing legislative/regulatory stories.

IV. Networking
SIIAs 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.
SIIAs 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.

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.

888.394.5688

THE Directory 2012

WHEN TIME COUNTS...


COUNT ON NEWKIRK
At Newkirk, we understand how important the timely delivery
of new member communications is. Thats why weve made
the development and production of pre- and post-enrollment
materials quicker and easier for managed care organizations
and third party administrators alike.

EnrollPlus Health

Newkirk EZCard

Online enrollment booklet and kit building system

Online ID card management system

 Accessible via the Internet to build cafeteria


plan or health plan enrollment materials.

 Accessible via the Internet.

 Users can upload a variety of PDFs for cafeteria


plan offerings and easily select the documents
to use for each specific group.
 The online kit fulfillment option combines
print-on-demand technology with the ability to
select traditionally printed materials to create
complete kits.

 Design high-end personalized ID cards with ease.


 Produce low- and high-volume print quantities
effortlessly.
 Full-color logo uploads and placement are easy
and at no additional cost.
 From design to shipment youre in control.

Learn how you can free up some time.


To learn how Newkirks enrollment solutions can help you,
contact us at 518-862-3321 or info@newkirk.com.
Or visit us online at www.newkirk.com.
2011 by Newkirk Products, Inc.

SECTION 1

THIRD PARTY ADMINISTRATORS (TPAS)


LIFE AND HEALTH/EMPLOYEE BENEFITS
ACS BENEFIT SERVICES, INC.
Lisa Scalzo
Senior Vice President, Sales and Service
8025 North Point Boulevard
Winston Salem, NC 27106 - United States
Phone: (336) 714-1402
Email: Lscalzo@acsbenefitservices.com
Website: www.acsbenefitservicesinc.com
Year Business Started: 1982
Number of Clients: 100+
Number of Employees: 115
ACS Benefit Services is a full service TPA for self funded Medical and
Dental Plans as well as administration of Consumer Driven HRAs, FSAs,
and HSAs and Dependent Eligibility Auditing. We focus on compliance
and risk management and have a history of superior customer service
through our user friendly processes.

AEGIS ADMINISTRATIVE
SERVICES, INC.
Sam Cozzo
Director of Sales & Marketing
6970 W. Diversey Avenue
Chicago, IL 60707 - United States
Phone: (773) 658-1324
Email: sc@aegisadmin.com
Website: www.aegisadmin.com
Year Business Started: 2002
Number of Clients: 48
Number of Employees: 23
Aegis Administrative Services, Inc. is a national employee benefit provider
and administrator. We are one of the few, privately owned, diversified
health care benefits companies in the nation. We offer a broad range
of traditional and non-traditional cost containment health care products
and services, for both group and individual. We offer medical plans (both
fully insured and self insured), pharmacy, dental, (limited medical plans)
worksite marketing products and administration. We offer worry free
benefit administration and reporting from start to finish.

AFFORDABLE BENEFIT
ADMINISTRATORS, INC.
Marie Ackad
Marketing Operations Manager
P.O. Box 10787 - 444 Irving Drive, Suite 202
Burbank, CA 91510 - United States
Phone: (800) 350-0148
Email: m_ackad@benefitsaba.com
Website: www.benefitsaba.com
Year Business Started: 1987
Number of Clients: 56
Number of Employees: 16
Affordable Benefit Administrators, Inc. (ABA) is a full service Third Party
Administrator for the adjudication of Medical, Dental, and Vision claims.
We manage HSA, Flex and HRA plans. We administer COBRA Plans and
perform UR/UM including large case management. Our focus is delivering
superior customer service and view our position as a manager of our
clients assets.

ALICARE, INC.
(affiliate of Amalgamated Life Insurance)
John Thornton
Executive Vice President
333 Westchester Avenue
White Plains, NY 10604 - United States
Phone: (914) 367-5511
Email: jthornton@amalgamatedlife.com
Website: www.alicare.com
Year Business Started: 1987
Number of Clients: 45
Number of Employees: 100
Alicare, Inc., a member of the Amalgamated Family of Companies,
provides high-quality third-party administration of employee benefit plans
for more than 45 self-insured clients nation-wide. Our fully automated
systems, along with a knowledgeable and experienced staff, and a full
product line gives us the ability to customize benefits solutions to support
our clients administrative goals.

888.394.5688

THE Directory 2012

ALLEGIANCE BENEFIT PLAN


MANAGEMENT, INC.
Todd Lovshin
Assistant Vice President
2806 South Garfield Street
Missoula, MT 59801 - United States
Phone: (405) 532-1505
Email: tlovshin@askallegiance.com
Website: www.askallegiance.com
Year Business Started: 1981
Number of Clients: 1,300+
Number of Employees: 250
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 plan, church plans, MEWAs, and Flexible
Spending and Reimbursement Accounts. We also provide excess-loss
insurance, utilization review, case management, predictive modeling, and
wellness programs.

Keith Johnson
Executive Director
10 North Main Street
Akron, OH 44308 - United States
Phone: (330) 996-8711
Email: johnsonk@apex-benefits.com
Website: www.apex-benefits.com
Year Business Started: 2001
Number of Clients: 23
Number of Employees: 60
Services provided by Apex Benefits Services include claims adjudication
of medical, vision and dental services, prescription administration, network
access to national/regional PPO providers, customer service, utilization
review, case and disease management, wellness services, access to stop
loss carriers, membership billing and eligibility, client reporting, actuarial
and benefit design services.

AVMED HEALTH PLANS


Leda Silver
Segment Leader and Product Champion - ASO Groups

AMERIBEN
Jon Aubrey
Senior Vice President

9400 S. Dadeland Boulevard


Miami, FL 33156 - United States
Phone: (305) 671-4749
Email: leda.silver@avmed.org
Website: www.avmed.org
Year Business Started: 1969
Number of Employees: 800

9350 S. 150 E., Suite 450


Sandy, UT 84070 - United States
Phone: (801) 993-6100 ext. 104
Email: jaubrey@ameriben.com
Website: www.ameriben.com
Year Business Started: 1958
Number of Employees: 275

AMERIHEALTH
ADMINISTRATORS, INC.
Angela Salverian
Director, Marketing Services
720 Blair Mill Road
Horsham, PA 19044 - United States
Phone: (215) 830-2505
Email: angela.salverian@ahatpa.com
Website: www.ahatpa.com
Year Business Started: 1988
AmeriHealth Administrators is national third party administrator
representing over $1 billion in health benefits. We provide innovative,
value-based health benefits programs, consumer-directed health
plans (CDHP), and population health management. AmeriHealth
Administrators offers outsourcing services for self-funded health plans,
TPAs and other payers, student health plans, and insured products. Visit
www.ahatpa.com.

6 THE Directory 2012

APEX BENEFITS SERVICES, LLC

www.sipconline.net

AvMeds Self-Funded Options are designed to maximize net savings


for the self-funded employer. We apply our depth of experience and
extensive resources to manage health care costs and address todays
benefit challenges. We focus on prevention and wellness with proven
initiatives that help your employees stay healthy
and productive.

BENEFIT & RISK MANAGEMENT


SERVICES, INC.
Luke Schafer
Vice President
80 Iron Point Circle, Suite 200
Folsom, CA 95630 - United States
Phone: (916) 467-1400
Email: info@brmsonline.com
Website: www.brmsonline.com
Year Business Started: 1993
Number of Clients: 350
Number of Employees: 150
BRMS is a leading employee benefit administration and healthcare risk
management TPA. Redefining the value of Third Party Administration
with the most advanced technology solutions, BRMS helps over 350
organizations control their benefit costs with advanced administration
services, creative funding options and an innovative Web-based Virtual
Benefits Administration System (Vbas) that streamlines processes.

BENEFIT ADMINISTRATIVE
SYSTEMS, LLC
Marty Joseph
President
17475 Jovanna Drive, Suite 1B
Homewood, IL 60430 - United States
Phone: (708) 799-7400
Email: martyj@benadmsys.com
Website: www.benadmsys.com
Year Business Started: 1983
Number of Clients: 300
Number of Employees: 180
With the mission of promoting innovative low cost healthcare solutions
and enhancing employee health profiles, BAS engages the employee
population through an integrated portfolio of health management tools,
providing partially funded healthcare plan administration and cutting edge
analytic capabilities.

BUTLER BENEFIT SERVICE, INC.


Andrew Butler
President
P.O. Box 3310
Davenport, IA 52808-3310 - United States
Phone: (563) 327-2201
Email: ajbutler@butlerins.com
Website: www.butlerins.com
Year Business Started: 2000
Number of Clients: 100
Number of Employees: 30
Butler, a recognized industry leader in innovation, growth and profitability,
will be the premier consultative professional services organization that
partners with businesses to enable them to optimize their investment in
employee benefit, risk management and insurance programs.

CENCORP HEALTH SOLUTIONS


Robert Tomek
VP, Sales & Marketing
7700 Forsyth Boulevard
St. Louis, MO 63105 - United States
Phone: (866) 534-5981
Email: info@CenCorpHealthSolutions.com
Website: www.CenCorpHealthSolutions.com
Health Solutions, a division of Centene Corporation, offers employers a
suite of Specialty Health Services to deliver quality outcomes and reduce
costs through innovative service combinations. Our companies provide
solutions including wellness, pharmacy benefits, and managed vision
specifically designed to satisfy employees needs and optimize bottom
line results.

CNIC HEALTH SOLUTIONS, INC.


Brendan Krelle
National Sales Director
6251 Greenwood Plaza Boulevard, Suite 300
Greenwood Village, CO 80111 - United States
Phone: (303) 749-1125
Email: bkrelle@cnichs.com
Website: www.cnichs.com
Year Business Started: 1987
Number of Employees: 175
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.

COASTAL TPA, INC.


Debi Hardwick
President/CEO
928 East Blanco Road, Suite 235
Salinas, CA 93901 - United States
Phone: (831) 754-3800
Email: DHardwick@Coastalmgmt.com
Website: www.Coastalmgmt.com
Year Business Started: 1961
Number of Clients: 51
Number of Employees: 28
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 clients healthcare
market, while maintaining a macro-level vantage point on the factors
impacting national and global healthcare trends.

COLORADO ACCESS
Mary McCrorie
Director of TPA Services
10065 E. Harvard Avenue, Suite 600
Denver, CO 80231 - United States
Phone: (720) 744-5403
Email: mary.mccrorie@coaccess.com
Website: www.coaccess.com
Year Business Started: 1996
Number of Clients: 12
Number of Employees: 225
Colorado Access, dba Access Health Benefit Solutions is a non-profit
organization focused on delivering high-touch, locally based service in
Colorado. We cover over 280,000 members in Colorado, half of which
are self-funded.

888.394.5688

THE Directory 2012

CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
Considine & Associates (HealthClaim Review) is a URAC-accredited
Independent Review Organization providing medical review services
to group healthcare payers and administrators nationwide. 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.

Darren Reynolds, J.D.


Senior Vice President
2828 N. Monroe Street
Decatur, IL 62526 - United States
Phone: (217) 423-7788 or (800) 798-2422
Email: darrenr@consociatedansig.com
Website: www.consociatedansig.com
Year Business Started: 1995
Number of Clients: 200
Number of Employees: 50
Consociate, Inc. - Third Party Administrator, administering employee benefit
plans for large employers while focusing on healthcare cost management
and improving employee productivity. Founded in 1995, Consociate
also provides consultative solutions to meet a wide array of employer,
employee, and individual needs. Offices located in Illinois and Tennessee.

3737 West Fork Road


Cincinnati, OH 45247 - United States
Phone: (513) 598-2929
Email: jmueller@customdesignbenefits.com
Website: www.customdesignbenefits.com
Year Business Started: 1991
Number of Clients: 80
Number of Employees: 55
Third Party Administrator of self-funded medical, dental and short-term
disability plans, serving brokers and their clients 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.

CVS CAREMARK

2211 Sanders Road, NBT5


Northbrook, IL 60062-6150 - United States
Phone: (847) 367-7671
Email: tom.rill@caremark.com
Website: www.cvscaremark.com
Year Business Started: 1986
Number of Clients: greater than 1,000
Number of Employees: 250,000
CVS Caremark is the largest pharmacy health care provider in the United
States. Our integrated offerings across the spectrum of pharmacy care,
uniquely position us to provide greater access, to engage plan members
in health improvement behaviors, and to reduce health care costs for plan
sponsors, and their members.

D. H. EVANS ASSOCIATES
Donald Evans, Jr.
President

CORESOURCE, INC.
Rob Corrigan
VP Product Management and Planning
400 N. Field Drive
Lake Forest, IL 60045 - United States
Phone: (800) 832-3332
Email: rcorrigan@coresource.com
Website: www.coresource.com
Year Business Started: 1975
Number of Clients: 900
Number of Employees: 1,000
CoreSource is one of the nations leading TPAs, recognized for delivering
flexible, integrated solutions. We combine innovation and resources to
significantly reduce employers healthcare spend, and provide unmatched
personal service from local offices across the country. More than 900
clients trust us to administer benefits for their 1.4 million members.

Julie Mueller
President

Tom Rill
Vice President,TPA Area Sales

CONSOCIATE, INC.

8 THE Directory 2012

CUSTOM DESIGN BENEFITS

www.sipconline.net

2207 Forest Hills Drive, Suite 14, P.O. Box 6480


Harrisburg, PA 17112 - United States
Phone: (717) 671-8551
Email: devans@dhevansassoc.com
Website: www.dhevansassoc.com
Year Business Started: 1993
Number of Clients: 65
Number of Employees: 31
D. H. Evans Associates is a full-service third party administrator providing
life, health, disability, vision, dental, prescription, Section 125, COBRA, HIPAA
and compliance services, plus access to numerous stop-loss carriers,
PPOs, audit and utilization management companies. In addition, we
provide defined benefit and defined contribution pension plan services.

D.W. VAN DYKE & CO., INC.

EBIX HEALTH

Christopher Koehler
President

Laurie Douglas
Director of Marketing

195 Danbury Road, Suite 300


Wilton, CT 06897 - United States
Phone: (203) 761-9300
Email: ckoehler@dwvd.com
Website: www.dwvd.com
Year Business Started: 1978
Number of Clients: 125
Number of Employees: 22

10 10th Street NE, Suite 500


Atlanta, GA 30328 - United States
Phone: (404) 604-2757
Email: laurie.douglas@ebix.com
Website: www.ebix.com
Year Business Started: 1989
Number of Clients: 5,600
Number of Employees: 90

Life and A&H Intermediary providing access to carriers, reinsurance,


distribution,TPAs, MGUs and others. Product expertise in Life, Accident,
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability,
Dental, Rx, Vision, Long Term Care, Medical Tourism,Travel Benefits,
Catastrophe, Provider and HMO Excess, Reserve Transfers and others.

Ebix Health is your on-demand, end-to-end source for benefit information


and insurance solutions from agency management solutions, an awardwinning employee communications portal with integrated health and
wellness information, to claims administration, and business intelligence
tools. Ebix Health solutions are trusted by thousands of insurance carriers,
TPAs, brokers, and employers.

DAKOTACARE ADMINISTRATIVE
SERVICES, INC. (DAS)

EBSRMSCO, INC.

Thomas Nicholson
Vice President/Chief Marketing Officer

Gregory Cohen
President

2600 W. 49th Street


Sioux Falls, SD 57105 - United States
Phone: (605) 334-4000
Email: tnichols@dakotacare.com
Website: www.dakotacare.com
Year Business Started: 1992
Number of Clients: 50
Number of Employees: 125

115 Continuum Drive


Liverpool, NY 13088 - United States
Phone: (315) 671-9870
Email: greg.cohen@ebsrmsco.com
Website: www.ebsrmsco.com
Year Business Started: 1974
Number of Clients: 4,000+
Number of Employees: 325

DAS is the Midwests managed care leader in third party administration,


managing the healthcare of over 105,000 members nationwide. DAS is
focused on delivering a uniquely integrated product, combining effective,
cost-saving medical management (developed through our fully-insured
and self-funded groups) with the efficient service expected from a third
party administrator.

EBS-RMSCO is a progressive, diversified employee benefits


administration and risk management firm, with offices in Albany, Buffalo,
Rochester, and Syracuse, NY. Our 325 employees provide innovative
employee benefit and risk management solutions to over 4,000 clients
throughout the United States.

DCC, INC.
Sam Sletager
National Sales Manager
P.O. Box 718
Sandpoint, ID 83864 - United States
Phone: (208) 265-1719
Email: ssletager@dccinc-us.com
Website: www.dccinc-us.com
Year Business Started: 2002
Number of Clients: 110
Number of Employees: 16
Benefit Preservation Program - We understand the unique dialysis market
dynamics effecting self-funded plans. Payers and administrators look
to DCC for our innovative dialysis cost containment services including
Payment Based U&R recommendations, Single Patient Agreements,
access to specialty networks, and patient self-administered care.
DCC is the sole licensee of the health care benefits claim review and
recommendation systems (patent pending).

EMINDFUL
Jim Pagano
Executive Vice President, Business Development
1201 19th Place, Suite B100
Vero Beach, FL 32960 - United States
Phone: (772) 596-4540
Email: jim@emindful.com
Website: www.emindful.com
Year Business Started: 2006
Number of Employees: 8
eMindful provides evidence-based, sustainable behavioral change
programs that reduce health care costs and increase productivity. We
are the only company doing this by offering live, interactive, mind-body
wellness curriculums online.

888.394.5688

THE Directory 2012

EMPLOYEE PLANS, LLC


Deb Eovaldi
Director
1111 Chestnut Hills Parkway
Fort Wayne, IN 46814 - United States
Phone: (260) 625-7347
Email: deb.eovaldi@oldnationalins.com
Website: www.employeeplansllc.com
Year Business Started: 1979
Number of Clients: 50
Number of Employees: 13,000
Employee Plans, LLC is a Third Party Administrator established in 1979
and located in Fort Wayne, IN. A subsidary of Old National Insurance,
Employee Plans, LLC administers Medical, Dental, Vision, High Deductible
Health Plans, Health Reimbursement Accounts, Flexible Spending
Accounts. Employee Plans, LLC has created a number of professional
relationships with various vendors to assist our clients with the
management of their overall claim spend.

GROUP & PENSION


ADMINISTRATORS, INC.
Kathy Enochs
COO
12770 Merit Drive, 2nd Floor, Building 8
Dallas,TX 75251 - United States
Phone: (972) 238-7900
Email: kathye@gpatpa.com
Website: www.gpatpa.com
Year Business Started: 1968
Number of Clients: 250
Number of Employees: 260
At GPA, we embrace our whole healthcare community with unflinching
standards and a time-tested committment. For over 40 years, we
have offered uniquely customized approaches to benefit planning for
employers and brokers who want solutions to todays most pressing
healthcare challenges while providing the highest quality information,
resources, and service to employees and providers.

FRINGE BENEFIT GROUP

GROUP ADMINISTRATORS, LTD.

Travis West
CEO

David Dorfman
President

11910 Anderson Mill Road


Austin,TX 78726 - United States
Phone: (512) 349-4760
Email: twest@fibi.com
Website: www.fringebenefitgroup.com
Year Business Started: 1979
Number of Clients: 1,800
Number of Employees: 90

915 National Parkway, Suite F


Schaumburg, IL 60173-5120 - United States
Phone: (847) 519-1880 ext. 223
Email: david@groupadministrators.com
Website: www.groupadministrators.com
Year Business Started: 1985
Number of Clients: 125
Number of Employees: 55

Company specializes in providing benefits administration for contractors


working on projects subject to the Davis Bacon and Service Conract Acts.
Employee benefit programs administered include fully insured & self
funded major medical, limited medical, ancillary and retirement. Company
also specializes in providing limited medical product & administration to
the nations largest employers of hourly and part time workers.

Full service TPA,Taft-Hartley, Corporate, Public Sector, Contributions,


Pension. Shared administration with national networks.

GILSBAR, INC.

P.O. Box 19040


Kalamazoo, MI 49019-0040 - United States
Phone: (269) 343-2611
Email: jbkgms@gmail.com
Website: www.groupmarketingservices.com
Year Business Started: 1973
Number of Clients: 200
Number of Employees: 25

Doug Layman
Executive Vice President & CSMO
2100 Covington Centre
Covington, LA 70433 - United States
Phone: (985) 809-2266
Email: dlayman@gilsbar.com
Website: www.gilsbar.com
Year Business Started: 1959
Number of Clients: 200
Number of Employees: 325
Our expertise in the insurance and benefits administration markets has
helped make Gilsbar the trusted choice for clients across the nation.
Employers, brokers and consultants, affinity groups, insurance carriers and
professionals rely on us.They cite our innovation, ingenuity, knowledge and
excellent service as the reasons they chose us and continue to stay with
us through the years.

10 THE Directory 2012

www.sipconline.net

GROUP MARKETING SERVICES, INC.


James Kaiser
President

Group Marketing Services, Inc. is a combination of third party


administrator and managing general agent. We work with carefully
selected independent agents and insurance providers to offer customized,
employer based benefit packages for employers throughout the Midwest.

GROUP RESOURCES, INC.


Thomas Byrd
President & CEO
3080 Premiere Parkway, Suite 100
Duluth, GA 30097 - United States
Phone: (770) 623-8383
Email: tom@groupresources.com
Website: www.groupresources.com
Year Business Started: 1981
Number of Clients: 130
Number of Employees: 75
For the past 30 years Toms vision has led the way to healthier employees
and healthier businesses for Group Resources clients. On the cutting edge
of new trends in healthcare risk management, Group Resources utilizes
modern technology and old-fashioned customer service to administer
health and welfare plans.

HAA PREFERRED PARTNERS


Lane Baker
Director, Business Development
703 Waterford Way
Miami, FL 33126 - United States
Phone: (305) 893-5151
Email: lane.baker@haapp.com
Website: www.haapp.com
Year Business Started: 1999
Number of Clients: 26
Number of Employees: 100
HAA is a leading international managed care organization. HAA offers
claims management consulting services and is a Florida Licensed Claims
Administrator.The company fully integrates its services with cost effective
claims management products, and as a result, it successfully serves
domestic and international insurance carriers, third party administrators,
assistance companies and other networks.

HEALTH PLANS, INC.


William Breidenbach
President
1500 West Park Drive, Suite 330
Westborough, MA 01581 - United States
Phone: (508) 475-6105
Email: cmagnusson@healthplansinc.com
Website: www.healthplansinc.com
Year Business Started: 1981
Number of Clients: 264
Number of Employees: 198
Health Plans, Inc. a subsidiary of Harvard Pilgrim Health Care, is a third
party administrator (TPA) of benefit plans, providing comprehensive
health plan administration to employers, municipalities and Taft-Hartley
plans.Today, we rank as one of the largest health care administrators of
self-funded plans in the region.

HEALTH REINSURANCE
MGMT. PARTNERSHIP
John Mange
President
5 Hutchinson Drive
Danvers, MA 01923 - United States
Phone: (978) 762-9780 ext. 223
Email: jmange@hrmp.com
Website: www.hrmp.com
Year Business Started: 1990
Number of Clients: 25
Number of Employees: 20
Health Reinsurance Management Partnership (HRMP) is a member
of Aran Insurance Services Group.Together with A-rated carriers and
reinsurers, HRMP offers solutions to address life and medical conversions,
back office or run-out administration, auditing services, and quota share
and excess medical reinsurance. Our Success Can Only Follow Yours.

HEALTH SYSTEMS INTERNATIONAL


Joseph Antonell
President of Bill Review Division
7300 N. Kendall Drive, Suite 505
Miami, FL 33156 - United States
Phone: (305) 671-5126
Email: jantonell@us-hsi.com
Website: www.us-hsi.com
Year Business Started: 2004
Number of Clients: 700
Number of Employees: 200
Health Systems International provides medical cost management
solutions to healthcare payors in multiple markets throughout the world.
We connect clients to the lowest possible cost of care utilizing advanced
technology, customized solutions, exclusive offerings, and personalized
service to drive optimal savings and reduce administrative demands.

HEALTHCARE MANAGEMENT
ADMINISTRATORS, INC. (HMA)
Jill Mehner
VP Sales & Client Services
2201 120th Avenue NE
Bellevue, WA 98005 - United States
Phone: (425) 289-5161 or (800) 869-7093
Email: Jill.Mehner@accesstpa.com
Website: www.accesshma.com
Year Business Started: 1986
Number of Clients: 125
Number of Employees: 217
Healthcare Management Administrators (HMA) is a third party benefits
administrator committed to helping self-insured employers build and
tailor the ideal benefits plan to suit their individual needs. HMA provides
unparalleled access to doctors & hospitals and proven cost savings
through the best performing provider networks.

888.394.5688

THE Directory 2012

11

HEALTHNOW
ADMINISTRATIVE SERVICES
Steve Manzelli
SVP Sales & Marketing
801 Lakeview Drive, Suite 301
Blue Bell, PA 19422 - United States
Phone: (518) 369-3311
Email: stephen.manzelli@hnas.com
Website: www.hnas.com
Year Business Started: 1977
Number of Employees: 250
HealthNow Administrative Services (HNAS) is one of the nations leading
administrators of employee benefit programs. With extensive knowledge
of the self-funded marketplace, HNASs experience and strength as a
leader coupled with innovative technology and extensive industry relations,
allow HNAS to offer services other administrators of employee benefits
simply cannot deliver.

INDECS CORPORATION
Bruce Buchanan, Jr.
Vice President, Sales and Business Development
1099 Wall Street West, Suite 317
Lyndhurst, NJ 07071 - United States
Phone: (201) 460-3243
Email: bb@indecscorp.com
Website: www.indecscorp.com
Year Business Started: 1983
Number of Clients: 35
Number of Employees: 50
INDECS Corporation is a third party administrator providing full administration
services for self-funded health plans. INDECS uses best-in-class components
and state-of-the-art technology to deliver comprehensive and professional
benefit programs at the lowest possible net cost to the plan with a focus
on superior customer service, transparency and accuracy.

HEALTHTRANS

INSURANCE ADMINISTRATIVE
SOLUTIONS

Don Houchin
SVP, PBM Business Development

Victor Castellanos
Sr.Vice President & Chief Marketing Officer

8300 East Maplewood Avenue, Suite 100


Greenwood Village, CO 80111 - United States
Phone: (800) 950-9120
Email: sales@healthtrans.com
Website: www.healthtrans.com
Year Business Started: 2000
Number of Clients: 430
Number of Employees: 242

6996 Piazza Grande Avenue, Suite 309


Orlando, FL 32835 - United States
Phone: (407) 472-3905
Email: Victor.Castellanos@IASadmin.com
Website: www.IASadmin.com
Year Business Started: 2002
Number of Clients: 20
Number of Employees: 240

HealthTrans provides employers with innovative and strategic solutions


to address their healthcare benefit challenges. Our value-focused
services deliver employee benefits, improved health outcomes, reduced
absenteeism, and a greater return on healthcare investment. With
regional offices in the Atlanta, Chicago, and Denver areas, we provide cost
savings to clients nationwide.

IAS provides full, end-to-end administrative (TPA) solutions to companies


in the Life, Health, & Annuity business, through proprietary technology.
IAS adjudicates over 6-million claims annually, managing 350,000
policyholders. Our clients achieve rapid entry to new markets,
economies of scale, with fixed capital costs. IAS has performed
over 20 block conversions.

HI-TECH HEALTH, INC.

INTERACTIVE MEDICAL SYSTEMS

Michael Carrara
President

Eric Ludwig
President

1500 Route 517, Suite 200


Hackettstown, NJ 07840 - United States
Phone: (908) 813-3440
Email: mcarrara@hi-techhealth.com
Website: www.hi-techhealth.com
Year Business Started: 1990

11635 Northpark Drive, Suite 335


Wake Forest, NC 27587 - United States
Phone: (919) 882-5318
Email: eludwig@ims-tpa.com
Website: www.IMS-tpa.com or www.IMSflex.com
Year Business Started: 1981
Number of Clients: 200+
Number of Employees: 40

Hi-Tech Health, Inc. Series 3000 Claims Administration System


It doesnt matter if your company is in its infancy or one thats been
around for many years. If youre a startupThird Party Administrator, just
entering the self-insurance industry, an insurance company, union, large
corporation, or small brokerage firm wanting control of your clients 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.

12 THE Directory 2012

www.sipconline.net

IMS is a Professional Benefits Administrator (TPA). For over 30 years


IMS has helped employers design benefit programs that save money
and provide the best possible benefits for their employees. We offer selffunded Medical & Dental administration, Flexible Spending Accounts,
HRA/HSA, COBRA, HR Outsourcing, FMLA, & QDRO services.

J.P. FARLEY CORPORATION

KEY BENEFIT ADMINISTRATORS, INC.

James Farley
President

Larry Dust
CEO

29055 Clemens Road


Westlake, OH 44145 - United States
Phone: (800) 634-0173 or (440) 250-4300
Email: Jim.Farley@jpfarley.com
Website: www.jpfarley.com
Year Business Started: 1979

8330 Allison Pointe Trail


Indianapolis, IN 46250 - United States
Phone: (317) 284-7701
Email: ldust@keybenefit.com
Website: www.keybenefit.com
Year Business Started: 1979
Number of Clients: 3,000
Number of Employees: 400

J.P. Farley Corporation is a full-service benefit solutions consultant providing


a better plan through an integrated array of administration services and
helping clients nationwide strategically and proactively manage their
customized benefit packages.
Self-funded medical, prescription, dental, vision, disability, FSAs, HRAs,
HSAs, COBRA, HIPAA, care & utilization management, wellness, patient
advocacy and third party administration.
ISO 9001-2008 certification, URAC Utilization Management
Accreditation and NorthCoast 99 Great Workplace Awards.

JFP BENEFIT MANAGEMENT, INC.


James Pickford
Owner/CEO
100 South Jackson Street, Suite 200
Jackson, MI 49201 - United States
Phone: (517) 784-0535
Email: jpickford@jfpbenefitmanagement.com
Website: www.jfpbenefitmanagement.com
Year Business Started: 1978
Number of Clients: 250
Number of Employees: 20
JFP Benefit Management is built upon a tradition of integrity, industry
leadership and excellence. We are committed to delivering tailored
benefit solutions with thoughtful strategic planning and valuable
professional services. We continue to do business the old fashioned
way. Our word
is our commitment and our handshake is our promise.

JUDY DIAMOND ASSOCIATES


Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Year Business Started: 1959
Judy Diamond Associates, Inc. is the premier publisher of employee
benefits industry prospecting tools and plan data. Our pension/retirement
and health/welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.

Key Benefit Administrators was founded in 1979 as a full-service group


benefits administration firm specializing in self-funded medical plans.
KBA,the leading benefits administrator in the Midwest and Southeastern
United States, is one of the countrys largest independently owned third
party administrators. Its headquartered in Indianapolis, Indiana, and its
National Service Center is located in Fort Mill, South Carolina.

MAGNACARE
Steve Kokulak, Esq.
Vice President,Workers Compensation & No-Fault
303 George Street, Suite 400
New Brunswick, NJ 08901 - United States
Phone: (516) 282-8923
Email: skokulak@magnacare.com
Website: www.magnacare.com
Year Business Started: 1990
Number of Employees: 225
MagnaCare is a health plan management company that offers a
broad set of self funded solutions to Taft Hartley Funds, commercial
organizations, workers compensation programs, no fault carriers, and
TPAs. Our extensive provider network, cost containment programs,
wellness initiatives and administrative services provide clients with flexible,
cost-effective options.

MESVISION
Michael Schell
Vice President/Sales
345 Baker Street
Costa Mesa, CA 92626 - United States
Phone: (714) 619-4661
Email: mschell@MESVision.com
Website: www.MESVision.com
Year Business Started: 1976
Number of Clients: 5000
Number of Employees: 98
Since 1976 MESVision has been providing Brilliant Vision Care to
thousands of employers and millions of members through one of the
largest networks of participating providers nationwide. MESVision is a
strong technology based organization capable of providing administrative
services to both self funded and fully insured groups of all sizes nationally.

888.394.5688

THE Directory 2012

13

MOUNTAIN STATES
ADMINISTRATIVE SERVICES
Steven Touch
President

Mountain States Administrative Services is a recognized Third Party


Administrator for Health and Benefit Plans, located in Tucson, AZ. Offering
customized services to members in all 50 states, we build strategic
partnerships with our clients to create cost effective solutions, and our
aggressive quality management program ensures the best results.

MUTUAL ASSURANCE
ADMINISTRATORS, INC.
Eric Wright
Chief Marketing Officer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225
MAA provides benefit solutions. 35 years of helping clients balance
quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK,TX, MO, AR,TN.

NATIONWIDE SPECIALTY HEALTH


Tom DeNoma, AVP
NSH Program Management
One Nationwide Plaza, MR-05-10
Columbus, OH 43215 - United States
Phone: (614) 677-3843
Email: denomat@nationwide.com
Website: www.nationwide.com
Year Business Started: 1939
Number of Clients: more than 16,000,000 policies in place
Number of Employees: 86 in Nationwide Specialty Health
Nationwide Specialty Health (NSH) has been serving Nationwides
members for over 70 years. NSH is an entrepreneurial arm of
Nationwide that exists to further Nationwides 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.

Linda McDonald
Sales
15 Corporate Circle
Albany, NY 12203 - United States
Phone: (518) 862-3323
Email: lmcdonald@newkirk.com
Website: www.newkirk.com

7202 E. Rosewood, Suite 200


Tucson, AZ 85710 - United States
Phone: (520) 722-3000
Email: stouche@lovitt-touche.com
Website: www.mymsas.com
Year Business Started: 1973
Number of Clients: 20
Number of Employees: 36

14 THE Directory 2012

NEWKIRK PRODUCTS, INC.

www.sipconline.net

From summary plan descriptions to member ID cards, Newkirks full


range of enrollment solutions make the creation and delivery of preand post-enrollment member communications easier than ever. Our
in-house development and production capabilities ensure that your last
minute updates are performed on time and accurately.You can count
on Newkirk!

NORTH AMERICA
ADMINISTRATORS, L.P.
Daniel Dugan
President/CEO
1826 Elm Hill Pike
Nashville,TN 37210 - United States
Phone: (800) 411-3650
Email: ddugan@naa-lp.com
Website: www.naa-lp.com
Year Business Started: 1971
Number of Clients: 140+
Number of Employees: 65
In 2011 we are celebrating our 40th year as a full service TPA for group
health benefits including medical, dental, vision, STD, RX, LTD, FSA, HRA
& HSA programs. Providing practical solutions to complex health
plan administration.

NOVA HEALTHCARE
ADMINISTRATORS, INC.,
an Independent Health Company
Todd Martin
Sales Executive
6215 Sheridan Drive, Suite 100
Williamville, NY 14221 - United States
Phone: (716) 932-5105
Email: tmartin@novahealthcare.com
Website: www.novahealthcare.com
Year Business Started: 30 years ago
Number of Clients: 70
Number of Employees: 40
As an expert health benefits partner, Nova helps create solutions that
lead to better quality medical outcomes, and sustainable health care
cost reductions. Nova administers an array of self-funded benefit plans,
including medical, dental, vision, prescription and specialty prescription.
Additional services include Medical Management, and FSA, COBRA
and HIPAA administration.

OLYMPUS MANAGED HEALTH CARE

PEQUOT HEALTH CARE

Steven Jacobson
President

Dr. Gary DOrsi


Director, Sales and Marketing

777 Brickell Avenue, Suite 410


Miami, FL 33131 - United States
Phone: (305) 530-8600
Email: sjacobson@omhc.com
Website: www.omhc.com
Year Business Started: 1994
Number of Clients: 60+
Number of Employees: 55

1 Annie George Drive


Mashantucket, CT 06338 - United States
Phone: (860) 396-6461
Email: gdorsi@prxn.com
Website: www.pequothealthcare.com
Year Business Started: 1991
Number of Clients: 30
Number of Employees: 100

Olympus Managed Health Care, an accredited ISO 9001:2008


company, is a leading independent provider of claims administration and
cost management services for health care payors. Olympus delivers a
comprehensive solution that offers an innovative aproach to managing
health care costs and adding value to its clients products.

Pequot Health Care founded in 1991, which includes Pequot Plus


Health Benefit Services and Pequot Pharmaceutical Network, is a
wholly-owned business entity of the Mashantucket Pequot Tribal Nation,
long recognized as a leader in managing health care plans for Native
Americans as well as other commercial enterprises.

OPTUMHEALTH

PLANNED ADMINISTRATORS, INC.

Lauren Byers
Director, Marketing

PJ Rescigno
Senior Director, Sales and Operations

6300 Olson Memorial Highway


Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000

17 Technology Cr., Suite E2AG


Columbia, SC 29203-9591 - United States
Phone: (803) 462-3187
Email: prescigno@paisc.com
Website: www.paisc.com
Year Business Started: 1981
Number of Clients: 104 groups
Number of Employees: 330

OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health
system work better for everyone. OptumHealth is a leader in population
health management, helping 60 million Americans navigate the health
care system, finance their health care needs and achieve their health
and well-being goals.

PARTNERS RX MANAGEMENT, LLC


Neely Burkhardt
15950 N. 76th Street, Suite 200
Scottsdale, AZ 85260 - United States
Phone: (480) 624-9400 ext. 212
Email: neely.burkhardt@partnersrx.com
Website: www.partnersrx.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 100
We believe you should be able to trust your PBM. Born out of the idea
that the PBM business lacked disclosure and practical management,
Partners Rxs fast, flexible, entrepreneurial culture provides straightforward,
customized solutions that help producers provide quality, affordable
pharmaceutical care.

Planned Administrators Inc. is a mid-sized TPA that offers value and


savings through flexible plan design, provider networks, discounts,
accessibility and claims processing for over 70,000 members.Quality selffunded plan administration and superior customer service remain key
strengths for PAI, as evidenced by a 98% customer retention rate.

PREFERREDONE
Dennis Fenster
Marketing Director
6105 Golden Hills Drive
Golden Valley, MN 55416 - United States
Phone: (763) 847-3355
Email: dennis.fenster@preferredone.com
Website: www.preferredone.com
Year Business Started: 1984
Number of Clients: 140 self-insured groups/151,500 self-insured
members (total membership: 216,500)
Number of Employees: 308
PreferredOne is a health benefits administration company located in
Minneapolis, Minnesota, offering a full range of TPA, group/individual
insurance, HMO and PPO products, services and networks to brokers,
employers, members, insurance companies and third-party administrators
throughout Minnesota and the upper Midwest.

888.394.5688

THE Directory 2012

15

PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Bedminster, NJ 07921 - United States
Phone: (908) 658-3535
Email: troberti@phx-online.com
Website: www.phx-online.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 75+
PHX delivers advanced cost management solutions for health plans
combining claim processing automation with professional services to
deliver a centralized approach to cost management, increasing savings
while dramatically reducing errors and turnaround time. Services include
data analytics, PPO network management, out-of-network negotiations,
claims editing, and clinical bill review and audit. PHX solutions are used
by the industrys leading insurance companies,Taft-Hartley Funds, Health
Maintenance Organizations, and Third Party Administrators.

Patricia Ziomek
Principal
15280 NW 79th Court, Suite 100
Miami Lakes, FL 33014 - United States
Phone: (305) 821-8430
Email: pziomek@qhmanagement.com
Website: www.QHManagement.com
Year Business Started: 2000
QHM is a cost containment company offering access to discounts
globally. QHM has a proprietary network of physicians and hospitals
located around the world. QHM service includes: access to worldwide
network of providers, efficient claims service and re-pricing, discounts
and negotiations off charges, account management and 24 hour
member services.

REGENCE GROUP
ADMINISTRATORS, INC. (RGA)
Jill Mehner
VP Sales & Client Services

PTRX, INC.
Joe Braley
Chief Sales Officer
4590 Lockhill Selma
San Antonio,TX 78249 - United States
Phone: (210) 564-2214
Email: joe.braley@ptrx.com
Website: www.ptrx.com
Year Business Started: 2005
Number of Employees: 90
At PTRX, we utilize a fully integrated approach to pharmacy benefit
management by proactively engaging and working with the patient and
their physician. We control cost by educating and helping members move
to lower cost therapies and lower cost pharmacies; and we guarantee
results! Lower prescription costs and outstanding service. Changing
Pharmacy. Changing Lives.That is PTRX.

220 120th Avenue NE


Bellevue, WA 98005 - United States
Phone: (425) 289-5161 or (800) 869-7093
Email: Jill.Mehner@accesstpa.com
Website: www.accessrga.com
Year Business Started: 1986
Number of Clients: 91
Number of Employees: 217
Regence Group Administrators (RGA) is a third party benefits
administrator dedicated to helping self-insured employers create and
customize the ideal benefits plan to suit their unique needs. RGA is a
licensed affiliate with the BlueCross BlueShield Association (BCBS) and
provides BlueCard access Nationally and Worldwide.

RESOURCEONE ADMINISTRATORS
Gary Baker
President

QUALCARE, INC.
Annette Catino
CEO & President
30 Knightsbridge Road
Piscataway, NJ 08854-3913 - United States
Phone: (732) 981-7916
Email: tgrant@qualcareinc.com
Website: www.qualcareinc.com
Year Business Started: 1993
Number of Clients: 626
Number of Employees: 400
QualCare, Inc. is a full-service managed care organization that offers
self-funded PPO, HMO Network, Point of Service (POS) Network, and
Open Access Health Plans, third party administration(TPA)services,
provider network access, utilization management services, and a Workers
Compensation product including medical case management, network
access and medical bill review and re-pricing.
16 THE Directory 2012

QUALITY HEALTH
MANAGEMENT, LLC
(QHM International TPA)

www.sipconline.net

5305 Village Parkway, Suite 1,Village on the Creeks


Rogers, AR 72758 - United States
Phone: (800) 967-2077
Email: gbaker@roatpa.com
Website: www.roatpa.com
Year Business Started: 1998
Number of Clients: 100
Number of Employees: 40
ResourceOne family of companies offers a wide array of benefit
services to its clients. From Medical, Dental, and Vision adminsitration to
UR/Case Mgt., Cobra Admin., Section 125 Admin., FMLA Administration,
and Consolidated Billing Services, and HR Outsourcing Call Center.

RESTAT
David Wysong
Sales & Marketing
11900 W. Lake Park Drive
Milwaukee, WI 53224 - United States
Phone: (800) 926-5858
Email: jpaasch@restat.com
Website: www.restat.com
Year Business Started: 1985
Number of Clients: 6,500
Number of Employees: 170
Restat providing flexible and affordable pharmacy benefit
plans Eliminating unnecessary cost Delivering first-rate claims
processing for self-funded employers, managed healthcare plans, workers
compensation plans, HMOs, insurance companies, Medicaid, government
plans, Unions 64,000 independents and national pharmacies in
networkCall: 800 926 5858, email marketing@restat.com or
visit www.restat.com.

RISK SOLUTION RESOURCES, LLC


Chris Christofilis
President
3810 Pheasant Ridge Drive N.E., Suite 400
Minneapolis, MN 55449 - United States
Phone: (763) 231-8762
Email: chris@rsrmn.com
Website: www.rsrmn.com
Year Business Started: 2005
Number of Clients: 18
Number of Employees: 10
Risk Solution Resources is the outsourced Division of Pan-American Life
Insurance Companys Domestic Special Markets, specializing in a wide
variety of Group and Individual Life, Accident and Health products.

SB HOWARD & COMPANY


Leesa Davis
President
120 South 2nd Street
Rogers, AR 72756-4526 - United States
Phone: (479) 636-0198
Email: leesad@sbhoward.com
Website: www.sbhoward.com
Year Business Started: 1986
Number of Clients: 5
Number of Employees: 10
S B Howard & Company seeks to develop mutually profitable
relationships with the customers we serve and with the reinsurance
carriers we represent in order to preserve the environment and integrity
of self insured benefit plans. We do not strive to be the largest - just the
best.We are the choice for individualized employee benefits providing the
highest quality claims processing based on integrity, accuracy and respect
for the individual.

SEDGWICK CLAIMS
MANAGEMENT SERVICES, INC.
Paul Ross
Specialty Sales, Alternative Risk
1100 Ridgeway Loop
Memphis,TN 38120 - United States
Phone: (901) 415-7400
Email: paul.ross@sedgwickcms.com
Website: www.sedgwickcms.com
Year Business Started: 1969
Number of Clients: 1,928
Number of Employees: 9,400
Sedgwick CMS is the industry preferred TPA for the most progressive,
profitable, and fastest growing companies in the nation. We are a leading
national third-party administrator of workers compensation, professional,
general and auto liability, disability, and absence management and
represent clients in all fifty states.

SELF INSURED PLANS, LLC


Stephen Rasnick
President
1016 Collier Center Way, #200
Naples, FL 34110 - United States
Phone: (239) 449-1877
Email: steve@selfinsuredplans.com
Website: www.selfinsuredplans.com
Year Business Started: 1997
Number of Clients: 187
Number of Employees: 16
Sip designs and administers partially self funded plans for small to
medium size cases, starting with as few as 15 employees. Our focus is in
controlling costs through the benefits of wellness and prevention. We are
also very active in the organization and administration of Accountable
Care Organizations.

SIHO INSURANCE SERVICES


Jennifer Cutsinger
VP, Client Service
417 Washington Street
Columbus, IN 47201 - United States
Phone: (812) 378-7000
Website: www.siho.org
Year Business Started: 1987
Number of Clients: 80
Number of Employees: 130
SIHO Insurance Services was formed to provide affordable health care
benefits for communities. Partnering with the medical community and
employers, SIHO endeavors to raise the standard of health care and the
quality of life of the community. SIHO is a dominant insurance company,
providing a wide array of insurance packages.

888.394.5688

THE Directory 2012

17

SPECTRUM ADMINISTRATORS, INC.

THE BENECON GROUP

Stacey Asbell
General Manager

Matthew Kirk
Senior Executive Vice President

2166 South 12th Street, Suite 301


Allentown, PA 18103 - United States
Phone: (610) 969-0420
Email: stacey.asbell@lvh.com
Website: www.spectrumtpa.com
Year Business Started: 1988
Number of Clients: 5
Number of Employees: 48

147 W. Airport Road


Lititz, PA 17543 - United States
Phone: (717) 723-4600
Email: mkirk@benecon.com
Website: www.benecon.com
Year Business Started: 1991
Number of Clients: 383
Number of Employees: 61

Spectrum Administrators is a full service third party administrator


of self-insured health benefit and workers compensation programs.
By marrying robust technology, clinical resources, innovative stop
loss products and highly skilled, customer-focused staff, Spectrum
Administrators is uniquely positioned to maximize the self-funding
experience in an environment supportive of wellness and prevention.

Benecon has two 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, finance specialists and quality assurance specialists.

STERLING SELF INSURANCE


ADMINISTRATION
(subsidiary of Sterling Health Services Administration)

UNIFIED GROUP SERVICES, INC.

Kevin Rowland
Director of Sales

3131 E. 67th Street


Anderson, IN 46013 - United States
Phone: (800) 291-5837
Email: RMousty@UnifiedGrp.com
Website: www.UnifiedGrp.com
Year Business Started: 1996
Number of Clients: 133
Number of Employees: 100

475 14th Street, Suite 650


Oakland, CA 94612 - United States
Phone: (800) 617-4729 ext. 224
Email: kevin.rowland@sterlinghsa.com
Website: www.sterlingsia.com
Year Business Started: Sterling HSA 2004 and Sterling SIA 2010
Number of Employees: 50
Sterling Health Services Administration offers HSAs, HRAs, FSAs, POPs,
and COBRA.Through our subsidiary company, Sterling Self Insurance
Administration, we provide an integrated self-insurance solution combined
with a comprehensive wellness program, consumer directed plans, and a
proprietary rewards program called Sterling HealthAssets.

SUMMIT ADMINISTRATION
SERVICES, INC.
Alfred Gregory
President
P.O. Box 25160
Scottsdale, AZ 85255-0102 - United States
Phone: (480) 505-0400
Email: alfred@summit-inc.net
Website: www.summit-inc.net
Year Business Started: 1996
Number of Clients: 45
Number of Employees: 28
Concierge services for those groups wanting a step above the rest;
dedicated team, advanced technology and reporting. Also, experienced
experts in Native American & Tribal Health Plans.

18 THE Directory 2012

www.sipconline.net

Richard Mousty
President

As a TPA for self-funded group health plans, Unified Group Services


offers many competitive advantages to keep your company on top of
the complex world of health care. We offer a wide range of services
including: Plan Administration, Benefit Design, Cost-Containment, and
Comprehensive Reporting while providing personalized service.

VIRGINIA HEALTH NETWORK


James Gore
Vice President of Marketing
7400 Beaufont Springs Drive, Suite 505
Richmond,VA 23225 - United States
Phone: (804) 320-3837 ext. 105
Email: jgore@vhn.com
Website: www.vhn.com
Year Business Started: 1988
Number of Clients: 4,500
Number of Employees: 13
VHN is a provider-owned wholesale PPO covering more than 95% of
Virginias population. VHN PLUS rates are available for groups with 100
or more eligible Virginia employees. With more than 100 hospitals and
14,000 physicians Weve got you covered

WELLDYNERX
Jack Feingold
VP, Account Development
7472 S.Tucson Way
Centennial, CO 80112 - United States
Phone: (888) 479-2000
Email: eotto@welldynerx.com
Website: www.welldynerx.com
Year Business Started: Been in the health services business for over
17 years
WellDyneRx is a national leader in providing innovative pharmacy benefit
management solutions. Our commitment to incredible service, coupled
with our advanced robotic technology, allows us to offer a comprehensive
range of prescription management services. We are committed to
delivering pharmacy solutions that provide the highest quality benefits
while managing costs.

888.394.5688

THE Directory 2012

19

SECTION 2

THIRD PARTY ADMINISTRATORS (TPAS)


PROPERTY AND CASUALTY/WORKERS
COMPENSATION/CAPTIVES
AFA CLAIM SERVICES

AVIZENT

Erik Stremke
Sales Director

Eric Neuville
EVP, Client Services, Sales and Marketing

17777 Center Court Drive, Suite 325


Cerritos, CA 90703 - United States
Phone: (562) 252-3434
Email: Erik.Stremke@afaclaims.com
Website: www.afaclaims.com
Year Business Started: 2001
Number of Clients: 50
Number of Employees: 60

5000 Bradenton Avenue


Dublin, OH 43017 - United States
Phone: (888) 646-9675
Email: eneuville@avizentrisk.com
Website: www.avizentrisk.com
Year Business Started: 1946
Number of Clients: 20,200
Number of Employees: 1,000

AFA Claim Services provides each client with detailed attention to their
specific program, managed by highly experienced adjusters in GL, Auto,
Inland Marine and Property. We outperform our competitors with our
experience, value added results, and focus on our clients. AFA - High
quality results, service, and commitment.

Avizent is a consultative risk management company providing consistent


quality across all offices. We offer innovative, wholly-owned solutions
including claims management, managed care, loss prevention, premium
audit services, alternative risk/captive programs, medical allocation and
investigative services, and advanced RMIS technology. We are a national
TPA alternative with a local touch.

ALTERNATIVE RISK SERVICES, LLC


Cecil Witt, Jr.
President
10525 NW Ambassador Drive
Kansas City, MO 64153 - United States
Phone: (816) 412-4500
Email: cewitt@arskc.com
Website: www.arskc.com
Year Business Started: 2001
Number of Clients: 25
Number of Employees: 40

ALTERNATIVE SERVICE CONCEPTS


Glenn Backus
Sr. VP and Director of Sales & Marketing
2501 McGavock Pike, Suite 802
Nashville,TN 37214 - United States
Phone: (806) 656-0726
Email: glenn.backus@ascrisk.com
Website: www.ascrisk.com
Year Business Started: 2002
Number of Clients: 95
Number of Employees: 138
Alternative Service Concepts delivers Workers Compensation and Property
& Casualty claims management expertise and customized solutions to our
partners. Our business model is built on the principles of Flexibility, Expertise
and Integrity: Flexibility evidenced by our service models (including on-site
adjusters); Integrity by transparency; Expertise means we know your business.
20 THE Directory 2012

www.sipconline.net

BRENTWOOD SERVICES
ADMINISTRATORS, INC.
Keith Fawcett
Vice President
P.O. Box 1125
Brentwood,TN 37024-1125 - United States
Phone: (800) 524-0604
Email: solutions@bwood.com
Website: www.brentwoodservices.com
Year Business Started: 1990
Number of Clients: 100+
Number of Employees: 180
Brentwood Services Administrators provides Third Party Administration
services for self-insured, large deductible and insurance company clients.
BSA is an independent regional TPA with a national reach and a focus on
Workers Compensation and other property, casualty and accident lines.
BSA is committed to meeting the unique needs of our clients.

BROADSPIRE
Celia Winchell
V.P. Product Development
19111 N. Dallas Parkway, Suite 180
Dallas,TX 75387 - United States
Phone: (972) 250-5104
Email: celia_winchell@choosebroadspire.com
Website: www.choosebroadspire.com
Year Business Started: 1912
Number of Clients: 500
Number of Employees: 2,000
Broadspire designs workers compensation, general and auto liability
programs customized to your company. Our host of cost saving, medical
management services include: Medical Bill Review, Pharmacy Benefits
Management, Utilization Management, Physician Review Services, Case
Management, Chronic Pain Management, Alternate Dispute Resolution,
Return To Work and more. Contact us at www.choosebroadspire.com.

CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
Considine & Associates (HealthClaim Review) is a URAC-accredited
independent review organization that provides independent medical
review for workers comp and disability. Medical necessity, coding and
claims review, fraud and abuse, physician and hospital bill review, hospital
line audits and line-by-line hospital bill repricing are key product areas.

EBIX HEALTH
Laurie Douglas
Director of Marketing
10 10th Street NE, Suite 500
Atlanta, GA 30328 - United States
Phone: (404) 604-2757Email: laurie.douglas@ebix.com
Website: www.ebix.com
Year Business Started: 1989
Number of Clients: 5,600
Number of Employees: 90
Ebix Health is your on-demand, end-to-end source for benefit information
and insurance solutions from agency management solutions, an awardwinning employee communications portal with integrated health and
wellness information, to claims administration, and business intelligence
tools. Ebix Health solutions are trusted by thousands of insurance carriers,
TPAs, brokers, and employers.

HEALTHCARE SUBROGATION
GROUP, LLC
Brian Brumit
President
4 Armstrong Road, 4th Floor
Shelton, CT 06484 - United States
Phone: (203) 312-1750
Email: bbrumit@hcsg.net
Website: www.hcsg.net
Year Business Started: 2002
Number of Clients: 160
Number of Employees: 50
HCSG prides itself on identifying all paid claims at the treatment level
and systemically investigates to ensure that the treatments are indeed
for the right person and that the right policy paid and paid appropriately,
all without contacting the member. HCSG and Spartan Recoveries never
close a case thereby increasing recovery.

HEALTH SYSTEMS INTERNATIONAL


Joseph Antonell
President of Bill Review Division
7300 N. Kendall Drive, Suite 505
Miami, FL 33156 - United States
Phone: (305) 671-5126
Email: jantonell@us-hsi.com
Website: www.us-hsi.com
Year Business Started: 2004
Number of Clients: 700
Number of Employees: 200
Health Systems International provides medical cost management
solutions to healthcare payors in multiple markets throughout the world.
We connect clients to the lowest possible cost of care utilizing advanced
technology, customized solutions, exclusive offerings, and personalized
service to drive optimal savings and reduce administrative demands.

HM INSURANCE GROUP
Judi Hast
Director, Events Planning and Promotions
P.O. Box 535061
Pittsburgh, PA 15253-5061 - United States
Phone: (800) 328-5433
Email: judi.hast@hminsurancegroup.com
Website: www.hminsurancegroup.com
Year Business Started: 1980
Number of Employees: 505
HM Insurance Group utilizes its strength and experience to provide
products and services that deliver health risk solutions. HMs product
portfolio features Stop Loss, including HMO Reinsurance and Provider
Excess, and a suite of voluntary products including Critical Illness, Accident,
Disability Income,Term Life and Limited Benefit Medical Plans.

888.394.5688

THE Directory 2012

21

MUTUAL ASSURANCE
ADMINISTRATORS, INC.

NORTHSHORE INTERNATIONAL
INSURANCE SERVICES, INC.

Eric Wright
Chief Marketing Officer

David Ives, CPCU


Chief Executive Officer

3121 Quail Springs Parkway


Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225

199 Rosewood Drive


Danvers, MA 01923 - United States
Phone: (978) 745-6655
Email: dives@niis.com
Website: www.niis.com
Year Business Started: 1988
Number of Clients: 300+
Number of Employees: 50

MAA provides benefit solutions. 35 years of helping clients balance


quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK,TX, MO, AR,TN.

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.

MYMATRIXX
Melissa Vance

OPTUMHEALTH

5706 Benjamin Center Drive, Suite 103


Tampa, FL 33634 - United States
Phone: (813) 321-6246
Email: mvance@mymatrixx.com
Website: www.mymatrixx.com
Year Business Started: 2001
Number of Clients: 540
Number of Employees: 100

Lauren Byers
Director, Marketing

myMatrixx is a privately owned company specializing in Workers


Compensation and pain management. We provide a nationwide network
of more than 64,000 pharmacies, a corporately owned mail service
and compounding pharmacy, and an information-based clinical program
which utilizes comprehensive technology to drive operational efficiency.
myMatrixxs vision is to deliver an unimaginably great customer experience.

OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care system,
finance their health care needs and achieve their health and well-being goals.

6300 Olson Memorial Highway


Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000

NORTH AMERICAN
RISK SERVICES, INC.

PMA MANAGEMENT CORP./


PMA MANAGEMENT CORP.
OF NEW ENGLAND

Robert Ruryk
President & COO

Michael MacAulay
VP Sales

240 E. Central Parkway, Suite 4010


Altamonte Springs, FL 32701 - United States
Phone: (800) 315-6090
Email: rruryk@narisk.com
Website: www.narisk.com
Year Business Started: 1996
Number of Clients: 67
Number of Employees: 174

380 Sentry Parkway


Blue Bell, PA 19422 - United States
Phone: (856) 727-3157
Email: Michael_MacAulay@pmagroup.com
Website: www.pmacompanies.com
Year Business Started: 1991
Number of Clients: 300
Number of Employees: 300+

North American Risk Services (NARS) is a premier third-party claims


administrator that is dedicated to producing the best possible results for
our clients. Founded in 1996, we handle claims for insurers, brokerages,
managing general agencies, reinsurers, liquidation bureaus, self-insured
funds and entities.

PMA is a top provider of TPA and Risk Services in the US. With client
retention averaging 98% and a 96% customer satisfaction rating, PMA
delivers tangible value every day, striving to exceed our clients expectations
and maximize their financial results. We provide complete third-party claims
and risk management services.

22 THE Directory 2012

www.sipconline.net

PRO GROUP MANAGEMENT, INC.

SPECTRUM ADMINISTRATORS, INC.

Robert Vogel
Vice President

Stacey Asbell
General Manager

575 S. Saliman Road


Carson City, NV 89701 - United States
Phone: (775) 887-2480
Email: tanyaolson@pgmnv.com
Website: www.pgmnv.com
Year Business Started: 1995
Number of Clients: 2,400
Number of Employees: 50

2166 South 12th Street, Suite 301


Allentown, PA 18103 - United States
Phone: (610) 969-0420
Email: stacey.asbell@lvh.com
Website: www.spectrumtpa.com
Year Business Started: 1988
Number of Clients: 5
Number of Employees: 48

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 45 captives for clients from 36 states.

Spectrum Administrators is a full service third party administrator of selfinsured health benefit and workers compensation programs. By marrying
robust technology, clinical resources, innovative stop loss products and
highly skilled, customer-focused staff, Spectrum Administrators is uniquely
positioned to maximize the self-funding experience in an environment
supportive of wellness and prevention.

SB HOWARD & COMPANY


Leesa Davis
President
120 South 2nd Street
Rogers, AR 72756-4526 - United States
Phone: (479) 636-0198
Email: leesad@sbhoward.com
Website: www.sbhoward.com
Year Business Started: 1986
Number of Clients: 5
Number of Employees: 10
S B Howard & Company seeks to develop mutually profitable relationships
with the customers we serve and with the reinsurance carriers we represent
in order to preserve the environment and integrity of self insured benefit
plans. We do not strive to be the largest - just the best.We are the choice
for individualized employee benefits providing the highest quality claims
processing based on integrity, accuracy and respect for the individual.

TRISTAR INSURANCE GROUP/


TRISTAR BENEFIT ADMTRS.
Joe McLaughlin
Senior VP, Sales & Marketing
203 N. Golden Circle Drive, Suite 200
Santa Ana, CA 92705 - United States
Phone: (714) 543-0700 ext. 3423
Email: joe.mclaughlin@tristargroup.net
Website: www.tristarrisk.com
Year Business Started: 1987
Number of Clients: 300+
Number of Employees: 700+

SEDGWICK CLAIMS MANAGEMENT


SERVICES, INC.

For over 20 years,TRISTAR Risk Management has provided workers


compensation and liability claims management and administration services.
TRISTAR provides Third Party Administration services to self-insured entities,
including cities, counties, healthcare organizations, transportation, school and
water districts, and other private industries.TRISTARs services include loss
control and managed care services.

Paul Ross
Specialty Sales, Alternative Risk

VIRGINIA HEALTH NETWORK

1100 Ridgeway Loop


Memphis,TN 38120 - United States
Phone: (901) 415-7400
Email: paul.ross@sedgwickcms.com
Website: www.sedgwickcms.com
Year Business Started: 1969
Number of Clients: 1,928
Number of Employees: 9,400
Sedgwick CMS is the industry preferred TPA for the most progressive,
profitable, and fastest growing companies in the nation. We are a leading
national third-party administrator of workers compensation, professional,
general and auto liability, disability, and absence management and
represent clients in all fifty states.

James Gore
Vice President of Marketing
7400 Beaufont Springs Drive, Suite 505
Richmond,VA 23225 - United States
Phone: (804) 320-3837 ext. 105
Email: jgore@vhn.com
Website: www.vhn.com
Year Business Started: 1988
Number of Clients: 4,500
Number of Employees: 13
VHN is a provider-owned wholesale PPO covering more than 95% of
Virginias population. VHN PLUS rates are available for groups with 100 or
more eligible Virginia employees. With more than 100 hospitals and 14,000
physicians weve got you covered.

888.394.5688

THE Directory 2012

23

Independence Holding Group


announces the formation of

IHC Risk Solutions


The expertise of IHCs five managing general underwriters
Alliance Underwriters
Independence Insurance Group
Majestic Underwriters
Marlton Underwriters
Risk Assessment Strategies

Combined into one


direct stop-loss solution

Direct strength. Leading innovation.


ihcrisksolutions.com

SECTION 3

MANAGING GENERAL UNDERWRITERS


(MGUs)/MEDICAL STOP-LOSS CARRIERS
LIFE & HEALTH/EMPLOYEE BENEFITS
AMERICAN FIDELITY ASSURANCE

BARDON INSURANCE GROUP, INC.

Diana Lee
Assistant Vice President

Don Thaler
President
8326 E. Hartford Drive, Suite 100
Scottsdale, AZ 85255 - United States
Phone: (480) 682-1400
Email: don.thaler@bardon.net
Website: www.bardon.net
Year Business Started: 1996
Number of Clients: 250
Number of Employees: 12

2000 N. Classen Boulevard - 7E


Oklahoma City, OK 73106 - United States
Phone: (405) 523-5635
Email: diana.lee@af-group.com
Website: www.afadvantage.com
Year Business Started: 1960
Number of Clients: 365
Number of Employees: 1,500+
American Fidelity Assurance Company is a family-owned organization
providing stop loss products to clients since 1994. We are founded on
and driven by the principles of serving our customers and protecting their
investments.We work with select high-quality managing general underwriters
to provide stop loss coverage.

ARBOR BENEFIT GROUP, L.P.


Gerald Kiernan
President
281 Farmington Avenue
Farmington, CT 06032 - United States
Phone: (860) 674-9748
Email: jerryk@arborbg.com
Website: www.arborbg.com
Year Business Started: 2000
Number of Clients: 90
Number of Employees: 20

ASG RISK MANAGEMENT, INC.


Alan Graffam
President
Two Monument Square, Suite 520
Portland, ME 04101 - United States
Phone: (207) 775-2332
Email: alan@asgrmi.com
Website: www.asgrmi.com
Year Business Started: 2003
Number of Clients: 75
Number of Employees: 11

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.

BEACON RISK STRATEGIES,


AN AMWINS GROUP BENEFITS COMPANY
Wright Dickinson
President
180 Nickerson Street, Suite 304
Seattle, WA 98109 - United States
Phone: (206) 298-0092
Email: wright.dickinson@amwins.com
Website: www.beaconrisk.com
Year Business Started: 1999
Number of Clients: 250+
Number of Employees: 25
Relationship oriented, full service MGU focused on large case medical stoploss market. Seasoned underwriting staff averages 20+ years experience.
We deliver superior value to partners and clients through a focus on service,
expertise and a consultative approach to cost-containment strategy. Case
Management, pre-natal wellness and transplant programs offered.

888.394.5688

THE Directory 2012

25

BENEFITMALL

BLUE CROSS BLUE SHIELD OF FL

Kim Johnson
Director, Business Operations
5090 North 40th Street, Suite. 100
Phoenix, AZ 85018 - United States
Phone: (602) 308-0797
Email: kim.johnson@benefitmall.com
Website: www.benefitmall.com
Year Business Started: 1979
Number of Clients: 125
Number of Employees: 700+

Juli Williams
Sr. Manager - Stop Loss/Reinsurance
4800 Deerwood Parkway, Campus Parkway
Jacksonville, FL 32246 - United States
Phone: (904) 905-4093
Email: Juli.williams@bcbsfl.com
Website: www.bcbsfl.com
Year Business Started: 2008
Number of Clients: 100+
Number of Employees: 3

BenefitMall is the nations largest wholesaler of insurance products.


Our Self-Funded Division represents numerous direct writers of medical
stop-loss. We pride ourselves on our buying power, services provided, and
partnerships with our carriers and broker/clients.There is no fee to our
brokers or their customers for our service.

BRENTWOOD REINSURANCE
INTERMEDIARIES, INC.

BERKLEY ACCIDENT & HEALTH


Christopher Brown
President & CEO
290 Donald Lynch Boulevard, Suite 302
Marlborough, MA 01752 - United States
Phone: (508) 573-6123
Email: cbrown@berkleyah.com
Website: www.BerkleyAH.com
Year Business Started: 2005
Number of Clients: 16,000+
Number of Employees: 60
Berkley Accident & Health, LLC is a direct-writer of stop loss insurance in
50 states, policies issued by Berkley Life and Health Insurance Company,
rated A+ by AM Best.The company is a wholly-owned subsidiary of W.R.
Berkley Corporation (NYSE: WRB). Berkley offers a unique product called
EmCap that utilizes an offshore captive arrangement to provide a selffunded alternative to smaller employers of 50 or more employees that
are trapped in fully insured medical plans. Sales Managers are located
throughout the United States.

BEST RE
Carolyn Shepherd
Sales & Marketing Director
2700 W. Cherry Lane, Suite 110
Meridian, ID 83642 - United States
Phone: (877) 868-5775
Email: cshepherd@bestre.net
Website: www.bestre.net
Year Business Started: 1979
Let BEST Res Team of Experts work for you! As a full service managing
general underwriter, we provide medical stop loss insurance through
qualified TPAs and brokers. With professional staff and total oversight of
claims, marketing and underwriting, BEST Re delivers financially viable stop
loss products for your clients.

26 THE Directory 2012

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Al Rusnak
Director of Marketing, Life & Health Reins.
P.O. Box 1125
Brentwood, TN 37024-1125 - United States
Phone: (800) 524-0604
Email: brentre@bwood.com
Website: www.brentre.com
Year Business Started: 1990
Number of Employees: 190
BrentRe is an independent reinsurance intermediary serving insurance
companies, MGUs and program administrators. Our responsive
personal service is focused on Life, Accident, Health, and Workers
Compensation reinsurance.

CALCPA GROUP INSURANCETRUST


Susan Young
Executive Director
1800 Gateway Drive, Suite 201
San Mateo, CA 94404 - United States
Phone: (650) 522-3250
Email: susan.young@calcpa.org
Website: www.cpaprotectplus.com
Year Business Started: 1959
Number of Clients: 1,440
Number of Employees: 7
CalCPA ProtectPlus provides high-quality medical, dental, vision, term life
and long-term disability plans exclusively for CalCPA member-owned firms.

CELTIC INSURANCE COMPANY

CHUBB ACCIDENT & HEALTH

Tom Frank
Vice President
233 S. Wacker Drive, Suite 700
Chicago, IL 60606 - United States
Phone: (312) 332-8570
Email: tfrank@celtic-net.com
Website: www.celtic-net.com
Year Business Started: 1980
Number of Clients: 1,000
Number of Employees: 100

Michael Feighan
Vice President of Worldwide Underwriting
202 Halls Mill Road
Whitehouse Station, NJ 08889 - United States
Phone: (908) 572-2887
Email: mfeighan@chubb.com
Website: www.chubb.com/accident

CELTIC:THE Source for Medical Conversion.Til PPACA begins in 2014,


Celtic remains the largest provider of stand-alone medical conversion. Celtic
issues coverage, without pre-ex limitation, to individuals when COBRA runs
out. High risk pools and HIPAA alone are not enough. Provide fully-insured
like benefit to your self-funded groups at reasonable cost. All states except
OR and NH.

CEVIAN INTERMEDIARIES, LLC


Nigel Wallbank
Executive Vice President
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com
Cevian Intermediaries offers a full scope of broker services including
Excess Cover,Transplant Carve Out, Rx Carve Out, Employer Stop Loss,
Managed Care, Pet, Blanket Special Risk, Limited Medical, Student and
Travel Assistance.

CHARTIS ACCIDENT & HEALTH


CORPORATE BENEFITS
Jeff Meyer
Vice President, Sales
One MacArthur Place, Suite 620
South Coast Metro, CA 92707 - United States
Phone: (714) 436-3600
Email: jeff.meyer@chartisinsurance.com
Website: www.chartisinsurance.com
Year Business Started: 1974

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

CHUBB ACCIDENT & HEALTH


Lee Hilsabeck
AVP, Special Risk Manager
233 S. Wacker Drive, Suite 4700
Chicago, IL 60606 - United States
Phone: (312) 681-1313
Email: lhilsabeck@chubb.com
Website: www.chubb.com/accident
Over the past 50 years, Chubb has provided accident & health solutions.
Experience, superior service and financial strength are just some of the
advantages we offer. Chubb Accident & Health consistently demonstrates
an exceptional ability to creatively collaborate with policyholders, through
our flexible and innovative approach to products and services.

CHUBB ACCIDENT & HEALTH


David Stimus
AVP, Assumed Reinsurance Manager
202 Halls Mill Road
Whitehouse Station, NJ 08889 - United States
Phone: (908) 572-3605
Email: dstimus@chubb.com
Website: www.chubb.com/accident
Over the past 50 years, Chubb has provided accident & health solutions.
Experience, superior service and financial strength are just some of the
advantages we offer. Chubb Accident & Health consistently demonstrates
an exceptional ability to creatively collaborate with policyholders, through
our flexible and innovative approach to products and services.

Chartis Accident & Health Corporate Benefits (formerly known as Medical


Excess) has been an industry leader in Medical Stop Loss and Fully Insured
Organ Transplant coverages since 1974. For employee benefits captive
programs, we can provide a fronting carrier, excess coverage, and captive
management services as needed.

888.394.5688

THE Directory 2012

27

CHUBB ACCIDENT & HEALTH

DCC, INC.

Jim Villa
SVP, North American Manager
202 Halls Mill Road
Whitehouse Station, NJ 08889 - United States
Phone: (908) 572-2581
Email: jvilla@chubb.com
Website: www.chubb.com/accident

Sam Sletager
National Sales Manager
P.O. Box 718
Sandpoint, ID 83864 - United States
Phone: (208) 265-1719
Email: ssletager@dccinc-us.com
Website: www.dccinc-us.com
Year Business Started: 2002
Number of Clients: 110
Number of Employees: 16

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

CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
Considine & Associates (HealthClaim Review) provides medical bill review
services to SIUs, TPAs, stop loss carriers, reinsurance, bill negotiation and
financial recovery companies. Facility bill review includes DRG validation,
hospital line audit, as well as repricing of itemized hospital bills, implants and
outpatient surgery centers. Facility bill review is supplemented by a large
national physician consultant panel that performs medical necessity and
claims and coding review.

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
Website: www.dwvd.com
Year Business Started: 1978
Number of Clients: 125
Number of Employees: 22
Life and A&H Intermediary providing access to carriers, reinsurance,
distribution,TPAs, MGUs and others. Product expertise in Life, Accident,
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental,
Rx, Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe,
Provider and HMO Excess, Reserve Transfers and others.

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Benefit Preservation Program - We understand the unique dialysis market


dynamics effecting self-funded plans. Payers and administrators look to
DCC for our innovative dialysis cost containment services including Payment
Based U&R recommendations, Single Patient Agreements, access to
specialty networks, and patient self-administered care. DCC is the sole
licensee of the health care benefits claim review and recommendation
systems (patent pending).

EAST COAST UNDERWRITERS, LLC


Aaron Wilkie
President
101 N. Pine Street, Suite 210
Spartanburg, SC 29302 - United States
Phone: (864) 542-1592
Email: awilkie@ecumgu.com
Website: www.ecumgu.com
Year Business Started: 2001
Number of Clients: 206
Number of Employees: 17
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 employers
medical plan against catastrophic medical claims. ECU specializes on
employer groups with 25-250 covered employee lives with and has unique
products such as our EZ AGG and 12/12 Plus. In addition to Medical
Stop Loss coverage, we also quote Life Insurance and AD&D.

ELITE UNDERWRITING SERVICES

FAIRMONT SPECIALTY

Eric Dove
President
191 Sheree Boulevard
Exton, PA 19341 - United States
Phone: (610) 280-4304
Email: edove@eliteuw.com
Website: www.eliteuw.com
Year Business Started: 1994
Number of Clients: 400
Number of Employees: 48

Lauren Woods
Sr. Marketing Associate
5 Christopher Way
Eatontown, NJ 07757 - United States
Phone: (732) 676-9833
Email: lwoods@fairmontspecialty.com
Website: www.fairmontspecialty.com
Year Business Started: 2000
Number of Employees: 42

Since 1994, Elite Underwriting Services continues to be one of the countrys


leading Managing General Underwriting Companies with $100M in Stop
Loss premiums under management. We provide brokers, consultants
and third-party administrators with a wide array of Stop-loss options and
product flexibility necessary to meet the needs and expectations of your
clients, in all 50 states.

EXCESS REINSURANCE
UNDERWRITERS
Brian Zidek
President
307 S. Evergreen Avenue, Suite 101
Woodbury, NJ 08096 - United States
Phone: (856) 251-2280
Email: bzidek@excessre.com
Website: www.excessre.com
Year Business Started: 1989
Number of Clients: 400+
Number of Employees: 31
Excess Re is a national, full service managing general underwriter
specializing in employer stop loss insurance, HMO reinsurance, voluntary
benefits and captive reinsurance solutions. Excess Res history, reputation,
and innovative underwriting enable it to deliver products and services to
meet the needs of an evolving industry.

EXCESS RISK REINSURANCE


Steven Parker
President
P.O. Box 1170
Ridgeland, MS 39158 - United States
Phone: (601) 427-0235
Email: sparker@errms.net
Website: www.excessriskms.com
Year Business Started: 1989
Number of Clients: 170
Number of Employees: 20
Excess Risk Reinsurance is a managing general underwriter of Specific and
Aggregate Excess Insurance with full authority of market, to underwrite,
issue policies, collect premiums and pay claims on behalf of Best rated

Fairmont Specialty is part of Crum & Forster group, rated A (Excellent)


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

FIDELITY SECURITY
LIFE INSURANCE
David Smith
Senior Vice President
3130 Broadway
Kansas City, MO 64111 - United States
Phone: (816) 756-1060 ext. 1550
Email: djsmith@fslins.com
Website: www.fslins.com
Year Business Started: 1969
Number of Clients: 105
Number of Employees: 265
FSL is an issuing carrier in Stop Loss. In addition, FSL underwrites numerous
supplemental health products including Rx carveouts, Vision, Limited
Medical, GAP, Dental and Hearing. Reinsurance partners are needed for
added capacity for virtually all programs.

GREENWOOD INTL.
INSURANCE SVCS.
Daniel Boisvert
CEO
225 Franklin Street, Suite 1200
Boston, MA 02110-2829 - United States
Phone: (617) 502-3024
Email: dboisvert@gwigroup.com
Website: www.gwigroup.com
Year Business Started: 1987
Number of Clients: 400+
Number of Employees: 20
GreenWood International Insurance Services, Inc. (GWI) is a Managing
General Underwriter specializing in medical stop loss, group accident
insurance, and occupational accident insurance. GWI delivers superior
customer service, flexible underwriting, and tailors coverage to the
individual risk management needs of its clients. For more information,
visit www.gwigroup.com

888.394.5688

THE Directory 2012

29

HCC LIFE INSURANCE COMPANY

HI-TECH HEALTH, INC.

Dan Strusz
Executive Vice President
225 TownPark Drive, Suite 145
Kennesaw, GA 30144 - United States
Phone: (800) 447-0460
Email: dstrusz@hcclife.com
Website: www.hcclife.com
Year Business Started: 1982
Number of Clients: 3,000+
Number of Employees: 600+

Michael Carrara
President
1500 Route 517, Suite 200
Hackettstown, NJ 07840 - United States
Phone: (908) 813-3440
Email: mcarrara@hi-techhealth.com
Website: www.hi-techhealth.com
Year Business Started: 1990
Number of Clients:
Number of Employees:

HCC Life Insurance Company, a subsidiary of HCC Insurance Holdings, Inc.,


is a leading specialty insurance carrier providing medical stop loss, medical
excess, HMO reinsurance, and other specialty insurance products. Rated
A+ (Superior) by A.M. Best Company, HCC Life provides exceptional claims
turnaround times and value-added services.

Hi-Tech Health, Inc. Series 3000 Claims Administration System


It doesnt matter if your company is in its infancy or one thats been around
for many years. If youre a startupThird Party Administrator, just entering
the self-insurance industry, an insurance company, union, large corporation,
or small brokerage firm wanting control of your clients 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.

Relationships are the foundation of our business.


Servicing our clients since 1994, Elite Underwriting is one of the countrys leading privately held Managing General Underwriters.
Managing 150,000,000 of premium, we are partnered with A+ and A rated carriers. Encouraging a culture of innovation and
service, we leverage our expertise and industry relationships allowing us to offer a wide array of products and services, as well as
superior 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
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HM INSURANCE GROUP

IHC RISK SOLUTIONS

Judi Hast
Director, Events Planning and Promotions
P.O. Box 535061
Pittsburgh, PA 15253-5061 - United States
Phone: (800) 328-5433
Email: judi.hast@hminsurancegroup.com
Website: www.hminsurancegroup.com
Year Business Started: 1980
Number of Employees: 505

Frank Dalicandro
Executive Vice President
485 Madison Avenue, Floor 14
New York, NY 10022 - United States
Phone: (877) 392-3770 ext. 401
Email: fdalicandro@ihcrisksolutions.com
Website: www.ihcrisksolutions.com
Year Business Started: 1992
Number of Clients: 180
Number of Employees: 54

HM Insurance Group utilizes its strength and experience to provide


products and services that deliver health risk solutions. HMs product
portfolio features Stop Loss, including HMO Reinsurance and Provider
Excess, and a suite of voluntary products including Critical Illness, Accident,
Disability Income,Term Life and Limited Benefit Medical Plans.

HUMANA, INC.
Danielle Cox
Director
500 W. Main Street
Louisville, KY 40202 - United States
Phone: (502) 580-1489
Email: dcox2@humana.com
Website: www.humana.com
Year Business Started: 1961
Number of Clients: 77,395
Number of Employees: 36,000
Humana provides more than group and individual health insurancewe
offer customizable solutions to help members achieve lifelong well-being.
From exceptional service to innovative resources, Humana is your self
funded solutions partner.
Medical
Pharmacy
Dental
Vision
Life
Disability
Medical Stop Loss
Voluntary Benefits (Critical Illness, Accident, Cancer,
Supplemental Health)

IHC Risk Solutions, is a member of The IHC Group (NYSE:IHC), with


expertise in underwriting, selling and managing large claim risk for medical
stop-loss for groups starting at 25 lives and ranging up to the largest groups.
Today, IHC Risk Solutions is one of the largest medical stop-loss underwriters
in the United States.

IIS/INTL. INSURANCE
AGENCY SVCS. LLC
David Haddad
Chief Marketing Officer
10 S. LaSalle Street, Suite 3450
Chicago, IL 60603 - United States
Phone: (800) 786-0500
Email: david.haddad@sbcglobal.net
Website: www.iismgu.com
Year Business Started: 1993
Number of Clients: 180
Number of Employees: 20
International Insurance Agency Services, LLC (IIS) is a Managing General
Underwriter specializing in independent insurance underwriting, marketing,
and administrative services that provide employee benefit programs. IIS
creates unique concepts and designs competitive, affordable employer
programs & plans to deliver up-to-date benefits desired by employees in
the current environment.

ING EMPLOYEE BENEFITS


Mary Sullivan
Head of Stop Loss
20 Washington Avenue South
Minneapolis, MN 55401 - United States
Phone: (612) 342-7459
Email: marye.sullivan@us.ing.com
Website: www.ing.us/employers/employee-benefits
Year Business Started: 1976
Number of Clients: 796 stop loss clients
Number of Employees: 425
ING Employee Benefits, a division of ReliaStar Life Insurance Company, has
been a leader in the stop loss market for more than 30 years. We offer
a variety of stop loss insurance products to protect self-funded employers
from unpredictable and catastrophic health claims.

888.394.5688

THE Directory 2012

31

INTERMEDIARY INSURANCE
SERVICES, INC. (IISI)

INTERNATIONAL RISK
CONSULTANTS

Jim Henry
Executive Vice President
180 Montgomery Street, 5th Floor
San Francisco, CA 94104 - United States
Phone: (415) 399-6700
Email: jim_henry@iisinet.com
Website: www.iisinet.com
Year Business Started: 1983

Michael McGrath
President & CEO
One Corporation Way, Suite 230
Peabody, MA 01960 - United States
Phone: (781) 581-9800
Email: MMcGrath@Irc-Ohu.com
Website: www.Irc-Inc.org
Year Business Started: 1990
Number of Employees: 10

Intermediary Insurance Services, Inc. (IISI) is a full-service MGU providing


employer stop loss, group life, and managed care solutions to the selffunded community through our TPA and broker/consultant relationships. IISI
is a Companion Life Affiliated Company.

INTERNATIONAL ASSURANCE
OF TN, INC.
Robert Baisden
President
123 7th Avenue South
Franklin, TN 37064 - United States
Phone: (615) 790-6908
Email: bob@iatmgu.com
Website: www.iatmgu.com
Year Business Started: 1984
Number of Clients: 250
Number of Employees: 17
IAT is one of, if not the oldest, independently owned, full service MGUs
providing Excess Medical for self-insured medical Benefit Plans and Inmate
Excess Medical for jails and prisons.

INTERNATIONAL MEDICAL
GROUP-STOP LOSS, INC.
Steve Butz
Vice President, Marketing
2960 North Meridian Street
Indianapolis, IN 46208 - United States
Phone: (877) 884-6475 ext. 4673
Email: steve.butz@imglobal.com
Website: www.IMG-stoploss.com
Year Business Started: 1990
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.

International Risk Consultants is a nationwide full service MGU representing


A+ carriers serving the needs of TPAs, Brokers and Consultants. IRC
underwrites specific and aggregate stop loss. We emphasize flexible
underwriting,outstanding service, long term relationships and a tradition of
strength and stability.

IOA RE, INC.


Charles Place, Jr.
Executive Vice President
190 W. Germantown Pike, #200
East Norriton, PA 19401 - United States
Phone: (267) 242-0096
Email: cplace@ioare.com
Website: www.ioare.com
Year Business Started: 1982
Number of Clients: 306
Number of Employees: 35
Headquartered in East Norriton, PA, IOA Re maintains three broad
binding authorities designed to provide flexible employer stop loss product
and service options to the TPA and employer community. Besides East
Norriton, we maintain underwriting staff in Indianapolis, Kansas City and
Salt Lake City.

LIFEWISE ASSURANCE COMPANY


Michael Wozny
President
7001 220th Street, S.W., MS 222
Mountlake Terrace, WA 98043-2160 - United States
Phone: (425) 918-4668
Email: mike.wozny@lifewiseac.com
Website: www.lifewiseac.com
Year Business Started: 1981
Number of Clients: 100
Number of Employees: 31
LifeWise Assurance Company offers stop loss and group life and disability
products that provide valuable benefit features, and the flexibility to meet
the unique needs of our diverse customer base. Now in our 30th year, our
coverage extends to over 460,000 people in 13 Western states (which
includes 2 pending applications).

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MAGNACARE

MONTGOMERY MANAGEMENT

Steve Kokulak, Esq.


Vice President,Workers Compensation & No-Fault
303 George Street, Suite 400
New Brunswick, NJ 08901 - United States
Phone: (516) 282-8923
Email: skokulak@magnacare.com
Website: www.magnacare.com
Year Business Started: 1990
Number of Employees: 225

Anne Marie McCarthy


President
137 S. Main Street
North Wales, PA 19454 - United States
Phone: (800) 883-1500
Email: amccarthy@montmgmt.com
Website: www.montmgmt.com
Year Business Started: 1989
Number of Employees: 20

MagnaCare is a health plan management company that offers a broad


set of self funded solutions to Taft Hartley Funds, commercial organizations,
workers compensation programs, no fault carriers, and TPAs. Our extensive
provider network, cost containment programs, wellness initiatives and
administrative services provide clients with flexible, cost-effective options.

Montgomery Management, a full service MGU, has been providing flexible


and innovative stop-loss and life products to the marketplace since 1896.
Our professional expertise, personalized service, and corporate strength and
stability make Montgomery Management an industry leader.

M-D UNDERWRITING SERVICES, INC.

Michael Shevlin
Senior Vice President
555 College Road East
Princeton, NJ 08543 - United States
Phone: (609) 243-4893
Email: mshevlin@munichhealth.com
Website: www.munichrestoploss.com
Year Business Started: 1996
Number of Clients: 250
Number of Employees: 45

Cathy Guenther
President
1880 General George Patton Drive, Suite 102
Franklin, TN 37067 - United States
Phone: (615) 662-3535
Email: cathy@mdusi.com
Website: www.mdusi.com
Year Business Started: 2000
Number of Clients: 50+
Number of Employees: 7
M-D Underwriting Services, Inc. is a full-service MGU representing an
A+ rated Carrier for TPAs and brokers. MDU is dedicated to providing
professional, technically superior, quality service to the Medical Excess Loss
marketplace utilizing a Back to Basics, open and accessible approach, in
working with its producers.

MEDICAL RISK MANAGERS, INC.


Craig Phillips
Vice President of Underwriting
1170 Ellington Road
South Windsor, CT 06074 - United States
Phone: (860) 291-3048
Email: cphillips@mrm-mgu.com
Website: www.mrm-mgu.com
Year Business Started: 1984
Number of Clients: 500+
Number of Employees: 44
MRM is an MGU providing assistance in stop loss primarily to BCBS
organizations, ASO, and HMO clients. Services include underwriting,
extensive network evaluations, consulting, stop loss claims adjudication,
actuarial, and accounting support. We currently have $220 million and have
profitably underwritten over $2 Billion of stop loss throughout our history.

MUNICH RE

Munich Re Stop Loss is a leading provider of risk management services/stop


loss products for the self-funded group market.We are a member of Munich
Re, the worlds preeminent reinsurer. Our size/stability provides us with the
appetite, creativity and financial strength to take on large/complex risks.

NATIONAL UNDERWRITING
SERVICES, INC.
Dana Driscoll
National Marketing Director
14893 State Highway 16 N., Suite 1
Helotes, TX 78023 - United States
Phone: (210) 695-2381
Email: ddriscoll@nus1.com
Website: www.nus1.com
Year Business Started: 1985
Number of Clients: 20+
Number of Employees: 8
NUS resolves to build working relationships with our customers and carrier
partners based upon a committment to excellence, integrity and trust. We
provide effective stop loss solutions through a controlled distrubtion model
across the USA.

888.394.5688

THE Directory 2012

33

NORTHWIND, LLC
Doug Thomas
President
3162 Phoenixville Pike
Malvern, PA 19355-8643 - United States
Phone: (610) 840-0401 ext. 7103
Email: dthomas@northwindllc.com
Website: www.northwindllc.com
Year Business Started: 1997
Number of Clients: 127
Number of Employees: 15
NorthWind,LLC is a full service MGU providing stop loss coverage through
three A+ rated carriers as well as voluntary worksite coverages through
Transamerica Life Insurance Company. We are appointed in 48 states and
have been serving the self funded market since 1997.

ONE HUNDRED YEARS, LLC


David Angelone
Partner
302 Harper Drive, Suite 302
Moorestown, NJ 08057 - United States
Phone: (646) 837-7905
Email: david.angelone@100years.com
Website: www.100years.com
Year Business Started: 2009
Number of Employees: 15
One Hundred Years, LLC is an insurance and financial services organization
providing turnkey international health and wealth insurance solutions to
insurers, employers and MGAs. We deliver proprietary health insurance
and financial security products, access to international insurance and
reinsurance facilities, underwriting and pricing, operational strategy, medical
management, international claims and cost containment.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care
system, finance their health care needs and achieve their health and wellbeing goals.

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PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Bedminster, NJ 07921 - United States
Phone: (908) 658-3535
Email: troberti@phx-online.com
Website: www.phx-online.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 75+
PHX delivers advanced cost management solutions for health plans
combining claim processing automation with professional services to
deliver a centralized approach to cost management, increasing savings
while dramatically reducing errors and turnaround time. Services include
data analytics, PPO network management, out-of-network negotiations,
claims editing, and clinical bill review and audit. PHX solutions are used
by the industrys leading insurance companies,Taft-Hartley Funds, Health
Maintenance Organizations, and Third Party Administrators.

PRESIDIO REINSURANCE GROUP


Tom Sass
SVP, Chief Marketing Officer
199 Fremont Street
San Francisco, CA 94105 - United States
Phone: (612) 234-4941
Email: tom.sass@PresidioRe.com
Website: www.PresidioRe.com
Year Business Started: 1994
Number of Clients: Leading A&H Reinsurer
Number of Employees: 60+
Presidio provides innovative and effective solutions for Accident and
Health risks. Our broad portfolio of products and services includes HMO
and medical reinsurance, employer and provider excess of loss, personal
accident, international medical, life catastrophe and medical management
services through Presidio Pulse?. Offices in San Francisco, Minneapolis,
London and Kansas City.

RISK & INSURANCE CONSULTING


SERVICES, LLC

ROUNDSTONE

Jamie Brown
Vice President
5500 Lilburn-Stone Mountain Road, Suite B
Stone Mountain, GA 30087 - United States
Phone: (770) 923-3133
Email: jamie.brown@rics-reinsurance.com
Website: www.rics-reinsurance.com
Year Business Started: 1997
Number of Employees: 7

Mike Schroeder
President
27887 Clemens Road
Westlake, OH 44145 - United States
Phone: (440) 617-0333
Email: mschroeder@roundstoneinsurance.com
Website: www.roundstoneinsurance.com
Year Business Started: 2005
Number of Clients: 100
Number of Employees: 15

Providing innovative solutions in life, accident and health reinsurance.


Access to issuing carriers for MGUs, TPAs, and captives, along with
extensive experience negotiating reinsurance; including unlimited benefits
and facultative reinsurance for legitimate groups with critical mass. Our
expertise in reinsurance accounting and risk analysis will help optimize your
reinsurance programs.

Roundstones Mid-Market Med allows companies to access self-funding


insurance methods used by larger companies to gain control over their
health insurance costs. Mid Market Med is Turnkey, Effective, and Proven.
Roundstones full service agency offers marketing, producer management,
underwriting, policy administration, premium accounting and claims and
captive administration services.

RISK SOLUTION RESOURCES, LLC

RXREINS, INC.

Chris Christofilis
President
3810 Pheasant Ridge Drive N.E., Suite 400
Minneapolis, MN 55449 - United States
Phone: (763) 231-8762
Email: chris@rsrmn.com
Website: www.rsrmn.com
Year Business Started: 2005
Number of Clients: 18
Number of Employees: 10

Crystal Williams
President
P.O. Box 2284
Palm Springs, CA 92263 - United States
Phone: (888) 797-3467
Email: cwilliams@rxreins.com
Website: www.rxreins.com

Risk Solution Resources is the outsourced Division of Pan-American Life


Insurance Companys Domestic Special Markets, specializing in a wide
variety of Group and Individual Life, Accident and Health products.

RMTS, LLC
Anita Abramyan
Director of Marketing
Six Harrison Street, 5th Floor
New York, NY 10013 - United States
Phone: (212) 925-0017
Email: aabramyan@rmts.net
Website: www.rmts.net
Year Business Started: 1986
Number of Clients: 400
Number of Employees: 28
RMTS, LLC is one of the largest Managing General Underwriters of Medical
Stop Loss, Group Life and AD&D coverage in the United States. RMTS is
proud to be one of the few remaining privately owned MGUs in the
country. While RMTS works with some of the nations largest, most
prestigious insurance companies, its independence and ability to make
all underwriting and claims decisions on business placed with it sets it
apart from its competition.

RxReins, a dedicated Managing General Underwriter, provides Aggregate


Stop Loss Insurance for Self-Funded employers for their Prescription,
Dental & Vision Group Benefit Plans. We have experienced underwriters,
competitive pricing and quick turnaround time with completed RFQ. We
work with A rated carriers and have underwriting authority in all states.

SPECTRUM UNDERWRITING
MGRS., INC.
Kurt Ridder
President
41 East Washington Street, Suite 100
Indianapolis, IN 46204 - United States
Phone: (317) 692-3285
Email: k.ridder@spectrumhq.com
Website: www.spectrumhq.com
Year Business Started: 1990
Number of Employees: 29
Spectrum is a full-service Managing General Underwriter of specific,
aggregate & integrated medical stop loss insurance. Spectrum specializes
in the prompt delivery of a comprehensive line of competitive products
and services designed exclusively for employer groups from 25 to 199
employee lives. Stability, experience, dependability and focus make our
qualities your assets.

888.394.5688

THE Directory 2012

35

STAR LINE GROUP

SYMETRA LIFE INSURANCE COMPANY

Robert Tierney
President
180 Teaticket Highway, Suite 203
E. Falmouth, MA 02536 - United States
Phone: (508) 495-0882
Email: r.tierney@starlinegroup.com
Website: www.starlinegroup.com
Year Business Started: 2000
Number of Clients: 300
Number of Employees: 35

Michael Fry
Executive Vice President, Group Division
777 108th Avenue NE, Suite 1200
Bellevue, WA 98004 - United States
Phone: (800) 426-7784
Email: GRPLIF@symetra.com
Website: www.symetra.com
Year Business Started: 1957
Number of Clients: Approximately 1.7 million customers
Number of Employees: Approximately 1,100 employees

Star Line Group is a leading underwriting manager for Stop Loss, Managed
Care and Personal Accident products.Through limited distribution networks,
we tailor customized risk solutions for our clients by offering unique products,
resources and expertise. Were passionate about managing risk. Give us a
call at 800-500-4364 or visit www.starlinegroup.com

Symetra Life Insurance Company, a subsidiary of Symetra Financial Corp., is


committed to medical stop loss business and has 35 consecutive years of
experience helping independent distribution partners deliver creative,costeffective solutions to self-funded clients. Our Group portfolio also includes
Life and AD&D, Disability Income and Limited Benefit Medical Insurance.

STRATEGIC UNDERWRITING
SOLUTIONS, LLC

TPAC UNDERWRITERS, INC.

Veronica Schmelzer
President & CEO
2593 Development Drive, #210
Green Bay, WI 54311 - United States
Phone: (920) 338-1970
Email: vschmelzer@stratuw.com
Website: www.strategicunderwritingsolutions.com
Year Business Started: 2006
Number of Clients: 120
Number of Employees: 14
Our high quality, innovative health underwriting, compliance solutions,
product development and full MGU services for small-large employers are
considered best in class. We provide essential partners and tools necessary
for optimum performance. Our staff averages 20+ years of medical
underwriting experience working in the health industry on all case sizes.

SUN LIFE FINANCIAL


Steve Schreiber
Director, Stop-Loss Product Management
One Sun Life Executive Park
Wellesley Hills, MA 02481 - United States
Phone: (781) 446-1140
Email: steve.schreiber@sunlife.com
Website: www.sunlife.com
Year Business Started: 1865
Number of Clients: 20 Million + Worldwide
Number of Employees: 14,000 + Worldwide
A member of the Fortune Global 500 list, Sun Life provides protection to
over 20 million people worldwide. Independent ratings place us among the
top financial sector in North America. In the U.S., were one of the largest
stop-loss direct writers and have provided stop-loss benefits since 1982.

36 THE Directory 2012

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Michael Meloch
President
3810 Pheasant Ridge Drive, #300
Minneapolis, MN 55449 - United States
Phone: (763) 231-8805
Email: michael_meloch@tpac.com
Website: www.tpac.com
Year Business Started: 1991
Number of Clients: 200
Number of Employees: 12
TPAC works to write profitable, creative business with our reinsurance
partners in Spec/Agg, Spaggregate(tm) and HRA/HSA plans through
Third-Party Administrators as well as fully-funded capitated drug card
programs, Life and AD&D products. Our underwriting philosophy is never
to laser any individual that we are quoting or currently have covered.

TREAN CORPORATION
Kyle Plath
Senior Vice President
775 Prairie Center Drive, Suite 420
Eden Prairie, MN 55344 - United States
Phone: (952) 974-2221
Email: kplath@treancorp.com
Website: www.treancorp.com
Year Business Started: 1996
Number of Clients: 30
Number of Employees: 49
Trean Re is one of the top privately-owned reinsurance intermediaries in
the country and is recognized for its successful efforts in the design and
placement of traditional or ART (Alternative Risk Transfer) structures for,
amongst others,TPAs, MGUs, and carriers.Trean focuses on providing
solutions to the accident/health and workers compensation industries.

TRUSTMARK INSURANCE COMPANY

XCHANGE BENEFITS, LLC

Daniel Mueller
Assistant Vice President
400 Field Drive
Lake Forest, IL 60045 - United States
Phone: (847) 283-2237
Email: dmueller@trustmarkins.com
Website: www.trustmarkinsurance.com
Year Business Started: 1913
Number of Clients: 110
Number of Employees: 7

James Denison
EVP & CUO
3 Barker Avenue, 1st Floor
White Plains, NY 10601 - United States
Phone: (914) 437-7361
Email: jdenison@xbllc.com
Website: www.xbllc.com
Year Business Started: 2010
Number of Clients: 50
Number of Employees: 9

ULLICO

Xchange Benefits is a leader in providing benefit solutions to markets


throughout the U.S. Our team has vast experience in a variety of Life /A
& H products. We continue provide the highest level of customer service
to our clients, reinsurers and insurers while also developing innovative
products and solutions.

Dan Wolak
Acting President
8403 Colesville Road, 13th Floor
Silver Spring, MD 20910 - United States
Phone: (202) 682-0900
Email: dwolak@ullico.com
Website: www.ullico.com
Year Business Started: 1927
Number of Clients: 586
Number of Employees: 78
The Union Labor Life Insurance Company is the oldest labor-owned
specialty insurance company with over 80 years of expertise. We offer Life,
AD&D, Disability, Stop Loss, Supplemental Life & Health products to the
union workplace and municipalities. Visit ullico.com for more information on
products from our family of companies.

USBENEFITS INSURANCE
SERVICES, LLC
Marcus Floyd
Executive Vice President, Marketing
43 Coroprate Park, Suite 101
Irvine, CA 92606 - United States
Phone: (949) 468-3023
Email: mf@usbins.net
Website: www.usbins.net
Year Business Started: 2007
Number of Clients: 100 plus
Number of Employees: 11

ZURICH AMERICAN
INSURANCE COMPANY
John Lord, CPCU
Chief Underwriting Officer, Accident & Health
175 Crossing Boulevard
Framingham, MA 01702 - United States
Phone: (508) 808-6510
Email: John.Lord@Zurichna.com
Website: www.Zurichna.com
Zurich is a direct writer of Medical Stop Loss insurance and retains all risk
on the business we write.This means that we retain control of all aspects of
the business and can offer maximum flexibility to our partners and clients.
We offer an innovative product called Integrated Stop Loss which helps
move clients from fully insured to self-funding. Zurich is also a major player
in all areas of excess medical including HMO Re and Provider Excess.

USBenefits is a full service MGU, providing Medical Stop Loss products for
employer groups through qualified TPAs and select brokers. Staffing includes
actuarial, underwriting, claims, administrative and marketing departments
that work collectively to deliver financially stable stop loss products. Please
send all RFPs to: quotes@usbins.net

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SECTION 4

MGU/EXCESS INSURANCE CARRIERS


P&C/WORKERS COMP/CAPTIVES
MIDLANDS MANAGEMENT
CORPORATION
Charles Caldwell
President & CEO
3503 NW 63rd Street, Suite 305
Oklahoma City, OK 73116 - United States
Phone: (405) 840-0074 or (800) 800-4007
Email: cccaldwell@midman.com
Website: www.midlandsmgt.com
Year Business Started: 1990
Number of Clients: 215
Number of Employees: 194
A core product of Midlands Management Corporation, providing Excess
Workers Compensation solutions to the broker marketplace since 1990.
With SIRs starting at $300,000, Midlands creativity in problem solving has
been the cornerstone of the companys success.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care system,
finance their health care needs and achieve their health and well-being goals.

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ROUNDSTONE
Mike Schroeder
President
27887 Clemens Road
Westlake, OH 44145 - United States
Phone: (440) 617-0333
Email: mschroeder@roundstoneinsurance.com
Website: www.roundstoneinsurance.com
Year Business Started: 2005
Number of Clients: 100
Number of Employees: 15
Roundstones WC Group Captive allows companies to gain control over their
Workers Compensation costs. Combining best in class service providers to
drive down losses and realize a return on your WC safety efforts through
an innovative self insurance mechanism known as a group captive.
Roundstones full service agency offers marketing, producer management,
underwriting, policy administration, premium accounting and claims and
captive administration services.

SAFETY NATIONAL
Ryan McClure
Corporate Communications Manager
1832 Schuetz Road
St. Louis, MO 63146 - United States
Phone: (314) 692-9548
Email: ryan.mcclure@safetynational.com
Website: www.safetynational.com
Year Business Started: 1942
Safety National provides alternative risk funding solutions within specialized
areas where the companys experience and expertise is unmatched. Since
1942, Safety National has pioneered new products for the self-insured
community and provided unparalleled service to employers nationwide as
the leading and longest continual provider of excess workers compensation
coverage in the insurance industry.

Coming Together
for Better Health
Three market-leading business segments. One goal.
At Optum, we fundamentally believe we can make the
health system work better for everyone. How do we do
this? By partnering with you to address five key challenges:
Building Membership: We can enable your organization to embrace
new opportunities, manage risks and improve membership, allowing
you to attract and retain members.
Increasing Efficiency: We can streamline your administrative processes to
create effective, efficient operations while complying with regulations.
Improving Health: Through proactive care management, quality
improvement and clinical analytics, we can help your organization
improve health, reduce costs and heighten quality.
Creating a Better Experience: We can engage your members and
providers to effectively improve health and control costs.
Enabling Sustainable Health Communities: By partnering with
Optum, you have a unique opportunity to provide leadership in your
community that enables modernization of the health ecosystem and
improvements in total population health.

Visit us at
www.optum.com
to learn more.

SECTION 5

MEDICAL PROVIDER NETWORKS


ONSITE CLINICS
AMERICAN CARESOURCE
HOLDINGS, INC.
David Boone
President & CEO
5429 LBJ Freeway, Suite 850
Dallas, TX 75240 - United States
Phone: (972) 308-6842
Email: dboone@anci-care.com
Website: www.anci-care.com
Year Business Started: 1997
Number of Clients: 32
Number of Employees: 72
Ancillary Care Services provides cost-effective alternatives to physician and
hospital-based services through its national network of over 5,000 ancillary
service providers at more than 36,000 sites.These providers offer services in
30 categories including laboratories, dialysis centers, free standing diagnostic
imaging centers, and non-hospital surgery centers.

BLUE CROSS BLUE SHIELD


OF MA
Arleigh Kennedy
Director
401 Park Drive
Boston, MA 02215 - United States
Phone: (617) 246-3511
Email: arleigh.kennedy@bcbsma.com
Website: www.bluecrossma.com
Year Business Started: 1937
Number of Clients: 3,000,000 members
Number of Employees: 3,500

CALCPA GROUP
INSURANCE TRUST
Susan Young
Executive Director
1800 Gateway Drive, Suite 201
San Mateo, CA 94404 - United States
Phone: (650) 522-3250
Email: susan.young@calcpa.org
Website: www.cpaprotectplus.com
Year Business Started: 1959
Number of Clients: 1,440
Number of Employees: 7
CalCPA ProtectPlus provides high-quality medical, dental, vision, term life and
long-term disability plans exclusively for CalCPA member-owned firms.
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CAREHERE, LLC
Bernie Livers
Vice President of Sales
5141 Virginia Way, Suite 350
Brentwood, TN 37027 - United States
Phone: (615) 661-7227
Email: blivers@carehere.com
Website: www.carehere.com
Year Business Started: 2004
Number of Clients: 70
Number of Employees: 460
CareHere is a leader in providing on-site clinics and behavioral
management programs for companies across all industries.The patientcentered medical home approach practiced by CareHere integrates
services such as primary care, case/disease management, behavior
modification programs, occupational healthcare, wellness tracking
applications, and more. CareHeres on-site services provide companies with
the means to significantly decrease claims cost, while improving the overall
health and morale of employees.

CHIROMETRICS
Jeremy Oswald
President/CEO
1111 E. Herndon Avenue, Suite 308
Fresno, CA 93720 - United States
Phone: (559) 447-3375
Email: jeremy.oswald@chirometricsinc.com
Website: www.chirometricsinc.com
Year Business Started: 1996
Number of Clients: 56
Number of Employees: 12
ChiroMetrics is a full-service chiropractic management company
committed to customer service, accountability to our clients, and effective
management of chiropractic and complementary medicine healthcare
benefits. ChiroMetrics partner clients experience a dramatic decrease
in chiropractic spend, unparalleled data collection and reporting, and an
impressive return on investment.

COALITION AMERICA, INC.

EMPLOYER DIRECT HEALTHCARE (EDHC)

Tina Ellex
President
Two Concourse Parkway, Suite 300
Atlanta, GA 30328 - United States
Phone: (404) 459-7201 ext. 5259
Email: tinaellex@coalitionamerica.com
Website: www.coalitionamerica.com
Year Business Started: 1995
Number of Clients: 183
Number of Employees: 126

Jennifer Welker
Director of Sales Strategy
7320 N. Mopac Expressway, Suite 203
Austin, TX 78731 - United States
Phone: (888) 241-8537
Email: Jwelker@nationalsurgerynetwork.com
Website: www.employerdirecthealthcare.com
Year Business Started: 2009
Number of Clients: clients representing over 2 million lives
nationwide
Number of Employees: 10

Coalition America, Inc. is a market leader providing comprehensive solutions


for managing medical, dental, & workers compensation healthcare costs.
CAI utilizes proprietary provider contracts, PPO networks, and provider
negotiations to achieve industry leading savings for its national client base.

COMPANION GLOBAL
HEALTHCARE, INC.
David Boucher
President & COO
I-20 at Alpine Road, AX-724
Columbia, SC 29219 - United States
Phone: (803) 264-3256
Email: david.boucher@companiongroup.com
Website: www.CompanionGlobalHealthcare.com
Year Business Started: 2007
Number of Clients: 250
Number of Employees: 55
Companion Global Healthcare, Inc. (CGH) facilitates international medical
travel by contracting with select Joint Commission accredited facilities
and by providing concierge travel and case management services. CGH
assists employers with modifying their benefit plans to create significant
savings and assists patients with accessing CGH network facilities for
medically necessary surgeries.

DEVON HEALTH SERVICES, INC.


Bethany Streng
Marketing Manager
1100 First Ave., Suite 100
King of Prussia, PA 19406 - United States
Phone: (800) 431-CARE
Email: bstreng@devonhealth.com
Website: www.devonhealth.com
Year Business Started: 1991
Devon Health Services, Inc. (DHS) is a national healthcare cost
management company and the largest privately-owned PPO in the
Northeast.The company works with self-insured organizations,TPAs, partner
networks, and healthcare providers to increase access to quality, affordable
healthcare. Consilium, a service of DHS, offers claims negotiation, clinical bill
review, and a fiduciary strategy program.

EDHC Brings together the highest quality health care providers to offer
services directly to the employer through its leading network, National
Surgery Network (NSN). Due to its extensive provider network, NSN can
offer employers 30-50% savings on planned surgical procedures, potentially
reducing total plan cost by 6-10%. EDHC is expanding its networks to
include diagnostic, imaging, oncology, and more

ENVISION PHARMACEUTICAL
SERVICES INC.
John Ewell
Executive Vice President of Marketing
2181 E. Aurora Road, Suite 201
Twinsburg, OH 44087 - United States
Phone: (330) 405-8089
Email: jewell@envisionrx.com
Website: www.envisionrx.com
Year Business Started: 2001
Number of Clients: 500
Number of Employees: 5
Envision Pharmaceutical Services, Inc is a full service pharmacy benefits
management company. Our business model is based on transparency
and full disclosure, guaranteeing 100% pass through pricing of all
pharmaceutical rebates and any other fees/discounts at the point-of sale.
Additionally, we offer solutions for your retirees in terms of Medicare Part D
and Employer Group Waiver Plans.

FIRST HEALTH
Dean Vaden
National Sales Director
10260 Meanley Drive
San Diego, CA 91313 - United States
Phone: (800) 247-2898
Email: deanvaden@firsthealth.com
Website: www.firsthealth.com
Year Business Started: 1982
Number of Clients: 3,200
Number of Employees: 13,000
First Health provides a national PPO network and other cost containment
programs to help clients manage their benefit plans. Our PPO contains
more than 550,000 medical providers in all 50 states, DC and Puerto
Rico. Directly contracted, the First Health Network offers one consolidated
network solution that allows clients to maximize savings.

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41

GLOBAL EXCEL MANAGEMENT, INC.

GLOBAL MEDICAL CONEXIONS, INC.

Benjamin Tabah
Regional VP - Business Development
73 Queen Street
Sherbrooke, Quebec, J1M 0C9 - Canada
Phone: (819) 437-2277
Email: benjamin.tabah@globalexcel.com
Website: www.globalexcelusa.com
Year Business Started: 1996
Number of Clients: 300
Number of Employees: 350

Robert Repke
President
140 San Aleso Avenue
San Francisco, CA 94127 - United States
Phone: (415) 333-6942
Email: rrepke@globalmedconex.com
Website: www.globalmedconex.com
Year Business Started: 2007
Number of Clients: 12
Number of Employees: 4

Global Excel Management (GEM) is a medical claim cost-containment


company that focuses on direct provider negotiation supported by a
blend of supplemental PPOs, code edits, UCR reviews, clinical reviews,
and EDI connectivity expertise. Global Excel blends these services into
customized solutions (MyGEM) that provide unparalleled cost savings and
administrative ease of use for our clients. Irrespective of bill type or dollar
threshold, Global Excel has solutions designed to enhance the cost-saving
performance of any claim shop.

Global Medical Conexions is a US based International Select Provider


Organization with provider partners from Thailand to Latin America. We
deliver access to quality, cost effective international medical care by
designing Global Medical Choices for our clients.

TPAs

REINSURERS

PPOs

ACS

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GOLDEN TRIANGLE SPECIALTY


NETWORK, LLC
Polli Yount
Senior Vice President and COO
5115 Maryland Way
Brentwood, TN 37027 - United States
Phone: (615) 377-0779
Email: yountp@gtspecnet.com
Website: www.gtspecnet.com
Year Business Started: 2007
Number of Employees: 10
A contracted National network of dialysis providers, specializing in dialysis
repricing and negotiaions. The Preferred Dialysis Network for many of the
largest stoploss and reinsurance carriers as well as many other payer
groups. Building relationships with providers to create better savings for
our clients.

HFN, INC.
David Kolb, FACHE
President/CEO
1315 W. 22nd Street, Suite 300
Oak Brook, IL 60523 - United States
Phone: (630) 954-1232
Email: kolbd@hfninc.com
Website: www.hfninc.com
Year Business Started: 1985
Number of Clients: over 6,000
Number of Employees: 48
HFN is the largest independently owned PPO network in Illinois, providing
healthcare to individuals in Illinois, NW Indiana, Wisconsin, St. Louis and the
Quad Cities. HFN offers innovative Group Health, Workers Comp and Auto
programs and a wide selection of other preventive and custom healthcare
delivery options for our clients, members and providers.

INHOUSE PHYSICIANS
Carey Coughlin
Sales Director
333 N. Randall Road, Suite 140
St. Charles, IL 60174 - United States
Phone: (360) 433-2293
Email: ccoughlin@ihphysicians.com
Website: www.inhousephysicians.com
Year Business Started: 1990
Number of Clients: 125
Number of Employees: 55
InHouse Physicians (IHP) is a global provider of innovative health
management solutions that assist corporations in reducing health care cost
through improved employee health. Our portfolio of services include: cost
effective workplace health centers, health assessments, health screenings,
targeted ROI driven wellness programs, flu vaccines, travel medicine and
creative engagement strategies.

INTEGRATED HEALTH PLAN, INC.


Christian Clark
Vice President of Corporate Development
4020 Park Street, Suite 101
St. Petersburg, FL 33709 - United States
Phone: (727) 345-8614
Email: cclark@ihplan.com
Website: www.ihplan.com
Year Business Started: 1997
Number of Employees: 50+
As one of the nations largest PPO networks with approximately 900,000
participating providers, IHP reduces payors claim expenditures via
significant provider discounted rates. Additionally, IHP offers substantial
savings to payors and other clients through out-of-network claim
negotiations and medical bill audits.

KROGER PRESCRIPTION PLANS


Philecia Avery
Manager, PBM Sales and Service
1014 Vine Street
Cincinnati, OH 45202 - United States
Phone: (513) 762-4968
Email: chris.labowski@kroger.com
Website: www.kpp-rx.com
Year Business Started: 1999
Number of Clients: 109
Number of Employees: 14
KPP provides comprehensive pharmacy benefit management services to
group health plans. We use a wide range of clinical tools to significantly
reduce annual benefit costs. Independent research has demonstrated KPPs
commitment to value-based PBM services, our clients have rated us 9.7 on
a 10 point scale for customer satisfaction.

LIFETRAC NETWORK
Barry Thompson
Vice President of Sales
11100 Wayzata Boulevard, Suite 350
Minneapolis, MN 55305 - United States
Phone: (763) 647-5087
Email: bthompson@lifetracnetwork.com
Website: www.lifetracnetwork.com
Year Business Started: 1988
Number of Clients: 500
Number of Employees: 23
LifeTrac provides transplant network and cost containment services to plans
when members require transplantation or transplant adjacent therapies.With
contracts at over 100 of the leading transplant facilities, LifeTrac leverages
existing provider relationships, negotiation expertise,Web-based tools, and
dedicated client service teams to secure impressive discounts for clients.

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MAGNACARE
Steve Kokulak, Esq.
Vice President,Workers Compensation & No-Fault
303 George Street, Suite 400
New Brunswick, NJ 08901 - United States
Phone: (516) 282-8923
Email: skokulak@magnacare.com
Website: www.magnacare.com
Year Business Started: 1990
Number of Employees: 225
MagnaCare is a health plan management company that offers a broad
set of self funded solutions to Taft Hartley Funds, commercial organizations,
workers compensation programs, no fault carriers, and TPAs. Our extensive
provider network, cost containment programs, wellness initiatives and
administrative services provide clients with flexible, cost-effective options.

MULTIPLAN, INC.
Diane Barnes
115 Fifth Avenue
New York, NY 10003 - United States
Phone: (212) 780-2000
Email: diane.barnes@multiplan.com
Website: www.multiplan.com
Year Business Started: 1980
Number of Clients: 1,400
Number of Employees: 2,365
MultiPlan is the industrys most comprehensive provider of healthcare cost
management solutions. The company provides a single gateway to a host
of provider network solutions and out-of-network strategies for managing
the financial risks associated with healthcare claims. Clients include large
and mid-sized insurers, third-party administrators, self-funded plans,
HMOs and others.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care
system, finance their health care needs and achieve their health and
well-being goals.

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PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Bedminster, NJ 07921 - United States
Phone: (908) 658-3535
Email: troberti@phx-online.com
Website: www.phx-online.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 75+
PHX delivers advanced cost management solutions for health plans
combining claim processing automation with professional services to
deliver a centralized approach to cost management, increasing savings
while dramatically reducing errors and turnaround time. Services include
data analytics, PPO network management, out-of-network negotiations,
claims editing, and clinical bill review and audit. PHX solutions are used
by the industrys leading insurance companies,Taft-Hartley Funds, Health
Maintenance Organizations, and Third Party Administrators.

PRIME HEALTH SERVICES, INC.


Jennifer Ryon
Director of Account Management
7110 Crossroads Boulevard, Suite 100
Brentwood, TN 37027 - United States
Phone: (615) 565-9040
Email: jennifer.ryon@primehealthservices.com
Website: www.primehealthservices.com
Year Business Started: 1996
Prime Health Services offers a full spectrum of services, including a
Preferred Provider Organization (PPO) ready for access with customizable
solutions. Prime Healths PPOs include Workers Compensation, Group
Health, and Auto Liability networks. Prime Health has over 600,000
providers nationwide forming the Prime Health National Delivery system.

SATORI WORLD MEDICAL


Steven Lash
President & CEO
591 Camino De La Reina, Suite 407
San Deigo, CA 92108 - United States
Phone: (619) 704-2000
Email: info@satoriworldmedical.com
Website: www.satoriworldmedical.com
Year Business Started: 2008
Leading medical travel company featuring a global healthcare network that
provides world-class healthcare, delivers significant financial savings, and
coordinates all travel services.The benefit is easy to implement into existing
employee healthcare plans at no cost to the plan sponsor. Global Dental
Program and U.S. Centers of Excellence also available.

SCRIPT CARE, LTD.

THE ALLIANCE

Tab Bryan
Vice President of Sales & Marketing
6380 Folsom Drive
Beaumont, TX 77706 - United States
Phone: (800) 880-9902
Email: tbryan@scriptcare.com
Website: www.scriptcare.com
Year Business Started: 1989

Paul Meyer
COO
5510 Nobel Drive, Suite 200
Fitchburg, WI 53711 - United States
Phone: (608) 210-6654
Email: pmeyer@the-alliance.org
Website: www.the-alliance.org
Year Business Started: 1990
Number of Clients: 160 Employers
Number of Employees: 35

Script Care, Ltd., headquartered in Beaumont, Texas, operates as an


independent Pharmacy Benefits Manager. Our success is traced to the
philosophy of meeting our clients needs as our first priority. We are known
for outstanding customer service among participants, plan sponsors, and
pharmacy providers and our dedication is a proven Script Care benchmark.

SPECIALTY CARE
MANAGEMENT, LLC
Robert Clemente, FACHE
President & CEO
991 Route 22 W., Suite 200
Bridgewater, NJ 08879 - United States
Phone: (908) 229-1876
Email: bclemente@specialtycm.com
Website: www.specialtycm.com
Year Business Started: 2006
Number of Clients: 100
Number of Employees: 15
Experts in catastrophic care management and related costs, SCM is a
privately-owned, national company specializing in healthcare management
and the associated financial risk of catastrophic diagnoses, including: renal
disease, cancer, transplants, high risk maternity, neonates, and others. Our
innovative products and services manage high cost, high risk healthcare claims.

TC3 HEALTH, INC.


Tim Huke
Vice President of Sales & Marketing
19732 MacArthur Boulevard, Suite 100
Irvine, CA 92612 - United States
Phone: (949) 943-8700
Email: thuke@tc3health.com
Website: www.tc3health.com
Year Business Started: 2000
Number of Clients: 70
Number of Employees: 70
TC Health, Inc. provides healthcare payers with integrated loss control
solutions to validate payment integrity and maximize savings by up
to 1-6% annually.TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms, Clinical
Coding Compliance, Out-of-Network Repricing & Negotiations, Hospital Bill
Review, and Data Analytics & Decision Support.

The Alliances mission is to move health care forward by controlling costs,


improving quality, and engaging individuals in their health. An employerowned, not-for-profit cooperative, our 160 self-funded members provide
health coverage to more than 83,000 individuals in southern Wisconsin
and neighboring counties in Iowa and Illinois.

UNITED CLAIM SOLUTIONS


Carolyn Carder
Vice President
10835 N. 25th Avenue, Suite 105
Phoenix, AZ 85029 - United States
Phone: (602) 863-1759E
Email: ccarder@unitedclaim.com
Website: www.unitedclaim.com
Year Business Started: 2003
Number of Clients: 65
Number of Employees: 23
UCS has developed solutions to streamline claims flow and significantly
reduce operational costs while providing you the time and tools necessary to
expand your business block. Our services include network management, outof-network repricing, fee negotiations, electronic claims management, claims
editing, a web-based data repository and a data/risk analysis application.

VERMONT MANAGED CARE


Roberta Mitchell
Senior Account Representative
356 Mountain View Drive, Suite 301
Colchester, VT 05446 - United States
Phone: (802) 847-8161
Email: roberta.mitchell@vtmednet.org
Website: www.vermontmanagedcare.org
Year Business Started: 1991
Vermont Managed Care (VMC) is a Physician Hospital Organization (PHO)
located in Colchester, Vermont. VMC is a network of physicians and hospitals,
sharing the financial risk to coordinate the delivery of healthcare. VMC offers
services to commercial carriers and to administrators of self-insured plans.

888.394.5688

THE Directory 2012

45

WORKSTEPS, INC.
Stacy Clark
3019 Alvin Devane Boulevard, Suite 150
Austin, TX 78741 - United States
Phone: (512) 617-4100
Email: testing@worksteps.com
Website: www.worksteps.com
Year Business Started: 1986
Number of Clients: 3,000
Number of Employees: 13
The WorkSTEPS employment testing program is a medically safe, legally
compliant, and objective way to match a workers functional capabilities
with the essential functions of a particular job. WorkSTEPS was created
in response to an industry need for injury management and prevention
programming, effectively reducing workplace injury and costs.

Global Healthcare, Inc.

International Medical Travel Services


Help your clients make the most of their health care dollars.
l Affordable Services Low-cost alternatives to steep
U.S. health care costs
l Choices From life-saving surgeries to elective procedures
l Credentialed Providers All hospitals site-visited and JCI accredited
l Excellent Service 24/7 call center; Spanish-speaking representatives
With more than 30 network hospitals and growing, Companion Global
Healthcare offers the best in employee benefits consulting and
overseas medical and dental tourism. Introduce your clients to a
world of employee health care options and savings introduce
them to Companion Global Healthcare.

Companion Global Healthcare

800-906-7065
CompanionGlobalHealthcare.com

46 THE Directory 2012

www.sipconline.net

SECTION 6

TECHNOLOGY VENDORS

AON ESOLUTIONS
Tiffany Karaiyan
Marketing & Event Manager
5000 Executive Parkway, Suite 340
San Ramon, CA 94583 - United States
Phone: (925) 242-7407
Email: tiffany.karaiyan@aon.com
Website: www.aon-esolutions.com
Year Business Started: 1972
Number of Clients: 675+
Number of Employees: 350
Aon eSolutions, the technology solutions division of Aon Corporation,
provides innovative risk and insurance services and technology solutions
globally, to meet the diverse and varied needs of clients. With these
solutions, clients aggregate data, streamline business processes and
optimize resources, enabling them to successfully manage their risk,
insurance and safety programs.

AWAC
John Powers
Vice President & Chief Sales Officer
3626 Walton Way Ext., Suite 2
Augusta, GA 30909 - United States
Phone: (877) 447-2778
Email: john.powers@awac.md
Website: www.awac.md
Year Business Started: 1991
Number of Employees: 140
AWAC (inVentiv Health) offers physician directed, nurse supported,
technology driven solutions committed to improving health care by focusing
on the appropriate quality and cost of care that promotes positive patient
outcomes. AWAC medical management integrates evidence-based medical
necessity, precertification, wellness, disease and case management in a
holistic care solution.

BENEFIT INFORMATICS, INC.


- A BENEFITFOCUS COMPANY
Chris Metcalf
Marketing Director
400 Riverwalk Terrace, 250
Jenks, OK 74037 - United States
Phone: (918) 491-3603
Email: cmetcalf@benefitinformatics.com
Website: www.benefitinformatics.com
Year Business Started: 2000
Number of Clients: 60+
Number of Employees: 30
Benefit Informatics, Inc., a Benefitfocus company, is a healthcare data
integration, and data analytics company. We serve self-funded employers,
insurers,TPA/ASOs and broker/consultants. Our simple and proven software
as a service (SaaS) technology helps organizations identify, predict and
control healthcare costs. For information, call 888.802.4636 or visit www.
benefitinformatics.com.

CHANGE:HEALTHCARE
Page Thompson
VP of Sales
12 Cadillac Drive, Suite 240
Brentwood, TN 37027 - United States
Phone: (800) 655-0732
Email: sales@changehealthcare.com
Website: www.changehealthcare.com
Year Business Started: 2007
Number of Clients: 206
Number of Employees: 23
change:healthcare is the premier provider of healthcare transparency
solutions.The online solution,Transparency Messenger, supports the transition
and employee satisfaction with high deductible plans, while revealing
significant savings on healthcare expenses for employers and employees.
With engagement rates of more than 45%,Transparency Messenger delivers
actionable cost transparency that is trackable in real-time.

888.394.5688

THE Directory 2012

47

COMPLETE HEALTH SYSTEMS, LC

GBEHAVIOR

Carolyn Jonker
Project Manager
200 W. Douglas, Suite 240
Wichita, KS 67202 - United States
Phone: (316) 263-1035
Email: carolynj@completehealthsys.com
Website: www.completehealthsys.com
Year Business Started: 1990
Number of Clients: 29
Number of Employees: 8

Don Doster
President
3525 Piedmont Road, Building 5, Suite 400
Atlanta, GA 30305 - United States
Phone: (404) 949-0541
Email: ddoster@gbehavior.com
Website: www.gbehavior.com
Year Business Started: 2003
Number of Clients: 75
Number of Employees: 25

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

gBehavior offers comprehensive wellness and safety 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 reporting. gBehavior offers
a unique value proposition no monthly fees. We get paid only on results.

EBIX HEALTH

GENELCO SOFTWARE SOLUTIONS / IBM

Laurie Douglas
Director of Marketing
10 10th Street NE, Suite 500
Atlanta, GA 30328 - United States
Phone: (404) 604-2757
Email: laurie.douglas@ebix.com
Website: www.ebix.com
Year Business Started: 1989
Number of Clients: 5,600
Number of Employees: 90
Ebix Health is your on-demand, end-to-end source for benefit information
and insurance solutions from agency management solutions, an awardwinning employee communications portal with integrated health and
wellness information, to claims administration, and business intelligence tools.
Ebix Health solutions are trusted by thousands of insurance carriers,TPAs,
brokers, and employers.

FAIR HEALTH, INC.


Chris ODonnell
Director of Marketing
330 Madison Avenue
New York, NY 10017 - United States
Phone: (212) 370-0704
Email: codonnell@fairhealthus.org
Website: www.fairhealthus.org, www.fairhealthconsumer.org
Year Business Started: 2009
FAIR Health is an independent, not-for-profit organization dedicated to
bringing fairness and transparency to health insurance information. We
provide benchmarking database products to assist insurers and health
plan administrators manage costs and develop fee schedules. In addition,
we offer free educational content and cost lookup tools to consumers at
www.fairhealthconsumer.org.

48 THE Directory 2012

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Sales Support
325 JS McDonnell Boulevard, MC-1550
Hazelwood, MO 63042 - United States
Phone: (800) 983-8114
Email: geninfo@us.ibm.com
Website: www.genelco.com
Year Business Started: 1973
Number of Clients: 200+
Number of Employees: 80

Obtain a 5010 and ICD-10 regulatory mandate compliant claim and


insurance administration solution. Drive down costs. Obtain optimal claim
efficiency. Respond to business drivers by changing processing logic through
a business rule engine.Take advantage of flexible administration for group,
individual & worksite programs.

GTESS
Vincent Vallejo
Vice President, Sales Operations
2435 N. Central Expressway, Suite 500
Richardson, TX 75080 - United States
Phone: (972) 792-5500
Email: vvallejo@gtess.com
Website: www.gtess.com
Year Business Started: 1990
GTESS is a technology-based service provider for automating healthcare
claim processing allowing payers to achieve lower transaction costs, improved
payment accuracy and shorter cycle times. The GTESS System uses
client-specific business rules and information to enhance and align claim
transactions with client adjudication and payment systems, increasing
auto-adjudication rates for both paper and EDI claims.

HEALTH PORTAL SOLUTIONS

HI-TECH HEALTH, INC.

James Burkholder
President & CEO
11550 IH10 West, Suite 220
San Antonio, TX 78230 - United States
Phone: (210) 641-7715
Email: jburkholder@tpabenefits.com
Website: www.HealthPortalSolutions.net
Year Business Started: 2000
Number of Clients: 50
Number of Employees: 50

Michael Carrara
President
1500 Route 517, Suite 200
Hackettstown, NJ 07840 - United States
Phone: (908) 813-3440
Email: mcarrara@hi-techhealth.com
Website: www.hi-techhealth.com
Year Business Started: 1990
Number of Clients:
Number of Employees:

Health Portal Solutions is a software company that provides healthcare


web portals powered by your healthcare data. Portal Solutions include:
BENEFiT, ENROLLiT, REPORTiT, CONSUMEiT, and FAXiT
and can be made available to any user.This successful web solution will
streamline your operations, empower users, and create opportunities for
better customer service.

Hi-Tech Health, Inc. Series 3000 Claims Administration System


It doesnt matter if your company is in its infancy or one thats been around
for many years. If youre a startupThird Party Administrator, just entering
the self-insurance industry, an insurance company, union, large corporation,
or small brokerage firm wanting control of your clients 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.

HEALTHX, INC.
Sarah Cross
VP of Marketing
9339 Priority Way West Drive, Suite 150
Indianapolis, IN 46240 - United States
Phone: (877) 492-3633
Email: scross@healthx.com
Website: www.healthx.com
Year Business Started: 1994
Number of Clients: 160
Number of Employees: 60
Healthx is a self-service communication and data integration platform
serving the health care and human resources markets.The portal
technology and communication tools provided by Healthx bring an
unparalleled engagement solution to clients. For more information, please
visit us at www.healthx.com or call us at 877-492-3633.

INSUR I.Q.
Lee Walters
Chief Marketing Officer
2 Corporate Drive
Shelton, CT 06484 - United States
Phone: (203) 446-8053
Email: lee.walters@insuriq.com
Website: www.insuriq.com
Year Business Started: 2010
Number of Clients: 3
Number of Employees: 5
Insur I.Q. is an information technology and software development company
focused on improving product administration efficiencies and lowering
distribution costs for the insurance and employee and benefits market
segments through web based applications. Our web based products
eliminate paperwork and improve processes which lower cost and improve
your time to market

888.394.5688

THE Directory 2012

49

JUDY DIAMOND ASSOCIATES

NEWKIRK PRODUCTS, INC.

Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Year Business Started: 1959

Linda McDonald
Sales
15 Corporate Circle
Albany, NY 12203 - United States
Phone: (518) 862-3323
Email: lmcdonald@newkirk.com
Website: www.newkirk.com

Judy Diamond Associates, Inc. is the premier publisher of employee benefits


industry prospecting tools and plan data. Our pension/retirement and
health/welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.

MDI
Rick Farris
Senior Vice President, Sales
90 Fort Wade Road
Ponte Vedra, FL 32081 - United States
Phone: (904) 473-1200
Email: rick.farris@medint.com
Website: www.medint.com

NCN,A MULTIPLAN COMPANY


Kelly Battaglia
Marketing Director
222 W. Las Colinas Boulevard, Suite 1500, N. Tower
Irving, TX 75039 - United States
Phone: (972) 373-2800 ext. 199
Email: kbattaglia@ncnelink.com
Website: www.ncnelink.com
Year Business Started: 1994
Number of Clients: 100+
Number of Employees: 100
NCN is the national leader in cost management for out-of-network claims.
We use cost-based data and transparent reporting to maximize savings on
group health claims and workers comp bills. At NCN, we claim a better way
for payers, providers and patients.

From summary plan descriptions to member ID cards, Newkirks full


range of enrollment solutions make the creation and delivery of pre- and
post-enrollment member communications easier than ever. Our in-house
development and production capabilities ensure that your last minute
updates are performed on time and accurately.You can count on Newkirk!

REDCARD SYSTEMS
Eric Schaefer
7700 Bonhomme Avenue, Suite 200
St. Louis, MO 63105 - United States
Phone: (314) 445-6000
Email: eschaefer@redcard.com
Website: www.redcard.com
Year Business Started: 2006
Number of Clients: 85
Number of Employees: 50
RedCard Systems provides data management and production for the
major communication touchpoints of a healthplan or payer: ID Cards,
enrollment correspondence and claims communication (check/EOB, etc).
RedCard utilizes its proprietary DOCS system to manage all facets of these
communications, enabling a payer to enjoy substantial savings while creating
an enhanced member/provider experience.

TC3 HEALTH, INC.


Tim Huke
Vice President of Sales & Marketing
19732 MacArthur Boulevard, Suite 100
Irvine, CA 92612 - United States
Phone: (949) 943-8700
Email: thuke@tc3health.com
Website: www.tc3health.com
Year Business Started: 2000
Number of Clients: 70
Number of Employees: 70
TC Health, Inc. provides healthcare payers with integrated loss control
solutions to validate payment integrity and maximize savings by up to
1-6% annually. TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms, Clinical
Coding Compliance, Out-of-Network Repricing & Negotiations, Hospital Bill
Review, and Data Analytics & Decision Support.

50 THE Directory 2012

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THE TRIZETTO GROUP, INC.

UNITED CLAIM SOLUTIONS

Ellen Lockwald
AVP, Benefits Administration Marketing
Corporate Office 6061 South Willow Drive
Greenwood Village, CO 80111 - United States
Phone: (800) 569-1222
Email: ellen.lockwald@trizetto.com
Website: www.trizetto.com
Year Business Started: 1981
Number of Clients: 110
Number of Employees: 2000+

Carolyn Carder
Vice President
10835 N. 25th Avenue, Suite 105
Phoenix, AZ 85029 - United States
Phone: (602) 863-1759
Email: ccarder@unitedclaim.com
Website: www.unitedclaim.com
Year Business Started: 2003
Number of Clients: 65
Number of Employees: 23

The TriZetto Group, Inc.Thrive in an era of health insurance reform and gain
competitive advantage through the TriZetto. Premier Partnership Program,
including a unique national PPO network offering from CIGNA.TriZetto
supports benefits administrators with QicLink-integrated solutions that:
Manage risk; Improve the cost/quality of care; Enhance your value proposition.
For more information visit: www.trizetto.com/partners/baSolutions.asp.

UCS has developed solutions to streamline claims flow and significantly


reduce operational costs while providing you the time and tools necessary
to expand your business block. Our services include network management,
out-of-network repricing, fee negotiations, electronic claims management,
claims editing, a web-based data repository and a data/risk analysis application.

TOWERS WATSON

YOUNG CONSULTING, INC.

James DePre
Senior Vice President
1500 Market Street, Centre Square, E.
Philadelphia, PA 19102 - United States
Phone: (215) 246-1669
Email: james.depre@towerswatson.com
Website: www.towerswatson.com
Year Business Started: 1871
Number of Employees: 14,000

David Young
President
1945 The Exchange, Suite 100
Atlanta, GA 30339 - United States
Phone: (770) 321-9818
Email: dyoung@youngconsulting.com
Website: www.youngconsulting.com
Year Business Started: 1995
Number of Clients: 65
Number of Employees: 24

Towers Watson is a leading global professional services company that


helps organizations improve performance through effective people, risk and
financial management. With 14,000 associates around the world, we offer
solutions in the areas of employee benefits, talent management, rewards,
and risk and capital management.

Young Consulting develops integrated software solutions for the underwriting


and administration of Medical Stop-Loss insurance for carriers and
managing general underwriters. We also develop solutions for third party
administrators in the marketing and administration of group benefit plans
including the claim reporting to stop-loss carriers.

TSYS HEALTHCARE
Gail Lee
Director of Marketing
100 South 5th Street, Suite 820
Minneapolis, MN 55402 - United States
Phone: (612) 338-3871
Email: gaillee@tsys.com
Website: www.tsyshealthcare.com
Year Business Started: 1983
Number of Employees: 6,000
TSYS Healthcare, provides end-to-end payment solutions for consumer
directed healthcare. We partner with benefits administrators, employers,
financial institutions and health plans to navigate all aspects of HSAs,
HRAs, FSAs, incentives, cash reimbursements and engagement solutions.
The TSYS Healthcare model provides the relationships and tools that enable
consumers to manage healthcare benefits.

888.394.5688

THE Directory 2012

51

Connected
Informed
Effective
Don't trust just
anyone with your
reinsurance needs.
Let us tailor a
program that's
right for you.

CEVI A N
INTERMEDIARIES, LLC

For More Information Contact:

Nigel D. Wallbank
Executive Vice President
Phone: 484-367-7453
nwallbank@cevian-re.com

SECTION 7

BROKERS/CONSULTANTS

AFFORDABLE BENEFIT
ADMINISTRATORS, INC.
Marie Ackad
Marketing Operations Manager
P.O. Box 10787 - 444 Irving Drive, Suite 202
Burbank, CA 91510 - United States
Phone: (800) 350-0148
Email: m_ackad@benefitsaba.com
Website: www.benefitsaba.com
Year Business Started: 1987
Number of Clients: 56
Number of Employees: 16
Affordable Benefit Administrators, Inc. (ABA) is a full service Third Party
Administrator for the adjudication of Medical, Dental, and Vision claims.
We manage HSA, Flex and HRA plans. We administer COBRA Plans and
perform UR/UM including large case management. Our focus is delivering
superior customer service and view our position as a manager of our
clients assets.

AUCLAIRRE INTERNATIONAL, INC.


Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Year Business Started: 2006
Number of Clients: 14
Number of Employees: 3
Improving profitability, mitigating risk and streamlining operations are the
key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.

BENEFIT DYNAMICS, CO.


Allison Johnson
Partner
618 N. Tejon Street
Colorado Springs, CO 80903 - United States
Phone: (719) 575-0411
Email: ajohnson@benedyn.com
Website: www.benedyn.com
Year Business Started: 1997
Number of Clients: 25
Number of Employees: 5
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. We work with TPAs/Brokers and provide
products to you to help manage your claims costs.

BUCKINGHAM INSURANCE
SERVICES, INC.
Donna Kell
President
301 Hyde Park
Doylestown, PA 18902 - United States
Phone: (267) 880-3903
Email: donna@reshe.com
Website: www.buckinghaminsurance.com
Year Business Started: 1996
Number of Clients: 100
Number of Employees: 8
BISI specializes in marketing and servicing medical stop loss for the selfinsured community. We assist brokers, consultants;TPAs and direct buyers in
receiving the highest quality and most competitive quotes.

CANYON RE, LLC


Michael Melnik
Managing Director
1400 Buford Highway, Suite T-2
Buford, GA 30043 - United States
Phone: (770) 614-1636
Email: mmelnik@canyonre.com
Year Business Started: 2002
Number of Clients: 50+
Number of Employees: 4
Canyon RE, LLC is a brokerage/consulting entity focusing in medical
excess-loss and special risk within partially self-funded group benefits arena.

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53

CENCORP HEALTH SOLUTIONS

CONSOCIATE, INC.

Robert Tomek
VP, Sales & Marketing
7700 Forsyth Boulevard
St. Louis, MO 63105 - United States
Phone: (866) 534-5981
Email: info@CenCorpHealthSolutions.com
Website: www.CenCorpHealthSolutions.com

Darren Reynolds, J.D.


Senior Vice President
2828 N. Monroe Street
Decatur, IL 62526 - United States
Phone: (217) 423-7788 or (800) 798-2422
Email: darrenr@consociatedansig.com
Website: www.consociatedansig.com
Year Business Started: 1995
Number of Clients: 200
Number of Employees: 50
Consociate, Inc. - Third Party Administrator, administering employee benefit
plans for large employers while focusing on healthcare cost management
and improving employee productivity. Founded in 1995, Consociate also
provides consultative solutions to meet a wide array of employer, employee,
and individual needs. Offices located in Illinois and Tennessee.

Health Solutions, a division of Centene Corporation, offers employers a suite


of Specialty Health Services to deliver quality outcomes and reduce costs
through innovative service combinations. Our companies provide solutions
including wellness, pharmacy benefits, and managed vision specifically
designed to satisfy employees needs and optimize bottom line results.

CEVIAN INTERMEDIARIES, LLC


Nigel Wallbank
Executive Vice President
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com
Cevian Intermediaries offers a full scope of broker services including Excess
Cover,Transplant Carve Out, Rx Carve Out, Employer Stop Loss, Managed
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel Assistance.

COMMERCIAL GROUP
INTERMEDIARIES, INC.
Brian Cieply
Vice President - Sales & Marketing
16 Executive Court, Suite 4
South Barrington, IL 60010 - United States
Phone: (847) 713-4700
Email: bcieply@cgi-illinois.com
Website: www.cgi-illinois.com
Year Business Started: 1992
Number of Clients: 85
Number of Employees: 8
CGI specializes in providing competitive Medical Stop Loss proposals to the
Brokerage, Consultant, and TPA communities. In addition, we provide a broad
spectrum of ancillary products to compliment the employers underlying
employee benefit plans.

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
Website: www.dwvd.com
Year Business Started: 1978
Number of Clients: 125
Number of Employees: 22
Life and A&H Intermediary providing access to carriers, reinsurance,
distribution,TPAs, MGUs and others. Product expertise in Life, Accident,
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental,
Rx, Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe,
Provider and HMO Excess, Reserve Transfers and others.

DCC, INC.
Sam Sletager
National Sales Manager
P.O. Box 718
Sandpoint, ID 83864 - United States
Phone: (208) 265-1719
Email: ssletager@dccinc-us.com
Website: www.dccinc-us.com
Year Business Started: 2002
Number of Clients: 110
Number of Employees: 16
Benefit Preservation Program - We understand the unique dialysis market
dynamics effecting self-funded plans. Payers and administrators look to
DCC for our innovative dialysis cost containment services including Payment
Based U&R recommendations, Single Patient Agreements, access to
specialty networks, and patient self-administered care. DCC is the sole
licensee of the health care benefits claim review and recommendation
systems (patent pending).

54 THE Directory 2012

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FIRST NIAGARA
BENEFITS CONSULTING

GUY CARPENTER &


COMPANY, LLC

Robert Madden, CLU, GBA


Vice President
726 Exchange Street, Suite 900
Buffalo, NY 14210 - United States
Phone: (716) 819-5811
Email: robert.madden@fnrm.com
Website: www.fnfg.com
Year Business Started: 1990
Number of Clients: 3,500
Number of Employees: 100
Previous SIIA Conference presenter. We have a reputation for excellence in
the employee benefit products and services we offer including expertise
with alternative funding solutions and captives. We use three core principles
to manage your employee benefits plans: we provide five-star service
professional value-added services and cutting-edge technology.

David Rains
Global LA&H Practice Leader - Managing Director
Two Logan Square, 10th Floor
Philadelphia, PA 19103 - United States
Phone: (215) 864-3786
Email: david.a.rains@guycarp.com
Website: www.guycarp.com
Year Business Started: 1923
Number of Employees: 5,000+

GARNER CONSULTING

H.H.C. GROUP

John Garner
Principal
630 N. Rosemead Boulevard, Suite 300
Pasadena, CA 91107 - United States
Phone: (626) 351-2300
Email: john@garnerconsulting.com
Website: www.garnerconsulting.com
Year Business Started: 1987
Number of Clients: 75
Number of Employees: 6
Garner Consulting assists plan sponsors in developing and managing
benefit programs. Focusing on health, life, disability and voluntary plans,
Garner Consulting works with plan sponsors on plan design, financing,
vendor selection and administrative issues. Garner Consulting has special
expertise in regulatory compliance and is a leader in claim auditing.

GITTER & ASSOCIATES, INC.


Bob Caracciolo
National Marketing Director
1820 S. Escondido Boulevard, Suite 201
Escondido, CA 92025 - United States
Phone: (951) 490-8056
Email: bobc@gitterassoc.com
Website: www.gitterassoc.com
Year Business Started: 2005
Number of Clients: 100+
Number of Employees: 15
Gitter & Associates, Inc. was founded in 2005 by Gregory Gitter.The
mission of G&A is to save employers and insurance companies money
by providing consulting services, and identifying and settling complex,
large loss Workers Compensation claims.G&A developed a unique
method for the identification and valuation of Workers Compensation
claims that has proven successful time and again in settling complex
Workers Compensation claims.Using our unique method for valuation
and settlement of high exposure claims we help our clients realize over
$300,000 in present value savings per claim.

Guy Carpenter & Company, LLC, the worlds leading risk and reinsurance
specialist, has a nearly 90-year history of creating and executing solutions
that make clients more successful.The Global Life, Accident and Health
Specialty brings together a wide range of expertise across numerous
specialist classes, which enables GC to deliver the most effective
reinsurance and capital-management solutions to clients.

Bruce Roffe
President & CEO
438 N. Frederick Avenue
Gaithersburg, MD 20877 - United States
Phone: (301) 963-0762
Email: b_roffe@hhcgroup.com
Website: www.hhcgroup.com
Year Business Started: 1995
The H.H.C. Group is a National health insurance consulting company
with services including Claim Negotiations Medical Audit Peer
Review Case Management\Utilization Review Data Mining\Claim
Scrubbing Disease Management DRG Validation Repricing Regular
& Specialty Networks URAC Accredited IRO.

HEALTHHELP, INC.
C.Victor Manes
VP of Corporate Development
654 North Sam Houston Parkway East, Suite 340
Houston, TX 77060 - United States
Phone: (281) 582-1746
Email: manesv@healthhelp.com
Website: www.healthhelp.com
Year Business Started: 1999
Number of Employees: 300+
HealthHelp, a leader in specialty benefit management, generates significant
savings and return on investment for health care payers by enhancing
physician knowledge, improving quality of care, and reducing unnecessary
radiation exposure. HealthHelps programs address a different aspect of
diagnostic imaging, cardiology, and radiation oncology.

888.394.5688

THE Directory 2012

55

HEFFERNAN GROUP

INVISION GROUP

Thomas Hebson
Regional Executive
16141 Swingley Ridge Road, Suite 100
Chesterfield, MO 63017 - United States
Phone: (636) 489-0181
Email: thebson@heffins.com
Website: www.heffins.com
Year Business Started: 1988
Number of Clients: 9,000
Number of Employees: 12

Karl Fry
Managing Director
Corporate Plaza, 205 Route 9, Suite 38
Freehold, NJ 07728 - United States
Phone: (206) 452-2040 ext. 301
Email: kfry@invgrp.com
Website: www.invisiongroupllc.com
Year Business Started: 2006
Number of Employees: 4

Heffernan is a leading provider of solutions to the self insured marketplace.We


have extensive experience in client consultation and placement of coverage.

InVision Group is a specialized intermediary focused on providing risk solutions


to insurance companies and other risk bearing entities.We tackle the toughest
risk management issues for our clients and protect bottom line profitability.

HI-TECH HEALTH, INC.

JUDY DIAMOND ASSOCIATES

Michael Carrara
President
1500 Route 517, Suite 200
Hackettstown, NJ 07840 - United States
Phone: (908) 813-3440
Email: mcarrara@hi-techhealth.com
Website: www.hi-techhealth.com
Year Business Started: 1990
Number of Clients:
Number of Employees:

Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Year Business Started: 1959

Hi-Tech Health, Inc. Series 3000 Claims Administration System


It doesnt matter if your company is in its infancy or one thats been around
for many years. If youre a startupThird Party Administrator, just entering
the self-insurance industry, an insurance company, union, large corporation,
or small brokerage firm wanting control of your clients 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.

INTEGRATED CARE MANAGEMENT


Sarah Lichtman
Sales Support
3440 Preston Ridge Road, Suite 300
Alpharetta, GA 30005 - United States
Phone: (678) 781-2808
Email: slichtman@integratedcare.com
Website: www.integratedcare.com
Year Business Started: 1989
Number of Clients: 1,040
Number of Employees: 88
Integrated Care Management (ICM) is a Case Management and
Integrated Disability Management Service company. Our goal is to minimize
employer expense while ensuring the proper level of care for the injured
worker. Our Cost Containment Services are offered NATIONALLY through
filed case management, telephonic, on-site, catastrophic, and vocational
case management which can be employed through a SI Employer, PEO,
TPA or Carrier.

56 THE Directory 2012

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Judy Diamond Associates, Inc. is the premier publisher of employee benefits


industry prospecting tools and plan data. Our pension/retirement and
health/welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.

KINDER & ASSOCIATES, INC.


James A. Kinder
Chairman/CEO
418 Terry Road
Fountain Inn, SC 29644 - United States
Phone: (864) 409-8347
Email: jkinder120@aol.com
Year Business Started: 1978
Number of Clients: Varies
Number of Employees: 3
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.

LAWLEY BENEFITS GROUP

NATIONAL COOPERATIVERX

Thomas Revelas
Managing Partner
361 Delaware Avenue
Buffalo, NY 14202 - United States
Phone: (716) 849-8252
Email: bwhite@lawleyinsurance.com
Website: www.lawleyinsurance.com
Year Business Started: 1999
Number of Clients: 1,400
Number of Employees: 65

Mary Borland
Sr. Director of Sales & Account Management
195 E. Badger Road
Madison, WI 53713 - United States
Phone: (608) 204-9479 ext. 230
Email: mborland@nationalcooperatverx.com
Website: www.nationalcooperatverx.com
Year Business Started: 2003
Number of Clients: 250,000 members
Number of Employees: 12

Lawley Benefits Group is an employee benefits broker and consulting firm.


With corporate offices in Upstate New York, LBG is a regional firm. Lawley
works with small,medium and large businesses on all aspects of employee
benefits, including strategic planning, underwriting, full-scale implementation
and plan monitoring.

National CooperativeRx is a not-for-profit, nationwide prescription drug


purchasing coalition. Member plan sponsors that can self-insure their
prescription drug needs, receive pricing on prescription benefit management
services based on 250,000 members and high levels of service. We
achieved an aggregate trend of .33% annually over the last 5 years.

LEGACY ENTERPRISES BENEFITS


CONSULTING, INC.

NORTHSHORE INTERNATIONAL
INSURANCE SERVICES, INC.

Charlynn Harless
President & CEO
4382 Pebble Beach Drive
Stockton, CA 95219 - United States
Phone: (209) 472-1014
Email: charless@legacyconsult.com
Year Business Started: 1990
Number of Clients: 129
Number of Employees: 2

David Ives, CPCU


Chief Executive Officer
199 Rosewood Drive
Danvers, MA 01923 - United States
Phone: (978) 745-6655
Email: dives@niis.com
Website: www.niis.com
Year Business Started: 1988
Number of Clients: 300+
Number of Employees: 50

Legacy specializes in building and managing public entity employee benefit


pools that self-fund the medical, dental and vision benefits.

MARSH INC.
Greg Arms
Global Head, Employee Benefits Practice
1166 Avenue of the Americas, 40th Floor
New York, NY 10036 - United States
Phone: (212) 345-4067
Email: greg.arms@marsh.com
Website: www.marsh.com
Year Business Started: 1871
Number of Clients: 2,000+
Number of Employees: 10
Marsh is a world leader in delivering risk and insurance services and
solutions to its clients. Over 24,000 Marsh colleagues provide risk
management, risk consulting, insurance broking, employee benefits, and
program management services to a wide range of businesses, government
entities and professional organizations in more than 100 countries.

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.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health
system work better for everyone. OptumHealth is a leader in population
health management, helping 60 million Americans navigate the health
care system, finance their health care needs and achieve their health
and well-being goals.

888.394.5688

THE Directory 2012

57

PANCOAST BENEFITS

RE-SOLUTIONS

Pat Lund
VP Benefits
4205 Hillsboro Road
Nashville, TN 37215 - United States
Phone: (615) 292-3400
Email: patl@pancoastbenefits.com
Year Business Started: 1985

Elizabeth Mariner
Exceutive Vice President
580 Lumber Exchange Building, 10 South 5th Street
Minneapolis, MN 55402 - United States
Phone: (612) 766-9782
Email: lmariner@re-solutions.net
Website: www.re-solutions.net
Year Business Started: 2001
Number of Employees: 11

Pancoast Benefits is a leading provider of health and benefits consulting.


Our goal is to provide our clients with proven expertise in consulting with
a strong commitment to administrative services and technology.You will
find us committed to exceptional service with a focus on excellence and
attention to detail.

PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Bedminster, NJ 07921 - United States
Phone: (908) 658-3535
Email: troberti@phx-online.com
Website: www.phx-online.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 75+
PHX delivers advanced cost management solutions for health plans
combining claim processing automation with professional services to
deliver a centralized approach to cost management, increasing savings
while dramatically reducing errors and turnaround time. Services include
data analytics, PPO network management, out-of-network negotiations,
claims editing, and clinical bill review and audit. PHX solutions are used
by the industrys leading insurance companies,Taft-Hartley Funds, Health
Maintenance Organizations, and Third Party Administrators.

PROFESSIONAL REINSURANCE
MARKETING SERVICES, INC.
Tom Belding
President
10917 Old River Trail
Edmond, OK 73013 - United States
Phone: (405) 771-5115Email: tbelding2@cox.net
Year Business Started: 1998
Number of Clients: 50
Number of Employees: 3
We are Registered Reinsurance Intermediar y Brokers that assist
Medical TPAs to assist them in securing Stop Loss for their
clients. We are also General Agents for Life, Dental, Vision, STD
and LTD programs. We also provide cost containment programs
for Diabetes management and Out-Of-Network PPO Claims and
Transplant Car ve-Out programs.

58 THE Directory 2012

www.sipconline.net

Celebrating its 10th anniversary in 2011, Re-Solutions is an independent


reinsurance intermediary dedicated to providing quality intermediary and
other value-added consultative services to the insurance, captive, reinsurance
and managed healthcare communities.

RESOURCE INTERMEDIARIES, INC.


Peter Robinson
Principal
221 Main Street, Suite 730
San Francisco, CA 94105 - United States
Phone: (415) 433-0600
Email: probinson@resource-re.com
Website: www.resource-re.com
Year Business Started: 2004
ReSource Intermediaries offers consultative reinsurance intermediary services
through offices in San Francisco, Denver, Chicago, New York and London.
ReSource has a strong commitment to the Health and Accident reinsurance
sector with deep expertise in alternative risk and managed care.

RFIB GROUP LIMITED


Dominic Hagger
Director, Non-Marine
20 Gracechurch Street
London, England, EC3V 0AF - United Kingdom
Phone: 011 44 207 621 8202
Email: dominic.hagger@rfib.co.uk
Website: www.rfib.co.uk
Year Business Started: 1980
Number of Clients: 3,090
Number of Employees: 300
RFIB is an international Lloyds insurance and reinsurance broker. Its US
Casualty and Accident & Health Team has extensive experience in the
handling of Personal Accident placements on an individual and group basis,
Workers Compensation and Healthcare placements including Employers
Stop Loss, Student Medical, Short Term Medical and Travel Assistance.

SELF INSURED SOLUTIONS, LLC

STOP LOSS INSURANCE SERVICES

Parley Call
Director of New Business Development
430 N. Vineyard Avenue, Suite 102
Ontario, CA 91764 - United States
Phone: (800) 592-0047
Email: parley.call@selfinsuredsolutions.com
Website: www.selfinsuredsolutions.com
Year Business Started: 2003

Gerald Gates
President
100 Front Street, Suite 610
Worcester, MA 01608 - United States
Phone: (800) 944-7659 ext. 3073
Email: gerald.gates@amwins.com
Website: www.stoploss.amwins.com
Year Business Started: 1984
Number of Clients: 300
Number of Employees: 25

STOP LOSS INSURANCE BROKERS, INC.


Denise Doyle
President
20 Park Plaza, Suite 912
Boston, MA 02116-4303 - United States
Phone: (617) 542-1600
Email: ddoyle@stoplossins.com
Website: www.stoplossins.com
Year Business Started: 1994
Number of Clients: 50
Number of Employees: 5

Stop Loss Insurance Services is the largest wholesale broker of medical stop
loss insurance in the United Sates. We work closely with leading brokers,
consultants and TPAs, supporting their efforts to address the needs of their
self-funded clients. We provide focused medical stop loss expertise and
preferred access to top rated carriers. We negotiate the best possible
terms, rates and provide you a competitive advantage.

Stop Loss Insurance Brokers, Inc. is a leading independent broker for Medical
Stop Loss and Employee Benefits to clients throughout Massachusetts and
New England.

Need Help With the


Piles of Claims?
We assist payors of health insurance
claims and their clients with their
financial case management efforts.
Claim Negotiations
Medical Bill Review (Audit) Medical Peer Review
Disease Management DRG Validation
Pharmacy Consulting Repricing
3 Star Preferred Provider Network (PPN) Transplant Networks
URAC Accredited Independent Review Organization (IRO)
Case Management Utilization Review Data Mining/Claim Scrubbing

Phone 301.963.0762 Fax 301.963.9431


Visit us on the Web at www.hhcgroup.com
888.394.5688

THE Directory 2012

59

THE BAILEY GROUP

THE PHIA GROUP, LLC

Debbie Weiner
Senior Account Manager
1200 Plantation Island Drive S., #210
St. Augustine, FL 32080 - United States
Phone: (904) 461-1800
Email: dweiner@mbaileygroup.com
Website: www.mbaileygroup.com
Year Business Started: 1996
Number of Clients: 3,000
Number of Employees: 32

Adam Russo, Esq.


CEO
163 Bay State Drive
Braintree, MA 02184 - United States
Phone: (781) 535-5622
Email: arusso@phiagroup.com
Website: www.phiagroup.com
Year Business Started: 2000
Number of Clients: 141
Number of Employees: 80

With over 50 years of experience,The Bailey Group has built our reputation
on integrity and superior customer service. We are a local firm with local
personnel who are familiar with the needs of our community.

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 Groups overall mission is to reduce the cost of plans
through its recovery strategies, innovative technologies, legal expertise, and
focused, flexible customer service.

THE BENECON GROUP


Matthew Kirk
Senior Executive Vice President
147 W. Airport Road
Lititz, PA 17543 - United States
Phone: (717) 723-4600
Email: mkirk@benecon.com
Website: www.benecon.com
Year Business Started: 1991
Number of Clients: 383
Number of Employees: 61

TOWERS WATSON

Benecon has two 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, finance specialists and quality assurance specialists.

THE CROWNE GROUP


Roxane Kimble
Director of Account Management
2710 Rew Circle, Suite 200
Ocoee, FL 34761 - United States
Phone: (407) 654-5414
Email: rkimble@crowneinc.com
Website: www.crowneinc.com
Year Business Started: 1986
Number of Clients: 30+
Number of Employees: 10
The Crowne Group has served in an advisory and consultant role for public
and private sector employers since 1986. Crowne has an extensive training
background as consultants in employee benefits and human resources and
has conducted numerous workshops, seminars and presentations for public
and private sector employers on several topics.

60 THE Directory 2012

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James DePre
Senior Vice President
1500 Market Street, Centre Square, E.
Philadelphia, PA 19102 - United States
Phone: (215) 246-1669
Email: james.depre@towerswatson.com
Website: www.towerswatson.com
Year Business Started: 1871
Number of Employees: 14,000
Towers Watson is a leading global professional services company that
helps organizations improve performance through effective people, risk and
financial management. With 14,000 associates around the world, we offer
solutions in the areas of employee benefits, talent management, rewards,
and risk and capital management.

USI INSURANCE SERVICES


Robert Melillo
National Vice President, Risk Financing Solutions
555 Pleasantville Road, Suite 160 South
Briarcliff Manor, NY 10510 - United States
Phone: (203) 634-5917
Email: robert.melillo@usi.biz
Website: www.usi.biz
Year Business Started: 1996
Number of Clients: 13,400
Number of Employees: 2,900
Founded in 1994, USI is a leading distributor of employee benefits products
and property and casualty insurance to businesses throughout the United
States. USI is a recognized leader in the self-funded medical market,
operating out of 74 offices in 22 states. USI is a portfolio company of
Goldman Sachs Capital Partners.

SECTION 8

UTILIZATION REVIEW
CASE MANAGEMENT
AFFORDABLE BENEFIT
ADMINISTRATORS, INC.
Marie Ackad
Marketing Operations Manager
P.O. Box 10787 - 444 Irving Drive, Suite 202
Burbank, CA 91510 - United States
Phone: (800) 350-0148
Email: m_ackad@benefitsaba.com
Website: www.benefitsaba.com
Year Business Started: 1987
Number of Clients: 56
Number of Employees: 16
Affordable Benefit Administrators, Inc. (ABA) is a full service Third Party
Administrator for the adjudication of Medical, Dental, and Vision claims.
We manage HSA, Flex and HRA plans. We administer COBRA Plans
and perform UR/UM including large case management. Our focus is
delivering superior customer service and view our position as a manager
of our clients assets.

ALICARE MEDICAL MANAGAMENT


(an affiliate of Amalgamated Life Insurance)
Claire Levitt
President
333 Westchester Avenue
White Plains, NY 10604 - United States
Phone: (914) 367-5287
Email: clevitt@alicaremed.com
Website: www.alicaremed.com
Year Business Started: 1990
Number of Clients: 250
Number of Employees: 50
Alicare Medical Management, Inc., a member of the Amalgamated
Family of Companies, is a national leader in developing care management
solutions that promote cost effectiveness, patient satisfaction, and optimal
medical outcomes.The Companys services include: Nurse HelpLine,
Utilization Management, Maternity Management, Case/Disease
Management, Health Coaching/Wellness, Independent Physician Review
and Claims Cost Management. AMM holds four URAC accreditations for
Utilization Management, Case Management.

AMERICAN HEALTH HOLDING, INC.


Paul Lavin
President & CEO
100 West Old Wilson Bridge Road, Third Floor
Worthington, OH 43085 - United States
Phone: (866) 614-4244
Email: marketing@ahhinc.com
Website: www.AmericanHealthHolding.com
Year Business Started: 1993
Number of Clients: 200
Number of Employees: 400
American Health Holding is a single-source provider of medical
management services that supports millions of members across the health
care continuum.The multi-URAC accredited organization helps clients
maximize cost savings while ensuring the quality and appropriateness of
care. American Healths flexibility supports integrated solutions for creating
healthy outcomes.

AMERICAN HEALTHCARE RECOVERIES


Josh Holzer
President
55 Broad Street, 11th Floor
New York, NY 10004 - United States
Phone: (212) 425-1630
Email: josh@americanhealthcarerecoveries.com
Website: www.americanhealthcarerecoveries.com
Year Business Started: 1999
Number of Clients: 350
Number of Employees: 56
American Healthcare Recoveries offers a wide-ranging selection of claims
error detection, investigation and recovery services. Our services do not
interfere with your on-going claims adjudication process or any pre-payment
screening efforts. Suspected overpayments are identified and then reviewed
and researched by our experienced Claims Analysts. OUR GUARANTEE...
Absolutely no fee unless there is a successful recovery.

888.394.5688

THE Directory 2012

61

AWAC

CHIROMETRICS

John Powers
Vice President & Chief Sales Officer
3626 Walton Way Ext., Suite 2
Augusta, GA 30909 - United States
Phone: (877) 447-2778
Email: john.powers@awac.md
Website: www.awac.md
Year Business Started: 1991
Number of Employees: 140

Jeremy Oswald
President/CEO
1111 E. Herndon Avenue, Suite 308
Fresno, CA 93720 - United States
Phone: (559) 447-3375
Email: jeremy.oswald@chirometricsinc.com
Website: www.chirometricsinc.com
Year Business Started: 1996
Number of Clients: 56
Number of Employees: 12

AWAC (inVentiv Health) offers physician directed, nurse supported,


technology driven solutions committed to improving health care by focusing
on the appropriate quality and cost of care that promotes positive patient
outcomes. AWAC medical management integrates evidence-based medical
necessity, precertification, wellness, disease and case management in a
holistic care solution.

ChiroMetrics is a full-service chiropractic management company


committed to customer service, accountability to our clients, and effective
management of chiropractic and complementary medicine healthcare
benefits. ChiroMetrics partner clients experience a dramatic decrease
in chiropractic spend, unparalleled data collection and reporting, and an
impressive return on investment.

Medical costs out of control? Our client-focused flexibility


and cost-containment experience can help!
American Health is a single-source, URAC-accredited provider of integrated
medical management services that support members across the health care
continuum. Our board-certified physicians and registered nurses have been
helping clients since 1993 to maximize cost savings while ensuring the
quality and appropriateness of care. Our full spectrum of medical
management solutions includes:
Utilization Management

Medical Review

Case Management

Independent External Review

Specialty Case Management


(Neonatal and Pediatric, Oncology,
Transplants, Maternity)

Integrated Behavioral Health


24/7 Physician Consultations

Wellness

24/7 Nurse Line

Disease Management

Bill Audit Services

Maternity Management

Out-of-Network Repricing

Medical Disclosure

Medical Evacuation

Negotiations

Onsite Medical Management

Proprietary iSuite Software

For more information


To learn more about what we can do for you, visit us on the Web at
www.AmericanHealthHolding.com or call us at 866-614-4244.

62 THE Directory 2012

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CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
Considine & Associates (HealthClaim Review) is a URAC-accredited
Independent Review Organization providing medical review services to
group and comp healthcare payers and administrators worldwide. Medical
necessity, coding/claims review, dental, hospital bill audit/repricing/DRG,
surgery center repricing are key product areas. Large domestic/international
physician panel covers 125 medical specialties.

CPR RISK MANAGEMENT, INC.


Mary Pozuelo
CEO
270 1st Avenue South, Suite 100
St. Petersburg, FL 33701 - United States
Phone: (877) 810-9939
Email: mary@cpr-rm.com
Website: www.cpr-rm.com
Year Business Started: 2010
Number of Clients: 25
Number of Employees: 12
CPR provides a fully integrated claim management solution. Our Services
include, utilization, case & disease management; claim reviews; 50%/trigger
reviews; medical projections; underwriting; & hospital bill audits. Services can
be provided as back-up or primary. We understand risk & insurance, &
review cases from a business & medical perspective.

DOBSON AND ASSOCIATES, LLC

EBIX HEALTH
Laurie Douglas
Director of Marketing
10 10th Street NE, Suite 500
Atlanta, GA 30328 - United States
Phone: (404) 604-2757
Email: laurie.douglas@ebix.com
Website: www.ebix.com
Year Business Started: 1989
Number of Clients: 5,600
Number of Employees: 90
Ebix Health is your on-demand, end-to-end source for benefit information
and insurance solutions from agency management solutions, an awardwinning employee communications portal with integrated health and
wellness information, to claims administration, and business intelligence tools.
Ebix Health solutions are trusted by thousands of insurance carriers,TPAs,
brokers, and employers.

GLOBAL EXCEL MANAGEMENT, INC.


Benjamin Tabah
Regional VP - Business Development
73 Queen Street
Sherbrooke, Quebec, J1M 0C9 - Canada
Phone: (819) 437-2277
Email: benjamin.tabah@globalexcel.com
Website: www.globalexcelusa.com
Year Business Started: 1996
Number of Clients: 300
Number of Employees: 350
Global Excel Management (GEM) is a medical claim cost-containment
company that focuses on direct provider negotiation supported by a
blend of supplemental PPOs, code edits, UCR reviews, clinical reviews,
and EDI connectivity expertise. Global Excel blends these services into
customized solutions (MyGEM) that provide unparalleled cost savings and
administrative ease of use for our clients. Irrespective of bill type or dollar
threshold, Global Excel has solutions designed to enhance the cost-saving
performance of any claim shop.

Sheryl Dobson-Wainwright
Owner
44 W. Broadway, #1405
Salt Lake City, UT 84101 - United States
Phone: (866) 241-4933
Email: sheryl@dobsonandassociates.com
Website: www.dobsonandassociates.com
Year Business Started: 1998
Number of Clients: 24
Number of Employees: 20
Dobson and Associates provides customized utilization management,
case management, claims review, appeals and expedited appeals, and
consulting services for self funded insurers and third party administrators.
We customize the program to meet your funds needs and SPD
requirements, and to help maintain your regulatory standards.

888.394.5688

THE Directory 2012

63

HEALTHCARE ALTERNATIVES, LLC

IMEDECS

Becki Deeb
President
14523 Westlake Drive, Suite 20
Lake Oswego, OR 97035 - United States
Phone: (503) 635-4191
Email: beckideeb@hcalternatives.com
Website: www.hcalternatives.com
Year Business Started: 2001
Number of Clients: Variable
Number of Employees: Variable

Joyce Muller
President & CEO
157 S. Broad Street
Lansdale, PA 19446 - United States
Phone: (215) 855-4633
Email: jmuller@imedecs.com
Website: www.imedecs.com
Year Business Started: 1999
Number of Clients: 500+
Number of Employees: 18 plus over 700 independent contractors

HealthCare Alternatives, LLC, a Managed Care company offering a full


spectrum of services including Specialty Case Management (Cancer
Care Program, Injectables, Maternity/Neonatal, Renal and Transplants),
management of Claims and Disease entities, Physician Review and
Utilization Management. We ensure your members receive safe, standard
of care services at cost effective rates.

IMEDECS is a national URAC accredited independent review organization


known throughout the healthcare industry for its high-quality medical
reviews, extensive panel of experts, and responsiveness to client and
regulatory needs. Some of the clients who benefit from IMEDECS services
include, but are not limited to, hospitals, managed care organizations, thirdparty administrators, employer groups and state agencies throughout the
United States.

HEALTHTRANS
Don Houchin, SVP
PBM Business Development
8300 East Maplewood Avenue, Suite 100
Greenwood Village, CO 80111 - United States
Phone: (800) 950-9120
Email: sales@healthtrans.com
Website: www.healthtrans.com
Year Business Started: 2000
Number of Clients: 430
Number of Employees: 242
HealthTrans provides employers with innovative and strategic solutions
to address their healthcare benefit challenges. Our value-focused
services deliver employee benefits, improved health outcomes, reduced
absenteeism, and a greater return on healthcare investment. With
regional offices in the Atlanta, Chicago, and Denver areas, we provide cost
savings to clients nationwide.

HINES & ASSOCIATES, INC.


Judy Hines
President
115 E. Highland Avenue
Elgin, IL 60120 - United States
Phone: (800) 735-1200
Email: jhines@hinesassoc.com
Website: www.hinesassoc.com
Year Business Started: 1987

Ronnie Brown
VP of Business Development
400 N. Ashley Drive, Suite 1550
Tampa, FL 33602 - United States
Phone: (813) 258-2200 ext. 1019
Email: sales@inetico.com
Website: www.inetico.com
Year Business Started: 2004
Number of Clients: 32
Number of Employees: 40
Leading the industry with innovative services, INETICO supplies medical
and dental cost containment solutions for Employers, TPAs, Taft Hartley,
and Reinsurers. Claims Administration and Care Management services
managed within INETIPASS provide clients real0time interactive
information and reporting capabilities with 100% transparency. Services
include PPO administration, Claims Repricing, Claims Negotiation and
Care Management.

INTEGRATED CARE MANAGEMENT

Hines & Associates, a quality USA-based/international URAC accredited


managed care firm, is a leader in health care management. From health
risk assessments and wellness coaching to utilization review, disease
management and case management challenges of cancer, transplants,
dialysis, neonatal intensive care, etc., Hines specialty programs minimize
risks and maximize solutions.

64 THE Directory 2012

INETICO, INC.

www.sipconline.net

Sarah Lichtman
Sales Support
3440 Preston Ridge Road, Suite 300
Alpharetta, GA 30005 - United States
Phone: (678) 781-2808
Email: slichtman@integratedcare.com
Website: www.integratedcare.com
Year Business Started: 1989
Number of Clients: 1,040
Number of Employees: 88
Integrated Care Management (ICM) is a Case Management and
Integrated Disability Management Service company. Our goal is to minimize
employer expense while ensuring the proper level of care for the injured
worker. Our Cost Containment Services are offered NATIONALLY through
filed case management, telephonic, on-site, catastrophic, and vocational
case management which can be employed through a SI Employer, PEO,TPA
or Carrier.

INTERFACE EAP
Fred Newman
CEO
10370 Richmond Avenue, Suite 1100
Houston, TX 77042 - United States
Phone: (713) 781-3364
Email: fnewman@ieap.com
Website: www.ieap.com
Year Business Started: 1989
Number of Clients: 220
Number of Employees: 30
Interface EAP provides Utilization Review and Case Management as
part of our Behavioral Healthcare Management services. Coordinating
care, aftercare, focusing on problem resolution, and managing the cost of
treatment are critical with most employers now under parity. Combine
these services with our patented Pharmacy Intervention Protocol for
more efficiency!

ITA PARTNERS | EVITI


Traci Boehringer
Senior Marketing Specialist
1800 JFK Boulevard, 9th Floor
Philadelphia, PA 19103 - United States
Phone: (215) 569-0656
Email: traci.boehringer@itapartners.com
Website: www.itapartners.com
Year Business Started: 2003
Number of Employees: 60
ITA Partners provides independent decision support to help ensure
evidence-based oncology care is prescribed, followed and appropriately
reimbursed from the start through survivorship. Our patent-pending,
web-based applicationevitiprovides immediate access to
comprehensive, nationally-recognized, evidence-based treatment standards
and point-of-decision treatment authorization in any cancer care setting.

J.P. FARLEY CORPORATION


James Farley
President
29055 Clemens Road
Westlake, OH 44145 - United States
Phone: (800) 634-0173 or (440) 250-4300
Email: Jim.Farley@jpfarley.com
Website: www.jpfarley.com
Year Business Started: 1979
J.P. Farley Corporation is a full-service benefit solutions consultant providing
a better plan through an integrated array of administration services and
helping clients nationwide strategically and proactively manage their
customized benefit packages.
Self-funded medical, prescription, dental, vision, disability, FSAs, HRAs, HSAs,
COBRA, HIPAA, care & utilization management, wellness, patient advocacy
and third party administration.
ISO 9001-2008 certification, URAC Utilization Management Accreditation
and NorthCoast 99 Great Workplace Awards.

MCM SOLUTIONS FOR


BETTER HEALTH
Brian Vervynck
Senior Vice President of Sales, Marketing & Client Services
105 West Adams, Suite 2200
Chicago, IL 60603 - United States
Phone: (800) 367-9938
Email: bvervynck@medicalcost.com
Website: www.medicalcost.com
Year Business Started: 1986
Number of Clients: 500+
Number of Employees: 65
A pioneer in population health management, MCM was founded in 1986
to meet the care management needs of self-funded plans,Taft-Hartley
Trusts, associations, and claim payers. MCM offers sophisticated risk
identification and care management techniques that cover the entire
continuum of care and promote better health. MCM serves over 500
health plans representing over 500,000 members nationally.

MED-CERT, INC.
Sharon Reynolds
Director of Business Development
13902 N. Dale Mabry Highway, Suite 217
Tampa, FL 33618 - United States
Phone: (813) 949-2174
Email: sreynolds@medcertinc.com
Website: www.medcertinc.com
Year Business Started: 1997
Number of Clients: 10
Number of Employees: 24
Med-Cert is an innovative, proactive, action-oriented, URAC compliant
medical management company. Located in Tampa, Florida and
headquartered in Nashville,Tennessee, Med-Cert offers various utilization
and case management services to help manage our clients medical claims
and, as a result, lower claims expenditures and reinsurance costs.

MEDICAL REVIEW INSTITUTE


OF AMERICA
Bill Low
President
2875 S. Decker Lake Drive, Suite 550
Salt Lake City, UT 84119 - United States
Phone: (800) 654-2422
Email: bill.low@mrioa.com
Website: www.mrioa.com
Year Business Started: 1982
Number of Clients: 800
Number of Employees: 70
Medical Review Institute of America (MRIoA) has been an innovative leader
in physician peer review since 1982. MRIoA offers high quality reviews
meeting rapid turn around times through our national network of over
550 active practicing, board-certified physicians and other allied specialties.
For more information please contact us at 800-654-2422 ext. 6553,
marketing@mrioa.com, or check us out online at mrioa.com.

888.394.5688

THE Directory 2012

65

MUTUAL ASSURANCE
ADMINISTRATORS, INC.
Eric Wright
Chief Marketing Officer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225
MAA provides benefit solutions. 35 years of helping clients balance
quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK,TX, MO, AR,TN.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care
system, finance their health care needs and achieve their health and wellbeing goals.

PARADIGM MANAGEMENT SERVICES


Kevin Turner
Chief Sales Officer
1277 Treat Boulevard, Suite 800
Walnut Creek, CA 94597 - United States
Phone: (800) 676-6777
Email: kevin.turner@paradigmcorp.com
Website: www.paradigmcorp.com
Year Business Started: 1991
Number of Clients: 50
Number of Employees: 500
Paradigm Management Services provides acute and ongoing case
management services for TBI, SCI, amputations, burns, wounds and
chronic pain. As the leading provider of complex and catastrophic medical
management, Paradigm brings together nationally recognized doctors, the
best network of care facilities, and 20 years of clinical data to guide decisions.

66 THE Directory 2012

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SELECT SURGICAL SOLUTIONS, S3


Melissa Kremer
Executive Vice President
1120 N. Tustin Avenue
Anaheim, CA 92807 - United States
Phone: (877) 731-0002
Email: contactus@selectsurgicalsolutions.com
Website: www.selectsx.com
Year Business Started: 2010
Number of Clients: 50
Number of Employees: 10
S3 is a nationally recognized proven All-inclusive Surgical Cost Containment
Organization assisting payers across the country in managing the spiraling
costs of all surgical implants. Our program is proactive and gives the
physician freedom to use any implant to ensure best positive patient
outcome at lower costs to payers!!

SPECIALTY CARE MANAGEMENT, LLC


Robert Clemente
FACHE, President & CEO
991 Route 22 W., Suite 200
Bridgewater, NJ 08879 - United States
Phone: (908) 229-1876
Email: bclemente@specialtycm.com
Website: www.specialtycm.com
Year Business Started: 2006
Number of Clients: 100
Number of Employees: 15
Experts in catastrophic care management and related costs, SCM is a
privately-owned, national company specializing in healthcare management
and the associated financial risk of catastrophic diagnoses, including: renal
disease, cancer, transplants, high risk maternity, neonates, and others. Our
innovative products and services manage high cost, high risk healthcare claims

SECTION 9

ATTORNEYS

ARONBERG GOLDGEHN DAVIS


& GARMISA
Mitchell Melamed
Partner
330 North Wabash, Suite 1700
Chicago, IL 60611 - United States
Phone: (312) 755-3162
Email: mmelamed@agdglaw.com
Website: www.agdglaw.com
Year Business Started: 1890
Number of Clients: 100
Number of Employees: 70

BURR & FORMAN LLP


Kevin Doherty
Attorney
3102 West End Avenue, Suite 700
Nashville, TN 37203 - United States
Phone: (615) 724-3211
Email: kdoherty@burr.com
Website: www.burr.com
Year Business Started: 1905
Number of Employees: 500+

Aronberg Goldgehn is the second oldest law firm in Chicago. It specializes


in a number of areas, including representation of ERISA self-funded health
benefit plans, subrogation and recovery, having done so since 1980.

Burr & Forman LLP attorneys handle all aspects of insurance law, including
regulatory, transactional, captives and the alternative market, and litigation.
We actively participate in the NAIC and numerous insurance associations,
and we maintain strong relationships with insurance regulators throughout
the country. Our firm understands that the right team matters.

AURORA CONSULTANTS LLC

KING & CROFT LLP

Michael Meyer
Consultant
1730 Evergreen Street
Duarte, CA 91016 - United States
Phone: (626) 303-0808
Email: mike@meyerlaw.org
Website: www.auroraconsultantsllc.com
Year Business Started: 2009
Number of Clients: 25
Number of Employees: 20

Thomas Croft
Partner
707 The Candler Building
127 Peachtree Street, N.E.
Atlanta, GA 30303-1800 - United States
Phone: (404) 577-8400
Email: tac@king-croft.com
Website: www.StopLossLaw.com
Year Business Started: 1993
Number of Clients: Varies
Number of Employees: 5

Wealth Management firm specializing in captive and securitized insurance,


business finance and succession planning, trusts, estates and taxation, real
estate, and litigation (with an emphasis on fiduciary malfeasance).

Thomas A. Croft of King & Croft LLP has devoted the majority of his
commercial litigation practice to the handling of stop loss related cases for
more than ten years. He maintains a comprehensive and well-regarded
website devoted to legal issues arising in the self-funded industry at
www.StopLossLaw.com.

888.394.5688

THE Directory 2012

67

LAW OFFICES OF
STEVEN T. POLINO, PLLC
Steve Polino
Managing Member
3216 Prince Court
Bedford, TX 76021 - United States
Phone: (817) 992-6359
Email: stplaw@sbcglobal.net
Website: www.tarrantcountylaw.net
Year Business Started: 1986
Number of Clients: 25
Number of Employees: 3

LEECH TISHMAN FUSCALDO


& LAMPL, LLC
Mala Mason
Senior Marketing Coordinator
525 William Penn Place, 30th Floor
Pittsburgh, PA 15219 - United States
Phone: (412) 225-9568
Email: mmason@leechtishman.com
Website: www.leechtishman.com
Year Business Started: 1994
Number of Employees: 75
Leech Tishman provides full-service commercial legal services to
individuals, businesses, and institutions, offering legal services in alternative
dispute resolution, bankruptcy & creditors rights, construction, corporate,
employment, energy, environmental, safety & toxic torts, estates & trusts,
government relations, insurance coverage & corporate risk mitigation,
litigation, real estate, and taxation.

SEELEY, SAVIDGE, EBERT


& GOURASH CO., LPA
Gregory Seeley
Partner
26600 Detroit Road, Suite 300
Westlake, OH 44145-2397 - United States
Phone: (216) 566-8200
Email: gdseeley@sseg-law.com
Website: www.sseg-law.com
Year Business Started: 1978
Number of Clients: 1,000
Number of Employees: 30
Exceptional legal service is the foundation of Seeley Savidge Ebert &
Gourash Co., LPA (SSE&G). Since establishing the firm in 1978, the partners
and attorneys of SSE&G have assisted clients in achieving objectives through
such traditional values as hard work, responsiveness and efficiency while
consistently bringing innovative ideas to the table.

68 THE Directory 2012

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SEIGER GFELLER LAURIE LLP


Charles Gfeller
Partner
65 Memorial Road, Suite 340
West Hartford, CT 06107-2434 - United States
Phone: (860) 760-8400
Email: cgfeller@sgllawgroup.com
Website: www.sgllawgroup.com
Year Business Started: 2009
Number of Clients: 170
Number of Employees: 22
Seiger Gfeller Laurie LLP is a law firm with offices in Connecticut, New York,
and New Jersey, which has both a national and international practice. SGLs
practice areas include insurance/reinsurance, health care cost containment,
white collar criminal defense, and commercial litigation.

THE STEWART LAW FIRM


James Tullis
Director of Business Development
The Nemours Building, 1007 Orange Street, Suite 1400
Wilmington, DE 19801 - United States
Phone: (302) 652-5200
Email: jtullis@stewartlaw.pro
Website: www.stewartlaw.pro
Year Business Started: 1994
Number of Clients: 250
Number of Employees: 19
The Stewart Law Firm LLLPs extensive experience in corporate
transactional work, combined with our attorneys diverse backgrounds in
federal and state taxation, captive insurance, and Delaware and Nevada
corporate and commercial law make the firm an exceptional resource for
progressive businesses. Our clients enjoy a unique blend of business planning
resources delivered by a team of dedicated professionals driven to provide
unparalleled legal services.

SECTION 10

FINANCIAL SERVICES

AAM

BICKMORE RISK SERVICES

Gregory Curran, CFA


Vice President, Business Development
30 North LaSalle Street, Suite 3500
Chicago, IL 60602-2508 - United States
Phone: (312) 263-2900
Email: greg.curran@aamcompany.com
Website: www.aamcompany.com
Year Business Started: 1982
Number of Clients: 97
Number of Employees: 46

Rick Brush
Director, Business Development
1750 Creekside Oaks Drive, Suite 200
Sacramento, CA 95833 - United States
Phone: (916) 244-1100
Email: rbrush@brsrisk.com
Website: www.BRSrisk.com
Year Business Started: 1984
Number of Clients: 625
Number of Employees: 103

AAM has managed investment portfolios exclusively for insurance


companies since 1982. Additional services include investment accounting,
tax modeling, and dynamic asset-liability management. AAM customizes
our investment management service to suit each clients investment policy,
risk parameters, and ongoing client service communication expectations.

Bickmore Risk Services (BRS) has been reducing cost of risk for over 25
years. Our approach is simple provide public and private self-insured groups
objective, best practice alternatives that reduce costs, leverage resources,
and optimize savings. We offer pool administration, risk management and
loss control services, claims consulting and auditing, financial and actuarial
services, regulatory consulting, and more. www.brsrisk.com.

AWAC
John Powers
Vice President & Chief Sales Officer
3626 Walton Way Ext., Suite 2
Augusta, GA 30909 - United States
Phone: (877) 447-2778
Email: john.powers@awac.md
Website: www.awac.md
Year Business Started: 1991
Number of Employees: 140
AWAC (inVentiv Health) offers physician directed, nurse supported,
technology driven solutions committed to improving health care by focusing
on the appropriate quality and cost of care that promotes positive patient
outcomes. AWAC medical management integrates evidence-based medical
necessity, precertification, wellness, disease and case management in a
holistic care solution.

CAPVISOR ASSOCIATES, LLC


Carl Terzer
Principal
P.O. Box 693
Chatham, NJ 07928 - United States
Phone: (973) 219-7106
Email: carl.terzer@capvisorassociates.com
Website: www.capvisorassociates.com
Year Business Started: 2008
Number of Clients: 9
Number of Employees: 2
CapVisor, an SEC-Registered Investment Advisor, has more than 27 years
of experience working exclusively with insurers, over 12 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.

888.394.5688

THE Directory 2012

69

GPW

JUDY DIAMOND ASSOCIATES

Charles Laird
Director of Marketing
2700 N. Third Street, Suite 3050
Phoenix, AZ 85004 - United States
Phone: (602) 200-6900
Email: claird@gpwa.com
Website: www.gpwa.com
Year Business Started: 1998
Number of Clients: 700+
Number of Employees: 31

Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Year Business Started: 1959

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.

HANNOVER LIFE REASSURANCE


COMPANY OF AMERICA
Jeff Burt
Executive Vice President, Financial Solutions
800 N. Magnolia Avenue, Suite 1400
Orlando, FL 32803 - United States
Phone: (407) 996-2618
Email: jeff.burt@hlramerica.com
Website: www.hlramerica.com
Hannover Life Reassurance Company of America is the North American
life and health reinsurance subsidiary of the Hannover Re Group, one of
the largest reinsurance groups in the world. We offer financial solutions for
companies who need capital to pursue new lines of business or increase
capital reserves.These insurance based solutions can offer considerable
benefits over traditional capital market equity or debt.

70 THE Directory 2012

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Judy Diamond Associates, Inc. is the premier publisher of employee benefits


industry prospecting tools and plan data. Our pension/retirement and health/
welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technology-enabled
health services company dedicated to making the health system work better
for everyone. OptumHealth is a leader in population health management,
helping 60 million Americans navigate the health care system, finance their
health care needs and achieve their health and well-being goals.

WHAT IF YOUR MEDICAL


MANAGEMENT PARTNER...

Focused on 100% alignment with


evidence-based cancer care?
Was dedicated to avoiding
progression to dialysis?
Prevented the placement of
unnecessary cardiac devices?

WOULDNT THAT
BE inVentiv?
If you are interested in partnering with the medical management
solution that promotes quality care at appropriate costs and
positive patient outcomes, contact AWAC at 877-447-2778
or john.powers@awac.md
AWAC, LLC Aug2011 DIR01

PREFERRED MEDICAL
CLAIM SOLUTIONS
Robert Rath
Senior Vice President
9060 E. Via Linda, Suite 250
Scottsdale, AZ 85258 - United States
Phone: (480) 905-8987
Email: rrath@pmcsonline.com
Website: www.pmcsonline.com
Year Business Started: 1998
Number of Clients: 100+
Number of Employees: 60
Preferred Medical Claim Solutions assists providers, patients and payers in
reducing the costs associated with out-of-network claims. Settlements are
achieved through provider relationships, forged by a history of professional
negotiations, fulfilled by Advance Funded Provider (AFP) payments.

STONE CARLIE & COMPANY, L.L.C.


Jeffrey Ward
Managing Member
101 S. Hanley Road, Suite 800
Clayton, MO 63105 - United States
Phone: (314) 889-1100
Email: jward@stonecarlie.com
Website: www.stonecarlie.com
Year Business Started: 1950
Number of Clients: 3,500
Number of Employees: 85
Stone Carlie is a full service accounting firm that specializes in SAS70
engagements for TPAs and other entities within the insurance industry. We
also provide traditional tax and assurance services as well as a full suite
of IT related services that include Risk and Vulnerability Assessments and
Disaster Recovery Planning.

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THE BAILEY GROUP


Debbie Weiner
Senior Account Manager
1200 Plantation Island Drive S., #210
St. Augustine, FL 32080 - United States
Phone: (904) 461-1800
Email: dweiner@mbaileygroup.com
Website: www.mbaileygroup.com
Year Business Started: 1996
Number of Clients: 3,000
Number of Employees: 32
With over 50 years of experience,The Bailey Group has built our reputation
on integrity and superior customer service. We are a local firm with local
personnel who are familiar with the needs of our community.

WELLS CAPITAL MANAGEMENT


Larry Fernandes
National Sales Director
525 Market Street, 10th Floor
San Francisco, CA 94105 - United States
Phone: (415) 396-0479
Email: lfernand@wellscap.com
Website: www.wellscap.com
Year Business Started: 1986
Number of Clients: 1,916
Number of Employees: 773
WellsCap is Wells Fargo Banks largest institutional investment
management arm organized as a multi-boutique asset management
firm. Our diverse and autonomous teams manage portfolios that span the
wide range of needs associated with operational cash, capital investment
project portfolios, bond proceeds, core reserve portfolios and pension assets
for corporations, public agencies, foundations/endowments, and other
institutional clients.

SECTION 11

ACTUARIES / ACCOUNTANTS
AUDITORS
AMERICAN HEALTHCARE
RECOVERIES
Josh Holzer
President
55 Broad Street, 11th Floor
New York, NY 10004 - United States
Phone: (212) 425-1630
Email: josh@americanhealthcarerecoveries.com
Website: www.americanhealthcarerecoveries.com
Year Business Started: 1999
Number of Clients: 350
Number of Employees: 56
American Healthcare Recoveries offers a wide-ranging selection of claims
error detection, investigation and recovery services. Our services do not
interfere with your on-going claims adjudication process or any pre-payment
screening efforts. Suspected overpayments are identified and then reviewed
and researched by our experienced Claims Analysts. OUR GUARANTEE...
Absolutely no fee unless there is a successful recovery.

AQUARIUS CAPITAL
Michael Frank
President & Actuary
110 Betsy Brown Road
Port Chester, NY 10573 - United States
Phone: (914) 933-0063
Email: michael.frank@aquariuscapital.com
Website: www.aquariuscapital.com
Year Business Started: 2002
Number of Clients: 100+
Number of Employees: 2 Principals
Aquarius Capital provides an array of services to its clients in the life,
accident & health insurance industry including actuarial, underwriting,
insurance/employee benefits brokering, product development, managed
care analysis, and reinsurance risk management services. Actuarial services
include managed care pricing, rate filings, health care reform analysis,
reserve valuations, capitation reviews, and retiree valuations (e.g., GASB 45)

AUCLAIRRE INTERNATIONAL, INC.


Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Year Business Started: 2006
Number of Clients: 14
Number of Employees: 3
Improving profitability, mitigating risk and streamlining operations are the
key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.

BICKMORE RISK SERVICES


Rick Brush
Director, Business Development
1750 Creekside Oaks Drive, Suite 200
Sacramento, CA 95833 - United States
Phone: (916) 244-1100
Email: rbrush@brsrisk.com
Website: www.BRSrisk.com
Year Business Started: 1984
Number of Clients: 625
Number of Employees: 103
Bickmore Risk Services (BRS) has been reducing cost of risk for over 25 years.
Our approach is simple provide public and private self-insured groups
objective, best practice alternatives that reduce costs, leverage resources, and
optimize savings.We offer pool administration, risk management and loss
control services, claims consulting and auditing, financial and actuarial services,
regulatory consulting, and more. www.brsrisk.com.

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THE Directory 2012

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CASUALTY ACTUARIAL
CONSULTANTS, INC.
J. Edward Costner
President
7000 Executive Center Drive, Suite 312
Brentwood, TN 37027 - United States
Phone: (615) 371-5339 ext. 3100
Email: ecostner@caci1.com
Website: www.caci1.com
Year Business Started: 1989
Number of Clients: 200+
Number of Employees: 7
CACI is an independent actuarial consulting firm which specializes in
working with individual and group self-insured risks around the country.

CONNER ASH, P.C.


Alicia Drouant
Manager
12101 Woodcrest Executive Drive, Suite 300
St. Louis, MO 63141 - United States
Phone: (314) 205-2510
Email: adrouant@connerash.com
Website: www.connerash.com
Year Business Started: 1926
Number of Clients: 1,200
Number of Employees: 37
We are a CPA firm with more than 25 years experience in auditing, tax
planning and compliance, financial reporting, and consulting for self-insured
groups, risk retention groups, captives, and public entity risk pools.These
groups provide health, workers compensation, medical malpractice, as well
as property and casualty coverage.

FIRLEY, MORAN, FREER & EASSA, P.C.


James Flynn
Sr. Manager
5010 Campuswood Drive, Suite 4
East Syracuse, NY 13057 - United States
Phone: (315) 472-7045
Email: jflynn@fmfecpa.com
Website: www.fmfecpa.com
Year Business Started: 1980
Number of Clients: 500+
Number of Employees: 76
CPAs with Experience, Responsiveness & Dedication - At Firley, Moran,
Freer & Eassa, we succeed because of a strong

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GPW
Charles Laird
Director of Marketing
2700 N. Third Street, Suite 3050
Phoenix, AZ 85004 - United States
Phone: (602) 200-6900
Email: claird@gpwa.com
Website: www.gpwa.com
Year Business Started: 1998
Number of Clients: 700+
Number of Employees: 31
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.

MARBLE ARCH SERVICES, LLC


Adria Garneau
President & Chief Claims Officer
9 Tyler Street
Salem, NH 03079 - United States
Phone: (603) 458-1745
Email: adria@marblearchservices.com
Year Business Started: 2011
Number of Clients: 5
Number of Employees: 1
Marble Arch Services LLC provides claims oversight and review, medical
management services, and business development consulting to Harbour
Life & Reinsurance Company, Ltd., a Bahamas-based reinsurer.

MARK HAARER CONSULTING, LLC


Mark Haarer
President
23270 CR 28
Elkhart, IN 46517 - United States
Phone: (574) 875-4500
Email: mark@mhcllc.com
Website: www.mhcllc.com
Year Business Started: 2003
Number of Clients: 15
Number of Employees: 1
We provide actuarial services for stop loss and other niche healthcare
markets. We value each relationship and customize every response, and
make your success our number one priority.

MILLIMAN, INC.
Stephen DiCenso
Consulting Actuary
80 Lamberton Road
Windsor, CT 06095 - United States
Phone: (860) 687-0160
Email: stephen.dicenso@milliman.com
Website: www.milliman.com
Year Business Started: 1947
Number of Clients: 10,000
Number of Employees: 1,200
Milliman is among the worlds largest independent actuarial and consulting
firms.The company currently has 54 offices in key locations worldwide and
employs over 2,500 people, with a professional staff of more than 1,300
qualified consultants and actuaries. Milliman serves the full spectrum of
business, financial, government, union, education and nonprofit organizations.

NATIONAL BILL AUDIT SERVICES, LLC


Jeremy Perkinson
Executive Director, Audit Services
150 153rd Avenue, Suite 303
St. Petersburg, FL 33708 - United States
Phone: (800) 719-6227
Email: jperkinson@nbasaudits.com
Website: www.nbasaudits.com
Year Business Started: 2000
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.

NORTHSHORE INTERNATIONAL
INSURANCE SERVICES, INC.
David Ives, CPCU
Chief Executive Officer
199 Rosewood Drive
Danvers, MA 01923 - United States
Phone: (978) 745-6655
Email: dives@niis.com
Website: www.niis.com
Year Business Started: 1988
Number of Clients: 300+
Number of Employees: 50
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.

REACT CONSULTING
INTERNATIONAL, INC.
Michael Kemp
President
18 Catharine Rose Road
Harwich, MA 02645 - United States
Phone: (774) 237-0692
Email: michaelkemp@reactconsultingintl.com
Website: www.reactconsultingintl.com
Year Business Started: 2003
Number of Employees: 2
ReAct Consulting provides professional actuarial, underwriting and
reinsurance consulting to the life, accident & health insurance and
reinsurance industry, both domestically and abroad.

SASLOW LUFKIN & BUGGY, LLP


Glenn Saslow
Audit Partner
10 Tower Lane
Avon, CT 06001 - United States
Phone: (860) 678-9200
Email: gsaslow@slbcpa.com
Website: www.slbcpa.com
Year Business Started: 1999
Number of Clients: 1,500
Number of Employees: 67
One of the nations leading providers of auditing, tax and consulting services
to the commercial and alternative insurance marketplace. We service over
200 insurance companies structured as captives, self-insured groups, joint
underwriting associations and commerical insurance companies which are
located in numerous domiciles throughout the United States.

SIGMA ACTUARIAL
CONSULTING GROUP, INC.
Becky Austin
Analyst
5301 Virginia Way, Suite 230
Brentwood, TN 37027 - United States
Phone: (866) 228-8279
Email: becky@sigmaactuary.com
Website: www.SIGMAactuary.com
Year Business Started: 1995
Number of Clients: 500
Number of Employees: 10
SIGMA is an actuarial firm designed to simplify complexity, support your
decision making processes, and give you a competitive advantage. Our
services are designed to support key decision makers, such as brokers, risk
managers, CFOs, auditors, captive managers or regulators, public entities or
self insured groups, and insurance carriers.

888.394.5688

THE Directory 2012

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STONE CARLIE & COMPANY, L.L.C.

TOWERS WATSON

Jeffrey Ward
Managing Member
101 S. Hanley Road, Suite 800
Clayton, MO 63105 - United States
Phone: (314) 889-1100
Email: jward@stonecarlie.com
Website: www.stonecarlie.com
Year Business Started: 1950
Number of Clients: 3,500
Number of Employees: 85

James DePre
Senior Vice President
1500 Market Street, Centre Square, E.
Philadelphia, PA 19102 - United States
Phone: (215) 246-1669
Email: james.depre@towerswatson.com
Website: www.towerswatson.com
Year Business Started: 1871
Number of Employees: 14,000

Stone Carlie is a full service accounting firm that specializes in SAS70


engagements for TPAs and other entities within the insurance industry. We
also provide traditional tax and assurance services as well as a full suite
of IT related services that include Risk and Vulnerability Assessments and
Disaster Recovery Planning.

TC3 HEALTH, INC.


Tim Huke
Vice President of Sales & Marketing
19732 MacArthur Boulevard, Suite 100
Irvine, CA 92612 - United States
Phone: (949) 943-8700
Email: thuke@tc3health.com
Website: www.tc3health.com
Year Business Started: 2000
Number of Clients: 70
Number of Employees: 70
TC Health, Inc. provides healthcare payers with integrated loss control
solutions to validate payment integrity and maximize savings by up to
1-6% annually. TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms,
Clinical Coding Compliance, Out-of-Network Repricing & Negotiations,
Hospital Bill Review, and Data Analytics & Decision Support.

THE BENECON GROUP


Matthew Kirk
Senior Executive Vice President
147 W. Airport Road
Lititz, PA 17543 - United States
Phone: (717) 723-4600
Email: mkirk@benecon.com
Website: www.benecon.com
Year Business Started: 1991
Number of Clients: 383
Number of Employees: 61
Benecon has two 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,
finance specialists and quality assurance specialists.

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Towers Watson is a leading global professional services company that


helps organizations improve performance through effective people, risk and
financial management. With 14,000 associates around the world, we offer
solutions in the areas of employee benefits, talent management, rewards,
and risk and capital management.

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
Website: www.trilogy-consulting.com
Year Business Started: 1995
Number of Employees: 5
Trilogy is a focused consulting practice specializing in the performance
of claims administration audits on behalf of self-funded employers,Taft
Hartley plans, MGUs and excess loss carriers.Trilogy also publishes
a 2,500 page claims administration manual - The Trilogy Claims
Administration Handbook - the most comprehensive claim administration
guideline available in the industry!

WINDSOR STRATEGY PARTNERS, LLC


David Wilson
Partner
196 Princeton Hightstown Road, Building 2, Suite 16
Princeton Junction, NJ 08550 - United States
Phone: (609) 275-6550
Email: dwilson@wspactuaries.com
Website: www.wspactuaries.com
Year Business Started: 2004
Number of Clients: 35
Number of Employees: 7
Windsor Strategy Partners, LLC (WSP) is an actuarial and strategic consulting
firm based in Princeton Junction, NJ.WSP provides expertise to a wide variety
of clients who assume risk. WSP is focused on helping health care and
property/casualty industry participants maintain and grow their businesses.

Emerging trends.
Market opportunities.
Loss scenarios.
Risk management strategies.
The clues add up in the alternative markets.
Business risk doesnt have to be a mystery. Milliman understands how political,
economic, and demographic trends can affect the alternative markets. Our expert
analysis and tools can give you a better understanding of market opportunities and
risks. Our services include reserve studies, retention analysis, predictive modeling,
medical stop-loss rating models, benchmarking, and more.
With offices in major cities worldwide, Milliman combines local knowledge with a global
view of business dynamics. Learn more at milliman.com.

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SECTION 12

CONSUMER DRIVEN
HEALTH CARE SERVICES
ACCESSONTIME
Melven Nehleber
President
3210 Lake Emma Road, Suite 3090
Lake Mary, FL 32746 - United States
Phone: (888) 748-7575
Email: mnehleber@accessontime.com
Website: www.accessontime.com
Year Business Started: 1998
Number of Clients: 600 payers
Number of Employees: 80
AccessOnTime provides non-emergency medical transportation, travel
and language services including interpretation in-person / over-thephone, document translation and transcription, and recorded statements
nationwide. Our company prides itself on integrity, quality, passion, and
commitment to providing the best service we possibly can. Our core
competency is in the workers compensation sector, but we offer our
language services across all business sectors.

AMERIHEALTH
ADMINISTRATORS, INC.
Angela Salverian
Director, Marketing Services
720 Blair Mill Road
Horsham, PA 19044 - United States
Phone: (215) 830-2505
Email: angela.salverian@ahatpa.com
Website: www.ahatpa.com
Year Business Started: 1988
AmeriHealth Administrators is national third party administrator
representing over $1 billion in health benefits. We provide innovative, valuebased health benefits programs, consumer-directed health plans (CDHP),
and population health management. AmeriHealth Administrators offers
outsourcing services for self-funded health plans,TPAs and other payers,
student health plans, and insured products. Visit www.ahatpa.com.

CUSTOM DESIGN BENEFITS

Mimi Choi
President
851 Burlway Road
Burlingame, CA 94010 - United States
Phone: (650) 548-2628
Email: mimichoi@advanrm.com
Website: www.advanrm.com
Year Business Started: 2007

Julie Mueller
President
3737 West Fork Road
Cincinnati, OH 45247 - United States
Phone: (513) 598-2929
Email: jmueller@customdesignbenefits.com
Website: www.customdesignbenefits.com
Year Business Started: 1991
Number of Clients: 80
Number of Employees: 55

ARM provides every managed care advantage available to TPAs, MGUs,


carriers, brokers, and other insurance payors, utilizing over 20 years of clinical
and claims experience and carefully-researched relationships with many
proven vendors, to reduce large loss risk exposure by providing medical
underwriting services and customer-oriented cost containment solutions.

Third Party Administrator of self-funded medical, dental and short-term


disability plans, serving brokers and their clients 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.

ADVANCED RISK MANAGERS

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FALLON COMMUNITY
HEALTH PLAN
David Przesiek
Senior Vice President, Sales & Marketing
10 Chestnut Street
Worcester, MA 01608 - United States
Phone: (508) 368-9785
Email: david.przesiek@fchp.org
Website: www.fchp.org
Year Business Started: 1977
Number of Clients: 2500+
Number of Employees: 900
For over 30 years, Fallon Community Health Plan (FCHP) has been
providing innovative health insurance solutions for our clients. In addition
to offering TPA services and more through our wholly owned subsidiary,
UltraBenefits, FCHP has extensive experience and knowledge serving
self-funded clients directly. From managing fully-integrated funding
solutions to tailoring care management programs based on client needs,
FCHP is a one-stop shop for any self-funded organization. More options.
More expertise. More you.

GBEHAVIOR
Don Doster
President
3525 Piedmont Road, Building 5, Suite 400
Atlanta, GA 30305 - United States
Phone: (404) 949-0541
Email: ddoster@gbehavior.com
Website: www.gbehavior.com
Year Business Started: 2003
Number of Clients: 75
Number of Employees: 25
gBehavior offers comprehensive wellness and safety 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 reporting. gBehavior offers
a unique value proposition no monthly fees. We get paid only on results.

INSUR I.Q.
Lee Walters
Chief Marketing Officer
2 Corporate Drive
Shelton, CT 06484 - United States
Phone: (203) 446-8053
Email: lee.waters@insuriq.com
Website: www.doctornavigator.com
Year Business Started: 2010
Number of Clients: 1
Number of Employees: 5
DoctorNavigator is a highly intuitive consumer facing Provider Price
Transparency Platform. It can accommodate any plan sponsor with
any combination of claims payers, claims data, fee schedules, benefit
design configurations, provider networks, PBMs, and provider quality data.
DoctorNavigator provides a uniform and consistent, user friendly display of
relevant pricing information and plan data.

INTERACTIVE HEALTH SOLUTIONS


Brad Hiller
Vice President of Sales
3800 North Wilke Road, Suite 155
Arlington Heights, IL 60004 - United States
Phone: (630) 300-4269
Email: b.hiller@interactivehs.com
Website: www.interactivehealthsolutions.com
Year Business Started: 1992
Number of Clients: 1,300
IHS provides health management programs that empower employees to
take control of their health so organizations can control healthcare costs
and improve productivity. Using a HIPAA compliant process that engages
individuals in practicing prevention and rewards healthy outcomes, IHS
delivers results for employers.

MUTUAL ASSURANCE
ADMINISTRATORS, INC.
Eric Wright
Chief Marketing Officer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225
MAA provides benefit solutions. 35 years of helping clients balance
quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK,TX, MO, AR,TN.

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OPTUMHEALTH

TPAC UNDERWRITERS, INC.

Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000

Michael Meloch
President
3810 Pheasant Ridge Drive, #300
Minneapolis, MN 55449 - United States
Phone: (763) 231-8805
Email: michael_meloch@tpac.com
Website: www.tpac.com
Year Business Started: 1991
Number of Clients: 200
Number of Employees: 12

OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care
system, finance their health care needs and achieve their health and wellbeing goals.

TPAC works to write profitable, creative business with our reinsurance


partners in Spec/Agg, Spaggregate(tm) and HRA/HSA plans through
Third-Party Administrators as well as fully-funded capitated drug card
programs, Life and AD&D products. Our underwriting philosophy is never
to laser any individual that we are quoting or currently have covered.

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
Provider Excess
Medical Excess Re
HMO Reinsurance
Limited Medial
Dental/Vision/Rx
AD&D

Occupational Accident
Blanket Special Risk
College A&S
Intercollegiate Sports
K-12/K-12 Cat
Travel Insurance
Overseas Travel Medical
Pet Insurance

For more information, please contact:


Lauren Woods, Sr. Marketing Associate
(732) 676-9833
lwoods@fairmontspecialty.com

www.fairmontspecialty.com

888.394.5688

THE Directory 2012

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SECTION 13

CAPTIVE MANAGEMENT SERVICES


RISK RETENTION GROUPS (RRGs)
ACTIVE CAPTIVE MANAGEMENT

AUCLAIRRE INTERNATIONAL, INC.

Stacy Dumas
Marketing Director
16485 Laguna Canyon Road, Suite 200
Irvine, CA 92618 - United States
Phone: (949) 727-0155
Email: sdumas@activecaptive.com
Website: www.activecaptive.com
Year Business Started: 1997
Number of Clients: 116
Number of Employees: 11

Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Year Business Started: 20
Number of Clients: 14
Number of Employees: 3

Active Captive Management specializes in the formation and


management of captive insurance companies for middle markets.
Combining over 3 decades of Captive Risk Solutions experience, ACM
provides risk transfer solutions to a wide range of industries including;
Agriculture, Franchising , Fuel and Oil, Medical Professionals, Manufacturing,
Nursing Homes, and Transportation.

Improving profitability, mitigating risk and streamlining operations are the


key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.

ALTA HOLDINGS, LLC

AURORA CONSULTANTS, LLC

Donald Rousso
President
2010 Main Street, Suite 650
Irvine, CA 92614-7294 - United States
Phone: (949) 269-1401
Email: drousso@altaholdings.com
Website: www.altaholdings.com
Year Business Started: 2005
Number of Clients: 140
Number of Employees: 25

Michael Meyer
Consultant
1730 Evergreen Street
Duarte, CA 91016 - United States
Phone: (626) 303-0808
Email: mike@meyerlaw.org
Website: www.auroraconsultantsllc.com
Year Business Started: 2009
Number of Clients: 25
Number of Employees: 20

Structuring, forming, and managing captive insurance companies to


provide comprehensive risk management solutions for the middle market
from the premier captive specialists at Alta Holdings, LLC.You will find
world-class service from experienced CPAs, attorneys, insurance, and
business professionals with exclusive benefits for advisers and their clients.

Wealth Management firm specializing in captive and securitized insurance,


business finance and succession planning, trusts, estates and taxation, real
estate, and litigation (with an emphasis on fiduciary malfeasance).

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CHARTIS ACCIDENT & HEALTH


CORPORATE BENEFITS
Jeff Meyer
Vice President, Sales
One MacArthur Place, Suite 620
South Coast Metro, CA 92707 - United States
Phone: (714) 436-3600
Email: jeff.meyer@chartisinsurance.com
Website: www.chartisinsurance.com
Year Business Started: 1974
Chartis Accident & Health Corporate Benefits (formerly known as Medical
Excess) has been an industry leader in Medical Stop Loss and Fully Insured
Organ Transplant coverages since 1974. For employee benefits captive
programs, we can provide a fronting carrier, excess coverage, and captive
management services as needed.

GPW
Charles Laird
Director of Marketing
2700 N. Third Street, Suite 3050
Phoenix, AZ 85004 - United States
Phone: (602) 200-6900
Email: claird@gpwa.com
Website: www.gpwa.com
Year Business Started: 1998
Number of Clients: 700+
Number of Employees: 31
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.

CHSI

HEFFERNAN GROUP

Ted Hall
President of Captive & Ins. Mgrs.
770 Pilot Road, Suite I
Las Vegas, NV 89119-9009 - United States
Phone: (702) 736-4415
Email: thall@chsi-nv.com
Website: www.chsicaptives.com
Year Business Started: 2005
Number of Clients: 8
Number of Employees: 35

Thomas Hebson
Regional Executive
16141 Swingley Ridge Road, Suite 100
Chesterfield, MO 63017 - United States
Phone: (636) 489-0181
Email: thebson@heffins.com
Website: www.heffins.com
Year Business Started: 1988
Number of Clients: 9,000
Number of Employees: 12

We specialize in implementing alternative risk transfer (ART) programs to


the traditional insurance markets. We offer complete services from feasibility
study, to licensing and then management of ART program. Our staff is fully
qualified in all aspects of management, including: underwriting, accounting,
claims and licensed policy administration systems.

Heffernan is a leading provider of solutions to the self insured marketplace.


We have extensive experience in client consultation and placement of coverage.

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
Website: www.global.ky
Year Business Started: 1982
Number of Clients: 70
Number of Employees: 17
Global Captive Management Ltd. is one of the Cayman Islands leading
captive managers. With no affiliation to any insurance broker, insurance
company or bank, our success is driven by our knowledge, experience
and dedication to serving the interests of our clients. For more information
contact Peter MacKay at 345-949-7966. www.global.ky

MCDERMOTT WILL & EMERY LLP


Thomas Jones
Partner
227 W. Monroe Street, Suite 4400
Chicago, IL 60606-5096 - United States
Phone: (312) 984-7536
Email: tjones@mwe.com
Website: www.mwe.com
Year Business Started: 1934
Number of Clients: Thousands
Number of Employees: Thousands
McDermott is a leading expert in captive and other self-insurance legal, tax
and regulatory matters. With one of the largest tax, benefits and healthcare
law practices in the country, we are ideally suited to assist with structuring
and implementing your self-insurance soluctions.

888.394.5688

THE Directory 2012

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PARETO CAPTIVE SERVICES, LLC

ROUNDSTONE

Andrew Cavenagh
President
One Tower Bridge, Suite 275
Conshohocken, PA 19428 - United States
Phone: (484) 362-0225
Email: cavenagh@paretocaptive.com
Website: www.paretocaptive.com
Year Business Started: 2011
Number of Clients: <100
Number of Employees: <25

Mike Schroeder
President
27887 Clemens Road
Westlake, OH 44145 - United States
Phone: (440) 617-0333
Email: mschroeder@roundstoneinsurance.com
Website: www.roundstoneinsurance.com
Year Business Started: 2005
Number of Clients: 100
Number of Employees: 15

Pareto Captive Services forms and manages employee benefit group


captives for employers with an average of 100-150 enrolled employees.
We form both heterogeneous and homogeneous programs.

Roundstone delivers on its promise of speed to market, transparency and


expertise through a consistent and thorough approach to establishing a
captive facility. Our process includes a review of your business objectives along
with our candid assessment of the captive programs likelihood of success
under todays market conditions.There is no hidden agenda as Roundstone is
paid when the captive facility is functioning with premium and not before.

PHYHEALTH CORPORATION
Robert Trinka
CEO
700 S. Royal Poinciana Boulevard, Suite 506
Miami, FL 33166 - United States
Phone: (305) 779-1760
Email: rtrinka@phyhealth.com
Website: www.phyhealth.com
Year Business Started: 2005
Number of Clients: 10
Number of Employees: 8
Phyhealth is a combination of companies that specialize in developing and
operating RRGs and other captive structures, developing physician-owned
community health plans, management of employers catastrophic risk, and
operation of healthcare facilities, such as diagnostic sleep centers.

RESOURCE INTERMEDIARIES, INC.


Peter Robinson
Principal
221 Main Street, Suite 730
San Francisco, CA 94105 - United States
Phone: (415) 433-0600
Email: probinson@resource-re.com
Website: www.resource-re.com
Year Business Started: 2004
ReSource Intermediaries offers consultative reinsurance intermediary services
through offices in San Francisco, Denver, Chicago, New York and London.
ReSource has a strong commitment to the Health and Accident reinsurance
sector with deep expertise in alternative risk and managed care.

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THE TAFT COMPANIES


Richard Goff
Managing Member
1620 Providence Road
Towson, MD 21286 - United States
Phone: (877) 587-1763
Email: dick@taftcos.com
Website: www.taftcos.com
Year Business Started: 2004
Number of Clients: 13
Number of Employees: 7
The Taft Companies LLC is a captive management and consulting group
providing alternative risk transfer feasibility studies, formation, accounting,
investment, administration and reinsurance placement services in the
Bermuda, Washington DC, Delaware, Montana and South Carolina captive
domiciles. It is also a licensed Bermuda insurance broker.

TRIBECA STRATEGIC ADVISORS,


ARTEX RISK SOLUTIONS, INC.
James Tehero
CEO
1635 N. Greenfield Road, Suite 115
Mesa, AZ 85205 - United States
Phone: (480) 654-2400
Email: info@tribecapartners.net
Website: www.captiveadvisors.com
Year Business Started: 1999
Number of Clients: 145
Number of Employees: 25
Artex Tribeca is an alternative risk and captive insurance consulting and
management company. Our specialty is the design, implementation,
licensure and management of captive insurance companies. We are
the largest manager of micro captives worldwide. Our staff includes
attorneys, CPAs, account managers, underwriters and other insurance
management personnel.

WILMINGTON TRUST
Mary Alice Avery
Vice President
Rodney Square North, 1100 North Market Street
Wilmington, DE 19890 - United States
Phone: (302) 636-6127
Email: mavery@wilmingtontrust.com
Website: www.wilmingtontrust.com
Year Business Started: 1856
Number of Clients: 100+
Number of Employees: 100+
Wilmington Trust is a leading global provider of fiduciary and entity
management services for your captive needs.The experts of Wilmington
Trust provide Investment and Captive Management as well as Reg 114
and Custodian services for captives, risk retention groups, and other
alternative risk structures. Wilmington Trust - Experience You Can Trust.

888.394.5688

THE Directory 2012

85

SECTION 14

REINSURANCE

AEGIS ADMINISTRATIVE.
SERVICES, INC.
Sam Cozzo
Director of Sales & Marketing
6970 W. Diversey Avenue
Chicago, IL 60707 - United States
Phone: (773) 658-1324
Email: sc@aegisadmin.com
Website: www.aegisadmin.com
Year Business Started: 2002
Number of Clients: 48
Number of Employees: 23
Aegis Administrative Services, Inc. is a national employee benefit provider
and administrator. We are one of the few, privately owned, diversified health
care benefits companies in the nation. We offer a broad range of traditional
and non-traditional cost containment health care products and services, for
both group and individual. We offer medical plans (both fully insured and
self insured), pharmacy, dental, (limited medical plans) worksite marketing
products and administration. We offer worry free benefit administration
and reporting from start to finish.

AON BENFIELD
Ellsworth Whiteman
Executive Managing Director
199 Water Street, 7th Floor
New York, NY 10038 - United States
Phone: (212) 441-1526
Email: ellsworth.whiteman@aonbenfield.com
Website: www.aonbenfield.com
Aon Benfields Accident Health and Life (AHL) team has expertise for
individual and group accident, health and life insurance, surplus relief, new
business financing, and in-force block dispositions. AHLs services include
proprietary, transparent catastrophe modeling for natural perils and
terrorism, dynamic financial analysis, capital adequacy analysis, pandemic
modeling, and actuarial.

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AUCLAIRRE INTERNATIONAL, INC.


Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Year Business Started: 2006
Number of Clients: 14
Number of Employees: 3
Improving profitability, mitigating risk and streamlining operations are the
key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.

AXIS GLOBAL ACCIDENT & HEALTH


Christopher DiSipio
CEO
1 University Square Drive, Suite 200
Princeton, NJ 08540 - United States
Phone: (609) 216-0843
Email: chris.disipio@axiscapital.com
Website: www.axisaccidenthealth.com
Year Business Started: 2009
Number of Clients: 50+
Number of Employees: 100+
AXIS Global Accident & Health, a division of AXIS Capital, offers insurance
and reinsurance coverage for employers, affinity groups, financial institutions
and more through insurance carriers, MGUs, brokers,TPAs, and other
key distributors. AXIS has a significant capacity for underwriting global
reinsurance risks for accident and health insurance carriers.

BENEFITMALL

CEVIAN INTERMEDIARIES, LLC

Kim Johnson
Director, Business Operations
5090 North 40th Street, Suite. 100
Phoenix, AZ 85018 - United States
Phone: (602) 308-0797
Email: kim.johnson@benefitmall.com
Website: www.benefitmall.com
Year Business Started: 1979
Number of Clients: 125
Number of Employees: 700+

Nigel Wallbank
Executive Vice President
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com

BenefitMall is the nations largest wholesaler of insurance products. Our


Self-Funded Division represents numerous direct writers of medical stop-loss.
We pride ourselves on our buying power, services provided, and partnerships
with our carriers and broker/clients.There is no fee to our brokers or their
customers for our service.

BERKLEY ACCIDENT & HEALTH


Christopher Brown
President & CEO
290 Donald Lynch Boulevard, Suite 302
Marlborough, MA 01752 - United States
Phone: (508) 573-6123
Email: cbrown@berkleyah.com
Website: www.BerkleyAH.com
Year Business Started: 2005
Number of Clients: 16,000+
Number of Employees: 60
Berkley Accident & Health, LLC is a direct-writer of stop loss insurance in 50
states, policies issued by Berkley Life and Health Insurance Company, rated
A+ by AM Best.The company is a wholly-owned subsidiary of W.R. Berkley
Corporation (NYSE: WRB). Berkley offers a unique product called EmCap
that utilizes an offshore captive arrangement to provide a self-funded
alternative to smaller employers of 50 or more employees that are trapped
in fully insured medical plans. Sales Managers are located throughout the
United States.

BRENTWOOD REINSURANCE
INTERMEDIARIES, INC.
Al Rusnak
Director of Marketing, Life & Health Reins.
P.O. Box 1125
Brentwood, TN 37024-1125 - United States
Phone: (800) 524-0604
Email: brentre@bwood.com
Website: www.brentre.com
Year Business Started: 1990
Number of Employees: 190

Cevian Intermediaries offers a full scope of broker services including Excess


Cover,Transplant Carve Out, Rx Carve Out, Employer Stop Loss, Managed
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel Assistance.

CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
Considine & Associates (HealthClaim Review) provides medical bill review
services to SIUs,TPAs, stop loss carriers, reinsurance, bill negotiation and
financial recovery companies. Facility bill review includes DRG validation,
hospital line audit, as well as repricing of itemized hospital bills, implants and
outpatient surgery centers. Facility bill review is supplemented by a large
national physician consultant panel that performs medical necessity and
claims and coding review.

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
Website: www.dwvd.com
Year Business Started: 1978
Number of Clients: 125
Number of Employees: 22
Life and A&H Intermediary providing access to carriers, reinsurance,
distribution,TPAs, MGUs and others. Product expertise in Life, Accident,
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental,
Rx, Vision, Long Term Care, Medical Tourism,Travel Benefits, Catastrophe,
Provider and HMO Excess, Reserve Transfers and others.

BrentRe is an independent reinsurance intermediary serving insurance


companies, MGUs and program administrators. Our responsive personal
service is focused on Life,Accident, Health, and Workers Compensation reinsurance.

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DCC, INC.
Sam Sletager
National Sales Manager
P.O. Box 718
Sandpoint, ID 83864 - United States
Phone: (208) 265-1719
Email: ssletager@dccinc-us.com
Website: www.dccinc-us.com
Year Business Started: 2002
Number of Clients: 110
Number of Employees: 16
Benefit Preservation Program - We understand the unique dialysis market
dynamics effecting self-funded plans. Payers and administrators look to
DCC for our innovative dialysis cost containment services including Payment
Based U&R recommendations, Single Patient Agreements, access to
specialty networks, and patient self-administered care. DCC is the sole
licensee of the health care benefits claim review and recommendation
systems (patent pending).

FAIRMONT SPECIALTY
Lauren Woods
Sr. Marketing Associate
5 Christopher Way
Eatontown, NJ 07757 - United States
Phone: (732) 676-9833
Email: lwoods@fairmontspecialty.com
Website: www.fairmontspecialty.com
Year Business Started: 2000
Number of Employees: 42
Fairmont Specialty is part of Crum & Forster group, rated A (Excellent)
by AM Best.The Accident & Health division of Fairmont Specialty offers a
variety of products including Stop Loss, Organ Transplant, HMO Re, Provider
Excess, Limited Medical, K-12, College A&S, Special Risk, Occupational
Accident, Inbound/Outbound,Travel and Pet insurance.

GPW
Charles Laird
Director of Marketing
2700 N. Third Street, Suite 3050
Phoenix, AZ 85004 - United States
Phone: (602) 200-6900
Email: claird@gpwa.com
Website: www.gpwa.com
Year Business Started: 1998
Number of Clients: 700+
Number of Employees: 31
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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HANNOVER LIFE REASSURANCE


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

HEALTH SYSTEMS INTERNATIONAL


Joseph Antonell
President of Bill Review Division
7300 N. Kendall Drive, Suite 505
Miami, FL 33156 - United States
Phone: (305) 671-5126
Email: jantonell@us-hsi.com
Website: www.us-hsi.com
Year Business Started: 2004
Number of Clients: 700
Number of Employees: 200
Health Systems International provides medical cost management solutions
to healthcare payors in multiple markets throughout the world. We connect
clients to the lowest possible cost of care utilizing advanced technology,
customized solutions, exclusive offerings, and personalized service to drive
optimal savings and reduce administrative demands.

MAIDEN RE
Neil Levine
Vice President
6000 Midlantic Drive, Suite 200 South
Mt. Laurel, NJ 07040 - United States
Phone: (856) 359-2412
Email: nlevine@maidenre.com
Website: www.maidenre.com

NAVIGATORS RE
Joann DeBlasis
President, Accident & Health
83 Wooster Heights Road
Danbury, CT 06810 - United States
Phone: (203) 546-2851
Email: jdeblasis@navg.com
Website: www.navg.com
Year Business Started: 2010
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.

ONE HUNDRED YEARS, LLC


David Angelone
Partner
302 Harper Drive, Suite 302
Moorestown, NJ 08057 - United States
Phone: (646) 837-7905
Email: david.angelone@100years.com
Website: www.100years.com
Year Business Started: 2009
Number of Employees: 15
One Hundred Years, LLC is an insurance and financial services organization
providing turnkey international health and wealth insurance solutions to
insurers, employers and MGAs. We deliver proprietary health insurance
and financial security products, access to international insurance and
reinsurance facilities, underwriting and pricing, operational strategy, medical
management, international claims and cost containment.

OPTUMHEALTH
Lauren Byers
Director, Marketing
6300 Olson Memorial Highway
Golden Valley, MN 55427 - United States
Phone: (866) 427-6845
Email: engage@optumhealth.com
Website: www.optumhealth.com
Number of Employees: 11,000
OptumHealth is part of Optum, a leading information and technologyenabled health services company dedicated to making the health system
work better for everyone. OptumHealth is a leader in population health
management, helping 60 million Americans navigate the health care
system, finance their health care needs and achieve their health and wellbeing goals.

PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Bedminster, NJ 07921 - United States
Phone: (908) 658-3535
Email: troberti@phx-online.com
Website: www.phx-online.com
Year Business Started: 2001
Number of Clients: 100+
Number of Employees: 75+
PHX delivers advanced cost management solutions for health plans
combining claim processing automation with professional services to
deliver a centralized approach to cost management, increasing savings
while dramatically reducing errors and turnaround time. Services include
data analytics, PPO network management, out-of-network negotiations,
claims editing, and clinical bill review and audit. PHX solutions are used
by the industrys leading insurance companies,Taft-Hartley Funds, Health
Maintenance Organizations, and Third Party Administrators.

PRESIDIO REINSURANCE GROUP


Tom Sass, SVP
Chief Marketing Officer
199 Fremont Street
San Francisco, CA 94105 - United States
Phone: (612) 234-4941
Email: tom.sass@PresidioRe.com
Website: www.PresidioRe.com
Year Business Started: 1994
Number of Clients: Leading A&H Reinsurer
Number of Employees: 60+
Presidio provides innovative and effective solutions for Accident and
Health risks. Our broad portfolio of products and services includes HMO
and medical reinsurance, employer and provider excess of loss, personal
accident, international medical, life catastrophe and medical management
services through Presidio Pulse?. Offices in San Francisco, Minneapolis,
London and Kansas City.

RE-SOLUTIONS
Elizabeth Mariner
Exceutive Vice President
580 Lumber Exchange Building, 10 South 5th Street
Minneapolis, MN 55402 - United States
Phone: (612) 766-9782
Email: lmariner@re-solutions.net
Website: www.re-solutions.net
Year Business Started: 2001
Number of Employees: 11
Celebrating its 10th anniversary in 2011, Re-Solutions is an independent
reinsurance intermediary dedicated to providing quality intermediary and
other value-added consultative services to the insurance, captive, reinsurance
and managed healthcare communities.

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RESOURCE INTERMEDIARIES, INC.

ROUNDSTONE

Peter Robinson
Principal
221 Main Street, Suite 730
San Francisco, CA 94105 - United States
Phone: (415) 433-0600
Email: probinson@resource-re.com
Website: www.resource-re.com
Year Business Started: 2004

Mike Schroeder
President
27887 Clemens Road
Westlake, OH 44145 - United States
Phone: (440) 617-0333
Email: mschroeder@roundstoneinsurance.com
Website: www.roundstoneinsurance.com
Year Business Started: 2005
Number of Clients: 100
Number of Employees: 15

ReSource Intermediaries offers consultative reinsurance intermediary


services through offices in San Francisco, Denver, Chicago, New York and
London. ReSource has a strong commitment to the Health and Accident
reinsurance sector with deep expertise in alternative risk and managed
care.

RFIB GROUP LIMITED


Dominic Hagger
Director, Non-Marine
20 Gracechurch Street
London, England, EC3V 0AF - United Kingdom
Phone: 011 44 207 621 8202
Email: dominic.hagger@rfib.co.uk
Website: www.rfib.co.uk
Year Business Started: 1980
Number of Clients: 3,090
Number of Employees: 300
RFIB is an international Lloyds insurance and reinsurance broker. Its US
Casualty and Accident & Health Team has extensive experience in the
handling of Personal Accident placements on an individual and group basis,
Workers Compensation and Healthcare placements including Employers
Stop Loss, Student Medical, Short Term Medical and Travel Assistance.

RISK & INSURANCE CONSULTING


SERVICES, LLC
Jamie Brown
Vice President
5500 Lilburn-Stone Mountain Road, Suite B
Stone Mountain, GA 30087 - United States
Phone: (770) 923-3133
Email: jamie.brown@rics-reinsurance.com
Website: www.rics-reinsurance.com
Year Business Started: 1997
Number of Employees: 7
Providing innovative solutions in life, accident and health reinsurance.
Access to issuing carriers for MGUs, TPAs, and captives, along with
extensive experience negotiating reinsurance; including unlimited benefits
and facultative reinsurance for legitimate groups with critical mass. Our
expertise in reinsurance accounting and risk analysis will help optimize
your reinsurance programs.

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Get access to coverage at rates typically available only to insurance


companies. Reinsurance markets can also provide additional capacity
and more limits of coverage. Benefits and P&C covers available through
Roundstones Bermuda reinsurance facility.

SAFETY NATIONAL
Ryan McClure
Corporate Communications Manager
1832 Schuetz Road
St. Louis, MO 63146 - United States
Phone: (314) 692-9548
Email: ryan.mcclure@safetynational.com
Website: www.safetynational.com
Year Business Started: 1942
Safety National provides alternative risk funding solutions within specialized
areas where the companys experience and expertise is unmatched. Since
1942, Safety National has pioneered new products for the self-insured
community and provided unparalleled service to employers nationwide as
the leading and longest continual provider of excess workers compensation
coverage in the insurance industry.

TOWERS WATSON
James DePre
Senior Vice President
1500 Market Street, Centre Square, E.
Philadelphia, PA 19102 - United States
Phone: (215) 246-1669
Email: james.depre@towerswatson.com
Website: www.towerswatson.com
Year Business Started: 1871
Number of Employees: 14,000
Towers Watson is a leading global professional services company that
helps organizations improve performance through effective people, risk and
financial management. With 14,000 associates around the world, we offer
solutions in the areas of employee benefits, talent management, rewards,
and risk and capital management.

TREAN CORPORATION

XL REINSURANCE AMERICA, INC.

Kyle Plath
Senior Vice President
775 Prairie Center Drive, Suite 420
Eden Prairie, MN 55344 - United States
Phone: (952) 974-2221
Email: kplath@treancorp.com
Website: www.treancorp.com
Year Business Started: 1996
Number of Clients: 30
Number of Employees: 49

Steve Donnelly
Senior Vice President-Accident & Health Reinsurance
Seaview House-70 Seaview Avenue
Stamford, CT 06902-6040 - United States
Phone: (203) 964-3899
Email: steve.donnelly@xlgroup.com
Website: www.xlre.com
Year Business Started: 2011
Number of Employees: 2

Trean Re is one of the top privately-owned reinsurance intermediaries in


the country and is recognized for its successful efforts in the design and
placement of traditional or ART (Alternative Risk Transfer) structures for,
amongst others,TPAs, MGUs, and carriers.Trean focuses on providing
solutions to the accident/health and workers compensation industries.

With an experienced A&H staff XL Reinsurance is focused on providing


creative solutions to meet the demands of a dynamic Medical Reinsurance
marketplace.As change accelerates and risks multiply, XL Re is prepared
to be the company the medical market looks to for solutions to its most
complex risks.

At BenefitMall, we know that some employer groups benefit


most from treating their medical plan as an investment rather
than an expense.
BenefitMall is the nations largest wholesaler of insurance products.
Our self funded team represents numerous direct writers of
medical stop-loss. We pride ourselves on our buying power, services
provided, and partnerships with our brokers and carriers.

ASSISTANCE FOR
STOP LOSS
COVERAGE

We can help you succeed by offering you the following services:


Marketing
Billing & Premium Collection
Licensing, Commission & Bonus Programs
Claims Expedition
Compliance Services
Benefit from our experience as the leader in stop-loss
and reinsurance markets.

Contact us today at

888-248-8952
www.benefitmall.com
2011 BenefitMall. All rights reserved. BenefitMall, the circle b logo and the corporate logo are registered trademarks of Centerstone Insurance and Financial Services, Inc. California license #063979.

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SECTION 15

INTERNATIONAL

ASCOT HOSPITALS INTERNATIONAL

BDAE HOLDING GMBH

Dr. Edward Watson


CEO
P.O. Box 99-894 Newmarket
Auckland, 1149 - New Zealand
Phone: +64 9 623 6588
Email: edward.watson@medtral.com
Website: www.ascothospitalsinternational.com
Year Business Started: 2007
Number of Clients: 50
Number of Employees: 10

Andreas Opitz
General Manager
Kuehnehoefe 3
Hamburg, D-22761 - Germany
Phone: +49 40-30687412
Email: aopitz@bdae.de
Website: www.bdae.com
Year Business Started: 1996
Number of Clients: 8,500
Number of Employees: 50

Ascot Hospitals International delivers exceptional health care value,


providing world-class medical treatment in New Zealands finest private
hospitals at a cost significantly less than in other first world countries
including the USA, Canada and Western Europe.

BDAE supports expatriates all over the world by providing information


and consultancy about their specific destination, intercultural trainings and
international insurance solutions as MGU and claims handler. BDAE is
based in Hamburg (GERMANY) and Dubai (United Arab Emirates).

AUCLAIRRE INTERNATIONAL, INC.

CEVIAN INTERMEDIARIES, LLC

Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Year Business Started: 2006
Number of Clients: 14
Number of Employees: 3

Nigel Wallbank
Executive Vice President
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com

Improving profitability, mitigating risk and streamlining operations are the


key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.

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Cevian Intermediaries offers a full scope of broker services including Excess


Cover,Transplant Carve Out, Rx Carve Out, Employer Stop Loss, Managed
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel
Assistance.

CMN, INC.
Brad Loder
Director of Marketing
150 Commerce Valley Drive, West, 9th Floor
Thornhill, ON L3T 7Z3 - Canada
Phone: (800) 310-6970 or (905) 669-4333
Email: info@cmn-global.com
Website: www.cmn-global.com
Year Business Started: 1995
Number of Clients: Over 100
Number of Employees: 200
Founded in 1995, CMN Inc., a Europ Assistance Company, is an
international health management company that assists clients, including
insurance companies and government entities, and their insured members
to successfully navigate the increasingly complex global healthcare system
with economic ease.
Were a Cost Containment firm; claims TPA; case management firm; and
Assistance company all in one and that gives our clients integrated
solutions and a true partner.

COMPANION GLOBAL
HEALTHCARE, INC.
David Boucher
President & COO
I-20 at Alpine Road, AX-724
Columbia, SC 29219 - United States
Phone: (803) 264-3256
Email: david.boucher@companiongroup.com
Website: www.CompanionGlobalHealthcare.com
Year Business Started: 2007
Number of Clients: 250
Number of Employees: 55
Companion Global Healthcare, Inc. (CGH) facilitates international medical
travel by contracting with select Joint Commission accredited facilities and
by providing concierge travel and case management services. CGH assists
employers with modifying their benefit plans to create significant savings
and assists patients with accessing CGH network facilities for medically
necessary surgeries.

CONSIDINE & ASSOCIATES


(HealthClaim Review)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Year Business Started: 1996
Number of Clients: 60+
Number of Employees: 27
HealthClaim Review (a Considine & Associates company) is a
URAC-accredited Independent Review Organization that provides full
service Medical Review for healthcare payers worldwide. An international
panel of specialist physicians in 125 specialties provides medical necessity
opinions, travel health assistance, and hospital bill review. Our clients include
global assistance companies, reinsurance and stop loss carriers, and
international medical management companies.

EUROP ASSISTANCE HOLDINGS LTD.


Patrick Leroy
Executive Vice President
Sussex House, Perry Mount Road
Haywards Heath, West Sussex, RH16 1DN - United Kingdom
Phone: +44 (0) 1444 444664
Email: patrick_leroy@europ-assistance.co.uk
Website: www.europ-assistance.co.uk
Year Business Started: 1973
Number of Clients: 300
Number of Employees: 400
Europ Assistance Holdings Ltd. was established in 1973 and is part of the
worldwide Europ Assistance Group.The company is a leading provider of
Health insurance and assistance services in addition to Motor, Home &
Family, and Travel assistance solutions

GLOBAL MEDICAL CONEXIONS, INC.


Robert Repke
President
140 San Aleso Avenue
San Francisco, CA 94127 - United States
Phone: (415) 333-6942
Email: rrepke@globalmedconex.com
Website: www.globalmedconex.com
Year Business Started: 2007
Number of Clients: 12
Number of Employees: 4
Global Medical Conexions is a US based International Select Provider
Organization with provider partners from Thailand to Latin America.
We deliver access to quality, cost effective international medical care by
designing Global Medical Choices for our clients.

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ONE HUNDRED YEARS, LLC


David Angelone
Partner
302 Harper Drive, Suite 302
Moorestown, NJ 08057 - United States
Phone: (646) 837-7905
Email: david.angelone@100years.com
Website: www.100years.com
Year Business Started: 2009
Number of Employees: 15
One Hundred Years, LLC is an insurance and financial services
organization providing turnkey international health and wealth insurance
solutions to insurers, employers and MGAs. We deliver proprietary health
insurance and financial security products, access to international insurance
and reinsurance facilities, underwriting and pricing, operational strategy,
medical management, international claims and cost containment.

PRESIDIO REINSURANCE GROUP


Tom Sass, SVP
Chief Marketing Officer
199 Fremont Street
San Francisco, CA 94105 - United States
Phone: (612) 234-4941
Email: tom.sass@PresidioRe.com
Website: www.PresidioRe.com
Year Business Started: 1994
Number of Clients: Leading A&H Reinsurer
Number of Employees: 60+
Presidio provides innovative and effective solutions for Accident and
Health risks. Our broad portfolio of products and services includes HMO
and medical reinsurance, employer and provider excess of loss, personal
accident, international medical, life catastrophe and medical management
services through Presidio Pulse?. Offices in San Francisco, Minneapolis,
London and Kansas City.

QUALITY HEALTH
MANAGEMENT, LLC
(QHM International TPA)
Patricia Ziomek
Principal
15280 NW 79th Court, Suite 100
Miami Lakes, FL 33014 - United States
Phone: (305) 821-8430
Email: pziomek@qhmanagement.com
Website: www.QHManagement.com
Year Business Started: 2000
QHM is a cost containment company offering access to discounts globally.
QHM has a proprietary network of physicians and hospitals located around
the world. QHM service includes: access to worldwide network of providers,
efficient claims service and re-pricing, discounts and negotiations off charges,
account management and 24 hour member services.

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REACT CONSULTING
INTERNATIONAL, INC.
Michael Kemp
President
18 Catharine Rose Road
Harwich, MA 02645 - United States
Phone: (774) 237-0692
Email: michaelkemp@reactconsultingintl.com
Website: www.reactconsultingintl.com
Year Business Started: 2003
Number of Employees: 2
ReAct Consulting provides professional actuarial, underwriting and
reinsurance consulting to the life, accident & health insurance and
reinsurance industry, both domestically and abroad.

RE-SOLUTIONS
Elizabeth Mariner
Exceutive Vice President
580 Lumber Exchange Building, 10 South 5th Street
Minneapolis, MN 55402 - United States
Phone: (612) 766-9782
Email: lmariner@re-solutions.net
Website: www.re-solutions.net
Year Business Started: 2001
Number of Employees: 11
Celebrating its 10th anniversary in 2011, Re-Solutions is an independent
reinsurance intermediary dedicated to providing quality intermediary and
other value-added consultative services to the insurance, captive, reinsurance
and managed healthcare communities.

SINGAPORE TOURISM BOARD


Michael Figge
Manager,Tourism Business, Americas
1156 Avenue of the Americas, Suite 702
New York, NY 10036 - United States
Phone: (212) 302-4861
Email: Michael_Figge@stb.gov.sg
Website: www.stb.gov.sg
Year Business Started: 1967
Number of Employees: 6 (New York)
STB is a leading economic development agency in tourism, one of
Singapores key service sectors. Known for partnership, innovation
and excellence, STB champions tourism as a key economic driver for
Singapore. We aim to differentiate and market Singapore as a must-visit
destination offering a concentration of enriching experiences through the
YourSingapore brand.

SECTION 16

SUBROGATION

ACS RECOVERY SERVICES,


A XEROX COMPANY

HEALTHCARE SUBROGATION
GROUP, LLC

Stephen Prazuch
V.P. Corporate Development and General Counsel
1301 Basswood Road
Schaumburg, IL 60173 - United States
Phone: (847) 839-7750
Email: stephen.prazuch@acs-inc.com
Website: www.primaxrecoveries.com
Year Business Started: 1987
Number of Clients: 60+
Number of Employees: 400+

Brian Brumit
President
4 Armstrong Road, 4th Floor
Shelton, CT 06484 - United States
Phone: (203) 312-1750
Email: bbrumit@hcsg.net
Website: www.hcsg.net
Year Business Started: 2002
Number of Clients: 160
Number of Employees: 50

Our cost containment service identifies and recovers health benefit


payments for which another party is liable. We offer seamless
implementation and transition of existing programs and afford self-funded
health plans greater control over the subrogation and reimbursement
recovery process. Our experienced recovery and legal staff ensures superior
results tied to competitive contingency fee pricing.

HCSG prides itself on identifying all paid claims at the treatment level
and systemically investigates to ensure that the treatments are indeed for
the right person and that the right policy paid and paid appropriately, all
without contacting the member. HCSG and Spartan Recoveries never close
a case thereby increasing recovery.

ARONBERG GOLDGEHN
DAVIS & GARMISA
Mitchell Melamed
Partner
330 North Wabash, Suite 1700
Chicago, IL 60611 - United States
Phone: (312) 755-3162
Email: mmelamed@agdglaw.com
Website: www.agdglaw.com
Year Business Started: 1890
Number of Clients: 100
Number of Employees: 70
Aronberg Goldgehn is the second oldest law firm in Chicago. It specializes
in a number of areas, including representation of ERISA self-funded health
benefit plans, subrogation and recovery, having done so since 1980.

INTERNATIONAL SUBROGATION
MANAGEMENT, INC.
Richard Ives
President
24402 W. Lockport Street, Suite 214
Plainfield, IL 60544 - United States
Phone: (815) 267-5000
Email: rives@niis.com
Website: http://ism.niis.com
Year Business Started: 1991
Number of Clients: 60
Number of Employees: 18
ISMs experienced staff is dedicated to recovering medical benefit
payments on behalf of the self-funded market; our clients include selffunded groups,TPAs, MGUs, Excess (Stop Loss) Carriers, Managed Care
organizations, Reinsurers and Lloyds of London Syndicates.

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LAW OFFICE OF
BRYAN B. DAVENPORT, P.C.
Bryan Davenport
Attorney
160 Fairway Lakes Drive
Franklin, IN 46131 - United States
Phone: (317) 738-9540
Email: bdavenport@erisasubro.com

MUTUAL ASSURANCE
ADMINISTRATORS, INC.
Eric Wright
Chief Marketing Officer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225
MAA provides benefit solutions. 35 years of helping clients balance
quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK, TX, MO, AR, TN.

STRATEGIC RECOVERY
PARTNERSHIP INC.
Robert Marcino, Esq.
Principal
208 N. Easton Road
Willow Grove, PA 19090 - United States
Phone: (215) 784-1616
Email: rmarcino@srpsubro.com
Website: www.srpsubro.com
Year Business Started: 1993
Number of Clients: 32
Number of Employees: 8
SRP delivers Subrogation, Claim Recovery and Plan Document services to
TPAs and claim payers nationwide.The SRP Plan Doc Builder, a full solution
web application, is now available for in-house generation of fully compliant
SPDs. Please contact rmarcino@srpsubro.com for more information.

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THE PHIA GROUP, LLC


Adam Russo, Esq.
CEO
163 Bay State Drive
Braintree, MA 02184 - United States
Phone: (781) 535-5622
Email: arusso@phiagroup.com
Website: www.phiagroup.com
Year Business Started: 2000
Number of Clients: 141
Number of Employees: 80
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 Groups overall mission is to reduce the cost of plans
through its recovery strategies, innovative technologies, legal expertise, and
focused, flexible customer service.

SECTION 17

LOSS PREVENTION
CONTROL SERVICES
BICKMORE RISK SERVICES

COMPANY NURSE

Bickmore Risk Services (BRS) has been reducing cost of risk for over 25 years.
Our approach is simple provide public and private self-insured groups
objective, best practice alternatives that reduce costs, leverage resources,
and optimize savings.We offer pool administration, risk management and
loss control services, claims consulting and auditing, financial and actuarial
services, regulatory consulting, and more. www.brsrisk.com.

Company Nurse is a workers compensation cost reduction company that


uses registered nurses to provide triage and care advice for injured workers.
Employers benefit by receiving immediate report of injury as well as 15%+
reduction in claims. Employees benefit by having immediate access to
medical professionals.

CEVIAN INTERMEDIARIES, LLC

Mary Pozuelo
CEO
270 1st Avenue South, Suite 100
St. Petersburg, FL 33701 - United States
Phone: (877) 810-9939
Email: mary@cpr-rm.com
Website: www.cpr-rm.com
Year Business Started: 2010
Number of Clients: 25
Number of Employees: 12

Rick Brush
Director, Business Development
1750 Creekside Oaks Drive, Suite 200
Sacramento, CA 95833 - United States
Phone: (916) 244-1100
Email: rbrush@brsrisk.com
Website: www.BRSrisk.com
Year Business Started: 1984
Number of Clients: 625
Number of Employees: 103

Nigel Wallbank
Executive Vice President
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com

Cevian Intermediaries offers a full scope of broker services including


Excess Cover, Transplant Carve Out, Rx Carve Out, Employer Stop Loss,
Managed Care, Pet, Blanket Special Risk, Limited Medical, Student and
Travel Assistance.

Dennis Chandler
Director
8140 N. Hayden Road, Suite H 110
Scottsdale, AZ 85258 - United States
Phone: (541) 520-8396
Email: dennisc@companynurse.com
Website: www.companynurse.com
Year Business Started: 1997
Number of Clients: 15,835 locations
Number of Employees: 28

CPR RISK MANAGEMENT, INC.

CPR provides a fully integrated claim management solution. Our Services


include, utilization, case & disease management; claim reviews; 50%/trigger
reviews; medical projections; underwriting; & hospital bill audits. Services can
be provided as back-up or primary. We understand risk & insurance, &
review cases from a business & medical perspective.

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DCC, INC.

Sam Sletager
National Sales Manager
P.O. Box 718
Sandpoint, ID 83864 - United States
Phone: (208) 265-1719
Email: ssletager@dccinc-us.com
Website: www.dccinc-us.com
Year Business Started: 2002
Number of Clients: 110
Number of Employees: 16
Benefit Preservation Program - We understand the unique dialysis market
dynamics effecting self-funded plans. Payers and administrators look to
DCC for our innovative dialysis cost containment services including Payment
Based U&R recommendations, Single Patient Agreements, access to
specialty networks, and patient self-administered care. DCC is the sole
licensee of the health care benefits claim review and recommendation
systems (patent pending).

ETHICARE ADVISORS, INC.


Mark Hartmann, Jr. MSc
Partner
350 Clark Drive, Suite 104
Budd Lake, NJ 07828 - United States
Phone: (888) 838-4422
Email: mark@ethicareadvisors.com
Website: www.ethicareadvisors.com
Year Business Started: 2002
Number of Clients: 150
Number of Employees: 14

EthiCare Advisors, Inc. provides medical claim settlement services to the


self-insured industry. Our services include: dialysis, cancer and FactorSolutions
cost management programs, pharmaceutical reviews and sourcing, claim
reviews, as well as in-network and out-of-network negotiated settlements.
Our fees are among the lowest in the industry.

MUTUAL ASSURANCE
ADMINISTRATORS, INC.

Eric Wright
Chief Marketing Officer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
Year Business Started: 1975
Number of Clients: 230
Number of Employees: 225
MAA provides benefit solutions. 35 years of helping clients balance
quality benefits with cost control. Customized Plan Design. Cutting-Edge
Administration. Self-Funding Experts. Medical, Dental, Vision, FLEX, GASB
43/45, 403(b), 457. Wellness, Utilization Review, Disease Management.
PPO, Pharmacy, Stop Loss Placement. Offices in: OK,TX, MO, AR,TN.

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PMA MANAGEMENT CORP./PMA


MANAGEMENT CORP. OF
NEW ENGLAND
Michael MacAulay
VP Sales
380 Sentry Parkway
Blue Bell, PA 19422 - United States
Phone: (856) 727-3157
Email: Michael_MacAulay@pmagroup.com
Website: www.pmacompanies.com
Year Business Started: 1991
Number of Clients: 300
Number of Employees: 300+

PMA is a top provider of TPA and Risk Services in the US. With client
retention averaging 98% and a 96% customer satisfaction rating, PMA
delivers tangible value every day, striving to exceed our clients expectations
and maximize their financial results. We provide complete third-party claims
and risk management services.

SAFETY NATIONAL

Ryan McClure
Corporate Communications Manager
1832 Schuetz Road
St. Louis, MO 63146 - United States
Phone: (314) 692-9548
Email: ryan.mcclure@safetynational.com
Website: www.safetynational.com
Year Business Started: 1942
Safety National provides alternative risk funding solutions within specialized
areas where the companys experience and expertise is unmatched. Since
1942, Safety National has pioneered new products for the self-insured
community and provided unparalleled service to employers nationwide as
the leading and longest continual provider of excess workers compensation
coverage in the insurance industry.

SPECIALTY CARE MANAGEMENT, LLC


Robert Clemente, FACHE
President & CEO
991 Route 22 W., Suite 200
Bridgewater, NJ 08879 - United States
Phone: (908) 229-1876
Email: bclemente@specialtycm.com
Website: www.specialtycm.com
Year Business Started: 2006
Number of Clients: 100
Number of Employees: 15

Experts in catastrophic care management and related costs, SCM


is a privately-owned, national company specializing in healthcare
management and the associated financial risk of catastrophic diagnoses,
including: renal disease, cancer, transplants, high risk maternity, neonates,
and others. Our innovative products and services manage high cost, high
risk healthcare claims.

TC3 HEALTH, INC.

Tim Huke
Vice President of Sales & Marketing
19732 MacArthur Boulevard, Suite 100
Irvine, CA 92612 - United States
Phone: (949) 943-8700
Email: thuke@tc3health.com
Website: www.tc3health.com
Year Business Started: 2000
Number of Clients: 70
Number of Employees: 70
TC Health, Inc. provides healthcare payers with integrated loss control
solutions to validate payment integrity and maximize savings by up to
1-6% annually.TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms, Clinical
Coding Compliance, Out-of-Network Repricing & Negotiations, Hospital Bill
Review, and Data Analytics & Decision Support.

WORKSTEPS, INC.

Stacy Clark
3019 Alvin Devane Boulevard, Suite 150
Austin, TX 78741 - United States
Phone: (512) 617-4100
Email: testing@worksteps.com
Website: www.worksteps.com
Year Business Started: 1986
Number of Clients: 3,000
Number of Employees: 13
The WorkSTEPS employment testing program is a medically safe, legally
compliant, and objective way to match a workers functional capabilities
with the essential functions of a particular job. WorkSTEPS was created
in response to an industry need for injury management and prevention
programming, effectively reducing workplace injury and costs.

THE ASSIST GROUP

Larry Gray
Chief Executive Officer
300 Union Boulevard, Suite 515
Lakewood, CO 80228 - United States
Phone: (720) 381-4494
Email: lgray@assistgroup.com
Website: www.assistgroup.com
Year Business Started: 1999
Number of Clients: 200+
Number of Employees: 50
Founded in 1999,The Assist Group serves health care providers, insurers,
reinsurers, third party administrators, and managing group underwriters
in the review of catastrophic medical claims.The company is a national
leader in the delivery of a comprehensive approach of claims review
utilizing physicians, nurses, pharmacists, attorneys and coding experts.This
professional team thoroughly evaluates each claim, identifies appropriate
savings, and recommends a strategy for claim resolution. For more
information, please go to www.assistgroup.com.

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SECTION 18

PUBLICATIONS
RESOURCES
CAPTIVE INSURANCE COUNCIL OF THE
DISTRICT OF COLUMBIA, INC. (CIC- DC)
1250 H Street, NW, 9th Floor
Washington, DC 20005 - United States
Phone: (202) 463-8163
Email: webmaster@dccaptives.org
Website: 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 Americas newest domiciles for captives. CIC-DC
was formed to advance the District of Columbias 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.

CLAIM SERVICE GUIDE/


INSURANCE BAR DIRECTORY
Alan Perko
Publisher
25000 Center Ridge Road
Cleveland, OH 44145 - United States
Phone: (866) 533-0400
Email: info@barlist.com
Website: www.barlist.com
Year Business Started: 1889
Number of Clients: 10,000
Number of Employees: 20

Since 1889 insurance professionals have preferred using The Green


Books, CLAIM SERVICE GUIDE, INSURANCE BAR and INSURANCE
AGENT HANDBOOKS to locate and retain, adjusters, attorneys,
independent insurance agents and insurance industry service providers
worldwide. Please visit www.barlist.com or call 1-866-533-0400 for book
orders and listing qualifications.

DKI PUBLIC RELATIONS

David Kirby
President
17 West Lee Street
Baltimore, MD 21201 - United States
Phone: (410) 539-6888
Email: davidkirby@aol.com
Year Business Started: 1986
Number of Clients: 50+ in total
Number of Employees: 2
DKI provides strategic communications planning, media relations, and
creative services for corporations and trade associations. David Kirby has
been on assignment for SIIA since 2002.

JUDY DIAMOND ASSOCIATES


Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Year Business Started: 1959

Judy Diamond Associates, Inc. is the premier publisher of employee benefits


industry prospecting tools and plan data. Our pension/retirement and
health/welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.

MONTANA CAPTIVE INSURANCE


ASSOCIATION, INC. (MCIA)
1302 24th Street West, #303
Billings, MT 59102-3861 - United States
Phone: (866) 388-6242
Email: webmaster@mtcaptives.org
Website: www.mtcaptives.org
The Montana Captive Insurance Association, Inc. (MCIA) is the only trade
association solely dedicated to promoting a vibrant captive industry in the
state of Montana.The association furthers the interests of its members
by keeping them up to date on the latest industry impacting news and
regulation, producing educational conferences and seminars, and offering
unparalleled networking opportunities.

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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
Website: www.subrogation.org
Year Business Started: 1998
Number of Clients: 2,500
Number of Employees: 6

The National Association of Subrogation Professionals (NASP) is the


worlds largest insurance subrogation association and leader in subrogation
education. NASPs mission is to enhance the stature and effectiveness of
subrogation and recovery professionals through education, training and the
exchange of information.

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
Website: www.trilogy-consulting.com
Year Business Started: 1995
Number of Employees: 5

Trilogy is a focused consulting practice specializing in the performance


of claims administration audits on behalf of self-funded employers, Taft
Hartley plans, MGUs and excess loss carriers. Trilogy also publishes
a 2,500 page claims administration manual - The Trilogy Claims
Administration Handbook - the most comprehensive claim administration
guideline available in the industry!

NEWKIRK PRODUCTS, INC.


Linda McDonald
Sales
15 Corporate Circle
Albany, NY 12203 - United States
Phone: (518) 862-3323
Email: lmcdonald@newkirk.com
Website: www.newkirk.com

From summary plan descriptions to member ID cards, Newkirks full


range of enrollment solutions make the creation and delivery of pre- and
post-enrollment member communications easier than ever. Our in-house
development and production capabilities ensure that your last minute
updates are performed on time and accurately.You can count on Newkirk!

TENNESSEE CAPTIVE INSURANCE


ASSOCIATION, INC. (TCIA)
700 Two American Center, 3102 West End Avenue
Nashville, TN 37203 - United States
Phone: (888) 668-3188
Email: jmiller@tncaptives.org
Website: www.tncaptives.org
Year Business Started: 2011
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.

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INDEX

Aurora Consultants LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67,82

AAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

Avizent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

AccessOnTime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

AvMed Health Plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

ACS Benefit Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

AWAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,62,69

ACS Recovery Services, A Xerox Company . . . . . . . . . . . . . . . . . . .95

AXIS Global Accident & Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

Active Captive Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82


Advanced Risk Managers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

Aegis Administrative Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . 5,86

Bardon Insurance Group, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

AFA Claim Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

BDAE Holding GMBH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

Affordable Benefit Administrators, Inc.. . . . . . . . . . . . . . . . . . . . 5,53,61

Beacon Risk Strategies, an AmWINS Group Benefits Company. . .25

Alicare Medical Managament


(an affiliate of Amalgamated Life Insurance) . . . . . . . . . . . . . . . . . . . .61

Benefit & Risk Management Services, Inc. . . . . . . . . . . . . . . . . . . . . . . .6


Benefit Administrative Systems, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Alicare, Inc. (affiliate of Amalgamated Life Insurance) . . . . . . . . . . . . .5

Benefit Dynamics, Co. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Allegiance Benefit Plan Management, Inc. . . . . . . . . . . . . . . . . . . . . . . .6

Benefit Informatics, Inc. - A Benefitfocus Company. . . . . . . . . . . . . .47

Alta Holdings, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

BenefitMall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,87

Alternative Risk Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Berkley Accident & Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,87

Alternative Service Concepts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

BEST Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

AmeriBen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Bickmore Risk Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69,73,97

American CareSource Holdings, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . .40

Blue Cross Blue Shield of FL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

American Fidelity Assurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Blue Cross Blue Shield of MA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

American Health Holding, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61

Brentwood Reinsurance Intermediaries, Inc.. . . . . . . . . . . . . . . . . 26,87

American Healthcare Recoveries . . . . . . . . . . . . . . . . . . . . . . . . . . 61,73

Brentwood Services Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . .20

AmeriHealth Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,78

Broadspire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Aon Benfield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

Buckingham Insurance Services Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Aon eSolutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Burr & Forman LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Apex Benefits Services, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Butler Benefit Service, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Aquarius Capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73


Arbor Benefit Group, L.P.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Aronberg Goldgehn Davis & Garmisa. . . . . . . . . . . . . . . . . . . . . . 67,95

CalCPA Group Insurance Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,40

Ascot Hospitals International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

Canyon RE, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

ASG Risk Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Captive Insurance Council


of the District of Columbia, Inc. (CIC-DC) . . . . . . . . . . . . . . . . . . . 100

AuclairRe International, Inc.. . . . . . . . . . . . . . . . . . . . . . . .53,73,82,86,92


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CapVisor Associates, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

CareHere, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

East Coast Underwriters, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Casualty Actuarial Consultants, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Ebix Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,21,48,63

Celtic Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

EBSRMSCO, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

CenCorp Health Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,54

Elite Underwriting Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Cevian Intermediaries, LLC. . . . . . . . . . . . . . . . . . . . . . . .27,54,87,92,97

eMindful . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

change:healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Employee Plans, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Chartis Accident & Health Corporate Benefits . . . . . . . . . . . . . . 27,83

Employer Direct Healthcare (EDHC) . . . . . . . . . . . . . . . . . . . . . . . . .41

ChiroMetrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,62

Envision Pharmaceutical Services Inc. . . . . . . . . . . . . . . . . . . . . . . . . . .41

CHSI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

EthiCare Advisors, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98

Chubb Accident & Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,28

Europ Assistance Holdings Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Claim Service Guide/Insurance Bar Directory . . . . . . . . . . . . . . . . 100

Excess Reinsurance Underwriters. . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

CMN Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Excess Risk Reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

CNIC Health Solutions, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7


Coalition America, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Coastal TPA, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

FAIR Health, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Colorado Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Fairmont Specialty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,79,88

Commercial Group Intermediaries, Inc.. . . . . . . . . . . . . . . . . . . . . . . .54

Fallon Community Health Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80

Companion Global Healthcare, Inc. . . . . . . . . . . . . . . . . . . . . . . . . 41,93

Fidelity Security Life Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Company Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97

Firley, Moran, Freer & Eassa, P.C.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Complete Health Systems, LC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

First Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Conner Ash, P.C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

First Niagara Benefits Consulting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Considine & Associates (HealthClaim Review ) . . . 8,21,28,63,87,93

Fringe Benefit Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Consociate, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,54


CoreSource, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

CPR Risk Management, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63,97

Garner Consulting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Custom Design Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,78

gBehavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,80

CVS Caremark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Genelco Software Solutions / IBM . . . . . . . . . . . . . . . . . . . . . . . . . . . .48


Gilsbar, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Gitter & Associates, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

D. H. Evans Associates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Global Captive Management Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

D.W. Van Dyke & Co., Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,28,54,87

Global Excel Management, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,63

DAKOTACARE Administrative Services, Inc. (DAS) . . . . . . . . . . . . . .9

Global Medical Conexions, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,93

DCC, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,28,54,79,88,98

Golden Triangle Specialty Network, LLC . . . . . . . . . . . . . . . . . . . . . . .43

Devon Health Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

GPW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,74,83,88

DKI Public Relations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

GreenWood Intl. Insurance Svcs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Dobson and Associates, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Group & Pension Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . .10


Group Administrators, Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Group Marketing Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

888.394.5688

THE Directory 2012

103

Group Resources, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Interactive Health Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80

GTESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

Interactive Medical Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Guy Carpenter & Company, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Interface EAP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65


Intermediary Insurance Services, Inc. (IISI) . . . . . . . . . . . . . . . . . . . . . .32

International Assurance of TN, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

H.H.C. Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

International Medical Group-Stop Loss, Inc. . . . . . . . . . . . . . . . . . . . .32

HAA Preferred Partners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

International Risk Consultants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Hannover Life Reassurance Company of America . . . . . . . . . . . 70,88

International Subrogation Management, Inc. . . . . . . . . . . . . . . . . . . . .95

HCC Life Insurance Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

InVision Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Health Plans, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

IOA Re, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Health Portal Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

ITA Partners | eviti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Health Reinsurance Mgmt. Partnership . . . . . . . . . . . . . . . . . . . . . . . .11


Health Systems International . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,21,88

HealthCare Alternatives, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

J.P. Farley Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,65

Healthcare Management Administrators, Inc. (HMA). . . . . . . . . . . .11

JFP Benefit Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

HealthCare Subrogation Group, LLC. . . . . . . . . . . . . . . . . . . . . . . 21,95

Judy Diamond Associates . . . . . . . . . . . . . . . . . . . . . . . .13,50,56,70,100

HealthHelp, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55


HealthNow Administrative Services. . . . . . . . . . . . . . . . . . . . . . . . . . .12

HealthTrans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,64

Key Benefit Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Healthx, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Kinder & Associates, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Heffernan Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,83

King & Croft LLP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

HFN Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Kroger Prescription Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Hines & Associates, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64


Hi-Tech Health, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,30,49,56

HM Insurance Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,31

Law Office of Bryan B. Davenport, P.C. . . . . . . . . . . . . . . . . . . . . . . . .96

Humana, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Law Offices of Steven T. Polino, PLLC. . . . . . . . . . . . . . . . . . . . . . . . . .68


Lawley Benefits Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Leech Tishman Fuscaldo & Lampl, LLC . . . . . . . . . . . . . . . . . . . . . . . .68

IHC Risk Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Legacy Enterprises Benefits Consulting, Inc.. . . . . . . . . . . . . . . . . . . . .57

IIS/Intl. Insurance Agency Svcs. LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . .31

LifeTrac Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

IMEDECS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

LifeWise Assurance Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

INDECS Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12


INETICO, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

ING Employee Benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

MagnaCare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,33,44

InHouse Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Maiden Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Insur I.Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,80

Marble Arch Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Insurance Administrative Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Mark Haarer Consulting, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Integrated Care Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,64

Marsh Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Integrated Health Plan, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

McDermott Will & Emery LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

104 THE Directory 2012

www.sipconline.net

MCM Solutions for Better Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

M-D Underwriting Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Pancoast Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

MDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Paradigm Management Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Med-Cert, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Pareto Captive Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Medical Review Institute of America . . . . . . . . . . . . . . . . . . . . . . . . . .65

Partners Rx Management, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Medical Risk Managers, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Pequot Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

MESVision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Phyhealth Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Midlands Management Corporation . . . . . . . . . . . . . . . . . . . . . . . . . .38

Planned Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Milliman, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75


Montana Captive Insurance Association, Inc. (MCIA) . . . . . . . . . 100

PMA Management Corp./


PMA Management Corp. of New England . . . . . . . . . . . . . . . . . . 22,98

Montgomery Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Preferred Medical Claim Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . .72

Mountain States Administrative Services . . . . . . . . . . . . . . . . . . . . . . .14

PreferredOne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

MultiPlan, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

Premier Healthcare Exchange, Inc. . . . . . . . . . . . . . . . . .16,34,44,58,89

Munich Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Presidio Reinsurance Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,89,94

Mutual Assurance Administrators, Inc. . . . . . . . . . . . 14,22,66,80,96,98

Prime Health Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

myMatrixx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Pro Group Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23


Professional Reinsurance Marketing Services, Inc. . . . . . . . . . . . . . . .58

PTRX, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

National Association of Subrogation Professionals (NASP). . . . . 101


National Bill Audit Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

National CooperativeRx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

QualCare, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

National Underwriting Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Quality Health Management, LLC


(QHM International TPA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,94

Nationwide Specialty Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14


Navigators Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
NCN, A MultiPlan Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Newkirk Products, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,50,101
North America Administrators, L.P.. . . . . . . . . . . . . . . . . . . . . . . . . . . .14
North American Risk Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Northshore International Insurance Services, Inc. . . . . . . . . . 22,57,75
NorthWind, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Nova Healthcare Administrators, Inc.,
an Independent Health Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

R
ReAct Consulting International, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . 75,94
RedCard Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Regence Group Administrators, Inc. (RGA) . . . . . . . . . . . . . . . . . . . .16
RE-SOLUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,89,94
ReSource Intermediaries, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,84,90
ResourceOne Administrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Restat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
RFIB Group Limited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,90

Risk & Insurance Consulting Services, LLC . . . . . . . . . . . . . . . . . . 35,90

Olympus Managed Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Risk Solution Resources, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,35

One Hundred Years, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,89,94

RMTS, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

OptumHealth . . . . . . . . . . . . . . . . . . . . . 15,22,34,38,44,57,66,70,81,89

Roundstone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,38,84,90
RxReins, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

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105

The Stewart Law Firm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Safety National . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,90,98

The Taft Companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Saslow Lufkin & Buggy, LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

The TriZetto Group, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Satori World Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

Towers Watson. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,60,76,90

SB Howard & Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,23

TPAC Underwriters, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,81

Script Care, Ltd.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Trean Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,91

Sedgwick Claims Management Services, Inc.. . . . . . . . . . . . . . . . . 17,23

Tribeca Strategic Advisors, Artex Risk Solutions, Inc.. . . . . . . . . . . . .85

Seeley, Savidge, Ebert & Gourash Co., LPA . . . . . . . . . . . . . . . . . . . . .68

Trilogy Consulting Group, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .76,101

Seiger Gfeller Laurie LLP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

TRISTAR Insurance Group/TRISTAR Benefit Admtrs. . . . . . . . . . . .23

Select Surgical Solutions, S3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Trustmark Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Self Insured Plans, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

TSYS Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Self Insured Solutions, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59


SIGMA Actuarial Consulting Group, Inc. . . . . . . . . . . . . . . . . . . . . . . .75

SIHO Insurance Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

ULLICO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Singapore Tourism Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Unified Group Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Specialty Care Management LLC . . . . . . . . . . . . . . . . . . . . . . . 45,66,98

United Claim Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,51

Spectrum Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,23

USBenefits Insurance Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Spectrum Underwriting Mgrs., Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

USI Insurance Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Star Line Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36


Sterling Self Insurance Administration
(subsidiary of Sterling Health Services Administration) . . . . . . . . . .18

Stone Carlie & Company, L.L.C.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,76

Virginia Health Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,23

Vermont Managed Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Stop Loss Insurance Brokers, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59


Stop Loss Insurance Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Strategic Recovery Partnership Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . .96

WellDyneRx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Strategic Underwriting Solutions, LLC . . . . . . . . . . . . . . . . . . . . . . . . .36

Wells Capital Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72

Summit Administration Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . .18

Wilmington Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85

Sun Life Financial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Windsor Strategy Partners, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Symetra Life Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

WorkSTEPS, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,99

TC Health, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,50,76,99

Xchange Benefits, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Tennessee Captive Insurance Association, Inc. (TCIA) . . . . . . . . . 101

XL Reinsurance America, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

The Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45


The Assist Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99

The Bailey Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,72

Young Consulting, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

The Benecon Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,60,76


The Crowne Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

The Phia Group, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,96

Zurich American Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . .37

106 THE Directory 2012

www.sipconline.net

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