Professional Documents
Culture Documents
Directory Siia
Directory Siia
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
AWAC .............................................................................................................................71
BenefitMall ....................................................................................................................91
Erica Massey
Jennifer Ivy
Justin Miller
Michiale Machado
Shane Byars
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
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.
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.
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.
III. Information
Special Bulletins
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/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
EnrollPlus Health
Newkirk EZCard
SECTION 1
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
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.
AMERIBEN
Jon Aubrey
Senior Vice President
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.
www.sipconline.net
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.
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
CVS CAREMARK
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.
www.sipconline.net
EBIX HEALTH
Christopher Koehler
President
Laurie Douglas
Director of Marketing
DAKOTACARE ADMINISTRATIVE
SERVICES, INC. (DAS)
EBSRMSCO, INC.
Thomas Nicholson
Vice President/Chief Marketing Officer
Gregory Cohen
President
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
Travis West
CEO
David Dorfman
President
GILSBAR, INC.
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.
www.sipconline.net
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.
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
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
Michael Carrara
President
Eric Ludwig
President
www.sipconline.net
James Farley
President
Larry Dust
CEO
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
13
MOUNTAIN STATES
ADMINISTRATIVE SERVICES
Steven Touch
President
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.
Linda McDonald
Sales
15 Corporate Circle
Albany, NY 12203 - United States
Phone: (518) 862-3323
Email: lmcdonald@newkirk.com
Website: www.newkirk.com
www.sipconline.net
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.
Steven Jacobson
President
OPTUMHEALTH
Lauren Byers
Director, Marketing
PJ Rescigno
Senior Director, Sales and Operations
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.
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
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.
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
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.
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.
888.394.5688
17
Stacey Asbell
General Manager
Matthew Kirk
Senior Executive Vice President
Kevin Rowland
Director of Sales
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.
www.sipconline.net
Richard Mousty
President
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
19
SECTION 2
AVIZENT
Erik Stremke
Sales Director
Eric Neuville
EVP, Client Services, Sales and Marketing
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.
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.
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.
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
21
MUTUAL ASSURANCE
ADMINISTRATORS, INC.
NORTHSHORE INTERNATIONAL
INSURANCE SERVICES, INC.
Eric Wright
Chief Marketing Officer
MYMATRIXX
Melissa Vance
OPTUMHEALTH
Lauren Byers
Director, Marketing
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.
NORTH AMERICAN
RISK SERVICES, INC.
Robert Ruryk
President & COO
Michael MacAulay
VP Sales
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.
www.sipconline.net
Robert Vogel
Vice President
Stacey Asbell
General Manager
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.
Paul Ross
Specialty Sales, Alternative Risk
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
23
SECTION 3
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
888.394.5688
25
BENEFITMALL
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
BRENTWOOD REINSURANCE
INTERMEDIARIES, INC.
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.
www.sipconline.net
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.
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
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.
888.394.5688
27
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.
www.sipconline.net
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
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.
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
29
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:
E L I T E U W.C O M 8 8 8 . 3 0 3 . 3 3 7 9
30 THE Directory 2012
www.sipconline.net
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
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
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)
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.
888.394.5688
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
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.
www.sipconline.net
MAGNACARE
MONTGOMERY MANAGEMENT
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.
MUNICH RE
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
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.
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.
www.sipconline.net
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.
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
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
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.
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
35
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
STRATEGIC UNDERWRITING
SOLUTIONS, LLC
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.
www.sipconline.net
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.
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
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
888.394.5688
37
SECTION 4
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.
www.sipconline.net
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
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.
40 THE Directory 2012
www.sipconline.net
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.
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
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.
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.
888.394.5688
41
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
TPAs
REINSURERS
PPOs
ACS
www.sipconline.net
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.
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.
888.394.5688
43
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.
www.sipconline.net
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.
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
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.
888.394.5688
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.
800-906-7065
CompanionGlobalHealthcare.com
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.
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
47
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
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.
www.sipconline.net
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
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.
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:
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
49
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
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
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.
www.sipconline.net
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.
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
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
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
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
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.
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.
888.394.5688
53
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
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.
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).
www.sipconline.net
FIRST NIAGARA
BENEFITS CONSULTING
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.
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
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
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
www.sipconline.net
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
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
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.
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
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
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.
www.sipconline.net
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 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.
59
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.
TOWERS WATSON
www.sipconline.net
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.
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.
888.394.5688
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
Medical Review
Case Management
Wellness
Disease Management
Maternity Management
Out-of-Network Repricing
Medical Disclosure
Medical Evacuation
Negotiations
www.sipconline.net
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.
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
63
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
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.
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.
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!
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.
888.394.5688
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.
www.sipconline.net
SECTION 9
ATTORNEYS
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.
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
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
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
www.sipconline.net
SECTION 10
FINANCIAL SERVICES
AAM
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.
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.
888.394.5688
69
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
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
www.sipconline.net
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.
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.
www.sipconline.net
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)
888.394.5688
73
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.
www.sipconline.net
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.
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.
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.
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
75
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
www.sipconline.net
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.
837_MEB.indd 1
7/8/10 2:34:17 PM
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.
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
www.sipconline.net
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.
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.
www.sipconline.net
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
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.
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
www.fairmontspecialty.com
888.394.5688
81
SECTION 13
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
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
www.sipconline.net
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
888.394.5688
83
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
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.
www.sipconline.net
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
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.
www.sipconline.net
BENEFITMALL
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
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
888.394.5688
87
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.
www.sipconline.net
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.
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.
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.
888.394.5688
89
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
www.sipconline.net
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
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
ASSISTANCE FOR
STOP LOSS
COVERAGE
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.
888.394.5688
91
SECTION 15
INTERNATIONAL
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
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
www.sipconline.net
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.
888.394.5688
93
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.
www.sipconline.net
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.
SECTION 16
SUBROGATION
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
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.
888.394.5688
95
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.
www.sipconline.net
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.
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
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
888.394.5688
97
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).
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.
www.sipconline.net
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.
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.
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.
888.394.5688
99
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.
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.
www.sipconline.net
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
888.394.5688
101
INDEX
AAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Avizent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
AccessOnTime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
AWAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,62,69
BenefitMall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,87
BEST Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
AmeriBen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Broadspire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
www.sipconline.net
EBSRMSCO, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
eMindful . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
change:healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
ChiroMetrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,62
CHSI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Colorado Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
gBehavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,80
CVS Caremark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
D. H. Evans Associates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
GPW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,74,83,88
888.394.5688
103
GTESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
HealthTrans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,64
IMEDECS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
MagnaCare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,33,44
Maiden Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
www.sipconline.net
MDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
MESVision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
PreferredOne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Munich Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
myMatrixx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
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
OptumHealth . . . . . . . . . . . . . . . . . . . . . 15,22,34,38,44,57,66,70,81,89
Roundstone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,38,84,90
RxReins, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
888.394.5688
105
ULLICO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
WellDyneRx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
www.sipconline.net