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SECTION I ..........................................................................
5
Third Party Administrators (TPA)
Life and Health/Employee Benefts
SECTION 2 .......................................................................20
Third Party Administrators (TPA)
Property and Casualty/Workers Compensation/Captives
SECTION 3 .......................................................................25
Managing General Underwriters (MGU)
Medical Stop-Loss Carriers Life and Health/Employee Benefts
SECTION 4 .......................................................................38
MGU/Excess Insurance Carriers
Property and Casualty/Workers Compensation/Captives
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
ADVERTISERS INDEX
American Health Holding, Inc. ...........................................................................62
Ancillary Care Services ..........................................................................................42
AWAC .............................................................................................................................71
BeneftMall ....................................................................................................................91
Cevian Intermediaries, LLC .................................................................................52
Companion Global Healthcare, Inc. ................................................................46
Considine & Associates .........................................................................................19
Insur I.Q. LLC ...............................................................................................................79
Elite Underwriting Services .................................................................................30
Fairmont Specialty ....................................................................................................81
H.H.C. Group ..............................................................................................................59
HM Insurance Group ............................................................................................IFC
IHC Risk Solutions ....................................................................................................24
Milliman, Inc. ..................................................................................................................77
Newkirk Products, Inc. .............................................................................................. 4
Optum .............................................................................................................................39
Premier Health Care Exchange, Inc. ............................................................ IBC
PUBLISHING DIRECTOR
EDITOR
DIRECTOR OF OPERATIONS
ACCOUNTING
DIRECTOR OF ADVERTISING
Erica Massey
Jennifer Ivy
Justin Miller
Michiale Machado
Shane Byars
Published as a community service by:
SELF-INSURERS PUBLISHING CORP.
P.O. BOX 184
MIDLAND, NC 28107
2011/2012 Self-Insurers Publishing Corp.
All listing information contained herein was supplied by the individual
companies, and SIIA/SIPC is not responsible for statements made, or
for their accuracy. SIIA/SIPC urges readers to check references prior
to contracting the services of any company listed.
Statements of fact and opinion made are the responsibility of the
companies alone, and do not imply an opinion on the part of the
offcers, directors, staff or members of SIIA/SIPC.
TABLE
of CONTENTS
2 THE Directory 2012 | www.sipconline.net
Welcome
We are very pleased to provide you with the 2011/12 edition of THE Directory. As
power fows 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 fnancial 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.
888.394.5688 | THE Directory 2012 3
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 self-
insurance/ART industry, SIIA operates the following membership sections to facilitate more targeted membership benefts.
Health Care Alternative Risk Transfer Workers Compensation International
SIIA DELIVERS MEMBERSHIP SERVICES IN
FOUR MAIN AREAS:
I. Legislative/Regulatory Representation
SIIA is the leading advocate for the legislative/regulatory interests
of the self-insurance/alternative risk transfer industry at both the
state and federal level.
II. Education
For nearly three decades, SIIA has been producing cutting-
edge educational content for its members through a variety of
educational forums big and small. No other organization has such
an extensive professional network of recognized industry experts
to put together and deliver education like SIIA does.
III. Information
No matter where their business takes them, SIIA members are
assured a steady fow of critical information and industry insights
from a variety of electronic and printed communication products.
Our website and regular member communications, which include
the weekly Washington Report, and the monthly Self-Insurer
Magazine, look beyond the headlines to give members a sense of
what every development means to their business.
IV. Networking
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.
PROTECTING & PROMOTING SELF-
INSURANCE/ART ON CAPITOL HILL
SIIA is the only self-insurance/ART association that has a full-time
lobbying presence in Washington, DC. When members of Congress
need guidance on self-insurance/ART issues, they turn to SIIA.
To complement its effective direct lobbying capabilities, SIIA
engages its members through a variety of communications and
activities, including:
The Washington Report
This weekly electronic newsletter covers the news and events
taking place on Capitol Hill of specifc interest to companies
involved in the self-insurance/ART industry.
Special Bulletins
In-depth reports focused on developing legislative/regulatory stories.
Legislative Bill Tracking
Summaries of all key federal Senate and House bills from
introduction to passage.
Legislative/Regulatory Conference
This popular annual conference features leading policymakers from
Capitol Hill and state legislators who address key legislative and
regulatory issues which impact the self-insurance/ART industry.
Conference attendees receive specially prepared legislative reports
with comprehensive information on pending legislation.
About
Learn how you can free up some time.
To learn how Newkirks enrollment solutions can help you,
contact us at 518-862-3321 or info@newkirk.com.
Or visit us online at www.newkirk.com.
WHEN TIME COUNTS...
COUNT ON NEWKIRK
EnrollPlus
Health
Online enrollment booklet and kit building system
Accessible via the Internet to build cafeteria
plan or health plan enrollment materials.
Users can upload a variety of PDFs for cafeteria
plan offerings and easily select the documents
to use for each specific group.
The online kit fulfillment option combines
print-on-demand technology with the ability to
select traditionally printed materials to create
complete kits.
Newkirk EZCard
Online ID card management system
Accessible via the Internet.
Design high-end personalized ID cards with ease.
Produce low- and high-volume print quantities
effortlessly.
Full-color logo uploads and placement are easy
and at no additional cost.
From design to shipment youre in control.
2011 by Newkirk Products, Inc.
At Newkirk, we understand how important the timely delivery
of new member communications is. Thats why weve made
the development and production of pre- and post-enrollment
materials quicker and easier for managed care organizations
and third party administrators alike.
888.394.5688 | THE Directory 2012 5
ACS BENEFIT SERVICES, INC.
Lisa Scalzo
Senior Vice President, Sales and Service
8025 North Point Boulevard
Winston Salem, NC 27106 - United States
Phone: (336) 714-1402
Email: Lscalzo@acsbeneftservices.com
Website: www.acsbeneftservicesinc.com
Year Business Started: 1982
Number of Clients: 100+
Number of Employees: 115
ACS Beneft Services is a full service TPA for self funded Medical and
Dental Plans as well as administration of Consumer Driven HRAs, FSAs,
and HSAs and Dependent Eligibility Auditing. We focus on compliance
and risk management and have a history of superior customer service
through our user friendly processes.
AEGIS ADMINISTRATIVE
SERVICES, INC.
Sam Cozzo
Director of Sales & Marketing
6970 W. Diversey Avenue
Chicago, IL 60707 - United States
Phone: (773) 658-1324
Email: sc@aegisadmin.com
Website: www.aegisadmin.com
Number of Clients: 48
Aegis Administrative Services, Inc. is a national employee beneft provider
and administrator. We are one of the few, privately owned, diversifed
health care benefts 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
beneft administration and reporting from start to fnish.
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@beneftsaba.com
Website: www.beneftsaba.com
Affordable Beneft 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.
(affliate 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
Alicare, Inc., a member of the Amalgamated Family of Companies,
provides high-quality third-party administration of employee beneft 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 benefts solutions to support
our clients administrative goals.
SECTION 1
THIRD PARTY ADMINISTRATORS (TPAS)
LIFE AND HEALTH/EMPLOYEE BENEFITS
ALLEGIANCE BENEFIT PLAN
MANAGEMENT, INC.
Todd Lovshin
Assistant Vice President
2806 South Garfeld Street
Missoula, MT 59801 - United States
Phone: (405) 532-1505
Email: tlovshin@askallegiance.com
Website: www.askallegiance.com
Number of Clients: 1,300+
Allegiance provides insured and self-funded plan management,
compliance services, claims processing and administration (medical,
dental, vision, pharmacy, COBRA/HIPAA, subrogation). We service
ERISA plans, public employer plan, church plans, MEWAs, and Flexible
Spending and Reimbursement Accounts. We also provide excess-loss
insurance, utilization review, case management, predictive modeling, and
wellness programs.
AMERIBEN
Jon Aubrey
Senior Vice President
9350 S. 150 E., Suite 450
Sandy, UT 84070 - United States
Phone: (801) 993-6100 ext. 104
Email: jaubrey@ameriben.com
Website: www.ameriben.com
AMERIHEALTH
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
AmeriHealth Administrators is national third party administrator
representing over $1 billion in health benefts. We provide innovative,
value-based health benefts 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.
APEX BENEFITS SERVICES, LLC
Keith Johnson
Executive Director
10 North Main Street
Akron, OH 44308 - United States
Phone: (330) 996-8711
Email: johnsonk@apex-benefts.com
Website: www.apex-benefts.com
Services provided by Apex Benefts 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 beneft design services.
AVMED HEALTH PLANS
Leda Silver
Segment Leader and Product Champion - ASO Groups
9400 S. Dadeland Boulevard
Miami, FL 33156 - United States
Phone: (305) 671-4749
Email: leda.silver@avmed.org
Website: www.avmed.org
AvMeds Self-Funded Options are designed to maximize net savings
for the self-funded employer. We apply our depth of experience and
extensive resources to manage health care costs and address todays
beneft challenges. We focus on prevention and wellness with proven
initiatives that help your employees stay healthy
and productive.
BENEFIT & RISK MANAGEMENT
SERVICES, INC.
Luke Schafer
Vice President
80 Iron Point Circle, Suite 200
Folsom, CA 95630 - United States
Phone: (916) 467-1400
Email: info@brmsonline.com
Website: www.brmsonline.com
BRMS is a leading employee beneft administration and healthcare risk
management TPA. Redefning the value of Third Party Administration
with the most advanced technology solutions, BRMS helps over 350
organizations control their beneft costs with advanced administration
services, creative funding options and an innovative Web-based Virtual
Benefts Administration System (Vbas) that streamlines processes.
888.394.5688 | THE Directory 2012 7
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
With the mission of promoting innovative low cost healthcare solutions
and enhancing employee health profles, BAS engages the employee
population through an integrated portfolio of health management tools,
providing partially funded healthcare plan administration and cutting edge
analytic capabilities.
BUTLER BENEFIT SERVICE, INC.
Andrew Butler
President
P.O. Box 3310
Davenport, IA 52808-3310 - United States
Phone: (563) 327-2201
Email: ajbutler@butlerins.com
Website: www.butlerins.com
Butler, a recognized industry leader in innovation, growth and proftability,
will be the premier consultative professional services organization that
partners with businesses to enable them to optimize their investment in
employee beneft, risk management and insurance programs.
CENCORP HEALTH SOLUTIONS
Robert Tomek
VP, Sales & Marketing
7700 Forsyth Boulevard
St. Louis, MO 63105 - United States
Phone: (866) 534-5981
Email: info@CenCorpHealthSolutions.com
Website: www.CenCorpHealthSolutions.com
Health Solutions, a division of Centene Corporation, offers employers a
suite of Specialty Health Services to deliver quality outcomes and reduce
costs through innovative service combinations. Our companies provide
solutions including wellness, pharmacy benefts, and managed vision
specifcally designed to satisfy employees needs and optimize bottom
line results.
CNIC HEALTH SOLUTIONS, INC.
Brendan Krelle
National Sales Director
6251 Greenwood Plaza Boulevard, Suite 300
Greenwood Village, CO 80111 - United States
Phone: (303) 749-1125
Email: bkrelle@cnichs.com
Website: www.cnichs.com
CNIC Health Solutions is a full service TPA headquartered in Denver
Colorado serving employers in numerous states, and covering more than
75,000 lives. CNIC provides in-house Care and Disease Management
and is an industry leader in corporate wellness initiatives, including HRA,
results based biometric wellness and
value based plan designs.
COASTAL TPA, INC.
Debi Hardwick
President/CEO
928 East Blanco Road, Suite 235
Salinas, CA 93901 - United States
Phone: (831) 754-3800
Email: DHardwick@Coastalmgmt.com
Website: www.Coastalmgmt.com
Coastal specializes in third party claims administration for self-insured
employers, delivering affordable and tailored healthcare solutions that
includes access to a proprietary regional PPO. Coastal partners with
clients to form an intimate understanding of the clients healthcare
market, while maintaining a macro-level vantage point on the factors
impacting national and global healthcare trends.
COLORADO ACCESS
Mary McCrorie
Director of TPA Services
10065 E. Harvard Avenue, Suite 600
Denver, CO 80231 - United States
Phone: (720) 744-5403
Email: mary.mccrorie@coaccess.com
Website: www.coaccess.com
Colorado Access, dba Access Health Beneft Solutions is a non-proft
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.
CONSIDINE & ASSOCIATES
(HealthClaim Review
)
Jim Considine, MD MBA
President & CEO
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653 - United States
Phone: (949) 470-1800
Email: jim.considine@healthclaimreview.com
Website: www.healthclaimreview.com
Considine & Associates (HealthClaim Review) is a URAC-accredited
Independent Review Organization providing medical review services
to group healthcare payers and administrators nationwide. Medical
necessity, coding/claims review, dental, hospital bill audit/repricing/
DRG, surgery center repricing are key product areas. Large domestic/
international physician panel covers 125 medical specialties.
CONSOCIATE, INC.
Darren Reynolds, J.D.
2828 N. Monroe Street
Decatur, IL 62526 - United States
Phone: (217) 423-7788 or (800) 798-2422
Email: darrenr@consociatedansig.com
Website: www.consociatedansig.com
Consociate, Inc. - Third Party Administrator, administering employee beneft
plans for large employers while focusing on healthcare cost management
and improving employee productivity. Founded in 1995, Consociate
also provides consultative solutions to meet a wide array of employer,
employee, and individual needs. Offces located in Illinois and Tennessee.
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
Number of Employees: 1,000
CoreSource is one of the nations leading TPAs, recognized for delivering
fexible, integrated solutions. We combine innovation and resources to
signifcantly reduce employers healthcare spend, and provide unmatched
personal service from local offces across the country. More than 900
clients trust us to administer benefts for their 1.4 million members.
CUSTOM DESIGN BENEFITS
Julie Mueller
President
3737 West Fork Road
Cincinnati, OH 45247 - United States
Phone: (513) 598-2929
Email: jmueller@customdesignbenefts.com
Website: www.customdesignbenefts.com
Third Party Administrator of self-funded medical, dental and short-term
disability plans, serving brokers and their clients headquartered in Ohio,
Kentucky, and Indiana. Technology driven offering cost effective solutions
including on-site wellness and consumer driven services as well as
COBRA and FMLA.
CVS CAREMARK
Tom Rill
Vice President, TPA Area Sales
2211 Sanders Road, NBT5
Northbrook, IL 60062-6150 - United States
Phone: (847) 367-7671
Email: tom.rill@caremark.com
Website: www.cvscaremark.com
Number of Clients: greater than 1,000
CVS Caremark is the largest pharmacy health care provider in the United
States. Our integrated offerings across the spectrum of pharmacy care,
uniquely position us to provide greater access, to engage plan members
in health improvement behaviors, and to reduce health care costs for plan
sponsors, and their members.
D. H. EVANS ASSOCIATES
Donald Evans, Jr.
President
2207 Forest Hills Drive, Suite 14, P.O. Box 6480
Harrisburg, PA 17112 - United States
Phone: (717) 671-8551
Email: devans@dhevansassoc.com
Website: www.dhevansassoc.com
D. H. Evans Associates is a full-service third party administrator providing
life, health, disability, vision, dental, prescription, Section 125, COBRA, HIPAA
and compliance services, plus access to numerous stop-loss carriers,
PPOs, audit and utilization management companies. In addition, we
provide defned beneft and defned contribution pension plan services.
888.394.5688 | THE Directory 2012 9
D.W. VAN DYKE & CO., INC.
Christopher Koehler
President
195 Danbury Road, Suite 300
Wilton, CT 06897 - United States
Phone: (203) 761-9300
Email: ckoehler@dwvd.com
Website: www.dwvd.com
Life and A&H Intermediary providing access to carriers, reinsurance,
distribution, TPAs, MGUs and others. Product expertise in Life, Accident,
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability,
Dental, Rx, Vision, Long Term Care, Medical Tourism, Travel Benefts,
Catastrophe, Provider and HMO Excess, Reserve Transfers and others.
DAKOTACARE ADMINISTRATIVE
SERVICES, INC. (DAS)
Thomas Nicholson
Vice President/Chief Marketing Offcer
2600 W. 49th Street
Sioux Falls, SD 57105 - United States
Phone: (605) 334-4000
Email: tnichols@dakotacare.com
Website: www.dakotacare.com
DAS is the Midwests managed care leader in third party administration,
managing the healthcare of over 105,000 members nationwide. DAS is
focused on delivering a uniquely integrated product, combining effective,
cost-saving medical management (developed through our fully-insured
and self-funded groups) with the effcient service expected from a third
party administrator.
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
Beneft 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 benefts claim review and
recommendation systems (patent pending).
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
Number of Clients: 5,600
Ebix Health is your on-demand, end-to-end source for beneft information
and insurance solutions from agency management solutions, an award-
winning 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.
EBSRMSCO, INC.
Gregory Cohen
President
115 Continuum Drive
Liverpool, NY 13088 - United States
Phone: (315) 671-9870
Email: greg.cohen@ebsrmsco.com
Website: www.ebsrmsco.com
EBS-RMSCO is a progressive, diversifed employee benefts
administration and risk management frm, with offces in Albany, Buffalo,
Rochester, and Syracuse, NY. Our 325 employees provide innovative
employee beneft and risk management solutions to over 4,000 clients
throughout the United States.
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
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.
EMPLOYEE PLANS, LLC
Deb Eovaldi
Director
1111 Chestnut Hills Parkway
Fort Wayne, IN 46814 - United States
Phone: (260) 625-7347
Email: deb.eovaldi@oldnationalins.com
Website: www.employeeplansllc.com
Employee Plans, LLC is a Third Party Administrator established in 1979
and located in Fort Wayne, IN. A subsidary of Old National Insurance,
Employee Plans, LLC administers Medical, Dental, Vision, High Deductible
Health Plans, Health Reimbursement Accounts, Flexible Spending
Accounts. Employee Plans, LLC has created a number of professional
relationships with various vendors to assist our clients with the
management of their overall claim spend.
FRINGE BENEFIT GROUP
Travis West
CEO
11910 Anderson Mill Road
Austin, TX 78726 - United States
Phone: (512) 349-4760
Email: twest@fbi.com
Website: www.fringebeneftgroup.com
Company specializes in providing benefts administration for contractors
working on projects subject to the Davis Bacon and Service Conract Acts.
Employee beneft programs administered include fully insured & self
funded major medical, limited medical, ancillary and retirement. Company
also specializes in providing limited medical product & administration to
the nations largest employers of hourly and part time workers.
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
Our expertise in the insurance and benefts administration markets has
helped make Gilsbar the trusted choice for clients across the nation.
Employers, brokers and consultants, affnity 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.
GROUP & PENSION
Kathy Enochs
COO
12770 Merit Drive, 2nd Floor, Building 8
Dallas, TX 75251 - United States
Phone: (972) 238-7900
Email: kathye@gpatpa.com
Website: www.gpatpa.com
At GPA, we embrace our whole healthcare community with unfinching
standards and a time-tested committment. For over 40 years, we
have offered uniquely customized approaches to beneft planning for
employers and brokers who want solutions to todays most pressing
healthcare challenges while providing the highest quality information,
resources, and service to employees and providers.
GROUP ADMINISTRATORS, LTD.
David Dorfman
President
915 National Parkway, Suite F
Schaumburg, IL 60173-5120 - United States
Phone: (847) 519-1880 ext. 223
Email: david@groupadministrators.com
Website: www.groupadministrators.com
Full service TPA, Taft-Hartley, Corporate, Public Sector, Contributions,
Pension. Shared administration with national networks.
GROUP MARKETING SERVICES, INC.
James Kaiser
President
P.O. Box 19040
Kalamazoo, MI 49019-0040 - United States
Phone: (269) 343-2611
Email: jbkgms@gmail.com
Website: www.groupmarketingservices.com
Group Marketing Services, Inc. is a combination of third party
administrator and managing general agent. We work with carefully
selected independent agents and insurance providers to offer customized,
employer based beneft packages for employers throughout the Midwest.
888.394.5688 | THE Directory 2012 11
GROUP RESOURCES, INC.
Thomas Byrd
President & CEO
3080 Premiere Parkway, Suite 100
Duluth, GA 30097 - United States
Phone: (770) 623-8383
Email: tom@groupresources.com
Website: www.groupresources.com
For the past 30 years Toms vision has led the way to healthier employees
and healthier businesses for Group Resources clients. On the cutting edge
of new trends in healthcare risk management, Group Resources utilizes
modern technology and old-fashioned customer service to administer
health and welfare plans.
HAA PREFERRED PARTNERS
Lane Baker
Director, Business Development
703 Waterford Way
Phone: (305) 893-5151
Email: lane.baker@haapp.com
Website: www.haapp.com
HAA is a leading international managed care organization. HAA offers
claims management consulting services and is a Florida Licensed Claims
Administrator. The company fully integrates its services with cost effective
claims management products, and as a result, it successfully serves
domestic and international insurance carriers, third party administrators,
assistance companies and other networks.
HEALTH PLANS, INC.
William Breidenbach
President
1500 West Park Drive, Suite 330
Westborough, MA 01581 - United States
Phone: (508) 475-6105
Email: cmagnusson@healthplansinc.com
Website: www.healthplansinc.com
Health Plans, Inc. a subsidiary of Harvard Pilgrim Health Care, is a third
party administrator (TPA) of beneft plans, providing comprehensive
health plan administration to employers, municipalities and Taft-Hartley
plans. Today, we rank as one of the largest health care administrators of
self-funded plans in the region.
HEALTH REINSURANCE
MGMT. PARTNERSHIP
John Mange
President
5 Hutchinson Drive
Danvers, MA 01923 - United States
Phone: (978) 762-9780 ext. 223
Email: jmange@hrmp.com
Website: www.hrmp.com
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 offce or run-out administration, auditing services, and quota share
and excess medical reinsurance. Our Success Can Only Follow Yours.
HEALTH SYSTEMS INTERNATIONAL
Joseph Antonell
President of Bill Review Division
7300 N. Kendall Drive, Suite 505
Phone: (305) 671-5126
Email: jantonell@us-hsi.com
Website: www.us-hsi.com
Health Systems International provides medical cost management
solutions to healthcare payors in multiple markets throughout the world.
We connect clients to the lowest possible cost of care utilizing advanced
technology, customized solutions, exclusive offerings, and personalized
service to drive optimal savings and reduce administrative demands.
HEALTHCARE MANAGEMENT
ADMINISTRATORS, INC. (HMA)
Jill Mehner
VP Sales & Client Services
2201 120th Avenue NE
Bellevue, WA 98005 - United States
Phone: (425) 289-5161 or (800) 869-7093
Email: Jill.Mehner@accesstpa.com
Website: www.accesshma.com
Healthcare Management Administrators (HMA) is a third party benefts
administrator committed to helping self-insured employers build and
tailor the ideal benefts plan to suit their individual needs. HMA provides
unparalleled access to doctors & hospitals and proven cost savings
through the best performing provider networks.
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
HealthNow Administrative Services (HNAS) is one of the nations leading
administrators of employee beneft 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 benefts
simply cannot deliver.
HEALTHTRANS
Don Houchin
SVP, PBM Business Development
8300 East Maplewood Avenue, Suite 100
Phone: (800) 950-9120
Email: sales@healthtrans.com
Website: www.healthtrans.com
HealthTrans provides employers with innovative and strategic solutions
to address their healthcare beneft challenges. Our value-focused
services deliver employee benefts, improved health outcomes, reduced
absenteeism, and a greater return on healthcare investment. With
regional offces in the Atlanta, Chicago, and Denver areas, we provide cost
savings to clients nationwide.
HI-TECH HEALTH, INC.
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
Hi-Tech Health, Inc. Series 3000 Claims Administration System
It doesnt matter if your company is in its infancy or one thats been
around for many years. If youre a startup Third Party Administrator, just
entering the self-insurance industry, an insurance company, union, large
corporation, or small brokerage frm wanting control of your clients health
care claims through a turnkey, customized Claim Administration System,
then your organization needs Hi-Tech Health, Inc. Please visit us at
www.hi-techhealth.com for more information regarding Custom
Software Solutions that will allow you to run your business YOUR way.
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
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
beneft programs at the lowest possible net cost to the plan with a focus
on superior customer service, transparency and accuracy.
INSURANCE ADMINISTRATIVE
SOLUTIONS
Victor Castellanos
Sr. Vice President & Chief Marketing Offcer
6996 Piazza Grande Avenue, Suite 309
Orlando, FL 32835 - United States
Phone: (407) 472-3905
Email: Victor.Castellanos@IASadmin.com
Website: www.IASadmin.com
IAS provides full, end-to-end administrative (TPA) solutions to companies
in the Life, Health, & Annuity business, through proprietary technology.
IAS adjudicates over 6-million claims annually, managing 350,000
policyholders. Our clients achieve rapid entry to new markets,
economies of scale, with fxed capital costs. IAS has performed
over 20 block conversions.
INTERACTIVE MEDICAL SYSTEMS
Eric Ludwig
President
11635 Northpark Drive, Suite 335
Wake Forest, NC 27587 - United States
Phone: (919) 882-5318
Email: eludwig@ims-tpa.com
Website: www.IMS-tpa.com or www.IMSfex.com
IMS is a Professional Benefts Administrator (TPA). For over 30 years
IMS has helped employers design beneft programs that save money
and provide the best possible benefts for their employees. We offer self-
funded Medical & Dental administration, Flexible Spending Accounts,
HRA/HSA, COBRA, HR Outsourcing, FMLA, & QDRO services.
888.394.5688 | THE Directory 2012 13
J.P. FARLEY CORPORATION
James Farley
President
29055 Clemens Road
Westlake, OH 44145 - United States
Phone: (800) 634-0173 or (440) 250-4300
Email: Jim.Farley@jpfarley.com
Website: www.jpfarley.com
J.P. Farley Corporation is a full-service beneft solutions consultant providing
a better plan through an integrated array of administration services and
helping clients nationwide strategically and proactively manage their
customized beneft packages.
Self-funded medical, prescription, dental, vision, disability, FSAs, HRAs,
HSAs, COBRA, HIPAA, care & utilization management, wellness, patient
advocacy and third party administration.
ISO 9001-2008 certifcation, URAC Utilization Management
Accreditation and NorthCoast 99 Great Workplace Awards.
JFP BENEFIT MANAGEMENT, INC.
James Pickford
Owner/CEO
100 South Jackson Street, Suite 200
Jackson, MI 49201 - United States
Phone: (517) 784-0535
Email: jpickford@jfpbeneftmanagement.com
Website: www.jfpbeneftmanagement.com
JFP Beneft Management is built upon a tradition of integrity, industry
leadership and excellence. We are committed to delivering tailored
beneft solutions with thoughtful strategic planning and valuable
professional services. We continue to do business the old fashioned
way. Our word
is our commitment and our handshake is our promise.
JUDY DIAMOND ASSOCIATES
Eric Ryles
Sales Manager
1130 Connecticut Avenue, NW, Suite 300
Washington, DC 20036 - United States
Phone: (800) 231-0669
Email: eryles@judydiamond.com
Website: www.judydiamond.com
Judy Diamond Associates, Inc. is the premier publisher of employee
benefts industry prospecting tools and plan data. Our pension/retirement
and health/welfare prospecting tools provide:
Phone numbers, emails, and mailing addresses for plan decision makers.
Contact information and visibility into brokers books of business.
Information about employers current plans.
Plan analysis tools.
KEY BENEFIT ADMINISTRATORS, INC.
Larry Dust
CEO
8330 Allison Pointe Trail
Indianapolis, IN 46250 - United States
Phone: (317) 284-7701
Email: ldust@keybeneft.com
Website: www.keybeneft.com
Key Beneft Administrators was founded in 1979 as a full-service group
benefts administration frm specializing in self-funded medical plans.
KBA,the leading benefts administrator in the Midwest and Southeastern
United States, is one of the countrys largest independently owned third
party administrators. Its headquartered in Indianapolis, Indiana, and its
National Service Center is located in Fort Mill, South Carolina.
MAGNACARE
Steve Kokulak, Esq.
Vice President, Workers Compensation & No-Fault
303 George Street, Suite 400
New Brunswick, NJ 08901 - United States
Phone: (516) 282-8923
Email: skokulak@magnacare.com
Website: www.magnacare.com
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 fexible,
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
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.
MOUNTAIN STATES
ADMINISTRATIVE SERVICES
Steven Touch
President
7202 E. Rosewood, Suite 200
Tucson, AZ 85710 - United States
Phone: (520) 722-3000
Email: stouche@lovitt-touche.com
Website: www.mymsas.com
Mountain States Administrative Services is a recognized Third Party
Administrator for Health and Beneft Plans, located in Tucson, AZ. Offering
customized services to members in all 50 states, we build strategic
partnerships with our clients to create cost effective solutions, and our
aggressive quality management program ensures the best results.
MUTUAL ASSURANCE
Eric Wright
Chief Marketing Offcer
3121 Quail Springs Parkway
Oklahoma City, OK 73134 - United States
Phone: (405) 848-1975
Email: ericwright@maa-tpa.com
Website: www.maa-tpa.com
MAA provides beneft solutions. 35 years of helping clients balance
quality benefts 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. Offces in: OK, TX, MO, AR, TN.
NATIONWIDE SPECIALTY HEALTH
Tom DeNoma, AVP
NSH Program Management
One Nationwide Plaza, MR-05-10
Columbus, OH 43215 - United States
Phone: (614) 677-3843
Email: denomat@nationwide.com
Website: www.nationwide.com
Number of Clients: more than 16,000,000 policies in place
Number of Employees: 86 in Nationwide Specialty Health
Nationwide Specialty Health (NSH) has been serving Nationwides
members for over 70 years. NSH is an entrepreneurial arm of
Nationwide that exists to further Nationwides mission of serving member
needs and meets the specialized insurance needs of a variety of market
segments such as Education, Sports & Leisure, Travel and Employers.
NEWKIRK PRODUCTS, INC.
Linda McDonald
Sales
15 Corporate Circle
Albany, NY 12203 - United States
Phone: (518) 862-3323
Email: lmcdonald@newkirk.com
Website: www.newkirk.com
From summary plan descriptions to member ID cards, Newkirks full
range of enrollment solutions make the creation and delivery of pre-
and post-enrollment member communications easier than ever. Our
in-house development and production capabilities ensure that your last
minute updates are performed on time and accurately. You can count
on Newkirk!
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
In 2011 we are celebrating our 40th year as a full service TPA for group
health benefts 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
As an expert health benefts 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 beneft plans,
including medical, dental, vision, prescription and specialty prescription.
Additional services include Medical Management, and FSA, COBRA
and HIPAA administration.
888.394.5688 | THE Directory 2012 15
OLYMPUS MANAGED HEALTH CARE
Steven Jacobson
President
777 Brickell Avenue, Suite 410
Phone: (305) 530-8600
Email: sjacobson@omhc.com
Website: www.omhc.com
Olympus Managed Health Care, an accredited ISO 9001:2008
company, is a leading independent provider of claims administration and
cost management services for health care payors. Olympus delivers a
comprehensive solution that offers an innovative aproach to managing
health care costs and adding value to its clients products.
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
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, fnance their health care needs and achieve their health
and well-being goals.
PARTNERS RX MANAGEMENT, LLC
Neely Burkhardt
15950 N. 76th Street, Suite 200
Scottsdale, AZ 85260 - United States
Phone: (480) 624-9400 ext. 212
Email: neely.burkhardt@partnersrx.com
Website: www.partnersrx.com
We believe you should be able to trust your PBM. Born out of the idea
that the PBM business lacked disclosure and practical management,
Partners Rxs fast, fexible, entrepreneurial culture provides straightforward,
customized solutions that help producers provide quality, affordable
pharmaceutical care.
PEQUOT HEALTH CARE
Dr. Gary DOrsi
Director, Sales and Marketing
1 Annie George Drive
Mashantucket, CT 06338 - United States
Phone: (860) 396-6461
Email: gdorsi@prxn.com
Website: www.pequothealthcare.com
Pequot Health Care founded in 1991, which includes Pequot Plus
Health Beneft Services and Pequot Pharmaceutical Network, is a
wholly-owned business entity of the Mashantucket Pequot Tribal Nation,
long recognized as a leader in managing health care plans for Native
Americans as well as other commercial enterprises.
PLANNED ADMINISTRATORS, INC.
PJ Rescigno
Senior Director, Sales and Operations
17 Technology Cr., Suite E2AG
Columbia, SC 29203-9591 - United States
Phone: (803) 462-3187
Email: prescigno@paisc.com
Website: www.paisc.com
Number of Clients: 104 groups
Planned Administrators Inc. is a mid-sized TPA that offers value and
savings through fexible plan design, provider networks, discounts,
accessibility and claims processing for over 70,000 members.Quality self-
funded plan administration and superior customer service remain key
strengths for PAI, as evidenced by a 98% customer retention rate.
PREFERREDONE
Dennis Fenster
Marketing Director
6105 Golden Hills Drive
Phone: (763) 847-3355
Email: dennis.fenster@preferredone.com
Website: www.preferredone.com
Number of Clients: 140 self-insured groups/151,500 self-insured
members (total membership: 216,500)
PreferredOne is a health benefts 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.
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
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.
PTRX, INC.
Joe Braley
Chief Sales Offcer
4590 Lockhill Selma
San Antonio, TX 78249 - United States
Phone: (210) 564-2214
Email: joe.braley@ptrx.com
Website: www.ptrx.com
At PTRX, we utilize a fully integrated approach to pharmacy beneft
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.
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
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.
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
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, effcient 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
220 120th Avenue NE
Phone: (425) 289-5161 or (800) 869-7093
Email: Jill.Mehner@accesstpa.com
Website: www.accessrga.com
Regence Group Administrators (RGA) is a third party benefts
administrator dedicated to helping self-insured employers create and
customize the ideal benefts plan to suit their unique needs. RGA is a
licensed affliate with the BlueCross BlueShield Association (BCBS) and
provides BlueCard access Nationally and Worldwide.
RESOURCEONE ADMINISTRATORS
Gary Baker
President
5305 Village Parkway, Suite 1, Village on the Creeks
Rogers, AR 72758 - United States
Phone: (800) 967-2077
Email: gbaker@roatpa.com
Website: www.roatpa.com
ResourceOne family of companies offers a wide array of beneft
services to its clients. From Medical, Dental, and Vision adminsitration to
UR/Case Mgt., Cobra Admin., Section 125 Admin., FMLA Administration,
and Consolidated Billing Services, and HR Outsourcing Call Center.
888.394.5688 | THE Directory 2012 17
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
Restat providing fexible and affordable pharmacy beneft
plans Eliminating unnecessary cost Delivering frst-rate claims
processing for self-funded employers, managed healthcare plans, workers
compensation plans, HMOs, insurance companies, Medicaid, government
plans, Unions 64,000 independents and national pharmacies in
networkCall: 800 926 5858, email marketing@restat.com or
visit www.restat.com.
RISK SOLUTION RESOURCES, LLC
Chris Christoflis
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
Risk Solution Resources is the outsourced Division of Pan-American Life
Insurance Companys Domestic Special Markets, specializing in a wide
variety of Group and Individual Life, Accident and Health products.
SB HOWARD & COMPANY
Leesa Davis
President
120 South 2nd Street
Rogers, AR 72756-4526 - United States
Phone: (479) 636-0198
Email: leesad@sbhoward.com
Website: www.sbhoward.com
S B Howard & Company seeks to develop mutually proftable
relationships with the customers we serve and with the reinsurance
carriers we represent in order to preserve the environment and integrity
of self insured beneft plans. We do not strive to be the largest - just the
best.We are the choice for individualized employee benefts providing the
highest quality claims processing based on integrity, accuracy and respect
for the individual.
SEDGWICK CLAIMS
MANAGEMENT SERVICES, INC.
Paul Ross
Specialty Sales, Alternative Risk
1100 Ridgeway Loop
Memphis, TN 38120 - United States
Phone: (901) 415-7400
Email: paul.ross@sedgwickcms.com
Website: www.sedgwickcms.com
Sedgwick CMS is the industry preferred TPA for the most progressive,
proftable, 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 ffty states.
SELF INSURED PLANS, LLC
Stephen Rasnick
President
1016 Collier Center Way, #200
Naples, FL 34110 - United States
Phone: (239) 449-1877
Email: steve@selfnsuredplans.com
Website: www.selfnsuredplans.com
Sip designs and administers partially self funded plans for small to
medium size cases, starting with as few as 15 employees. Our focus is in
controlling costs through the benefts of wellness and prevention. We are
also very active in the organization and administration of Accountable
Care Organizations.
SIHO INSURANCE SERVICES
Jennifer Cutsinger
VP, Client Service
417 Washington Street
Columbus, IN 47201 - United States
Phone: (812) 378-7000
Website: www.siho.org
SIHO Insurance Services was formed to provide affordable health care
benefts for communities. Partnering with the medical community and
employers, SIHO endeavors to raise the standard of health care and the
quality of life of the community. SIHO is a dominant insurance company,
providing a wide array of insurance packages.
SPECTRUM ADMINISTRATORS, INC.
Stacey Asbell
General Manager
2166 South 12th Street, Suite 301
Allentown, PA 18103 - United States
Phone: (610) 969-0420
Email: stacey.asbell@lvh.com
Website: www.spectrumtpa.com
Spectrum Administrators is a full service third party administrator
of self-insured health beneft 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.
STERLING SELF INSURANCE
ADMINISTRATION
(subsidiary of Sterling Health Services Administration)
Kevin Rowland
Director of Sales
475 14th Street, Suite 650
Oakland, CA 94612 - United States
Phone: (800) 617-4729 ext. 224
Email: kevin.rowland@sterlinghsa.com
Website: www.sterlingsia.com
Year Business Started: Sterling HSA 2004 and Sterling SIA 2010
Sterling Health Services Administration offers HSAs, HRAs, FSAs, POPs,
and COBRA. Through our subsidiary company, Sterling Self Insurance
Administration, we provide an integrated self-insurance solution combined
with a comprehensive wellness program, consumer directed plans, and a
proprietary rewards program called Sterling HealthAssets.
SUMMIT ADMINISTRATION
SERVICES, INC.
Alfred Gregory
President
P.O. Box 25160
Scottsdale, AZ 85255-0102 - United States
Phone: (480) 505-0400
Email: alfred@summit-inc.net
Website: www.summit-inc.net
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.
THE BENECON GROUP
Matthew Kirk
Senior Executive Vice President
147 W. Airport Road
Lititz, PA 17543 - United States
Phone: (717) 723-4600
Email: mkirk@benecon.com
Website: www.benecon.com
Benecon has two decades of experience developing and administering
stand-alone and aggregated, self-insured healthcare benefts programs.
In addition, Benecon is a General Agent for Highmark, Capital
BlueCross, Health America and United Health Care. Employees include
actuaries, compliance attorneys, beneft consultants, account managers,
accountants, fnance specialists and quality assurance specialists.
UNIFIED GROUP SERVICES, INC.
Richard Mousty
President
3131 E. 67th Street
Anderson, IN 46013 - United States
Phone: (800) 291-5837
Email: RMousty@UnifedGrp.com
Website: www.UnifedGrp.com
As a TPA for self-funded group health plans, Unifed Group Services
offers many competitive advantages to keep your company on top of
the complex world of health care. We offer a wide range of services
including: Plan Administration, Beneft Design, Cost-Containment, and
Comprehensive Reporting while providing personalized service.
VIRGINIA HEALTH NETWORK
James Gore
Vice President of Marketing
7400 Beaufont Springs Drive, Suite 505
Richmond, VA 23225 - United States
Phone: (804) 320-3837 ext. 105
Email: jgore@vhn.com
Website: www.vhn.com
VHN is a provider-owned wholesale PPO covering more than 95% of
Virginias population. VHN PLUS rates are available for groups with 100
or more eligible Virginia employees. With more than 100 hospitals and
14,000 physicians Weve got you covered
888.394.5688 | THE Directory 2012 19
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 beneft
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 benefts
while managing costs.
AFA CLAIM SERVICES
Erik Stremke
Sales Director
17777 Center Court Drive, Suite 325
Cerritos, CA 90703 - United States
Phone: (562) 252-3434
Email: Erik.Stremke@afaclaims.com
Website: www.afaclaims.com
AFA Claim Services provides each client with detailed attention to their
specifc 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.
ALTERNATIVE RISK SERVICES, LLC
Cecil Witt, Jr.
President
10525 NW Ambassador Drive
Kansas City, MO 64153 - United States
Phone: (816) 412-4500
Email: cewitt@arskc.com
Website: www.arskc.com
ALTERNATIVE SERVICE CONCEPTS
Glenn Backus
Sr. VP and Director of Sales & Marketing
2501 McGavock Pike, Suite 802
Phone: (806) 656-0726
Email: glenn.backus@ascrisk.com
Website: www.ascrisk.com
Alternative Service Concepts delivers Workers Compensation and Property
& Casualty claims management expertise and customized solutions to our
partners. Our business model is built on the principles of Flexibility, Expertise
and Integrity: Flexibility evidenced by our service models (including on-site
adjusters); Integrity by transparency; Expertise means we know your business.
AVIZENT
Eric Neuville
EVP, Client Services, Sales and Marketing
5000 Bradenton Avenue
Dublin, OH 43017 - United States
Phone: (888) 646-9675
Email: eneuville@avizentrisk.com
Website: www.avizentrisk.com
Avizent is a consultative risk management company providing consistent
quality across all offces. We offer innovative, wholly-owned solutions
including claims management, managed care, loss prevention, premium
audit services, alternative risk/captive programs, medical allocation and
investigative services, and advanced RMIS technology. We are a national
TPA alternative with a local touch.
BRENTWOOD SERVICES
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
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.
SECTION 2
THIRD PARTY ADMINISTRATORS (TPAS)
PROPERTY AND CASUALTY/WORKERS
COMPENSATION/CAPTIVES
888.394.5688 | THE Directory 2012 21
BROADSPIRE
Celia Winchell
V.P. Product Development
19111 N. Dallas Parkway, Suite 180
Phone: (972) 250-5104
Email: celia_winchell@choosebroadspire.com
Website: www.choosebroadspire.com
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 Benefts
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.
(HealthClaim Review)
President & CEO
Phone: (949) 470-1800
Considine & Associates (HealthClaim Review) is a URAC-accredited
independent review organization that provides independent medical
review for workers comp and disability. Medical necessity, coding and
claims review, fraud and abuse, physician and hospital bill review, hospital
line audits and line-by-line hospital bill repricing are key product areas.
EBIX HEALTH
Laurie Douglas
Phone: (404) 604-2757Email: laurie.douglas@ebix.com
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
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.
Joseph Antonell
Phone: (305) 671-5126
Health Systems International provides medical cost management
solutions to healthcare payors in multiple markets throughout the world.
We connect clients to the lowest possible cost of care utilizing advanced
technology, customized solutions, exclusive offerings, and personalized
service to drive optimal savings and reduce administrative demands.
HM INSURANCE GROUP
Judi Hast
Director, Events Planning and Promotions
P.O. Box 535061
Pittsburgh, PA 15253-5061 - United States
Phone: (800) 328-5433
Email: judi.hast@hminsurancegroup.com
Website: www.hminsurancegroup.com
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 Beneft Medical Plans.
MUTUAL ASSURANCE
Eric Wright
Phone: (405) 848-1975
MYMATRIXX
Melissa Vance
5706 Benjamin Center Drive, Suite 103
Tampa, FL 33634 - United States
Phone: (813) 321-6246
Email: mvance@mymatrixx.com
Website: www.mymatrixx.com
myMatrixx is a privately owned company specializing in Workers
Compensation and pain management. We provide a nationwide network
of more than 64,000 pharmacies, a corporately owned mail service
and compounding pharmacy, and an information-based clinical program
which utilizes comprehensive technology to drive operational effciency.
myMatrixxs vision is to deliver an unimaginably great customer experience.
NORTH AMERICAN
RISK SERVICES, INC.
Robert Ruryk
President & COO
240 E. Central Parkway, Suite 4010
Altamonte Springs, FL 32701 - United States
Phone: (800) 315-6090
Email: rruryk@narisk.com
Website: www.narisk.com
North American Risk Services (NARS) is a premier third-party claims
administrator that is dedicated to producing the best possible results for
our clients. Founded in 1996, we handle claims for insurers, brokerages,
managing general agencies, reinsurers, liquidation bureaus, self-insured
funds and entities.
NORTHSHORE INTERNATIONAL
INSURANCE SERVICES, INC.
David Ives, CPCU
Chief Executive Offcer
199 Rosewood Drive
Phone: (978) 745-6655
Email: dives@niis.com
Website: www.niis.com
Improving performance and saving money through verifcation and
compliance audits on behalf of self-insureds, excess insurers, MGUs,
reinsurers, captives and governmental entities. Claims management,
litigation support, managed care, excess claims run-off services provided
by professional staff experienced in all lines of Medical, Life, Workers
Compensation and all Property Casualty coverages.
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
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,
fnance their health care needs and achieve their health and well-being goals.
PMA MANAGEMENT CORP./
PMA MANAGEMENT CORP.
OF NEW ENGLAND
Michael MacAulay
VP Sales
380 Sentry Parkway
Phone: (856) 727-3157
Email: Michael_MacAulay@pmagroup.com
Website: www.pmacompanies.com
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 fnancial results. We provide complete third-party claims
and risk management services.
888.394.5688 | THE Directory 2012 23
PRO GROUP MANAGEMENT, INC.
Robert Vogel
Vice President
575 S. Saliman Road
Carson City, NV 89701 - United States
Phone: (775) 887-2480
Email: tanyaolson@pgmnv.com
Website: www.pgmnv.com
Pro Group is an administrator of self insured groups for workers compensation
and Captive Manager specializing in alternative risk transfer solutions
for businesses of all sizes and types managing fve self insured workers
compensation groups and over 45 captives for clients from 36 states.
SB HOWARD & COMPANY
Leesa Davis
President
120 South 2nd Street
Rogers, AR 72756-4526 - United States
Phone: (479) 636-0198
Email: leesad@sbhoward.com
Website: www.sbhoward.com
S B Howard & Company seeks to develop mutually proftable relationships
with the customers we serve and with the reinsurance carriers we represent
in order to preserve the environment and integrity of self insured beneft
plans. We do not strive to be the largest - just the best.We are the choice
for individualized employee benefts providing the highest quality claims
processing based on integrity, accuracy and respect for the individual.
SEDGWICK CLAIMS MANAGEMENT
SERVICES, INC.
Paul Ross
Specialty Sales, Alternative Risk
1100 Ridgeway Loop
Memphis, TN 38120 - United States
Phone: (901) 415-7400
Email: paul.ross@sedgwickcms.com
Website: www.sedgwickcms.com
Sedgwick CMS is the industry preferred TPA for the most progressive,
proftable, 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 ffty states.
SPECTRUM ADMINISTRATORS, INC.
Stacey Asbell
General Manager
Allentown, PA 18103 - United States
Phone: (610) 969-0420
Email: stacey.asbell@lvh.com
Website: www.spectrumtpa.com
Spectrum Administrators is a full service third party administrator of self-
insured health beneft 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.
TRISTAR INSURANCE GROUP/
TRISTAR BENEFIT ADMTRS.
Joe McLaughlin
Senior VP, Sales & Marketing
203 N. Golden Circle Drive, Suite 200
Santa Ana, CA 92705 - United States
Phone: (714) 543-0700 ext. 3423
Email: joe.mclaughlin@tristargroup.net
Website: www.tristarrisk.com
For over 20 years, TRISTAR Risk Management has provided workers
compensation and liability claims management and administration services.
TRISTAR provides Third Party Administration services to self-insured entities,
including cities, counties, healthcare organizations, transportation, school and
water districts, and other private industries. TRISTARs services include loss
control and managed care services.
VIRGINIA HEALTH NETWORK
James Gore
Vice President of Marketing
7400 Beaufont Springs Drive, Suite 505
Richmond, VA 23225 - United States
Phone: (804) 320-3837 ext. 105
Email: jgore@vhn.com
Website: www.vhn.com
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.
Independence Holding Group
announces the formation of
IHC Risk Solutions
The expertise of IHCs fve managing general underwriters

Alliance Underwriters
Independence Insurance Group
Majestic Underwriters
Marlton Underwriters
Risk Assessment Strategies
Combined into one
direct stop-loss solution
Direct strength. Leading innovation.
ihcrisksolutions.com
888.394.5688 | THE Directory 2012 25
AMERICAN FIDELITY ASSURANCE
Diana Lee
2000 N. Classen Boulevard - 7E
Phone: (405) 523-5635
Email: diana.lee@af-group.com
Website: www.afadvantage.com
Number of Employees: 1,500+
American Fidelity Assurance Company is a family-owned organization
providing stop loss products to clients since 1994. We are founded on
and driven by the principles of serving our customers and protecting their
investments. We work with select high-quality managing general underwriters
to provide stop loss coverage.
ARBOR BENEFIT GROUP, L.P.
Gerald Kiernan
President
281 Farmington Avenue
Farmington, CT 06032 - United States
Phone: (860) 674-9748
Email: jerryk@arborbg.com
Website: www.arborbg.com
ASG RISK MANAGEMENT, INC.
Alan Graffam
President
Two Monument Square, Suite 520
Portland, ME 04101 - United States
Phone: (207) 775-2332
Email: alan@asgrmi.com
Website: www.asgrmi.com
BARDON INSURANCE GROUP, INC.
Don Thaler
President
8326 E. Hartford Drive, Suite 100
Phone: (480) 682-1400
Email: don.thaler@bardon.net
Website: www.bardon.net
Bardon Insurance Group is a consistently top rated MGU whose business
is built on the principles of honesty, integrity and excellence. It is our goal to
form partnerships with companies like ours where these values are the top
priority. We represent AM Best A rated carriers with products aimed at 25
to 250+ life employers.
BEACON RISK STRATEGIES,
AN AMWINS GROUP BENEFITS COMPANY
Wright Dickinson
President
180 Nickerson Street, Suite 304
Seattle, WA 98109 - United States
Phone: (206) 298-0092
Email: wright.dickinson@amwins.com
Website: www.beaconrisk.com
Relationship oriented, full service MGU focused on large case medical stop-
loss market. Seasoned underwriting staff averages 20+ years experience.
We deliver superior value to partners and clients through a focus on service,
expertise and a consultative approach to cost-containment strategy. Case
Management, pre-natal wellness and transplant programs offered.
SECTION 3
MANAGING GENERAL UNDERWRITERS
(MGUs)/MEDICAL STOP-LOSS CARRIERS
LIFE & HEALTH/EMPLOYEE BENEFITS
BENEFITMALL
Kim Johnson
Director, Business Operations
5090 North 40th Street, Suite. 100
Phoenix, AZ 85018 - United States
Phone: (602) 308-0797
Email: kim.johnson@beneftmall.com
Website: www.beneftmall.com
BeneftMall is the nations largest wholesaler of insurance products.
Our Self-Funded Division represents numerous direct writers of medical
stop-loss. We pride ourselves on our buying power, services provided, and
partnerships with our carriers and broker/clients. There is no fee to our
brokers or their customers for our service.
BERKLEY ACCIDENT & HEALTH
Christopher Brown
President & CEO
290 Donald Lynch Boulevard, Suite 302
Marlborough, MA 01752 - United States
Phone: (508) 573-6123
Email: cbrown@berkleyah.com
Website: www.BerkleyAH.com
Berkley Accident & Health, LLC is a direct-writer of stop loss insurance in
50 states, policies issued by Berkley Life and Health Insurance Company,
rated A+ by AM Best. The company is a wholly-owned subsidiary of W.R.
Berkley Corporation (NYSE: WRB). Berkley offers a unique product called
EmCap that utilizes an offshore captive arrangement to provide a self-
funded alternative to smaller employers of 50 or more employees that
are trapped in fully insured medical plans. Sales Managers are located
throughout the United States.
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
Let BEST Res Team of Experts work for you! As a full service managing
general underwriter, we provide medical stop loss insurance through
qualifed TPAs and brokers. With professional staff and total oversight of
claims, marketing and underwriting, BEST Re delivers fnancially viable stop
loss products for your clients.
BLUE CROSS BLUE SHIELD OF FL
Juli Williams
Sr. Manager - Stop Loss/Reinsurance
4800 Deerwood Parkway, Campus Parkway
Jacksonville, FL 32246 - United States
Phone: (904) 905-4093
Email: Juli.williams@bcbsf.com
Website: www.bcbsf.com
BRENTWOOD REINSURANCE
INTERMEDIARIES, INC.
Al Rusnak
Director of Marketing, Life & Health Reins.
P.O. Box 1125
Phone: (800) 524-0604
Email: brentre@bwood.com
Website: www.brentre.com
BrentRe is an independent reinsurance intermediary serving insurance
companies, MGUs and program administrators. Our responsive
personal service is focused on Life, Accident, Health, and Workers
Compensation reinsurance.
CALCPA GROUP 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
CalCPA ProtectPlus provides high-quality medical, dental, vision, term life
and long-term disability plans exclusively for CalCPA member-owned frms.
888.394.5688 | THE Directory 2012 27
CELTIC INSURANCE COMPANY
Tom Frank
Vice President
233 S. Wacker Drive, Suite 700
Phone: (312) 332-8570
Email: tfrank@celtic-net.com
Website: www.celtic-net.com
CELTIC: THE Source for Medical Conversion. Til PPACA begins in 2014,
Celtic remains the largest provider of stand-alone medical conversion. Celtic
issues coverage, without pre-ex limitation, to individuals when COBRA runs
out. High risk pools and HIPAA alone are not enough. Provide fully-insured
like beneft to your self-funded groups at reasonable cost. All states except
OR and NH.
CEVIAN INTERMEDIARIES, LLC
Nigel Wallbank
246 Walker Road
Wayne, PA 19087 - United States
Phone: (305) 632-3334
Email: nwallbank@cevian-re.com
Website: www.cevian-re.com
Cevian Intermediaries offers a full scope of broker services including
Excess Cover, Transplant Carve Out, Rx Carve Out, Employer Stop Loss,
Managed Care, Pet, Blanket Special Risk, Limited Medical, Student and
Travel Assistance.
CHARTIS ACCIDENT & HEALTH
CORPORATE BENEFITS
Jeff Meyer
Vice President, Sales
One MacArthur Place, Suite 620
South Coast Metro, CA 92707 - United States
Phone: (714) 436-3600
Email: jeff.meyer@chartisinsurance.com
Website: www.chartisinsurance.com
Chartis Accident & Health Corporate Benefts (formerly known as Medical
Excess) has been an industry leader in Medical Stop Loss and Fully Insured
Organ Transplant coverages since 1974. For employee benefts captive
programs, we can provide a fronting carrier, excess coverage, and captive
management services as needed.
CHUBB ACCIDENT & HEALTH
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 fnancial strength are just some of the
advantages we offer. Chubb Accident & Health consistently demonstrates
an exceptional ability to creatively collaborate with policyholders, through
our fexible and innovative approach to products and services.
Lee Hilsabeck
AVP, Special Risk Manager
233 S. Wacker Drive, Suite 4700
Phone: (312) 681-1313
Email: lhilsabeck@chubb.com
David Stimus
AVP, Assumed Reinsurance Manager
202 Halls Mill Road
Phone: (908) 572-3605
Email: dstimus@chubb.com
Jim Villa
SVP, North American Manager
202 Halls Mill Road
Phone: (908) 572-2581
Email: jvilla@chubb.com
an exceptional ability to creatively collaborate with policyholders, through our
fexible and innovative approach to products and services.
(HealthClaim Review)
President & CEO
Phone: (949) 470-1800
Considine & Associates (HealthClaim Review) provides medical bill review
services to SIUs, TPAs, stop loss carriers, reinsurance, bill negotiation and
fnancial recovery companies. Facility bill review includes DRG validation,
hospital line audit, as well as repricing of itemized hospital bills, implants and
outpatient surgery centers. Facility bill review is supplemented by a large
national physician consultant panel that performs medical necessity and
claims and coding review.
Christopher Koehler
President
Phone: (203) 761-9300
Workers Comp, Self Funded Medical, Fully Insured Medical, Disability, Dental,
Rx, Vision, Long Term Care, Medical Tourism, Travel Benefts, Catastrophe,
Provider and HMO Excess, Reserve Transfers and others.
DCC, INC.
Sam Sletager
P.O. Box 718
Phone: (208) 265-1719
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 benefts claim review and recommendation
systems (patent pending).
EAST COAST UNDERWRITERS, LLC
Aaron Wilkie
President
101 N. Pine Street, Suite 210
Spartanburg, SC 29302 - United States
Phone: (864) 542-1592
Email: awilkie@ecumgu.com
Website: www.ecumgu.com
East Coast Underwriters (ECU) is a Managing General Underwriter,
providing Medical Stop Loss Insurance to employer groups who self fund
their medical benefts. Medical Stop Loss Insurance protects an employers
medical plan against catastrophic medical claims. ECU specializes on
employer groups with 25-250 covered employee lives with and has unique
products such as our EZ AGG and 12/12 Plus. In addition to Medical
Stop Loss coverage, we also quote Life Insurance and AD&D.
888.394.5688 | THE Directory 2012 29
ELITE UNDERWRITING SERVICES
Eric Dove
President
191 Sheree Boulevard
Exton, PA 19341 - United States
Phone: (610) 280-4304
Email: edove@eliteuw.com
Website: www.eliteuw.com
Since 1994, Elite Underwriting Services continues to be one of the countrys
leading Managing General Underwriting Companies with $100M in Stop
Loss premiums under management. We provide brokers, consultants
and third-party administrators with a wide array of Stop-loss options and
product fexibility necessary to meet the needs and expectations of your
clients, in all 50 states.
EXCESS REINSURANCE
UNDERWRITERS
Brian Zidek
President
307 S. Evergreen Avenue, Suite 101
Woodbury, NJ 08096 - United States
Phone: (856) 251-2280
Email: bzidek@excessre.com
Website: www.excessre.com
Excess Re is a national, full service managing general underwriter
specializing in employer stop loss insurance, HMO reinsurance, voluntary
benefts and captive reinsurance solutions. Excess Res history, reputation,
and innovative underwriting enable it to deliver products and services to
meet the needs of an evolving industry.
EXCESS RISK REINSURANCE
Steven Parker
President
P.O. Box 1170
Ridgeland, MS 39158 - United States
Phone: (601) 427-0235
Email: sparker@errms.net
Website: www.excessriskms.com
Excess Risk Reinsurance is a managing general underwriter of Specifc and
Aggregate Excess Insurance with full authority of market, to underwrite,
issue policies, collect premiums and pay claims on behalf of Best rated
FAIRMONT SPECIALTY
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
Fairmont Specialty is part of Crum & Forster group, rated A (Excellent)
by AM Best. The Accident & Health division of Fairmont Specialty offers a
variety of products including Stop Loss, Organ Transplant, HMO Re, Provider
Excess, Limited Medical, K-12, College A&S, Special Risk, Occupational
Accident, Inbound/Outbound, Travel and Pet insurance.
FIDELITY SECURITY
LIFE INSURANCE
David Smith
3130 Broadway
Kansas City, MO 64111 - United States
Phone: (816) 756-1060 ext. 1550
Email: djsmith@fslins.com
Website: www.fslins.com
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
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, fexible underwriting, and tailors coverage to the
individual risk management needs of its clients. For more information,
visit www.gwigroup.com
HCC LIFE INSURANCE COMPANY
Dan Strusz
225 TownPark Drive, Suite 145
Kennesaw, GA 30144 - United States
Phone: (800) 447-0460
Email: dstrusz@hcclife.com
Website: www.hcclife.com
HCC Life Insurance Company, a subsidiary of HCC Insurance Holdings, Inc.,
is a leading specialty insurance carrier providing medical stop loss, medical
excess, HMO reinsurance, and other specialty insurance products. Rated
A+ (Superior) by A.M. Best Company, HCC Life provides exceptional claims
turnaround times and value-added services.
Michael Carrara
President
Phone: (908) 813-3440
Number of Clients:
Number of Employees:
It doesnt matter if your company is in its infancy or one thats been around
for many years. If youre a startup Third Party Administrator, just entering
the self-insurance industry, an insurance company, union, large corporation,
or small brokerage frm wanting control of your clients health care claims
through a turnkey, customized Claim Administration System, then your
organization needs Hi-Tech Health, Inc. Please visit us at www.hi-techhealth.
com for more information regarding Custom Software Solutions that will
allow you to run your business YOUR way.
E L I T E UW. COM 8 8 8 . 3 03 . 3 379
Relationships are the foundation of our business.
Servicing our clients since 1994, Elite Underwriting is one of the countrys leading privately held Managing General Underwriters.
Managing
$
150,000,000 of premium, we are partnered with A+ and A rated carriers. Encouraging a culture of innovation and
service, we leverage our expertise and industry relationshipsallowing us to offer a wide array of products and services, as well as
superior custom solutions for our clients.
888.394.5688 | THE Directory 2012 31
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
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 Beneft Medical Plans.
HUMANA, INC.
Danielle Cox
Director
500 W. Main Street
Louisville, KY 40202 - United States
Phone: (502) 580-1489
Email: dcox2@humana.com
Website: www.humana.com
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 Benefts (Critical Illness, Accident, Cancer,
Supplemental Health)
IHC RISK SOLUTIONS
Frank Dalicandro
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
IHC Risk Solutions, is a member of The IHC Group (NYSE:IHC), with
expertise in underwriting, selling and managing large claim risk for medical
stop-loss for groups starting at 25 lives and ranging up to the largest groups.
Today, IHC Risk Solutions is one of the largest medical stop-loss underwriters
in the United States.
IIS/INTL. INSURANCE
AGENCY SVCS. LLC
David Haddad
10 S. LaSalle Street, Suite 3450
Phone: (800) 786-0500
Email: david.haddad@sbcglobal.net
Website: www.iismgu.com
International Insurance Agency Services, LLC (IIS) is a Managing General
Underwriter specializing in independent insurance underwriting, marketing,
and administrative services that provide employee beneft programs. IIS
creates unique concepts and designs competitive, affordable employer
programs & plans to deliver up-to-date benefts desired by employees in
the current environment.
ING EMPLOYEE BENEFITS
Mary Sullivan
Head of Stop Loss
20 Washington Avenue South
Phone: (612) 342-7459
Email: marye.sullivan@us.ing.com
Website: www.ing.us/employers/employee-benefts
Number of Clients: 796 stop loss clients
ING Employee Benefts, a division of ReliaStar Life Insurance Company, has
been a leader in the stop loss market for more than 30 years. We offer
a variety of stop loss insurance products to protect self-funded employers
from unpredictable and catastrophic health claims.
INTERMEDIARY INSURANCE
SERVICES, INC. (IISI)
Jim Henry
180 Montgomery Street, 5th Floor
San Francisco, CA 94104 - United States
Phone: (415) 399-6700
Email: jim_henry@iisinet.com
Website: www.iisinet.com
Intermediary Insurance Services, Inc. (IISI) is a full-service MGU providing
employer stop loss, group life, and managed care solutions to the self-
funded community through our TPA and broker/consultant relationships. IISI
is a Companion Life Affliated Company.
INTERNATIONAL ASSURANCE
OF TN, INC.
Robert Baisden
President
123 7th Avenue South
Franklin, TN 37064 - United States
Phone: (615) 790-6908
Email: bob@iatmgu.com
Website: www.iatmgu.com
IAT is one of, if not the oldest, independently owned, full service MGUs
providing Excess Medical for self-insured medical Beneft Plans and Inmate
Excess Medical for jails and prisons.
INTERNATIONAL MEDICAL
GROUP-STOP LOSS, INC.
Steve Butz
Vice President, Marketing
2960 North Meridian Street
Phone: (877) 884-6475 ext. 4673
Email: steve.butz@imglobal.com
Website: www.IMG-stoploss.com
IMG-Stop Loss, Inc is a wholly-owned subsidiary of International Medical
Group, and a recognized leader in providing a full line of medical stop loss
solutions to the self-funded beneft market. Our stop loss products are
designed for employer plans from 11 employees and larger.
INTERNATIONAL RISK
CONSULTANTS
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
International Risk Consultants is a nationwide full service MGU representing
A+ carriers serving the needs of TPAs, Brokers and Consultants. IRC
underwrites specifc and aggregate stop loss. We emphasize fexible
underwriting,outstanding service, long term relationships and a tradition of
strength and stability.
IOA RE, INC.
Charles Place, Jr.
190 W. Germantown Pike, #200
East Norriton, PA 19401 - United States
Phone: (267) 242-0096
Email: cplace@ioare.com
Website: www.ioare.com
Headquartered in East Norriton, PA, IOA Re maintains three broad
binding authorities designed to provide fexible employer stop loss product
and service options to the TPA and employer community. Besides East
Norriton, we maintain underwriting staff in Indianapolis, Kansas City and
Salt Lake City.
LIFEWISE ASSURANCE COMPANY
Michael Wozny
President
7001 220th Street, S.W., MS 222
Mountlake Terrace, WA 98043-2160 - United States
Phone: (425) 918-4668
Email: mike.wozny@lifewiseac.com
Website: www.lifewiseac.com
LifeWise Assurance Company offers stop loss and group life and disability
products that provide valuable beneft features, and the fexibility to meet
the unique needs of our diverse customer base. Now in our 30th year, our
coverage extends to over 460,000 people in 13 Western states (which
includes 2 pending applications).
888.394.5688 | THE Directory 2012 33
MAGNACARE
Steve Kokulak, Esq.
Phone: (516) 282-8923
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 fexible, cost-effective options.
M-D UNDERWRITING SERVICES, INC.
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
M-D Underwriting Services, Inc. is a full-service MGU representing an
A+ rated Carrier for TPAs and brokers. MDU is dedicated to providing
professional, technically superior, quality service to the Medical Excess Loss
marketplace utilizing a Back to Basics, open and accessible approach, in
working with its producers.
MEDICAL RISK MANAGERS, INC.
Craig Phillips
Vice President of Underwriting
1170 Ellington Road
South Windsor, CT 06074 - United States
Phone: (860) 291-3048
Email: cphillips@mrm-mgu.com
Website: www.mrm-mgu.com
MRM is an MGU providing assistance in stop loss primarily to BCBS
organizations, ASO, and HMO clients. Services include underwriting,
extensive network evaluations, consulting, stop loss claims adjudication,
actuarial, and accounting support. We currently have $220 million and have
proftably underwritten over $2 Billion of stop loss throughout our history.
MONTGOMERY MANAGEMENT
Anne Marie McCarthy
President
137 S. Main Street
North Wales, PA 19454 - United States
Phone: (800) 883-1500
Email: amccarthy@montmgmt.com
Website: www.montmgmt.com
Montgomery Management, a full service MGU, has been providing fexible
and innovative stop-loss and life products to the marketplace since 1896.
Our professional expertise, personalized service, and corporate strength and
stability make Montgomery Management an industry leader.
MUNICH RE
Michael Shevlin
555 College Road East
Princeton, NJ 08543 - United States
Phone: (609) 243-4893
Email: mshevlin@munichhealth.com
Website: www.munichrestoploss.com
Munich Re Stop Loss is a leading provider of risk management services/stop
loss products for the self-funded group market. We are a member of Munich
Re, the worlds preeminent reinsurer. Our size/stability provides us with the
appetite, creativity and fnancial strength to take on large/complex risks.
NATIONAL UNDERWRITING
SERVICES, INC.
Dana Driscoll
National Marketing Director
14893 State Highway 16 N., Suite 1
Helotes, TX 78023 - United States
Phone: (210) 695-2381
Email: ddriscoll@nus1.com
Website: www.nus1.com
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.
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
NorthWind,LLC is a full service MGU providing stop loss coverage through
three A+ rated carriers as well as voluntary worksite coverages through
Transamerica Life Insurance Company. We are appointed in 48 states and
have been serving the self funded market since 1997.
ONE HUNDRED YEARS, LLC
David Angelone
Partner
302 Harper Drive, Suite 302
Moorestown, NJ 08057 - United States
Phone: (646) 837-7905
Email: david.angelone@100years.com
Website: www.100years.com
One Hundred Years, LLC is an insurance and fnancial services organization
providing turnkey international health and wealth insurance solutions to
insurers, employers and MGAs. We deliver proprietary health insurance
and fnancial security products, access to international insurance and
reinsurance facilities, underwriting and pricing, operational strategy, medical
management, international claims and cost containment.
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
management, helping 60 million Americans navigate the health care
system, fnance their health care needs and achieve their health and well-
being goals.
PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Phone: (908) 658-3535
PRESIDIO REINSURANCE GROUP
Tom Sass
SVP, Chief Marketing Offcer
199 Fremont Street
Phone: (612) 234-4941
Email: tom.sass@PresidioRe.com
Website: www.PresidioRe.com
Number of Clients: Leading A&H Reinsurer
Presidio provides innovative and effective solutions for Accident and
Health risks. Our broad portfolio of products and services includes HMO
and medical reinsurance, employer and provider excess of loss, personal
accident, international medical, life catastrophe and medical management
services through Presidio Pulse?. Offces in San Francisco, Minneapolis,
London and Kansas City.
888.394.5688 | THE Directory 2012 35
RISK & INSURANCE CONSULTING
SERVICES, LLC
Jamie Brown
Vice President
5500 Lilburn-Stone Mountain Road, Suite B
Stone Mountain, GA 30087 - United States
Phone: (770) 923-3133
Email: jamie.brown@rics-reinsurance.com
Website: www.rics-reinsurance.com
Providing innovative solutions in life, accident and health reinsurance.
Access to issuing carriers for MGUs, TPAs, and captives, along with
extensive experience negotiating reinsurance; including unlimited benefts
and facultative reinsurance for legitimate groups with critical mass. Our
expertise in reinsurance accounting and risk analysis will help optimize your
reinsurance programs.
RISK SOLUTION RESOURCES, LLC
Chris Christoflis
President
3810 Pheasant Ridge Drive N.E., Suite 400
Phone: (763) 231-8762
Email: chris@rsrmn.com
Website: www.rsrmn.com
Risk Solution Resources is the outsourced Division of Pan-American Life
Insurance Companys Domestic Special Markets, specializing in a wide
variety of Group and Individual Life, Accident and Health products.
RMTS, LLC
Anita Abramyan
Six Harrison Street, 5th Floor
Phone: (212) 925-0017
Email: aabramyan@rmts.net
Website: www.rmts.net
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.
ROUNDSTONE
Mike Schroeder
President
27887 Clemens Road
Phone: (440) 617-0333
Email: mschroeder@roundstoneinsurance.com
Website: www.roundstoneinsurance.com
Roundstones Mid-Market Med allows companies to access self-funding
insurance methods used by larger companies to gain control over their
health insurance costs. Mid Market Med is Turnkey, Effective, and Proven.
Roundstones full service agency offers marketing, producer management,
underwriting, policy administration, premium accounting and claims and
captive administration services.
RXREINS, INC.
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
RxReins, a dedicated Managing General Underwriter, provides Aggregate
Stop Loss Insurance for Self-Funded employers for their Prescription,
Dental & Vision Group Beneft Plans. We have experienced underwriters,
competitive pricing and quick turnaround time with completed RFQ. We
work with A rated carriers and have underwriting authority in all states.
SPECTRUM UNDERWRITING
MGRS., INC.
Kurt Ridder
President
41 East Washington Street, Suite 100
Phone: (317) 692-3285
Email: k.ridder@spectrumhq.com
Website: www.spectrumhq.com
Spectrum is a full-service Managing General Underwriter of specifc,
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.
STAR LINE GROUP
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
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
Our high quality, innovative health underwriting, compliance solutions,
product development and full MGU services for small-large employers are
considered best in class. We provide essential partners and tools necessary
for optimum performance. Our staff averages 20+ years of medical
underwriting experience working in the health industry on all case sizes.
SUN LIFE FINANCIAL
Steve Schreiber
Director, Stop-Loss Product Management
One Sun Life Executive Park
Wellesley Hills, MA 02481 - United States
Phone: (781) 446-1140
Email: steve.schreiber@sunlife.com
Website: www.sunlife.com
Number of Clients: 20 Million + Worldwide
Number of Employees: 14,000 + Worldwide
A member of the Fortune Global 500 list, Sun Life provides protection to
over 20 million people worldwide. Independent ratings place us among the
top fnancial sector in North America. In the U.S., were one of the largest
stop-loss direct writers and have provided stop-loss benefts since 1982.
SYMETRA LIFE INSURANCE COMPANY
Michael Fry
Executive Vice President, Group Division
777 108th Avenue NE, Suite 1200
Phone: (800) 426-7784
Email: GRPLIF@symetra.com
Website: www.symetra.com
Number of Clients: Approximately 1.7 million customers
Number of Employees: Approximately 1,100 employees
Symetra Life Insurance Company, a subsidiary of Symetra Financial Corp., is
committed to medical stop loss business and has 35 consecutive years of
experience helping independent distribution partners deliver creative,cost-
effective solutions to self-funded clients. Our Group portfolio also includes
Life and AD&D, Disability Income and Limited Beneft Medical Insurance.
TPAC UNDERWRITERS, INC.
Michael Meloch
President
3810 Pheasant Ridge Drive, #300
Phone: (763) 231-8805
Email: michael_meloch@tpac.com
Website: www.tpac.com
TPAC works to write proftable, 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
775 Prairie Center Drive, Suite 420
Eden Prairie, MN 55344 - United States
Phone: (952) 974-2221
Email: kplath@treancorp.com
Website: www.treancorp.com
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.
888.394.5688 | THE Directory 2012 37
TRUSTMARK INSURANCE COMPANY
Daniel Mueller
400 Field Drive
Lake Forest, IL 60045 - United States
Phone: (847) 283-2237
Email: dmueller@trustmarkins.com
Website: www.trustmarkinsurance.com
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
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
Number of Clients: 100 plus
USBenefts is a full service MGU, providing Medical Stop Loss products for
employer groups through qualifed TPAs and select brokers. Staffng includes
actuarial, underwriting, claims, administrative and marketing departments
that work collectively to deliver fnancially stable stop loss products. Please
send all RFPs to: quotes@usbins.net
XCHANGE BENEFITS, LLC
James Denison
EVP & CUO
3 Barker Avenue, 1st Floor
Phone: (914) 437-7361
Email: jdenison@xbllc.com
Website: www.xbllc.com
Xchange Benefts is a leader in providing beneft solutions to markets
throughout the U.S. Our team has vast experience in a variety of Life /A
& H products. We continue provide the highest level of customer service
to our clients, reinsurers and insurers while also developing innovative
products and solutions.
ZURICH AMERICAN
INSURANCE COMPANY
John Lord, CPCU
Chief Underwriting Offcer, 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 fexibility 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.
MIDLANDS MANAGEMENT
CORPORATION
Charles Caldwell
President & CEO
3503 NW 63rd Street, Suite 305
Phone: (405) 840-0074 or (800) 800-4007
Email: cccaldwell@midman.com
Website: www.midlandsmgt.com
A core product of Midlands Management Corporation, providing Excess
Workers Compensation solutions to the broker marketplace since 1990.
With SIRs starting at $300,000, Midlands creativity in problem solving has
been the cornerstone of the companys success.
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
management, helping 60 million Americans navigate the health care system,
fnance their health care needs and achieve their health and well-being goals.
ROUNDSTONE
Mike Schroeder
President
27887 Clemens Road
Phone: (440) 617-0333
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
Phone: (314) 692-9548
Email: ryan.mcclure@safetynational.com
Website: www.safetynational.com
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.
SECTION 4
MGU/EXCESS INSURANCE CARRIERS
P&C/WORKERS COMP/CAPTIVES
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 ve 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 Efciency: We can streamline your administrative processes to
create effective, efcient 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.
Coming Together
for Better Health
AMERICAN CARESOURCE
HOLDINGS, INC.
David Boone
President & CEO
5429 LBJ Freeway, Suite 850
Phone: (972) 308-6842
Email: dboone@anci-care.com
Website: www.anci-care.com
Ancillary Care Services provides cost-effective alternatives to physician and
hospital-based services through its national network of over 5,000 ancillary
service providers at more than 36,000 sites. These providers offer services in
30 categories including laboratories, dialysis centers, free standing diagnostic
imaging centers, and non-hospital surgery centers.
BLUE CROSS BLUE SHIELD
OF MA
Arleigh Kennedy
Director
401 Park Drive
Boston, MA 02215 - United States
Phone: (617) 246-3511
Email: arleigh.kennedy@bcbsma.com
Website: www.bluecrossma.com
Number of Clients: 3,000,000 members
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
CalCPA ProtectPlus provides high-quality medical, dental, vision, term life and
long-term disability plans exclusively for CalCPA member-owned frms.
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
CareHere is a leader in providing on-site clinics and behavioral
management programs for companies across all industries. The patient-
centered medical home approach practiced by CareHere integrates
services such as primary care, case/disease management, behavior
modifcation programs, occupational healthcare, wellness tracking
applications, and more. CareHeres on-site services provide companies with
the means to signifcantly 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
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
benefts. ChiroMetrics partner clients experience a dramatic decrease
in chiropractic spend, unparalleled data collection and reporting, and an
impressive return on investment.
SECTION 5
MEDICAL PROVIDER NETWORKS
ONSITE CLINICS
888.394.5688 | THE Directory 2012 41
COALITION AMERICA, INC.
Tina Ellex
President
Two Concourse Parkway, Suite 300
Phone: (404) 459-7201 ext. 5259
Email: tinaellex@coalitionamerica.com
Website: www.coalitionamerica.com
Coalition America, Inc. is a market leader providing comprehensive solutions
for managing medical, dental, & workers compensation healthcare costs.
CAI utilizes proprietary provider contracts, PPO networks, and provider
negotiations to achieve industry leading savings for its national client base.
COMPANION GLOBAL
HEALTHCARE, INC.
David Boucher
President & COO
I-20 at Alpine Road, AX-724
Columbia, SC 29219 - United States
Phone: (803) 264-3256
Email: david.boucher@companiongroup.com
Website: www.CompanionGlobalHealthcare.com
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 beneft plans to create signifcant
savings and assists patients with accessing CGH network facilities for
medically necessary surgeries.
DEVON HEALTH SERVICES, INC.
Bethany Streng
Marketing Manager
1100 First Ave., Suite 100
King of Prussia, PA 19406 - United States
Phone: (800) 431-CARE
Email: bstreng@devonhealth.com
Website: www.devonhealth.com
Devon Health Services, Inc. (DHS) is a national healthcare cost
management company and the largest privately-owned PPO in the
Northeast. The company works with self-insured organizations, TPAs, partner
networks, and healthcare providers to increase access to quality, affordable
healthcare. Consilium, a service of DHS, offers claims negotiation, clinical bill
review, and a fduciary strategy program.
EMPLOYER DIRECT HEALTHCARE (EDHC)
Jennifer Welker
Director of Sales Strategy
7320 N. Mopac Expressway, Suite 203
Phone: (888) 241-8537
Email: Jwelker@nationalsurgerynetwork.com
Website: www.employerdirecthealthcare.com
Number of Clients: clients representing over 2 million lives
nationwide
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
Envision Pharmaceutical Services, Inc is a full service pharmacy benefts
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
10260 Meanley Drive
San Diego, CA 91313 - United States
Phone: (800) 247-2898
Email: deanvaden@frsthealth.com
Website: www.frsthealth.com
First Health provides a national PPO network and other cost containment
programs to help clients manage their beneft 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.
GLOBAL EXCEL MANAGEMENT, INC.
Benjamin Tabah
Regional VP - Business Development
73 Queen Street
Sherbrooke, Quebec, J1M 0C9 - Canada
Phone: (819) 437-2277
Email: benjamin.tabah@globalexcel.com
Website: www.globalexcelusa.com
Global Excel Management (GEM) is a medical claim cost-containment
company that focuses on direct provider negotiation supported by a
blend of supplemental PPOs, code edits, UCR reviews, clinical reviews,
and EDI connectivity expertise. Global Excel blends these services into
customized solutions (MyGEM) that provide unparalleled cost savings and
administrative ease of use for our clients. Irrespective of bill type or dollar
threshold, Global Excel has solutions designed to enhance the cost-saving
performance of any claim shop.
GLOBAL MEDICAL CONEXIONS, INC.
Robert Repke
President
140 San Aleso Avenue
Phone: (415) 333-6942
Email: rrepke@globalmedconex.com
Website: www.globalmedconex.com
Global Medical Conexions is a US based International Select Provider
Organization with provider partners from Thailand to Latin America. We
deliver access to quality, cost effective international medical care by
designing Global Medical Choices for our clients.

New Iogo, new products - ACS is deveIoping products and services to enhance its vaIue to cIients.

J1u5ou1r J1u5ou1r J1u5ou1r J1u5ou1r " - DiaIysis benefit program featuring negotiated rates, disease management
and member steerage.

1uITu:: 1uITu:: 1uITu:: 1uITu:: " - Laboratory benefit card for members. Attractive rates for cIients with
member steerage and 100% member benefit.

Expands in-
network care
options
Negotiates market
Ieading AnciIIary
discounts
NO access fees or
additionaI shared
savings
Creates opportunities for
unique pIan design to
incent member behavior

PPOs
TPAs
REINSURERS
ACS
AnciIIary Care Services enhances the
breadth and depth of the provider networks
of its cIients. Impacts up to 20% of totaI
heaIthcare spend with 8-10% additionaI
discounts.
ACS .the Perfect Fit for anciIIary heaIthcare
cost containment.
Driving down the cost of
AnciIIary HeaIthcare Services
:ociiio:;
co:e
se:ices
888.394.5688 | THE Directory 2012 43
GOLDEN TRIANGLE SPECIALTY
NETWORK, LLC
Polli Yount
Senior Vice President and COO
5115 Maryland Way
Phone: (615) 377-0779
Email: yountp@gtspecnet.com
Website: www.gtspecnet.com
A contracted National network of dialysis providers, specializing in dialysis
repricing and negotiaions. The Preferred Dialysis Network for many of the
largest stoploss and reinsurance carriers as well as many other payer
groups. Building relationships with providers to create better savings for
our clients.
HFN, INC.
David Kolb, FACHE
President/CEO
1315 W. 22nd Street, Suite 300
Oak Brook, IL 60523 - United States
Phone: (630) 954-1232
Email: kolbd@hfninc.com
Website: www.hfninc.com
Number of Clients: over 6,000
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
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, fu vaccines, travel medicine and
creative engagement strategies.
INTEGRATED HEALTH PLAN, INC.
Christian Clark
Vice President of Corporate Development
4020 Park Street, Suite 101
St. Petersburg, FL 33709 - United States
Phone: (727) 345-8614
Email: cclark@ihplan.com
Website: www.ihplan.com
As one of the nations largest PPO networks with approximately 900,000
participating providers, IHP reduces payors claim expenditures via
signifcant provider discounted rates. Additionally, IHP offers substantial
savings to payors and other clients through out-of-network claim
negotiations and medical bill audits.
KROGER PRESCRIPTION PLANS
Philecia Avery
Manager, PBM Sales and Service
1014 Vine Street
Phone: (513) 762-4968
Email: chris.labowski@kroger.com
Website: www.kpp-rx.com
KPP provides comprehensive pharmacy beneft management services to
group health plans. We use a wide range of clinical tools to signifcantly
reduce annual beneft costs. Independent research has demonstrated KPPs
commitment to value-based PBM services, our clients have rated us 9.7 on
a 10 point scale for customer satisfaction.
LIFETRAC NETWORK
Barry Thompson
11100 Wayzata Boulevard, Suite 350
Phone: (763) 647-5087
Email: bthompson@lifetracnetwork.com
Website: www.lifetracnetwork.com
LifeTrac provides transplant network and cost containment services to plans
when members require transplantation or transplant adjacent therapies. With
contracts at over 100 of the leading transplant facilities, LifeTrac leverages
existing provider relationships, negotiation expertise, Web-based tools, and
dedicated client service teams to secure impressive discounts for clients.
MAGNACARE
Steve Kokulak, Esq.
Phone: (516) 282-8923
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 fexible, cost-effective options.
MULTIPLAN, INC.
Diane Barnes
115 Fifth Avenue
Phone: (212) 780-2000
Email: diane.barnes@multiplan.com
Website: www.multiplan.com
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 fnancial 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
Phone: (866) 427-6845
system, fnance their health care needs and achieve their health and
well-being goals.
PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Phone: (908) 658-3535
PRIME HEALTH SERVICES, INC.
Jennifer Ryon
Director of Account Management
7110 Crossroads Boulevard, Suite 100
Phone: (615) 565-9040
Email: jennifer.ryon@primehealthservices.com
Website: www.primehealthservices.com
Prime Health Services offers a full spectrum of services, including a
Preferred Provider Organization (PPO) ready for access with customizable
solutions. Prime Healths PPOs include Workers Compensation, Group
Health, and Auto Liability networks. Prime Health has over 600,000
providers nationwide forming the Prime Health National Delivery system.
SATORI WORLD MEDICAL
Steven Lash
President & CEO
591 Camino De La Reina, Suite 407
San Deigo, CA 92108 - United States
Phone: (619) 704-2000
Email: info@satoriworldmedical.com
Website: www.satoriworldmedical.com
Leading medical travel company featuring a global healthcare network that
provides world-class healthcare, delivers signifcant fnancial savings, and
coordinates all travel services. The beneft is easy to implement into existing
employee healthcare plans at no cost to the plan sponsor. Global Dental
Program and U.S. Centers of Excellence also available.
888.394.5688 | THE Directory 2012 45
SCRIPT CARE, LTD.
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
Script Care, Ltd., headquartered in Beaumont, Texas, operates as an
independent Pharmacy Benefts Manager. Our success is traced to the
philosophy of meeting our clients needs as our frst priority. We are known
for outstanding customer service among participants, plan sponsors, and
pharmacy providers and our dedication is a proven Script Care benchmark.
SPECIALTY CARE
MANAGEMENT, LLC
Robert Clemente, FACHE
President & CEO
991 Route 22 W., Suite 200
Bridgewater, NJ 08879 - United States
Phone: (908) 229-1876
Email: bclemente@specialtycm.com
Website: www.specialtycm.com
Experts in catastrophic care management and related costs, SCM is a
privately-owned, national company specializing in healthcare management
and the associated fnancial risk of catastrophic diagnoses, including: renal
disease, cancer, transplants, high risk maternity, neonates, and others. Our
innovative products and services manage high cost, high risk healthcare claims.
TC3 HEALTH, INC.
Tim Huke
19732 MacArthur Boulevard, Suite 100
Phone: (949) 943-8700
Email: thuke@tc3health.com
Website: www.tc3health.com
TC Health, Inc. provides healthcare payers with integrated loss control
solutions to validate payment integrity and maximize savings by up
to 1-6% annually. TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms, Clinical
Coding Compliance, Out-of-Network Repricing & Negotiations, Hospital Bill
Review, and Data Analytics & Decision Support.
THE ALLIANCE
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
Number of Clients: 160 Employers
The Alliances mission is to move health care forward by controlling costs,
improving quality, and engaging individuals in their health. An employer-
owned, not-for-proft cooperative, our 160 self-funded members provide
health coverage to more than 83,000 individuals in southern Wisconsin
and neighboring counties in Iowa and Illinois.
UNITED CLAIM SOLUTIONS
Carolyn Carder
Vice President
10835 N. 25th Avenue, Suite 105
Phone: (602) 863-1759E
Email: ccarder@unitedclaim.com
Website: www.unitedclaim.com
UCS has developed solutions to streamline claims fow and signifcantly
reduce operational costs while providing you the time and tools necessary to
expand your business block. Our services include network management, out-
of-network repricing, fee negotiations, electronic claims management, claims
editing, a web-based data repository and a data/risk analysis application.
VERMONT MANAGED CARE
Roberta Mitchell
Senior Account Representative
356 Mountain View Drive, Suite 301
Colchester, VT 05446 - United States
Phone: (802) 847-8161
Email: roberta.mitchell@vtmednet.org
Website: www.vermontmanagedcare.org
Vermont Managed Care (VMC) is a Physician Hospital Organization (PHO)
located in Colchester, Vermont. VMC is a network of physicians and hospitals,
sharing the fnancial risk to coordinate the delivery of healthcare. VMC offers
services to commercial carriers and to administrators of self-insured plans.
WORKSTEPS, INC.
Stacy Clark
3019 Alvin Devane Boulevard, Suite 150
Phone: (512) 617-4100
Email: testing@worksteps.com
Website: www.worksteps.com
The WorkSTEPS employment testing program is a medically safe, legally
compliant, and objective way to match a workers functional capabilities
with the essential functions of a particular job. WorkSTEPS was created
in response to an industry need for injury management and prevention
programming, effectively reducing workplace injury and costs.
Global Healthcare, Inc.
International Medical Travel Services
Help your clients make the most of their health care dollars.
l Affordable Services Low-cost alternatives to steep
U.S. health care costs
l Choices From life-saving surgeries to elective procedures
l Credentialed Providers All hospitals site-visited and JCI accredited
l Excellent Service 24/7 call center; Spanish-speaking representatives
With more than 30 network hospitals and growing, Companion Global
Healthcare offers the best in employee benets consulting and
overseas medical and dental tourism. Introduce your clients to a
world of employee health care options and savings introduce
them to Companion Global Healthcare.
Companion Global Healthcare
800-906-7065
CompanionGlobalHealthcare.com
888.394.5688 | THE Directory 2012 47
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
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 Offcer
3626 Walton Way Ext., Suite 2
Augusta, GA 30909 - United States
Phone: (877) 447-2778
Email: john.powers@awac.md
Website: www.awac.md
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, precertifcation, wellness, disease and case management in a
holistic care solution.
BENEFIT INFORMATICS, INC.
- A BENEFITFOCUS COMPANY
Chris Metcalf
Marketing Director
400 Riverwalk Terrace, 250
Jenks, OK 74037 - United States
Phone: (918) 491-3603
Email: cmetcalf@beneftinformatics.com
Website: www.beneftinformatics.com
Beneft Informatics, Inc., a Beneftfocus company, is a healthcare data
integration, and data analytics company. We serve self-funded employers,
insurers, TPA/ASOs and broker/consultants. Our simple and proven software
as a service (SaaS) technology helps organizations identify, predict and
control healthcare costs. For information, call 888.802.4636 or visit www.
beneftinformatics.com.
CHANGE:HEALTHCARE
Page Thompson
VP of Sales
12 Cadillac Drive, Suite 240
Phone: (800) 655-0732
Email: sales@changehealthcare.com
Website: www.changehealthcare.com
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
signifcant 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.
SECTION 6
TECHNOLOGY VENDORS
COMPLETE HEALTH SYSTEMS, LC
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
Since 1990, CHS has been providing Health Claims Administration,
Adjudication and Premium Billing systems. Today, our software systems have
approx. a million lives under management. Our Windows based system,
available in on-site or ASP versions includes a real-time web portal. We make it
easier for you to do business! www.completehealthsys.com
EBIX HEALTH
Laurie Douglas
Phone: (404) 604-2757
wellness information, to claims administration, and business intelligence tools.
Ebix Health solutions are trusted by thousands of insurance carriers, TPAs,
brokers, and employers.
FAIR HEALTH, INC.
Chris ODonnell
330 Madison Avenue
Phone: (212) 370-0704
Email: codonnell@fairhealthus.org
Website: www.fairhealthus.org, www.fairhealthconsumer.org
FAIR Health is an independent, not-for-proft organization dedicated to
bringing fairness and transparency to health insurance information. We
provide benchmarking database products to assist insurers and health
plan administrators manage costs and develop fee schedules. In addition,
we offer free educational content and cost lookup tools to consumers at
www.fairhealthconsumer.org.
GBEHAVIOR
Don Doster
President
3525 Piedmont Road, Building 5, Suite 400
Phone: (404) 949-0541
Email: ddoster@gbehavior.com
Website: www.gbehavior.com
gBehavior offers comprehensive wellness and safety solutions that empower
program participants to change behavior by rewarding them for achieving
program goals. gBehavior handles all phases of implementation, program
engagement, rewards management and in-depth reporting. gBehavior offers
a unique value proposition no monthly fees. We get paid only on results.
GENELCO SOFTWARE SOLUTIONS / IBM
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
Obtain a 5010 and ICD-10 regulatory mandate compliant claim and
insurance administration solution. Drive down costs. Obtain optimal claim
effciency. Respond to business drivers by changing processing logic through
a business rule engine. Take advantage of fexible administration for group,
individual & worksite programs.
GTESS
Vincent Vallejo
Vice President, Sales Operations
2435 N. Central Expressway, Suite 500
Richardson, TX 75080 - United States
Phone: (972) 792-5500
Email: vvallejo@gtess.com
Website: www.gtess.com
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-specifc 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.
888.394.5688 | THE Directory 2012 49
HEALTH PORTAL SOLUTIONS
James Burkholder
President & CEO
11550 IH10 West, Suite 220
San Antonio, TX 78230 - United States
Phone: (210) 641-7715
Email: jburkholder@tpabenefts.com
Website: www.HealthPortalSolutions.net
Health Portal Solutions is a software company that provides healthcare
web portals powered by your healthcare data. Portal Solutions include:
BENEFiT, ENROLLiT, REPORTiT, CONSUMEiT, and FAXiT
and can be made available to any user. This successful web solution will
streamline your operations, empower users, and create opportunities for
better customer service.
HEALTHX, INC.
Sarah Cross
VP of Marketing
9339 Priority Way West Drive, Suite 150
Phone: (877) 492-3633
Email: scross@healthx.com
Website: www.healthx.com
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.
Michael Carrara
President
Phone: (908) 813-3440
Number of Clients:
organization needs Hi-Tech Health, Inc. Please visit us at www.hi-techhealth.
com for more information regarding Custom Software Solutions that will
allow you to run your business YOUR way.
INSUR I.Q.
Lee Walters
2 Corporate Drive
Phone: (203) 446-8053
Email: lee.walters@insuriq.com
Website: www.insuriq.com
Insur I.Q. is an information technology and software development company
focused on improving product administration effciencies and lowering
distribution costs for the insurance and employee and benefts market
segments through web based applications. Our web based products
eliminate paperwork and improve processes which lower cost and improve
your time to market
Eric Ryles
Sales Manager
Phone: (800) 231-0669
Judy Diamond Associates, Inc. is the premier publisher of employee benefts
industry prospecting tools and plan data. Our pension/retirement and
health/welfare prospecting tools provide:
MDI
Rick Farris
Senior Vice President, Sales
90 Fort Wade Road
Ponte Vedra, FL 32081 - United States
Phone: (904) 473-1200
Email: rick.farris@medint.com
Website: www.medint.com
NCN, A MULTIPLAN COMPANY
Kelly Battaglia
Marketing Director
222 W. Las Colinas Boulevard, Suite 1500, N. Tower
Irving, TX 75039 - United States
Phone: (972) 373-2800 ext. 199
Email: kbattaglia@ncnelink.com
Website: www.ncnelink.com
NCN is the national leader in cost management for out-of-network claims.
We use cost-based data and transparent reporting to maximize savings on
group health claims and workers comp bills. At NCN, we claim a better way
for payers, providers and patients.
Linda McDonald
Sales
15 Corporate Circle
Phone: (518) 862-3323
range of enrollment solutions make the creation and delivery of pre- and
post-enrollment member communications easier than ever. Our in-house
development and production capabilities ensure that your last minute
updates are performed on time and accurately. You can count on Newkirk!
REDCARD SYSTEMS
Eric Schaefer
7700 Bonhomme Avenue, Suite 200
Phone: (314) 445-6000
Email: eschaefer@redcard.com
Website: www.redcard.com
RedCard Systems provides data management and production for the
major communication touchpoints of a healthplan or payer: ID Cards,
enrollment correspondence and claims communication (check/EOB, etc).
RedCard utilizes its proprietary DOCS system to manage all facets of these
communications, enabling a payer to enjoy substantial savings while creating
an enhanced member/provider experience.
TC3 HEALTH, INC.
Tim Huke
Phone: (949) 943-8700
solutions to validate payment integrity and maximize savings by up to
1-6% annually. TCs TruClaim Suite includes: Pre-pay/Post-pay Fraud &
888.394.5688 | THE Directory 2012 51
THE TRIZETTO GROUP, INC.
Ellen Lockwald
AVP, Benefts Administration Marketing
Corporate Offce 6061 South Willow Drive
Phone: (800) 569-1222
Email: ellen.lockwald@trizetto.com
Website: www.trizetto.com
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 benefts 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
1500 Market Street, Centre Square, E.
Philadelphia, PA 19102 - United States
Phone: (215) 246-1669
Email: james.depre@towerswatson.com
Website: www.towerswatson.com
Towers Watson is a leading global professional services company that
helps organizations improve performance through effective people, risk and
fnancial management. With 14,000 associates around the world, we offer
solutions in the areas of employee benefts, talent management, rewards,
and risk and capital management.
TSYS HEALTHCARE
Gail Lee
Phone: (612) 338-3871
Email: gaillee@tsys.com
Website: www.tsyshealthcare.com
TSYS Healthcare, provides end-to-end payment solutions for consumer
directed healthcare. We partner with benefts administrators, employers,
fnancial 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 benefts.
UNITED CLAIM SOLUTIONS
Carolyn Carder
Vice President
10835 N. 25th Avenue, Suite 105
Phone: (602) 863-1759
Email: ccarder@unitedclaim.com
Website: www.unitedclaim.com
UCS has developed solutions to streamline claims fow and signifcantly
reduce operational costs while providing you the time and tools necessary
to expand your business block. Our services include network management,
out-of-network repricing, fee negotiations, electronic claims management,
claims editing, a web-based data repository and a data/risk analysis application.
YOUNG CONSULTING, INC.
David Young
President
1945 The Exchange, Suite 100
Phone: (770) 321-9818
Email: dyoung@youngconsulting.com
Website: www.youngconsulting.com
Young Consulting develops integrated software solutions for the underwriting
and administration of Medical Stop-Loss insurance for carriers and
managing general underwriters. We also develop solutions for third party
administrators in the marketing and administration of group beneft plans
including the claim reporting to stop-loss carriers.
CEVI AN
INTERMEDIARIES, LLC
Connected
Informed
Effective
Don't trust just
anyone with your
reinsurance needs.
Let us tailor a
program that's
right for you.
For More Information Contact:
Nigel D. Wallbank
Phone: 484-367-7453
nwallbank@cevian-re.com
888.394.5688 | THE Directory 2012 53
AFFORDABLE BENEFIT
Marie Ackad
Phone: (800) 350-0148
We manage HSA, Flex and HRA plans. We administer COBRA Plans and
perform UR/UM including large case management. Our focus is delivering
superior customer service and view our position as a manager of our
clients assets.
AUCLAIRRE INTERNATIONAL, INC.
Jol Thompson
President
P. O. Box 2000
Livingston, NJ 07039 - United States
Phone: (973) 251-2662
Email: joelthompson@auclairre.com
Website: www.auclairre.com
Improving proftability, mitigating risk and streamlining operations are the
key services we provide our clients. AuclairRe offers traditional reinsurance
intermediary services as well as reinsurance and insurance consulting,
underwriting, actuarial, claims audit and captive management services to
Life, A&H and Property & Casualty insurance & reinsurance companies &
program managers.
BENEFIT DYNAMICS, CO.
Allison Johnson
Partner
618 N. Tejon Street
Colorado Springs, CO 80903 - United States
Phone: (719) 575-0411
Email: ajohnson@benedyn.com
Website: www.benedyn.com
Beneft Dynamics Company is your single source for exclusive stop loss
quotes. We offer competitive pricing and excellent back offce services
with our focus being your client. We work with TPAs/Brokers and provide
products to you to help manage your claims costs.
BUCKINGHAM INSURANCE
SERVICES, INC.
Donna Kell
President
301 Hyde Park
Doylestown, PA 18902 - United States
Phone: (267) 880-3903
Email: donna@reshe.com
Website: www.buckinghaminsurance.com
BISI specializes in marketing and servicing medical stop loss for the self-
insured community. We assist brokers, consultants; TPAs and direct buyers in
receiving the highest quality and most competitive quotes.
CANYON RE, LLC
Michael Melnik
Managing Director
1400 Buford Highway, Suite T-2
Buford, GA 30043 - United States
Phone: (770) 614-1636
Email: mmelnik@canyonre.com
Canyon RE, LLC is a brokerage/consulting entity focusing in medical
excess-loss and special risk within partially self-funded group benefts arena.
SECTION 7
BROKERS/CONSULTANTS
CENCORP HEALTH SOLUTIONS
Robert Tomek
VP, Sales & Marketing
7700 Forsyth Boulevard
Phone: (866) 534-5981
Email: info@CenCorpHealthSolutions.com
Website: www.CenCorpHealthSolutions.com
Health Solutions, a division of Centene Corporation, offers employers a suite
of Specialty Health Services to deliver quality outcomes and reduce costs
through innovative service combinations. Our companies provide solutions
including wellness, pharmacy benefts, and managed vision specifcally
designed to satisfy employees needs and optimize bottom line results.
Nigel Wallbank
246 Walker Road
Phone: (305) 632-3334
Cevian Intermediaries offers a full scope of broker services including Excess
Cover, Transplant Carve Out, Rx Carve Out, Employer Stop Loss, Managed
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel Assistance.
COMMERCIAL GROUP
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
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 beneft plans.
CONSOCIATE, INC.
Darren Reynolds, J.D.
2828 N. Monroe Street
Decatur, IL 62526 - United States
Phone: (217) 423-7788 or (800) 798-2422
Email: darrenr@consociatedansig.com
Website: www.consociatedansig.com
Consociate, Inc. - Third Party Administrator, administering employee beneft
plans for large employers while focusing on healthcare cost management
and improving employee productivity. Founded in 1995, Consociate also
provides consultative solutions to meet a wide array of employer, employee,
and individual needs. Offces located in Illinois and Tennessee.
Christopher Koehler
President
Phone: (203) 761-9300
DCC, INC.
Sam Sletager
P.O. Box 718
Phone: (208) 265-1719
888.394.5688 | THE Directory 2012 55
FIRST NIAGARA
BENEFITS CONSULTING
Robert Madden, CLU, GBA
Vice President
726 Exchange Street, Suite 900
Buffalo, NY 14210 - United States
Phone: (716) 819-5811
Email: robert.madden@fnrm.com
Website: www.fnfg.com
Previous SIIA Conference presenter. We have a reputation for excellence in
the employee beneft products and services we offer including expertise
with alternative funding solutions and captives. We use three core principles
to manage your employee benefts plans: we provide fve-star service
professional value-added services and cutting-edge technology.
GARNER CONSULTING
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
Garner Consulting assists plan sponsors in developing and managing
beneft programs. Focusing on health, life, disability and voluntary plans,
Garner Consulting works with plan sponsors on plan design, fnancing,
vendor selection and administrative issues. Garner Consulting has special
expertise in regulatory compliance and is a leader in claim auditing.
GITTER & ASSOCIATES, INC.
Bob Caracciolo
National Marketing Director
1820 S. Escondido Boulevard, Suite 201
Escondido, CA 92025 - United States
Phone: (951) 490-8056
Email: bobc@gitterassoc.com
Website: www.gitterassoc.com
Gitter & Associates, Inc. was founded in 2005 by Gregory Gitter. The
mission of G&A is to save employers and insurance companies money
by providing consulting services, and identifying and settling complex,
large loss Workers Compensation claims.G&A developed a unique
method for the identifcation and valuation of Workers Compensation
claims that has proven successful time and again in settling complex
Workers Compensation claims.Using our unique method for valuation
and settlement of high exposure claims we help our clients realize over
$300,000 in present value savings per claim.
GUY CARPENTER &
COMPANY, LLC
David Rains
Global LA&H Practice Leader - Managing Director
Two Logan Square, 10th Floor
Phone: (215) 864-3786
Email: david.a.rains@guycarp.com
Website: www.guycarp.com
Number of Employees: 5,000+
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.
H.H.C. GROUP
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
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
HealthHelp, a leader in specialty beneft management, generates signifcant
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.
HEFFERNAN GROUP
Thomas Hebson
Regional Executive
16141 Swingley Ridge Road, Suite 100
Chesterfeld, MO 63017 - United States
Phone: (636) 489-0181
Email: thebson@heffns.com
Website: www.heffns.com
Heffernan is a leading provider of solutions to the self insured marketplace. We
have extensive experience in client consultation and placement of coverage.
Michael Carrara
President
Phone: (908) 813-3440
Number of Clients:
organization needs Hi-Tech Health, Inc. Please visit us at www.hi-techhealth.com
for more information regarding Custom Software Solutions that will allow you
to run your business YOUR way.
INTEGRATED CARE MANAGEMENT
Sarah Lichtman
Sales Support
3440 Preston Ridge Road, Suite 300
Alpharetta, GA 30005 - United States
Phone: (678) 781-2808
Email: slichtman@integratedcare.com
Website: www.integratedcare.com
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
fled case management, telephonic, on-site, catastrophic, and vocational
case management which can be employed through a SI Employer, PEO,
TPA or Carrier.
INVISION GROUP
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
InVision Group is a specialized intermediary focused on providing risk solutions
to insurance companies and other risk bearing entities. We tackle the toughest
risk management issues for our clients and protect bottom line proftability.
Eric Ryles
Sales Manager
Phone: (800) 231-0669
KINDER & ASSOCIATES, INC.
James A. Kinder
Chairman/CEO
418 Terry Road
Fountain Inn, SC 29644 - United States
Phone: (864) 409-8347
Email: jkinder120@aol.com
Number of Clients: Varies
Kinder & Associates, Inc. offers consulting services to the self-insurance
alternative risk transfer community including government relations/
lobbying service. Jim Kinder principal of K&A also is available to serve as
an independent director to companies within the insurance/self-insurance/
alternative risk transfer community. Mr.Kinder assisted in the formation of
SIIA and served as CEO of the organization from its inception until
his retirement in 2006.
888.394.5688 | THE Directory 2012 57
LAWLEY BENEFITS GROUP
Thomas Revelas
Managing Partner
361 Delaware Avenue
Buffalo, NY 14202 - United States
Phone: (716) 849-8252
Email: bwhite@lawleyinsurance.com
Website: www.lawleyinsurance.com
Lawley Benefts Group is an employee benefts broker and consulting frm.
With corporate offces in Upstate New York, LBG is a regional frm. Lawley
works with small,medium and large businesses on all aspects of employee
benefts, including strategic planning, underwriting, full-scale implementation
and plan monitoring.
LEGACY ENTERPRISES BENEFITS
CONSULTING, INC.
Charlynn Harless
President & CEO
4382 Pebble Beach Drive
Stockton, CA 95219 - United States
Phone: (209) 472-1014
Email: charless@legacyconsult.com
Legacy specializes in building and managing public entity employee beneft
pools that self-fund the medical, dental and vision benefts.
MARSH INC.
Greg Arms
Global Head, Employee Benefts Practice
1166 Avenue of the Americas, 40th Floor
Phone: (212) 345-4067
Email: greg.arms@marsh.com
Website: www.marsh.com
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 benefts, and
program management services to a wide range of businesses, government
entities and professional organizations in more than 100 countries.
NATIONAL COOPERATIVERX
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
Number of Clients: 250,000 members
National CooperativeRx is a not-for-proft, nationwide prescription drug
purchasing coalition. Member plan sponsors that can self-insure their
prescription drug needs, receive pricing on prescription beneft management
services based on 250,000 members and high levels of service. We
achieved an aggregate trend of .33% annually over the last 5 years.
David Ives, CPCU
199 Rosewood Drive
Phone: (978) 745-6655
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
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, fnance their health care needs and achieve their health
and well-being goals.
PANCOAST BENEFITS
Pat Lund
VP Benefts
4205 Hillsboro Road
Phone: (615) 292-3400
Email: patl@pancoastbenefts.com
Pancoast Benefts is a leading provider of health and benefts consulting.
Our goal is to provide our clients with proven expertise in consulting with
a strong commitment to administrative services and technology. You will
fnd us committed to exceptional service with a focus on excellence and
attention to detail.
PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Phone: (908) 658-3535
PROFESSIONAL REINSURANCE
MARKETING SERVICES, INC.
Tom Belding
President
10917 Old River Trail
Edmond, OK 73013 - United States
Phone: (405) 771-5115Email: tbelding2@cox.net
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.
RE-SOLUTIONS
Elizabeth Mariner
Exceutive Vice President
580 Lumber Exchange Building, 10 South 5th Street
Phone: (612) 766-9782
Email: lmariner@re-solutions.net
Website: www.re-solutions.net
Celebrating its 10th anniversary in 2011, Re-Solutions is an independent
reinsurance intermediary dedicated to providing quality intermediary and
other value-added consultative services to the insurance, captive, reinsurance
and managed healthcare communities.
RESOURCE INTERMEDIARIES, INC.
Peter Robinson
Principal
221 Main Street, Suite 730
Phone: (415) 433-0600
Email: probinson@resource-re.com
Website: www.resource-re.com
ReSource Intermediaries offers consultative reinsurance intermediary services
through offces in San Francisco, Denver, Chicago, New York and London.
ReSource has a strong commitment to the Health and Accident reinsurance
sector with deep expertise in alternative risk and managed care.
RFIB GROUP LIMITED
Dominic Hagger
Director, Non-Marine
20 Gracechurch Street
London, England, EC3V 0AF - United Kingdom
Phone: 011 44 207 621 8202
Email: dominic.hagger@rfb.co.uk
Website: www.rfb.co.uk
RFIB is an international Lloyds insurance and reinsurance broker. Its US
Casualty and Accident & Health Team has extensive experience in the
handling of Personal Accident placements on an individual and group basis,
Workers Compensation and Healthcare placements including Employers
Stop Loss, Student Medical, Short Term Medical and Travel Assistance.
888.394.5688 | THE Directory 2012 59
SELF INSURED SOLUTIONS, LLC
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@selfnsuredsolutions.com
Website: www.selfnsuredsolutions.com
STOP LOSS INSURANCE BROKERS, INC.
Denise Doyle
President
20 Park Plaza, Suite 912
Boston, MA 02116-4303 - United States
Phone: (617) 542-1600
Email: ddoyle@stoplossins.com
Website: www.stoplossins.com
Stop Loss Insurance Brokers, Inc. is a leading independent broker for Medical
Stop Loss and Employee Benefts to clients throughout Massachusetts and
New England.
STOP LOSS INSURANCE SERVICES
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
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.
Need Help With the
Piles of Claims?
Phone 301.963.0762 Fax 301.963.9431
Visit us on the Web at www.hhcgroup.com
Claim Negotiations
Medical Bill Review (Audit) Medical Peer Review
Disease Management DRG Validation
Pharmacy Consulting Repricing
3 Star Preferred Provider Network (PPN) Transplant Networks
URAC Accredited Independent Review Organization (IRO)
Case Management Utilization Review Data Mining/Claim Scrubbing
We assist payors of health insurance
claims and their clients with their
financial case management efforts.
Need Help With the
THE BAILEY GROUP
Debbie Weiner
Senior Account Manager
1200 Plantation Island Drive S., #210
St. Augustine, FL 32080 - United States
Phone: (904) 461-1800
Email: dweiner@mbaileygroup.com
Website: www.mbaileygroup.com
With over 50 years of experience, The Bailey Group has built our reputation
on integrity and superior customer service. We are a local frm with local
personnel who are familiar with the needs of our community.
THE BENECON GROUP
Matthew Kirk
147 W. Airport Road
Phone: (717) 723-4600
In addition, Benecon is a General Agent for Highmark, Capital BlueCross,
Health America and United Health Care. Employees include actuaries,
compliance attorneys, beneft consultants, account managers,
accountants, fnance specialists and quality assurance specialists.
THE CROWNE GROUP
Roxane Kimble
Director of Account Management
2710 Rew Circle, Suite 200
Ocoee, FL 34761 - United States
Phone: (407) 654-5414
Email: rkimble@crowneinc.com
Website: www.crowneinc.com
The Crowne Group has served in an advisory and consultant role for public
and private sector employers since 1986. Crowne has an extensive training
background as consultants in employee benefts and human resources and
has conducted numerous workshops, seminars and presentations for public
and private sector employers on several topics.
THE PHIA GROUP, LLC
Adam Russo, Esq.
CEO
163 Bay State Drive
Braintree, MA 02184 - United States
Phone: (781) 535-5622
Email: arusso@phiagroup.com
Website: www.phiagroup.com
The Phia Group, LLC is an experienced provider of health care cost
containment techniques offering comprehensive recovery, documentation
and consulting services designed to control health care costs and protect
plan assets. The Phia Groups overall mission is to reduce the cost of plans
through its recovery strategies, innovative technologies, legal expertise, and
focused, fexible customer service.
TOWERS WATSON
James DePre
Phone: (215) 246-1669
USI INSURANCE SERVICES
Robert Melillo
National Vice President, Risk Financing Solutions
555 Pleasantville Road, Suite 160 South
Briarcliff Manor, NY 10510 - United States
Phone: (203) 634-5917
Email: robert.melillo@usi.biz
Website: www.usi.biz
Founded in 1994, USI is a leading distributor of employee benefts products
and property and casualty insurance to businesses throughout the United
States. USI is a recognized leader in the self-funded medical market,
operating out of 74 offces in 22 states. USI is a portfolio company of
Goldman Sachs Capital Partners.
888.394.5688 | THE Directory 2012 61
AFFORDABLE BENEFIT
Marie Ackad
Phone: (800) 350-0148
We manage HSA, Flex and HRA plans. We administer COBRA Plans
and perform UR/UM including large case management. Our focus is
delivering superior customer service and view our position as a manager
of our clients assets.
ALICARE MEDICAL MANAGAMENT
(an affliate of Amalgamated Life Insurance)
Claire Levitt
President
333 Westchester Avenue
Phone: (914) 367-5287
Email: clevitt@alicaremed.com
Website: www.alicaremed.com
Alicare Medical Management, Inc., a member of the Amalgamated
Family of Companies, is a national leader in developing care management
solutions that promote cost effectiveness, patient satisfaction, and optimal
medical outcomes. The Companys services include: Nurse HelpLine,
Utilization Management, Maternity Management, Case/Disease
Management, Health Coaching/Wellness, Independent Physician Review
and Claims Cost Management. AMM holds four URAC accreditations for
Utilization Management, Case Management.
AMERICAN HEALTH HOLDING, INC.
Paul Lavin
President & CEO
100 West Old Wilson Bridge Road, Third Floor
Worthington, OH 43085 - United States
Phone: (866) 614-4244
Email: marketing@ahhinc.com
Website: www.AmericanHealthHolding.com
American Health Holding is a single-source provider of medical
management services that supports millions of members across the health
care continuum. The multi-URAC accredited organization helps clients
maximize cost savings while ensuring the quality and appropriateness of
care. American Healths fexibility supports integrated solutions for creating
healthy outcomes.
AMERICAN HEALTHCARE RECOVERIES
Josh Holzer
President
55 Broad Street, 11th Floor
Phone: (212) 425-1630
Email: josh@americanhealthcarerecoveries.com
Website: www.americanhealthcarerecoveries.com
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 identifed and then reviewed
and researched by our experienced Claims Analysts. OUR GUARANTEE...
Absolutely no fee unless there is a successful recovery.
SECTION 8
UTILIZATION REVIEW
CASE MANAGEMENT
AWAC
John Powers
Phone: (877) 447-2778
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
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
benefts. ChiroMetrics partner clients experience a dramatic decrease
in chiropractic spend, unparalleled data collection and reporting, and an
impressive return on investment.
Medical costs out of control? Our client-focused fexibility
and cost-containment experience can help!
American Health is a single-source, URAC-accredited provider of integrated
medical management services that support members across the health care
continuum. Our board-certifed physicians and registered nurses have been
helping clients since 1993 to maximize cost savings while ensuring the
quality and appropriateness of care. Our full spectrum of medical
management solutions includes:
Utilization Management
Case Management
Specialty Case Management
(Neonatal and Pediatric, Oncology,
Transplants, Maternity)
Wellness
Disease Management
Maternity Management
Medical Evacuation
Onsite Medical Management
Medical Review
Independent External Review
Medical Disclosure
Integrated Behavioral Health
24/7 Physician Consultations
24/7 Nurse Line
Bill Audit Services
Out-of-Network Repricing
Negotiations
Proprietary iSuite Software
For more information
To learn more about what we can do for you, visit us on the Web at
www.AmericanHealthHolding.com or call us at 866-614-4244.
888.394.5688 | THE Directory 2012 63
(HealthClaim Review
)
President & CEO
Phone: (949) 470-1800
Considine & Associates (HealthClaim Review
) is a URAC-accredited
Independent Review Organization providing medical review services to
group and comp healthcare payers and administrators worldwide. Medical
necessity, coding/claims review, dental, hospital bill audit/repricing/DRG,
surgery center repricing are key product areas. Large domestic/international
physician panel covers 125 medical specialties.
CPR RISK MANAGEMENT, INC.
Mary Pozuelo
CEO
270 1st Avenue South, Suite 100
Phone: (877) 810-9939
Email: mary@cpr-rm.com
Website: www.cpr-rm.com
CPR provides a fully integrated claim management solution. Our Services
include, utilization, case & disease management; claim reviews; 50%/trigger
reviews; medical projections; underwriting; & hospital bill audits. Services can
be provided as back-up or primary. We understand risk & insurance, &
review cases from a business & medical perspective.
DOBSON AND ASSOCIATES, LLC
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
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.
EBIX HEALTH
Laurie Douglas
Phone: (404) 604-2757
wellness information, to claims administration, and business intelligence tools.
Ebix Health solutions are trusted by thousands of insurance carriers, TPAs,
brokers, and employers.
GLOBAL EXCEL MANAGEMENT, INC.
Benjamin Tabah
Regional VP - Business Development
73 Queen Street
Sherbrooke, Quebec, J1M 0C9 - Canada
Phone: (819) 437-2277
Email: benjamin.tabah@globalexcel.com
Website: www.globalexcelusa.com
Global Excel Management (GEM) is a medical claim cost-containment
company that focuses on direct provider negotiation supported by a
blend of supplemental PPOs, code edits, UCR reviews, clinical reviews,
and EDI connectivity expertise. Global Excel blends these services into
customized solutions (MyGEM) that provide unparalleled cost savings and
administrative ease of use for our clients. Irrespective of bill type or dollar
threshold, Global Excel has solutions designed to enhance the cost-saving
performance of any claim shop.
HEALTHCARE ALTERNATIVES, LLC
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
Number of Clients: Variable
Number of Employees: Variable
HealthCare Alternatives, LLC, a Managed Care company offering a full
spectrum of services including Specialty Case Management (Cancer
Care Program, Injectables, Maternity/Neonatal, Renal and Transplants),
management of Claims and Disease entities, Physician Review and
Utilization Management. We ensure your members receive safe, standard
of care services at cost effective rates.
HEALTHTRANS
Don Houchin, SVP
PBM Business Development
8300 East Maplewood Avenue, Suite 100
Phone: (800) 950-9120
Email: sales@healthtrans.com
Website: www.healthtrans.com
HealthTrans provides employers with innovative and strategic solutions
to address their healthcare beneft challenges. Our value-focused
services deliver employee benefts, improved health outcomes, reduced
absenteeism, and a greater return on healthcare investment. With
regional offces in the Atlanta, Chicago, and Denver areas, we provide cost
savings to clients nationwide.
HINES & ASSOCIATES, INC.
Judy Hines
President
115 E. Highland Avenue
Elgin, IL 60120 - United States
Phone: (800) 735-1200
Email: jhines@hinesassoc.com
Website: www.hinesassoc.com
Hines & Associates, a quality USA-based/international URAC accredited
managed care frm, is a leader in health care management. From health
risk assessments and wellness coaching to utilization review, disease
management and case management challenges of cancer, transplants,
dialysis, neonatal intensive care, etc., Hines specialty programs minimize
risks and maximize solutions.
IMEDECS
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
Number of Employees: 18 plus over 700 independent contractors
IMEDECS is a national URAC accredited independent review organization
known throughout the healthcare industry for its high-quality medical
reviews, extensive panel of experts, and responsiveness to client and
regulatory needs. Some of the clients who beneft from IMEDECS services
include, but are not limited to, hospitals, managed care organizations, third-
party administrators, employer groups and state agencies throughout the
United States.
INETICO, INC.
Ronnie Brown
VP of Business Development
400 N. Ashley Drive, Suite 1550
Phone: (813) 258-2200 ext. 1019
Email: sales@inetico.com
Website: www.inetico.com
Leading the industry with innovative services, INETICO supplies medical
and dental cost containment solutions for Employers, TPAs, Taft Hartley,
and Reinsurers. Claims Administration and Care Management services
managed within INETIPASS provide clients real0time interactive
information and reporting capabilities with 100% transparency. Services
include PPO administration, Claims Repricing, Claims Negotiation and
Care Management.
INTEGRATED CARE MANAGEMENT
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
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
fled case management, telephonic, on-site, catastrophic, and vocational
case management which can be employed through a SI Employer, PEO, TPA
or Carrier.
888.394.5688 | THE Directory 2012 65
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
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 effciency!
ITA PARTNERS | EVITI
Traci Boehringer
Senior Marketing Specialist
1800 JFK Boulevard, 9th Floor
Phone: (215) 569-0656
Email: traci.boehringer@itapartners.com
Website: www.itapartners.com
ITA Partners provides independent decision support to help ensure
evidence-based oncology care is prescribed, followed and appropriately
reimbursed from the start through survivorship. Our patent-pending,
web-based applicationevitiprovides immediate access to
comprehensive, nationally-recognized, evidence-based treatment standards
and point-of-decision treatment authorization in any cancer care setting.
J.P. FARLEY CORPORATION
James Farley
President
29055 Clemens Road
Phone: (800) 634-0173 or (440) 250-4300
Email: Jim.Farley@jpfarley.com
Website: www.jpfarley.com
J.P. Farley Corporation is a full-service beneft solutions consultant providing
a better plan through an integrated array of administration services and
helping clients nationwide strategically and proactively manage their
customized beneft packages.
Self-funded medical, prescription, dental, vision, disability, FSAs, HRAs, HSAs,
COBRA, HIPAA, care & utilization management, wellness, patient advocacy
and third party administration.
ISO 9001-2008 certifcation, URAC Utilization Management Accreditation
and NorthCoast 99 Great Workplace Awards.
MCM SOLUTIONS FOR
BETTER HEALTH
Brian Vervynck
Senior Vice President of Sales, Marketing & Client Services
105 West Adams, Suite 2200
Phone: (800) 367-9938
Email: bvervynck@medicalcost.com
Website: www.medicalcost.com
A pioneer in population health management, MCM was founded in 1986
to meet the care management needs of self-funded plans, Taft-Hartley
Trusts, associations, and claim payers. MCM offers sophisticated risk
identifcation and care management techniques that cover the entire
continuum of care and promote better health. MCM serves over 500
health plans representing over 500,000 members nationally.
MED-CERT, INC.
Sharon Reynolds
Director of Business Development
13902 N. Dale Mabry Highway, Suite 217
Phone: (813) 949-2174
Email: sreynolds@medcertinc.com
Website: www.medcertinc.com
Med-Cert is an innovative, proactive, action-oriented, URAC compliant
medical management company. Located in Tampa, Florida and
headquartered in Nashville, Tennessee, Med-Cert offers various utilization
and case management services to help manage our clients medical claims
and, as a result, lower claims expenditures and reinsurance costs.
MEDICAL REVIEW INSTITUTE
OF AMERICA
Bill Low
President
2875 S. Decker Lake Drive, Suite 550
Salt Lake City, UT 84119 - United States
Phone: (800) 654-2422
Email: bill.low@mrioa.com
Website: www.mrioa.com
Medical Review Institute of America (MRIoA) has been an innovative leader
in physician peer review since 1982. MRIoA offers high quality reviews
meeting rapid turn around times through our national network of over
550 active practicing, board-certifed physicians and other allied specialties.
For more information please contact us at 800-654-2422 ext. 6553,
marketing@mrioa.com, or check us out online at mrioa.com.
MUTUAL ASSURANCE
Eric Wright
Phone: (405) 848-1975
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
being goals.
PARADIGM MANAGEMENT SERVICES
Kevin Turner
Chief Sales Offcer
1277 Treat Boulevard, Suite 800
Walnut Creek, CA 94597 - United States
Phone: (800) 676-6777
Email: kevin.turner@paradigmcorp.com
Website: www.paradigmcorp.com
Paradigm Management Services provides acute and ongoing case
management services for TBI, SCI, amputations, burns, wounds and
chronic pain. As the leading provider of complex and catastrophic medical
management, Paradigm brings together nationally recognized doctors, the
best network of care facilities, and 20 years of clinical data to guide decisions.
SELECT SURGICAL SOLUTIONS, S3
Melissa Kremer
1120 N. Tustin Avenue
Anaheim, CA 92807 - United States
Phone: (877) 731-0002
Email: contactus@selectsurgicalsolutions.com
Website: www.selectsx.com
S3 is a nationally recognized proven All-inclusive Surgical Cost Containment
Organization assisting payers across the country in managing the spiraling
costs of all surgical implants. Our program is proactive and gives the
physician freedom to use any implant to ensure best positive patient
outcome at lower costs to payers!!
SPECIALTY CARE MANAGEMENT, LLC
Robert Clemente
FACHE, President & CEO
Phone: (908) 229-1876
Experts in catastrophic care management and related costs, SCM is a
privately-owned, national company specializing in healthcare management
and the associated fnancial 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 | THE Directory 2012 67
ARONBERG GOLDGEHN DAVIS
& GARMISA
Mitchell Melamed
Partner
330 North Wabash, Suite 1700
Phone: (312) 755-3162
Email: mmelamed@agdglaw.com
Website: www.agdglaw.com
Aronberg Goldgehn is the second oldest law frm in Chicago. It specializes
in a number of areas, including representation of ERISA self-funded health
beneft plans, subrogation and recovery, having done so since 1980.
AURORA CONSULTANTS LLC
Michael Meyer
Consultant
1730 Evergreen Street
Duarte, CA 91016 - United States
Phone: (626) 303-0808
Email: mike@meyerlaw.org
Website: www.auroraconsultantsllc.com
Wealth Management frm specializing in captive and securitized insurance,
business fnance and succession planning, trusts, estates and taxation, real
estate, and litigation (with an emphasis on fduciary malfeasance).
BURR & FORMAN LLP
Kevin Doherty
Attorney
3102 West End Avenue, Suite 700
Phone: (615) 724-3211
Email: kdoherty@burr.com
Website: www.burr.com
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 frm understands that the right team matters.
KING & CROFT LLP
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
Number of Clients: Varies
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.
SECTION 9
ATTORNEYS
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
LEECH TISHMAN FUSCALDO
& LAMPL, LLC
Mala Mason
Senior Marketing Coordinator
525 William Penn Place, 30th Floor
Pittsburgh, PA 15219 - United States
Phone: (412) 225-9568
Email: mmason@leechtishman.com
Website: www.leechtishman.com
Leech Tishman provides full-service commercial legal services to
individuals, businesses, and institutions, offering legal services in alternative
dispute resolution, bankruptcy & creditors rights, construction, corporate,
employment, energy, environmental, safety & toxic torts, estates & trusts,
government relations, insurance coverage & corporate risk mitigation,
litigation, real estate, and taxation.
SEELEY, SAVIDGE, EBERT
& GOURASH CO., LPA
Gregory Seeley
Partner
26600 Detroit Road, Suite 300
Westlake, OH 44145-2397 - United States
Phone: (216) 566-8200
Email: gdseeley@sseg-law.com
Website: www.sseg-law.com
Exceptional legal service is the foundation of Seeley Savidge Ebert &
Gourash Co., LPA (SSE&G). Since establishing the frm in 1978, the partners
and attorneys of SSE&G have assisted clients in achieving objectives through
such traditional values as hard work, responsiveness and effciency while
consistently bringing innovative ideas to the table.
SEIGER GFELLER LAURIE LLP
Charles Gfeller
Partner
65 Memorial Road, Suite 340
West Hartford, CT 06107-2434 - United States
Phone: (860) 760-8400
Email: cgfeller@sgllawgroup.com
Website: www.sgllawgroup.com
Seiger Gfeller Laurie LLP is a law frm with offces in Connecticut, New York,
and New Jersey, which has both a national and international practice. SGLs
practice areas include insurance/reinsurance, health care cost containment,
white collar criminal defense, and commercial litigation.
THE STEWART LAW FIRM
James Tullis
Director of Business Development
The Nemours Building, 1007 Orange Street, Suite 1400
Wilmington, DE 19801 - United States
Phone: (302) 652-5200
Email: jtullis@stewartlaw.pro
Website: www.stewartlaw.pro
The Stewart Law Firm LLLPs extensive experience in corporate
transactional work, combined with our attorneys diverse backgrounds in
federal and state taxation, captive insurance, and Delaware and Nevada
corporate and commercial law make the frm an exceptional resource for
progressive businesses. Our clients enjoy a unique blend of business planning
resources delivered by a team of dedicated professionals driven to provide
unparalleled legal services.
888.394.5688 | THE Directory 2012 69
AAM
Gregory Curran, CFA
Vice President, Business Development
30 North LaSalle Street, Suite 3500
Chicago, IL 60602-2508 - United States
Phone: (312) 263-2900
Email: greg.curran@aamcompany.com
Website: www.aamcompany.com
AAM has managed investment portfolios exclusively for insurance
companies since 1982. Additional services include investment accounting,
tax modeling, and dynamic asset-liability management. AAM customizes
our investment management service to suit each clients investment policy,
risk parameters, and ongoing client service communication expectations.
AWAC
John Powers
Phone: (877) 447-2778
BICKMORE RISK SERVICES
Rick Brush
1750 Creekside Oaks Drive, Suite 200
Sacramento, CA 95833 - United States
Phone: (916) 244-1100
Email: rbrush@brsrisk.com
Website: www.BRSrisk.com
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, fnancial and actuarial
services, regulatory consulting, and more. www.brsrisk.com.
CAPVISOR ASSOCIATES, LLC
Carl Terzer
Principal
P.O. Box 693
Chatham, NJ 07928 - United States
Phone: (973) 219-7106
Email: carl.terzer@capvisorassociates.com
Website: www.capvisorassociates.com
CapVisor, an SEC-Registered Investment Advisor, has more than 27 years
of experience working exclusively with insurers, over 12 of which have been
focused on investment solutions to self-insureds and other ART vehicles. We
offer: Consulting and Manager Search services, both of which include plan
design, implementation and managing the managers.
SECTION 10
FINANCIAL SERVICES
GPW
Charles Laird
2700 N. Third Street, Suite 3050
Phone: (602) 200-6900
Email: claird@gpwa.com
Website: www.gpwa.com
GPW is a management and actuarial consulting frm providing professional
services to insurance companies, captives, and self-insureds. GPW provides
fnancial, actuarial, tax and regulatory compliance services to assist clients in
the effcient and cost effective management of their risk and insurance issues.
HANNOVER LIFE REASSURANCE
COMPANY OF AMERICA
Jeff Burt
Executive Vice President, Financial Solutions
800 N. Magnolia Avenue, Suite 1400
Orlando, FL 32803 - United States
Phone: (407) 996-2618
Email: jeff.burt@hlramerica.com
Website: www.hlramerica.com
Hannover Life Reassurance Company of America is the North American
life and health reinsurance subsidiary of the Hannover Re Group, one of
the largest reinsurance groups in the world. We offer fnancial solutions for
companies who need capital to pursue new lines of business or increase
capital reserves. These insurance based solutions can offer considerable
benefts over traditional capital market equity or debt.
Eric Ryles
Sales Manager
Phone: (800) 231-0669
industry prospecting tools and plan data. Our pension/retirement and health/
welfare prospecting tools provide:
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
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, fnance their
health care needs and achieve their health and well-being goals.
Focused on 100% alignment with
evidence-based cancer care?
Was dedicated to avoiding
progression to dialysis?
Prevented the placement of
unnecessary cardiac devices?
WOULDNT THAT
BE inVentiv?
If you are interested in partnering with the medical management
solution that promotes quality care at appropriate costs and
positive patient outcomes, contact AWAC
at 877-447-2778
or john.powers@awac.md
WHAT IF YOUR MEDICAL
MANAGEMENT PARTNER...
AWAC, LLC Aug2011 DIR01
PREFERRED MEDICAL
CLAIM SOLUTIONS
Robert Rath
9060 E. Via Linda, Suite 250
Phone: (480) 905-8987
Email: rrath@pmcsonline.com
Website: www.pmcsonline.com
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, fulflled by Advance Funded Provider (AFP) payments.
STONE CARLIE & COMPANY, L.L.C.
Jeffrey Ward
Managing Member
101 S. Hanley Road, Suite 800
Clayton, MO 63105 - United States
Phone: (314) 889-1100
Email: jward@stonecarlie.com
Website: www.stonecarlie.com
Stone Carlie is a full service accounting frm that specializes in SAS70
engagements for TPAs and other entities within the insurance industry. We
also provide traditional tax and assurance services as well as a full suite
of IT related services that include Risk and Vulnerability Assessments and
Disaster Recovery Planning.
THE BAILEY GROUP
Debbie Weiner
Senior Account Manager
1200 Plantation Island Drive S., #210
St. Augustine, FL 32080 - United States
Phone: (904) 461-1800
Email: dweiner@mbaileygroup.com
Website: www.mbaileygroup.com
With over 50 years of experience, The Bailey Group has built our reputation
on integrity and superior customer service. We are a local frm with local
personnel who are familiar with the needs of our community.
WELLS CAPITAL MANAGEMENT
Larry Fernandes
525 Market Street, 10th Floor
Phone: (415) 396-0479
Email: lfernand@wellscap.com
Website: www.wellscap.com
WellsCap is Wells Fargo Banks largest institutional investment
management arm organized as a multi-boutique asset management
frm. Our diverse and autonomous teams manage portfolios that span the
wide range of needs associated with operational cash, capital investment
project portfolios, bond proceeds, core reserve portfolios and pension assets
for corporations, public agencies, foundations/endowments, and other
institutional clients.
888.394.5688 | THE Directory 2012 73
AMERICAN HEALTHCARE
RECOVERIES
Josh Holzer
President
55 Broad Street, 11th Floor
Phone: (212) 425-1630
Email: josh@americanhealthcarerecoveries.com
Website: www.americanhealthcarerecoveries.com
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 identifed 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
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 benefts brokering, product development, managed
care analysis, and reinsurance risk management services. Actuarial services
include managed care pricing, rate flings, health care reform analysis,
reserve valuations, capitation reviews, and retiree valuations (e.g., GASB 45)
Jol Thompson
President
P. O. Box 2000
Phone: (973) 251-2662
program managers.
Rick Brush
Phone: (916) 244-1100
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, fnancial and actuarial services,
regulatory consulting, and more. www.brsrisk.com.
SECTION 11
ACTUARIES / ACCOUNTANTS
AUDITORS
CASUALTY ACTUARIAL
CONSULTANTS, INC.
J. Edward Costner
President
7000 Executive Center Drive, Suite 312
Phone: (615) 371-5339 ext. 3100
Email: ecostner@caci1.com
Website: www.caci1.com
CACI is an independent actuarial consulting frm which specializes in
working with individual and group self-insured risks around the country.
CONNER ASH, P.C.
Alicia Drouant
Manager
12101 Woodcrest Executive Drive, Suite 300
Phone: (314) 205-2510
Email: adrouant@connerash.com
Website: www.connerash.com
We are a CPA frm with more than 25 years experience in auditing, tax
planning and compliance, fnancial reporting, and consulting for self-insured
groups, risk retention groups, captives, and public entity risk pools. These
groups provide health, workers compensation, medical malpractice, as well
as property and casualty coverage.
FIRLEY, MORAN, FREER & EASSA, P.C.
James Flynn
Sr. Manager
5010 Campuswood Drive, Suite 4
East Syracuse, NY 13057 - United States
Phone: (315) 472-7045
Email: jfynn@fmfecpa.com
Website: www.fmfecpa.com
CPAs with Experience, Responsiveness & Dedication - At Firley, Moran,
Freer & Eassa, we succeed because of a strong
GPW
Charles Laird
Phone: (602) 200-6900
MARBLE ARCH SERVICES, LLC
Adria Garneau
President & Chief Claims Offcer
9 Tyler Street
Salem, NH 03079 - United States
Phone: (603) 458-1745
Email: adria@marblearchservices.com
Marble Arch Services LLC provides claims oversight and review, medical
management services, and business development consulting to Harbour
Life & Reinsurance Company, Ltd., a Bahamas-based reinsurer.
MARK HAARER CONSULTING, LLC
Mark Haarer
President
23270 CR 28
Elkhart, IN 46517 - United States
Phone: (574) 875-4500
Email: mark@mhcllc.com
Website: www.mhcllc.com
We provide actuarial services for stop loss and other niche healthcare
markets. We value each relationship and customize every response, and
make your success our number one priority.
888.394.5688 | THE Directory 2012 75
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
Milliman is among the worlds largest independent actuarial and consulting
frms. The company currently has 54 offces in key locations worldwide and
employs over 2,500 people, with a professional staff of more than 1,300
qualifed consultants and actuaries. Milliman serves the full spectrum of
business, fnancial, government, union, education and nonproft organizations.
NATIONAL BILL AUDIT SERVICES, LLC
Jeremy Perkinson
Executive Director, Audit Services
150 153rd Avenue, Suite 303
Phone: (800) 719-6227
Email: jperkinson@nbasaudits.com
Website: www.nbasaudits.com
National Bill Audit Services, LLC is an independent medical bill auditing
frm specializing in the commercial payor market. Our experienced team
of professionals works with health plans, insurance companies, TPAs, MGUs
and reinsurance carriers, auditing large dollar hospital and physician claims
and ensuring appropriate reimbursement in accordance with the individual
specifcation of each plan/policy.
David Ives, CPCU
199 Rosewood Drive
Phone: (978) 745-6655
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
ReAct Consulting provides professional actuarial, underwriting and
reinsurance consulting to the life, accident & health insurance and
reinsurance industry, both domestically and abroad.
SASLOW LUFKIN & BUGGY, LLP
Glenn Saslow
Audit Partner
10 Tower Lane
Avon, CT 06001 - United States
Phone: (860) 678-9200
Email: gsaslow@slbcpa.com
Website: www.slbcpa.com
One of the nations leading providers of auditing, tax and consulting services
to the commercial and alternative insurance marketplace. We service over
200 insurance companies structured as captives, self-insured groups, joint
underwriting associations and commerical insurance companies which are
located in numerous domiciles throughout the United States.
SIGMA ACTUARIAL
CONSULTING GROUP, INC.
Becky Austin
Analyst
5301 Virginia Way, Suite 230
Phone: (866) 228-8279
Email: becky@sigmaactuary.com
Website: www.SIGMAactuary.com
SIGMA is an actuarial frm 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.
STONE CARLIE & COMPANY, L.L.C.
Jeffrey Ward
Managing Member
101 S. Hanley Road, Suite 800
Clayton, MO 63105 - United States
Phone: (314) 889-1100
Email: jward@stonecarlie.com
Website: www.stonecarlie.com
Stone Carlie is a full service accounting frm that specializes in SAS70
engagements for TPAs and other entities within the insurance industry. We
also provide traditional tax and assurance services as well as a full suite
of IT related services that include Risk and Vulnerability Assessments and
Disaster Recovery Planning.
TC3 HEALTH, INC.
Tim Huke
Phone: (949) 943-8700
Abuse Detection, Investigations, Predictive Fraud Analytics/Algorithms,
Clinical Coding Compliance, Out-of-Network Repricing & Negotiations,
Hospital Bill Review, and Data Analytics & Decision Support.
THE BENECON GROUP
Matthew Kirk
147 W. Airport Road
Phone: (717) 723-4600
In addition, Benecon is a General Agent for Highmark, Capital BlueCross,
Health America and United Health Care. Employees include actuaries,
compliance attorneys, beneft consultants, account managers, accountants,
fnance specialists and quality assurance specialists.
TOWERS WATSON
James DePre
Phone: (215) 246-1669
TRILOGY CONSULTING GROUP, INC.
Kathy Martin-Smith
Vice President
2021 Midwest Road, Suite 200
Phone: (630) 953-6278
Email: kathymartinsmith@msn.com
Website: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance
of claims administration audits on behalf of self-funded employers, Taft
Hartley plans, MGUs and excess loss carriers. Trilogy also publishes
a 2,500 page claims administration manual - The Trilogy Claims
Administration Handbook - the most comprehensive claim administration
guideline available in the industry!
WINDSOR STRATEGY PARTNERS, LLC
David Wilson
Partner
196 Princeton Hightstown Road, Building 2, Suite 16
Princeton Junction, NJ 08550 - United States
Phone: (609) 275-6550
Email: dwilson@wspactuaries.com
Website: www.wspactuaries.com
Windsor Strategy Partners, LLC (WSP) is an actuarial and strategic consulting
frm based in Princeton Junction, NJ. WSP provides expertise to a wide variety
of clients who assume risk. WSP is focused on helping health care and
property/casualty industry participants maintain and grow their businesses.
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.
Emerging trends.
Market opportunities.
Loss scenarios.
Risk management strategies.

The clues add up in the alternative markets.
837_MEB.indd 1 7/8/10 2:34:17 PM
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
Number of Clients: 600 payers
AccessOnTime provides non-emergency medical transportation, travel
and language services including interpretation in-person / over-the-
phone, 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.
ADVANCED RISK MANAGERS
Mimi Choi
President
851 Burlway Road
Burlingame, CA 94010 - United States
Phone: (650) 548-2628
Email: mimichoi@advanrm.com
Website: www.advanrm.com
ARM provides every managed care advantage available to TPAs, MGUs,
carriers, brokers, and other insurance payors, utilizing over 20 years of clinical
and claims experience and carefully-researched relationships with many
proven vendors, to reduce large loss risk exposure by providing medical
underwriting services and customer-oriented cost containment solutions.
AMERIHEALTH
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
AmeriHealth Administrators is national third party administrator
representing over $1 billion in health benefts. We provide innovative, value-
based health benefts programs, consumer-directed health plans (CDHP),
and population health management. AmeriHealth Administrators offers
outsourcing services for self-funded health plans, TPAs and other payers,
student health plans, and insured products. Visit www.ahatpa.com.
CUSTOM DESIGN BENEFITS
Julie Mueller
President
3737 West Fork Road
Phone: (513) 598-2929
Email: jmueller@customdesignbenefts.com
Website: www.customdesignbenefts.com
Third Party Administrator of self-funded medical, dental and short-term
disability plans, serving brokers and their clients headquartered in Ohio,
Kentucky, and Indiana. Technology driven offering cost effective solutions
including on-site wellness and consumer driven services as well as COBRA
and FMLA.
SECTION 12
CONSUMER DRIVEN
HEALTH CARE SERVICES
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
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,
UltraBenefts, 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
Phone: (404) 949-0541
Email: ddoster@gbehavior.com
Website: www.gbehavior.com
gBehavior offers comprehensive wellness and safety solutions that empower
program participants to change behavior by rewarding them for achieving
program goals. gBehavior handles all phases of implementation, program
engagement, rewards management and in-depth reporting. gBehavior offers
a unique value proposition no monthly fees. We get paid only on results.
INSUR I.Q.
Lee Walters
2 Corporate Drive
Phone: (203) 446-8053
Email: lee.waters@insuriq.com
Website: www.doctornavigator.com
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, beneft
design confgurations, provider networks, PBMs, and provider quality data.
DoctorNavigator provides a uniform and consistent, user friendly display of
relevant pricing information and plan data.
INTERACTIVE HEALTH SOLUTIONS
Brad Hiller
3800 North Wilke Road, Suite 155
Arlington Heights, IL 60004 - United States
Phone: (630) 300-4269
Email: b.hiller@interactivehs.com
Website: www.interactivehealthsolutions.com
IHS provides health management programs that empower employees to
take control of their health so organizations can control healthcare costs
and improve productivity. Using a HIPAA compliant process that engages
individuals in practicing prevention and rewards healthy outcomes, IHS
delivers results for employers.
MUTUAL ASSURANCE
Eric Wright
Phone: (405) 848-1975
888.394.5688 | THE Directory 2012 81
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
being goals.
TPAC UNDERWRITERS, INC.
Michael Meloch
President
3810 Pheasant Ridge Drive, #300
Phone: (763) 231-8805
Email: michael_meloch@tpac.com
Website: www.tpac.com
TPAC works to write proftable, creative business with our reinsurance
partners in Spec/Agg, Spaggregate(tm) and HRA/HSA plans through
Third-Party Administrators as well as fully-funded capitated drug card
programs, Life and AD&D products. Our underwriting philosophy is never
to laser any individual that we are quoting or currently have covered.
The Accident & Health team of Fairmont
Specialty is dedicated to developing and
distributing a wide variety of niche
insurance and reinsurance products, while
providing excellent customer service and
support. Our portfolio includes:
Stop Loss
Organ Transplant
Provider Excess
Medical Excess Re
HMO Reinsurance
Limited Medial
Dental/Vision/Rx
AD&D
For more information, please contact:
Lauren Woods, Sr. Marketing Associate
(732) 676-9833
lwoods@fairmontspecialty.com
www.fairmontspecialty.com
Occupational Accident
Blanket Special Risk
College A&S
Intercollegiate Sports
K-12/K-12 Cat
Travel Insurance
Overseas Travel Medical
Pet Insurance
ACTIVE CAPTIVE MANAGEMENT
Stacy Dumas
Marketing Director
16485 Laguna Canyon Road, Suite 200
Phone: (949) 727-0155
Email: sdumas@activecaptive.com
Website: www.activecaptive.com
Active Captive Management specializes in the formation and
management of captive insurance companies for middle markets.
Combining over 3 decades of Captive Risk Solutions experience, ACM
provides risk transfer solutions to a wide range of industries including;
Agriculture, Franchising , Fuel and Oil, Medical Professionals, Manufacturing,
Nursing Homes, and Transportation.
ALTA HOLDINGS, LLC
Donald Rousso
President
Irvine, CA 92614-7294 - United States
Phone: (949) 269-1401
Email: drousso@altaholdings.com
Website: www.altaholdings.com
Structuring, forming, and managing captive insurance companies to
provide comprehensive risk management solutions for the middle market
from the premier captive specialists at Alta Holdings, LLC. You will fnd
world-class service from experienced CPAs, attorneys, insurance, and
business professionals with exclusive benefts for advisers and their clients.
Jol Thompson
President
P. O. Box 2000
Phone: (973) 251-2662
program managers.
AURORA CONSULTANTS, LLC
Michael Meyer
Consultant
1730 Evergreen Street
Duarte, CA 91016 - United States
Phone: (626) 303-0808
Email: mike@meyerlaw.org
Website: www.auroraconsultantsllc.com
Wealth Management frm specializing in captive and securitized insurance,
business fnance and succession planning, trusts, estates and taxation, real
estate, and litigation (with an emphasis on fduciary malfeasance).
SECTION 13
CAPTIVE MANAGEMENT SERVICES
RISK RETENTION GROUPS (RRGs)
888.394.5688 | THE Directory 2012 83
CHARTIS ACCIDENT & HEALTH
CORPORATE BENEFITS
Jeff Meyer
Vice President, Sales
One MacArthur Place, Suite 620
South Coast Metro, CA 92707 - United States
Phone: (714) 436-3600
Email: jeff.meyer@chartisinsurance.com
Website: www.chartisinsurance.com
Chartis Accident & Health Corporate Benefts (formerly known as Medical
Excess) has been an industry leader in Medical Stop Loss and Fully Insured
Organ Transplant coverages since 1974. For employee benefts captive
programs, we can provide a fronting carrier, excess coverage, and captive
management services as needed.
CHSI
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
We specialize in implementing alternative risk transfer (ART) programs to
the traditional insurance markets. We offer complete services from feasibility
study, to licensing and then management of ART program. Our staff is fully
qualifed in all aspects of management, including: underwriting, accounting,
claims and licensed policy administration systems.
GLOBAL CAPTIVE MANAGEMENT LTD.
Peter MacKay
Chairman
2nd Floor, Governors Square, 23 Lime Tree Bay Avenue
P.O. Box 1363
Grand Cayman, KY1-1108 - Cayman Islands
Phone: (345) 949-7966
Email: PMackay@global.ky
Website: www.global.ky
Global Captive Management Ltd. is one of the Cayman Islands leading
captive managers. With no affliation to any insurance broker, insurance
company or bank, our success is driven by our knowledge, experience
and dedication to serving the interests of our clients. For more information
contact Peter MacKay at 345-949-7966. www.global.ky
GPW
Charles Laird
Phone: (602) 200-6900
HEFFERNAN GROUP
Thomas Hebson
Regional Executive
16141 Swingley Ridge Road, Suite 100
Chesterfeld, MO 63017 - United States
Phone: (636) 489-0181
Email: thebson@heffns.com
Website: www.heffns.com
Heffernan is a leading provider of solutions to the self insured marketplace.
We have extensive experience in client consultation and placement of coverage.
MCDERMOTT WILL & EMERY LLP
Thomas Jones
Partner
227 W. Monroe Street, Suite 4400
Chicago, IL 60606-5096 - United States
Phone: (312) 984-7536
Email: tjones@mwe.com
Website: www.mwe.com
Number of Clients: Thousands
Number of Employees: Thousands
McDermott is a leading expert in captive and other self-insurance legal, tax
and regulatory matters. With one of the largest tax, benefts and healthcare
law practices in the country, we are ideally suited to assist with structuring
and implementing your self-insurance soluctions.
PARETO CAPTIVE SERVICES, LLC
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
Number of Clients: <100
Number of Employees: <25
Pareto Captive Services forms and manages employee beneft group
captives for employers with an average of 100-150 enrolled employees.
We form both heterogeneous and homogeneous programs.
PHYHEALTH CORPORATION
Robert Trinka
CEO
700 S. Royal Poinciana Boulevard, Suite 506
Phone: (305) 779-1760
Email: rtrinka@phyhealth.com
Website: www.phyhealth.com
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.
Peter Robinson
Principal
Phone: (415) 433-0600
ReSource Intermediaries offers consultative reinsurance intermediary services
through offces in San Francisco, Denver, Chicago, New York and London.
ReSource has a strong commitment to the Health and Accident reinsurance
sector with deep expertise in alternative risk and managed care.
ROUNDSTONE
Mike Schroeder
President
27887 Clemens Road
Phone: (440) 617-0333
Roundstone delivers on its promise of speed to market, transparency and
expertise through a consistent and thorough approach to establishing a
captive facility. Our process includes a review of your business objectives along
with our candid assessment of the captive programs likelihood of success
under todays market conditions. There is no hidden agenda as Roundstone is
paid when the captive facility is functioning with premium and not before.
THE TAFT COMPANIES
Richard Goff
Managing Member
1620 Providence Road
Towson, MD 21286 - United States
Phone: (877) 587-1763
Email: dick@taftcos.com
Website: www.taftcos.com
The Taft Companies LLC is a captive management and consulting group
providing alternative risk transfer feasibility studies, formation, accounting,
investment, administration and reinsurance placement services in the
Bermuda, Washington DC, Delaware, Montana and South Carolina captive
domiciles. It is also a licensed Bermuda insurance broker.
888.394.5688 | THE Directory 2012 85
TRIBECA STRATEGIC ADVISORS,
ARTEX RISK SOLUTIONS, INC.
James Tehero
CEO
1635 N. Greenfeld Road, Suite 115
Mesa, AZ 85205 - United States
Phone: (480) 654-2400
Email: info@tribecapartners.net
Website: www.captiveadvisors.com
Artex Tribeca is an alternative risk and captive insurance consulting and
management company. Our specialty is the design, implementation,
licensure and management of captive insurance companies. We are
the largest manager of micro captives worldwide. Our staff includes
attorneys, CPAs, account managers, underwriters and other insurance
management personnel.
WILMINGTON TRUST
Mary Alice Avery
Vice President
Rodney Square North, 1100 North Market Street
Wilmington, DE 19890 - United States
Phone: (302) 636-6127
Email: mavery@wilmingtontrust.com
Website: www.wilmingtontrust.com
Wilmington Trust is a leading global provider of fduciary 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.
AEGIS ADMINISTRATIVE.
SERVICES, INC.
Sam Cozzo
Director of Sales & Marketing
6970 W. Diversey Avenue
Phone: (773) 658-1324
Email: sc@aegisadmin.com
Website: www.aegisadmin.com
Aegis Administrative Services, Inc. is a national employee beneft provider
and administrator. We are one of the few, privately owned, diversifed health
care benefts 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 beneft administration
and reporting from start to fnish.
AON BENFIELD
Ellsworth Whiteman
Executive Managing Director
199 Water Street, 7th Floor
Phone: (212) 441-1526
Email: ellsworth.whiteman@aonbenfeld.com
Website: www.aonbenfeld.com
Aon Benfelds Accident Health and Life (AHL) team has expertise for
individual and group accident, health and life insurance, surplus relief, new
business fnancing, and in-force block dispositions. AHLs services include
proprietary, transparent catastrophe modeling for natural perils and
terrorism, dynamic fnancial analysis, capital adequacy analysis, pandemic
modeling, and actuarial.
Jol Thompson
President
P. O. Box 2000
Phone: (973) 251-2662
program managers.
AXIS GLOBAL ACCIDENT & HEALTH
Christopher DiSipio
CEO
1 University Square Drive, Suite 200
Princeton, NJ 08540 - United States
Phone: (609) 216-0843
Email: chris.disipio@axiscapital.com
Website: www.axisaccidenthealth.com
AXIS Global Accident & Health, a division of AXIS Capital, offers insurance
and reinsurance coverage for employers, affnity groups, fnancial institutions
and more through insurance carriers, MGUs, brokers, TPAs, and other
key distributors. AXIS has a signifcant capacity for underwriting global
reinsurance risks for accident and health insurance carriers.
SECTION 14
REINSURANCE
888.394.5688 | THE Directory 2012 87
BENEFITMALL
Kim Johnson
Director, Business Operations
5090 North 40th Street, Suite. 100
Phone: (602) 308-0797
Email: kim.johnson@beneftmall.com
Website: www.beneftmall.com
BeneftMall is the nations largest wholesaler of insurance products. Our
Self-Funded Division represents numerous direct writers of medical stop-loss.
We pride ourselves on our buying power, services provided, and partnerships
with our carriers and broker/clients. There is no fee to our brokers or their
customers for our service.
BERKLEY ACCIDENT & HEALTH
Christopher Brown
President & CEO
290 Donald Lynch Boulevard, Suite 302
Marlborough, MA 01752 - United States
Phone: (508) 573-6123
Email: cbrown@berkleyah.com
Website: www.BerkleyAH.com
Berkley Accident & Health, LLC is a direct-writer of stop loss insurance in 50
states, policies issued by Berkley Life and Health Insurance Company, rated
A+ by AM Best. The company is a wholly-owned subsidiary of W.R. Berkley
Corporation (NYSE: WRB). Berkley offers a unique product called EmCap
that utilizes an offshore captive arrangement to provide a self-funded
alternative to smaller employers of 50 or more employees that are trapped
in fully insured medical plans. Sales Managers are located throughout the
United States.
BRENTWOOD REINSURANCE
Al Rusnak
Director of Marketing, Life & Health Reins.
P.O. Box 1125
Phone: (800) 524-0604
Email: brentre@bwood.com
Website: www.brentre.com
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.
Nigel Wallbank
246 Walker Road
Phone: (305) 632-3334
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel Assistance.
(HealthClaim Review
)
President & CEO
Phone: (949) 470-1800
Considine & Associates (HealthClaim Review) provides medical bill review
services to SIUs, TPAs, stop loss carriers, reinsurance, bill negotiation and
fnancial recovery companies. Facility bill review includes DRG validation,
hospital line audit, as well as repricing of itemized hospital bills, implants and
outpatient surgery centers. Facility bill review is supplemented by a large
national physician consultant panel that performs medical necessity and
claims and coding review.
Christopher Koehler
President
Phone: (203) 761-9300
DCC, INC.
Sam Sletager
P.O. Box 718
Phone: (208) 265-1719
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
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
Phone: (602) 200-6900
HANNOVER LIFE REASSURANCE
COMPANY OF AMERICA
Miriam Kaufman
112 Main Street, 2nd Floor
East Rockaway, NY 11518 - United States
Phone: (516) 593-9733
Email: miriam.kaufman@hlramerica.com
Website: www.hlramerica.com
Hannover Life Reassurance Company of America (HLR America) is the
North American life and health reinsurance subsidiary of the Hannover Re
Group, one of the largest reinsurance groups in the world. HLR America
reinsures Group Life, Accident, Medical Stop-loss, Medical Excess, Dental,
Prescription Drug and other Specialty Health Products.
Joseph Antonell
Phone: (305) 671-5126
Health Systems International provides medical cost management solutions
to healthcare payors in multiple markets throughout the world. We connect
clients to the lowest possible cost of care utilizing advanced technology,
customized solutions, exclusive offerings, and personalized service to drive
optimal savings and reduce administrative demands.
MAIDEN RE
Neil Levine
Vice President
6000 Midlantic Drive, Suite 200 South
Mt. Laurel, NJ 07040 - United States
Phone: (856) 359-2412
Email: nlevine@maidenre.com
Website: www.maidenre.com
888.394.5688 | THE Directory 2012 89
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
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.
David Angelone
Partner
Phone: (646) 837-7905
One Hundred Years, LLC is an insurance and fnancial services organization
providing turnkey international health and wealth insurance solutions to
insurers, employers and MGAs. We deliver proprietary health insurance
and fnancial security products, access to international insurance and
reinsurance facilities, underwriting and pricing, operational strategy, medical
management, international claims and cost containment.
OPTUMHEALTH
Lauren Byers
Director, Marketing
Phone: (866) 427-6845
being goals.
PREMIER HEALTHCARE
EXCHANGE, INC.
Todd Roberti
CEO
2 Crossroads Drive
Phone: (908) 658-3535
Tom Sass, SVP
199 Fremont Street
Phone: (612) 234-4941
RE-SOLUTIONS
Elizabeth Mariner
Phone: (612) 766-9782
Peter Robinson
Principal
Phone: (415) 433-0600
ReSource Intermediaries offers consultative reinsurance intermediary
services through offces in San Francisco, Denver, Chicago, New York and
London. ReSource has a strong commitment to the Health and Accident
reinsurance sector with deep expertise in alternative risk and managed
care.
RFIB GROUP LIMITED
Dominic Hagger
Director, Non-Marine
20 Gracechurch Street
London, England, EC3V 0AF - United Kingdom
Phone: 011 44 207 621 8202
Email: dominic.hagger@rfb.co.uk
Website: www.rfb.co.uk
RFIB is an international Lloyds insurance and reinsurance broker. Its US
Casualty and Accident & Health Team has extensive experience in the
handling of Personal Accident placements on an individual and group basis,
Workers Compensation and Healthcare placements including Employers
Stop Loss, Student Medical, Short Term Medical and Travel Assistance.
RISK & INSURANCE CONSULTING
SERVICES, LLC
Jamie Brown
Vice President
5500 Lilburn-Stone Mountain Road, Suite B
Stone Mountain, GA 30087 - United States
Phone: (770) 923-3133
Email: jamie.brown@rics-reinsurance.com
Website: www.rics-reinsurance.com
Providing innovative solutions in life, accident and health reinsurance.
Access to issuing carriers for MGUs, TPAs, and captives, along with
extensive experience negotiating reinsurance; including unlimited benefts
and facultative reinsurance for legitimate groups with critical mass. Our
expertise in reinsurance accounting and risk analysis will help optimize
your reinsurance programs.
ROUNDSTONE
Mike Schroeder
President
27887 Clemens Road
Phone: (440) 617-0333
Get access to coverage at rates typically available only to insurance
companies. Reinsurance markets can also provide additional capacity
and more limits of coverage. Benefts and P&C covers available through
Roundstones Bermuda reinsurance facility.
SAFETY NATIONAL
Ryan McClure
1832 Schuetz Road
Phone: (314) 692-9548
TOWERS WATSON
James DePre
Phone: (215) 246-1669
888.394.5688 | THE Directory 2012 91
TREAN CORPORATION
Kyle Plath
775 Prairie Center Drive, Suite 420
Eden Prairie, MN 55344 - United States
Phone: (952) 974-2221
Email: kplath@treancorp.com
Website: www.treancorp.com
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.
XL REINSURANCE AMERICA, INC.
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
With an experienced A&H staff XL Reinsurance is focused on providing
creative solutions to meet the demands of a dynamic Medical Reinsurance
marketplace.As change accelerates and risks multiply, XL Re is prepared
to be the company the medical market looks to for solutions to its most
complex risks.
2011 BenetMall. All rights reserved. BenetMall, the circle b logo and the corporate logo are registered trademarks of Centerstone Insurance and Financial Services, Inc. California license #063979.
www.benetmall.com
Contact us today at
888-248-8952
ASSISTANCE FOR
STOP LOSS
COVERAGE
At BenetMall, we know that some employer groups benet
most from treating their medical plan as an investment rather
than an expense.
BenetMall is the nations largest wholesaler of insurance products.
Our self funded team represents numerous direct writers of
medical stop-loss. We pride ourselves on our buying power, services
provided, and partnerships with our brokers and carriers.
We can help you succeed by offering you the following services:
Marketing
Billing & Premium Collection
Licensing, Commission & Bonus Programs
Claims Expedition
Compliance Services
Benet from our experience as the leader in stop-loss
and reinsurance markets.
ASCOT HOSPITALS INTERNATIONAL
Dr. Edward Watson
CEO
P.O. Box 99-894 Newmarket
Auckland, 1149 - New Zealand
Phone: +64 9 623 6588
Email: edward.watson@medtral.com
Website: www.ascothospitalsinternational.com
Ascot Hospitals International delivers exceptional health care value,
providing world-class medical treatment in New Zealands fnest private
hospitals at a cost signifcantly less than in other frst world countries
including the USA, Canada and Western Europe.
Jol Thompson
President
P. O. Box 2000
Phone: (973) 251-2662
program managers.
BDAE HOLDING GMBH
Andreas Opitz
General Manager
Kuehnehoefe 3
Hamburg, D-22761 - Germany
Phone: +49 40-30687412
Email: aopitz@bdae.de
Website: www.bdae.com
BDAE supports expatriates all over the world by providing information
and consultancy about their specifc destination, intercultural trainings and
international insurance solutions as MGU and claims handler. BDAE is
based in Hamburg (GERMANY) and Dubai (United Arab Emirates).
Nigel Wallbank
246 Walker Road
Phone: (305) 632-3334
Care, Pet, Blanket Special Risk, Limited Medical, Student and Travel
Assistance.
SECTION 15
INTERNATIONAL
888.394.5688 | THE Directory 2012 93
CMN, INC.
Brad Loder
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
Number of Clients: Over 100
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 frm; claims TPA; case management frm; 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
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 beneft plans to create signifcant savings
and assists patients with accessing CGH network facilities for medically
necessary surgeries.
(HealthClaim Review
)
President & CEO
Phone: (949) 470-1800
HealthClaim Review
(a Considine & Associates company) is a

URAC-accredited Independent Review Organization that provides full
service Medical Review for healthcare payers worldwide. An international
panel of specialist physicians in 125 specialties provides medical necessity
opinions, travel health assistance, and hospital bill review. Our clients include
global assistance companies, reinsurance and stop loss carriers, and
international medical management companies.
EUROP ASSISTANCE HOLDINGS LTD.
Patrick Leroy
Sussex House, Perry Mount Road
Haywards Heath, West Sussex, RH16 1DN - United Kingdom
Phone: +44 (0) 1444 444664
Email: patrick_leroy@europ-assistance.co.uk
Website: www.europ-assistance.co.uk
Europ Assistance Holdings Ltd. was established in 1973 and is part of the
worldwide Europ Assistance Group. The company is a leading provider of
Health insurance and assistance services in addition to Motor, Home &
Family, and Travel assistance solutions
GLOBAL MEDICAL CONEXIONS, INC.
Robert Repke
President
140 San Aleso Avenue
Phone: (415) 333-6942
Email: rrepke@globalmedconex.com
Website: www.globalmedconex.com
Global Medical Conexions is a US based International Select Provider
Organization with provider partners from Thailand to Latin America.
We deliver access to quality, cost effective international medical care by
designing Global Medical Choices for our clients.
David Angelone
Partner
Phone: (646) 837-7905
One Hundred Years, LLC is an insurance and fnancial services
organization providing turnkey international health and wealth insurance
solutions to insurers, employers and MGAs. We deliver proprietary health
insurance and fnancial security products, access to international insurance
and reinsurance facilities, underwriting and pricing, operational strategy,
medical management, international claims and cost containment.
Tom Sass, SVP
199 Fremont Street
Phone: (612) 234-4941
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
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,
effcient claims service and re-pricing, discounts and negotiations off charges,
account management and 24 hour member services.
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
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
Phone: (612) 766-9782
SINGAPORE TOURISM BOARD
Michael Figge
Manager, Tourism Business, Americas
1156 Avenue of the Americas, Suite 702
Phone: (212) 302-4861
Email: Michael_Figge@stb.gov.sg
Website: www.stb.gov.sg
Number of Employees: 6 (New York)
STB is a leading economic development agency in tourism, one of
Singapores key service sectors. Known for partnership, innovation
and excellence, STB champions tourism as a key economic driver for
Singapore. We aim to differentiate and market Singapore as a must-visit
destination offering a concentration of enriching experiences through the
YourSingapore brand.
888.394.5688 | THE Directory 2012 95
ACS RECOVERY SERVICES,
A XEROX COMPANY
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
Our cost containment service identifes and recovers health beneft
payments for which another party is liable. We offer seamless
implementation and transition of existing programs and afford self-funded
health plans greater control over the subrogation and reimbursement
recovery process. Our experienced recovery and legal staff ensures superior
results tied to competitive contingency fee pricing.
ARONBERG GOLDGEHN
DAVIS & GARMISA
Mitchell Melamed
Partner
330 North Wabash, Suite 1700
Phone: (312) 755-3162
Email: mmelamed@agdglaw.com
Website: www.agdglaw.com
Aronberg Goldgehn is the second oldest law frm in Chicago. It specializes
in a number of areas, including representation of ERISA self-funded health
beneft plans, subrogation and recovery, having done so since 1980.
HEALTHCARE SUBROGATION
GROUP, LLC
Brian Brumit
President
4 Armstrong Road, 4th Floor
Phone: (203) 312-1750
Email: bbrumit@hcsg.net
Website: www.hcsg.net
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.
INTERNATIONAL SUBROGATION
MANAGEMENT, INC.
Richard Ives
President
24402 W. Lockport Street, Suite 214
Plainfeld, IL 60544 - United States
Phone: (815) 267-5000
Email: rives@niis.com
Website: http://ism.niis.com
ISMs experienced staff is dedicated to recovering medical beneft
payments on behalf of the self-funded market; our clients include self-
funded groups, TPAs, MGUs, Excess (Stop Loss) Carriers, Managed Care
organizations, Reinsurers and Lloyds of London Syndicates.
SECTION 16
SUBROGATION
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
Eric Wright
Phone: (405) 848-1975
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
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.
THE PHIA GROUP, LLC
Adam Russo, Esq.
CEO
163 Bay State Drive
Braintree, MA 02184 - United States
Phone: (781) 535-5622
Email: arusso@phiagroup.com
Website: www.phiagroup.com
The Phia Group, LLC is an experienced provider of health care cost
containment techniques offering comprehensive recovery, documentation
and consulting services designed to control health care costs and protect
plan assets. The Phia Groups overall mission is to reduce the cost of plans
through its recovery strategies, innovative technologies, legal expertise, and
focused, fexible customer service.
888.394.5688 | THE Directory 2012 97
Rick Brush
Phone: (916) 244-1100
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, fnancial and actuarial
services, regulatory consulting, and more. www.brsrisk.com.
Nigel Wallbank
246 Walker Road
Phone: (305) 632-3334
Cevian Intermediaries offers a full scope of broker services including
Excess Cover, Transplant Carve Out, Rx Carve Out, Employer Stop Loss,
Managed Care, Pet, Blanket Special Risk, Limited Medical, Student and
Travel Assistance.
COMPANY NURSE
Dennis Chandler
Director
8140 N. Hayden Road, Suite H 110
Phone: (541) 520-8396
Email: dennisc@companynurse.com
Website: www.companynurse.com
Number of Clients: 15,835 locations
Company Nurse is a workers compensation cost reduction company that
uses registered nurses to provide triage and care advice for injured workers.
Employers beneft by receiving immediate report of injury as well as 15%+
reduction in claims. Employees beneft by having immediate access to
medical professionals.
CPR RISK MANAGEMENT, INC.
Mary Pozuelo
CEO
270 1st Avenue South, Suite 100
Phone: (877) 810-9939
Email: mary@cpr-rm.com
Website: www.cpr-rm.com
CPR provides a fully integrated claim management solution. Our Services
include, utilization, case & disease management; claim reviews; 50%/trigger
reviews; medical projections; underwriting; & hospital bill audits. Services can
be provided as back-up or primary. We understand risk & insurance, &
review cases from a business & medical perspective.
SECTION 17
LOSS PREVENTION
CONTROL SERVICES
DCC, INC.
Sam Sletager
P.O. Box 718
Phone: (208) 265-1719
ETHICARE ADVISORS, INC.
Mark Hartmann, Jr. MSc
Partner
350 Clark Drive, Suite 104
Budd Lake, NJ 07828 - United States
Phone: (888) 838-4422
Email: mark@ethicareadvisors.com
Website: www.ethicareadvisors.com
EthiCare Advisors, Inc. provides medical claim settlement services to the
self-insured industry. Our services include: dialysis, cancer and FactorSolutions
cost management programs, pharmaceutical reviews and sourcing, claim
reviews, as well as in-network and out-of-network negotiated settlements.
Our fees are among the lowest in the industry.
MUTUAL ASSURANCE
Eric Wright
Phone: (405) 848-1975
PMA MANAGEMENT CORP./PMA
MANAGEMENT CORP. OF
NEW ENGLAND
Michael MacAulay
VP Sales
380 Sentry Parkway
Phone: (856) 727-3157
Email: Michael_MacAulay@pmagroup.com
Website: www.pmacompanies.com
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 fnancial results. We provide complete third-party claims
and risk management services.
SAFETY NATIONAL
Ryan McClure
1832 Schuetz Road
Phone: (314) 692-9548
SPECIALTY CARE MANAGEMENT, LLC
Robert Clemente, FACHE
President & CEO
Phone: (908) 229-1876
Experts in catastrophic care management and related costs, SCM
is a privately-owned, national company specializing in healthcare
management and the associated fnancial 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 | THE Directory 2012 99
TC3 HEALTH, INC.
Tim Huke
Phone: (949) 943-8700
THE ASSIST GROUP
Larry Gray
300 Union Boulevard, Suite 515
Lakewood, CO 80228 - United States
Phone: (720) 381-4494
Email: lgray@assistgroup.com
Website: www.assistgroup.com
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, identifes appropriate
savings, and recommends a strategy for claim resolution. For more
information, please go to www.assistgroup.com.
WORKSTEPS, INC.
Stacy Clark
3019 Alvin Devane Boulevard, Suite 150
Phone: (512) 617-4100
Email: testing@worksteps.com
Website: www.worksteps.com
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.
CAPTIVE INSURANCE COUNCIL OF THE
DISTRICT OF COLUMBIA, INC. (CIC- DC)
1250 H Street, NW, 9th Floor
Phone: (202) 463-8163
Email: webmaster@dccaptives.org
Website: www.dccaptives.org
The Captive Insurance Council of the District of Columbia, Inc. (CIC-DC) was
formed in November, 2001 and represents the corporate and association
community interested in operating captive insurance companies in the
District of Columbia, one of Americas newest domiciles for captives. CIC-DC
was formed to advance the District of Columbias presence in the captive
marketplace, especially as it relates to professional and industry trade
associations by educating the public about the role of captives through
educational programs and conferences. CIC-DC provides a forum to review
legislation, regulations and other government action which affects the
interests of its members.
CLAIM SERVICE GUIDE/
INSURANCE BAR DIRECTORY
Alan Perko
Publisher
25000 Center Ridge Road
Cleveland, OH 44145 - United States
Phone: (866) 533-0400
Email: info@barlist.com
Website: www.barlist.com
Since 1889 insurance professionals have preferred using The Green
Books, CLAIM SERVICE GUIDE, INSURANCE BAR and INSURANCE
AGENT HANDBOOKS to locate and retain, adjusters, attorneys,
independent insurance agents and insurance industry service providers
worldwide. Please visit www.barlist.com or call 1-866-533-0400 for book
orders and listing qualifcations.
DKI PUBLIC RELATIONS
David Kirby
President
17 West Lee Street
Baltimore, MD 21201 - United States
Phone: (410) 539-6888
Email: davidkirby@aol.com
Number of Clients: 50+ in total
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.
Eric Ryles
Sales Manager
Phone: (800) 231-0669
MONTANA CAPTIVE INSURANCE
ASSOCIATION, INC. (MCIA)
1302 24th Street West, #303
Billings, MT 59102-3861 - United States
Phone: (866) 388-6242
Email: webmaster@mtcaptives.org
Website: www.mtcaptives.org
The Montana Captive Insurance Association, Inc. (MCIA) is the only trade
association solely dedicated to promoting a vibrant captive industry in the
state of Montana. The association furthers the interests of its members
by keeping them up to date on the latest industry impacting news and
regulation, producing educational conferences and seminars, and offering
unparalleled networking opportunities.
SECTION 18
PUBLICATIONS
RESOURCES
888.394.5688 | THE Directory 2012 101
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
The National Association of Subrogation Professionals (NASP) is the
worlds largest insurance subrogation association and leader in subrogation
education. NASPs mission is to enhance the stature and effectiveness of
subrogation and recovery professionals through education, training and the
exchange of information.
Linda McDonald
Sales
15 Corporate Circle
Phone: (518) 862-3323
range of enrollment solutions make the creation and delivery of pre- and
post-enrollment member communications easier than ever. Our in-house
development and production capabilities ensure that your last minute
updates are performed on time and accurately. You can count on Newkirk!
TENNESSEE CAPTIVE INSURANCE
ASSOCIATION, INC. (TCIA)
700 Two American Center, 3102 West End Avenue
Phone: (888) 668-3188
Email: jmiller@tncaptives.org
Website: www.tncaptives.org

The Tennessee Captive Insurance Association, Inc. (TCIA) is a not-for-proft
trade association focused on building a successful captive insurance
domicile in Tennessee. Consistent with this objective, TCIA invites captive
insurance industry professionals to join the association so they can
be part of this exciting initiative while receiving valuable membership
benefts. If you intend to do captive insurance business in Tennessee, then
TCIA membership is a must.
TRILOGY CONSULTING GROUP, INC.
Kathy Martin-Smith
Vice President
2021 Midwest Road, Suite 200
Phone: (630) 953-6278
Email: kathymartinsmith@msn.com
Website: www.trilogy-consulting.com
Trilogy is a focused consulting practice specializing in the performance
of claims administration audits on behalf of self-funded employers, Taft
Hartley plans, MGUs and excess loss carriers. Trilogy also publishes
a 2,500 page claims administration manual - The Trilogy Claims
Administration Handbook - the most comprehensive claim administration
guideline available in the industry!
A
AAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
AccessOnTime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
ACS Beneft Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ACS Recovery Services, A Xerox Company . . . . . . . . . . . . . . . . . . .95
Active Captive Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Advanced Risk Managers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
Aegis Administrative Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,86
AFA Claim Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Affordable Beneft Administrators, Inc. . . . . . . . . . . . . . . . . . . . . 5,53,61
Alicare Medical Managament
(an affliate of Amalgamated Life Insurance) . . . . . . . . . . . . . . . . . . . .61
Alicare, Inc. (affliate of Amalgamated Life Insurance) . . . . . . . . . . . . . 5
Allegiance Beneft Plan Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . 6
Alta Holdings, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Alternative Risk Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Alternative Service Concepts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
AmeriBen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
American CareSource Holdings, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . .40
American Fidelity Assurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
American Health Holding, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
American Healthcare Recoveries . . . . . . . . . . . . . . . . . . . . . . . . . . 61,73
AmeriHealth Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,78
Aon Benfeld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Aon eSolutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Apex Benefts Services, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Aquarius Capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Arbor Beneft Group, L.P.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Aronberg Goldgehn Davis & Garmisa. . . . . . . . . . . . . . . . . . . . . . 67,95
Ascot Hospitals International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
ASG Risk Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
AuclairRe International, Inc.. . . . . . . . . . . . . . . . . . . . . . . .53,73,82,86,92
Aurora Consultants LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67,82
Avizent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
AvMed Health Plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
AWAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,62,69
AXIS Global Accident & Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
B
Bardon Insurance Group, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
BDAE Holding GMBH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Beacon Risk Strategies, an AmWINS Group Benefts Company. . .25
Beneft & Risk Management Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . 6
Beneft Administrative Systems, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Beneft Dynamics, Co. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Beneft Informatics, Inc. - A Beneftfocus Company. . . . . . . . . . . . . .47
BeneftMall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,87
Berkley Accident & Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,87
BEST Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Bickmore Risk Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69,73,97
Blue Cross Blue Shield of FL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Blue Cross Blue Shield of MA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Brentwood Reinsurance Intermediaries, Inc. . . . . . . . . . . . . . . . . . 26,87
Brentwood Services Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . .20
Broadspire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Buckingham Insurance Services Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Burr & Forman LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Butler Beneft Service, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
C
CalCPA Group Insurance Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,40
Canyon RE, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Captive Insurance Council
of the District of Columbia, Inc. (CIC-DC) . . . . . . . . . . . . . . . . . . . 100
INDEX
888.394.5688 | THE Directory 2012 103
CapVisor Associates, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
CareHere, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Casualty Actuarial Consultants, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Celtic Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
CenCorp Health Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,54
Cevian Intermediaries, LLC. . . . . . . . . . . . . . . . . . . . . . . .27,54,87,92,97
change:healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Chartis Accident & Health Corporate Benefts . . . . . . . . . . . . . . 27,83
ChiroMetrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,62
CHSI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Chubb Accident & Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,28
Claim Service Guide/Insurance Bar Directory . . . . . . . . . . . . . . . . 100
CMN Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93
CNIC Health Solutions, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Coalition America, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Coastal TPA, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Colorado Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Commercial Group Intermediaries, Inc. . . . . . . . . . . . . . . . . . . . . . . . .54
Companion Global Healthcare, Inc. . . . . . . . . . . . . . . . . . . . . . . . . 41,93
Company Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
Complete Health Systems, LC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Conner Ash, P.C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Considine & Associates (HealthClaim Review
) . . . 8,21,28,63,87,93
Consociate, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,54
CoreSource, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
CPR Risk Management, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63,97
Custom Design Benefts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,78
CVS Caremark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
D
D. H. Evans Associates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
D.W. Van Dyke & Co., Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,28,54,87
DAKOTACARE Administrative Services, Inc. (DAS) . . . . . . . . . . . . . . 9
DCC, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,28,54,79,88,98
Devon Health Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
DKI Public Relations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Dobson and Associates, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
E
East Coast Underwriters, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Ebix Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,21,48,63
EBSRMSCO, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Elite Underwriting Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
eMindful . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Employee Plans, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Employer Direct Healthcare (EDHC) . . . . . . . . . . . . . . . . . . . . . . . . .41
Envision Pharmaceutical Services Inc. . . . . . . . . . . . . . . . . . . . . . . . . . .41
EthiCare Advisors, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
Europ Assistance Holdings Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93
Excess Reinsurance Underwriters. . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Excess Risk Reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
F
FAIR Health, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Fairmont Specialty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,79,88
Fallon Community Health Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Fidelity Security Life Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Firley, Moran, Freer & Eassa, P.C.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
First Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
First Niagara Benefts Consulting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Fringe Beneft Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
G
Garner Consulting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
gBehavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,80
Genelco Software Solutions / IBM . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Gilsbar, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Gitter & Associates, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Global Captive Management Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Global Excel Management, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,63
Global Medical Conexions, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,93
Golden Triangle Specialty Network, LLC. . . . . . . . . . . . . . . . . . . . . . .43
GPW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,74,83,88
GreenWood Intl. Insurance Svcs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Group & Pension Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . .10
Group Administrators, Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Group Marketing Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Group Resources, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
GTESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Guy Carpenter & Company, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
H
H.H.C. Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
HAA Preferred Partners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Hannover Life Reassurance Company of America . . . . . . . . . . . 70,88
HCC Life Insurance Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Health Plans, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Health Portal Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Health Reinsurance Mgmt. Partnership . . . . . . . . . . . . . . . . . . . . . . . .11
Health Systems International . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,21,88
HealthCare Alternatives, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Healthcare Management Administrators, Inc. (HMA). . . . . . . . . . . .11
HealthCare Subrogation Group, LLC. . . . . . . . . . . . . . . . . . . . . . . 21,95
HealthHelp, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
HealthNow Administrative Services. . . . . . . . . . . . . . . . . . . . . . . . . . .12
HealthTrans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,64
Healthx, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Heffernan Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,83
HFN Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Hines & Associates, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Hi-Tech Health, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,30,49,56
HM Insurance Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,31
Humana, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
I
IHC Risk Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
IIS/Intl. Insurance Agency Svcs. LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . .31
IMEDECS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
INDECS Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
INETICO, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
ING Employee Benefts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
InHouse Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Insur I.Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,80
Insurance Administrative Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Integrated Care Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,64
Integrated Health Plan, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Interactive Health Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Interactive Medical Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Interface EAP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Intermediary Insurance Services, Inc. (IISI) . . . . . . . . . . . . . . . . . . . . . .32
International Assurance of TN, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
International Medical Group-Stop Loss, Inc. . . . . . . . . . . . . . . . . . . . .32
International Risk Consultants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
International Subrogation Management, Inc. . . . . . . . . . . . . . . . . . . . .95
InVision Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
IOA Re, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
ITA Partners | eviti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
J
J.P. Farley Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,65
JFP Beneft Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Judy Diamond Associates . . . . . . . . . . . . . . . . . . . . . . . .13,50,56,70,100
K
Key Beneft Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Kinder & Associates, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
King & Croft LLP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Kroger Prescription Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
L
Law Offce of Bryan B. Davenport, P.C. . . . . . . . . . . . . . . . . . . . . . . . .96
Law Offces of Steven T. Polino, PLLC. . . . . . . . . . . . . . . . . . . . . . . . . .68
Lawley Benefts Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
Leech Tishman Fuscaldo & Lampl, LLC . . . . . . . . . . . . . . . . . . . . . . . .68
Legacy Enterprises Benefts Consulting, Inc.. . . . . . . . . . . . . . . . . . . . .57
LifeTrac Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
LifeWise Assurance Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
M
MagnaCare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,33,44
Maiden Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
Marble Arch Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Mark Haarer Consulting, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Marsh Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
McDermott Will & Emery LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
888.394.5688 | THE Directory 2012 105
MCM Solutions for Better Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
M-D Underwriting Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
MDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Med-Cert, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Medical Review Institute of America . . . . . . . . . . . . . . . . . . . . . . . . . .65
Medical Risk Managers, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
MESVision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Midlands Management Corporation . . . . . . . . . . . . . . . . . . . . . . . . . .38
Milliman, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Montana Captive Insurance Association, Inc. (MCIA) . . . . . . . . . 100
Montgomery Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Mountain States Administrative Services . . . . . . . . . . . . . . . . . . . . . . .14
MultiPlan, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Munich Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Mutual Assurance Administrators, Inc. . . . . . . . . . . . 14,22,66,80,96,98
myMatrixx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
N
National Association of Subrogation Professionals (NASP). . . . . 101
National Bill Audit Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
National CooperativeRx. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
National Underwriting Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Nationwide Specialty Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Navigators Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
NCN, A MultiPlan Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Newkirk Products, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,50,101
North America Administrators, L.P.. . . . . . . . . . . . . . . . . . . . . . . . . . . .14
North American Risk Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Northshore International Insurance Services, Inc. . . . . . . . . . 22,57,75
NorthWind, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Nova Healthcare Administrators, Inc.,
an Independent Health Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
O
Olympus Managed Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
One Hundred Years, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,89,94
OptumHealth . . . . . . . . . . . . . . . . . . . . . 15,22,34,38,44,57,66,70,81,89
P
Pancoast Benefts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Paradigm Management Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Pareto Captive Services, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
Partners Rx Management, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Pequot Health Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Phyhealth Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
Planned Administrators, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
PMA Management Corp./
PMA Management Corp. of New England. . . . . . . . . . . . . . . . . . 22,98
Preferred Medical Claim Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
PreferredOne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Premier Healthcare Exchange, Inc. . . . . . . . . . . . . . . . . .16,34,44,58,89
Presidio Reinsurance Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,89,94
Prime Health Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Pro Group Management, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Professional Reinsurance Marketing Services, Inc. . . . . . . . . . . . . . . .58
PTRX, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Q
QualCare, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Quality Health Management, LLC
(QHM International TPA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,94
R
ReAct Consulting International, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . 75,94
RedCard Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Regence Group Administrators, Inc. (RGA) . . . . . . . . . . . . . . . . . . . .16
RE-SOLUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,89,94
ReSource Intermediaries, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,84,90
ResourceOne Administrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Restat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
RFIB Group Limited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,90
Risk & Insurance Consulting Services, LLC . . . . . . . . . . . . . . . . . . 35,90
Risk Solution Resources, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,35
RMTS, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Roundstone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,38,84,90
RxReins, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
S
Safety National . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,90,98
Saslow Lufkin & Buggy, LLP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Satori World Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
SB Howard & Company. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,23
Script Care, Ltd.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Sedgwick Claims Management Services, Inc.. . . . . . . . . . . . . . . . . 17,23
Seeley, Savidge, Ebert & Gourash Co., LPA . . . . . . . . . . . . . . . . . . . . .68
Seiger Gfeller Laurie LLP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Select Surgical Solutions, S3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Self Insured Plans, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Self Insured Solutions, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
SIGMA Actuarial Consulting Group, Inc. . . . . . . . . . . . . . . . . . . . . . . .75
SIHO Insurance Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Singapore Tourism Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
Specialty Care Management LLC . . . . . . . . . . . . . . . . . . . . . . . 45,66,98
Spectrum Administrators, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,23
Spectrum Underwriting Mgrs., Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Star Line Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Sterling Self Insurance Administration
(subsidiary of Sterling Health Services Administration) . . . . . . . . . .18
Stone Carlie & Company, L.L.C.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,76
Stop Loss Insurance Brokers, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Stop Loss Insurance Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Strategic Recovery Partnership Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . .96
Strategic Underwriting Solutions, LLC . . . . . . . . . . . . . . . . . . . . . . . . .36
Summit Administration Services, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . .18
Sun Life Financial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Symetra Life Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
T
TC
3
Health, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,50,76,99
Tennessee Captive Insurance Association, Inc. (TCIA) . . . . . . . . . 101
The Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
The Assist Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99
The Bailey Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,72
The Benecon Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,60,76
The Crowne Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
The Phia Group, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,96
The Stewart Law Firm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
The Taft Companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
The TriZetto Group, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Towers Watson. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,60,76,90
TPAC Underwriters, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,81
Trean Corporation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,91
Tribeca Strategic Advisors, Artex Risk Solutions, Inc. . . . . . . . . . . . . .85
Trilogy Consulting Group, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .76,101
TRISTAR Insurance Group/TRISTAR Beneft Admtrs. . . . . . . . . . . .23
Trustmark Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
TSYS Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
U
ULLICO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Unifed Group Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
United Claim Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,51
USBenefts Insurance Services, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . .37
USI Insurance Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
V
Vermont Managed Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Virginia Health Network. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,23
W
WellDyneRx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Wells Capital Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Wilmington Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Windsor Strategy Partners, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76
WorkSTEPS, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,99
X
Xchange Benefts, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
XL Reinsurance America, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Y
Young Consulting, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Z
Zurich American Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . .37

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SECTION I ..........................................................................

. Premier Partnership Program,

(a Considine & Associates company) is a

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