Employers

Beyond just claims, we’re about helping you solve your most complex employee benefit challenges and maximize your investment in your greatest asset: your people.

Whether you’re looking for a new health benefit plan administrator or to transition from a fully-insured policy to a self-funded health plan, you need a trusted partner who will take the time to understand your company’s needs and provide  innovative, cost-effective solutions that deliver meaningful results to you and your employees.

As a full-service third party administrator drawing on close to three decades of experience in the healthcare insurance industry, we build and administer health benefits plans that improve the health and productivity of your workforce while minimizing risk, lowering costs, and enhancing employee satisfaction.

As your single point of contact for managing all aspects of your employee health benefit plan, we save you countless hours of administrative time and hassle, so you keep your focus where it belongs—on your people and your business.

Combining bespoke insurance  solutions, unmatched flexibility, and industry-leading analytics, we partner with you to foster a healthier, happier, and more productive workforce. Our benefits and services include:

Gain a competitive edge by giving your employees more access to quality, affordable health coverage. We partner with several PPO vendors to enable access to broad provider networks in their vicinity, at competitive network discounts.

Our PPO partners include many with niche networks, including:

• GHI
• Magnacare
• Cigna
• Medical Mutual, and
• Nova

We offer a full spectrum of exceptional member support and human resources services, including:

• employee enrollment meetings
• claims troubleshooting
• pharmacy benefits management
• enrollment support
• cobra services, and
• FMLA services

Since every employee and industry is unique, we design a comprehensive wellness program for you based on what we believe will keep your employees and their families healthy. Our range of programs include:

• biometric screenings
• incentives for participation in wellness-geared activities
• health risk assessments
• individual health information and advice
• and more

We partner with a leading prescription benefit manager, passing on significant cost savings to your plan. We work with the prescription benefit manager to locate the lowest cost source for every maintenance drug and design your formulary to deliver the value you want.

Our experienced adjusters and claims professionals leverage data and act quickly, making savvy decisions to close claims efficiently. We then review claims reports with you on a quarterly basis, evaluating your plan’s performance and providing you with the information you need to make the best possible decisions for your business.

We protect your plan with stop loss insurance that suits your business best, reducing your costs by enabling you to set a cap for maximum liability. In plain English, this means you’ll be protected in case of unforeseeable circumstances, so you never have to fear a year with an unexpectedly high number of claims.

Save time, overhead, and hassle by letting us help you ensure you remain compliant with the complex laws governing healthcare insurance, including ERISA, DOL, and the Health Care Reform Law.

We offer administration for Health Reimbursement Arrangements (HRA) for members with qualified medical expenses, as well as flexible spending account (FSA) plans that offer the benefits best suited to employee needs.