Third Party Administrators (TPA) – Life and Health/Employee Benefits
ABA SIIA Member
Susan Thompson, Marketing Manager
8150 North Central Expressway, Suite 1700
Dallas, TX 75206
Phone: (214) 269-9185
Email: sthompson@abadmin.com
Website: www.abadmin.com
Since 1985, ABA has been offering innovative, cost-efficient health benefits to self-funded plan sponsors that are a strategic asset and not just an added cost. Our concierge-style service results in the right care, at the right place, at the right time and at the right price.
ACS Benefit Services, LLC SIIA Member
Kari Niblack, Esq., Chief Executive Officer
5660 University Parkway, 5th Floor
Winston Salem, NC 27105
Phone: (336) 759-2013
Email: kniblack@acsbenefitservices.com
Website: www.acsbenefitservices.com
ACS is committed to investing in the future - your future. We take the time to align your strategic goals with your benefit plan and continually expand our product portfolio and cost containment solutions delivering optimal plan data reporting to build customized benefit solutions. Building better health plans is what we do.
Aeromedevac, Inc. Air Ambulance SIIA Member
Michael Weiland, Director of Business Development
1860 Joe Crosson Drive
El Cajon, CA 92020
Phone: (800) 462-0911
Email: michael@aeromedevac.com
Website: www.aeromedevac.com
National and international air ambulance service. Eliminate Assignment of Benefit billing risk. All cases quoted in advance in full. Medical, surgical, behavioral health, trauma patients. Intensive & critical care. Dedicated air ambulances & medical teams. FAA Air Carrier #F09A4761.
Aither Health SIIA Member
Lisa True, Cofounder & Co-Chief Executive Officer
P.O. Box 111453
Carrollton, TX 75011
Phone: (833) 408-4080
Email: ltrue@aitherhealth.com
Website: www.aitherhealth.com
Aither Health is a healthcare solutions company and TPA offering innovative products and services for TPAs and risk bearing entities such as self-funded employers, health plans and providers. Aither is disrupting the healthcare industry by reducing health care cost trends and placing the physicians back in charge of health care.
Allegiance Benefit Plan Management, Inc. SIIA Member
Dirk Visser, Chief Executive Officer
2806 South Garfield Street
Missoula, MT 59801
Phone: (406) 523-3175
Email: rayni.lenz@askallegiance.com
Website: www.AskAllegiance.com
At Allegiance, we measure our success by the value we deliver to our customers. We take a consultative, team-based approach with each of our clients to be their overall resource for employee benefits. Our experience, flexibility, and technology ensures fast, accurate claims processing together with high-touch customer service.
AmeriHealth Administrators, Inc. SIIA Member
Sally Schufreider, Director - Sales and Client Management
1900 Market Street, Suite 500
Philadelphia, PA 19103
Phone: (215) 830-2550
Email: Sales@ahatpa.com
Website: www.ahatpa.com
AmeriHealth Administrators, Inc. has a history of innovation in managing self-funded health plans, and providing business process outsourcing services for insurers and payers. We listen, anticipate, and respond by leveraging technology and carefully crafting strategies, tools, and services to help customers manage solutions for next generation health care. Visit www.ahatpa.com
AmWINS Group Benefits SIIA Member
Sarah Ruckno Cleary, Senior Marketing Project Mananger
50 Whitecap Drive
North Kingstown, RI 02852
Phone: (704) 749-2769
Email: sarah.rucknocleary@amwins.com
Website: www.amwins.com
AmWINS Group Benefits offers the industry’s most compelling solutions for self-funded group insurance programs and administrative services. Our mission is to provide benefit professionals with the tools they need to mitigate the risk associated with self-funding.Through individual attention and responsiveness, we become an invaluable partner to those we serve.
AudioNet America, Inc. SIIA Member
Kevin Crudder, Senior Account Executive
33830 Harper Avenue
Clinton Township, MI 48035
Phone: (586) 913-3776
Email: kevin@audionetamerica.com
Website: www.audionetamerica.com
AudioNet America is a licensed Third-Party Administrator & National Network Manager specializing in hearing benefit administration. Our “Audiologist Only” network has over 4,400 Audiologists/ENTs at over 7,700 locations. AudioNet works under a bundled payment arrangement with a plan design that includes professional services/hearing aid(s) with no balance billing.
Auxiant SIIA Member
Steve Chapman
424 1st Avenue North East
Cedar Rapids, IA 52401
Phone: (319) 398-3283
Email: schapman@auxiant.com
Website: www.auxiant.com
Professional health benefits administrator dedicated to superior service in order to maximize savings while ensuring quality and appropriateness of care. A powerful advantage for any self-funded employer group. Auxiant is known for its innovation and technology, constantly evolving to meet the needs of our clients.
AvMed SIIA Member
Leda Silver, ASO Sales Operations Manager
9400 Ssouth Dadeland Boulevard, Suite 370
Miami, FL 33156
Phone: (305) 671-4749
Email: leda.silver@avmed.org
Website: www.avmed.org
AvMed works with Employers to deliver best-in-class service, affordable solutions and self-funded programs that maximize coverage, minimize hassles, improve health and keep costs under control. We tailor our programs to meet the needs of Employers, encouraging employees to live healthier lives and providing a Better Member Health Experience.
Benefit Management Administrators, Inc. (BMA)
James (Jamey) Burkholder, President/Chief Executive Officer
11550 West I-10, Suite 220
San Antonio, TX 78230
Phone: (800) 934-6302
Email: jburkholder@bmatpa.com
Website: www.bmatpa.com
Benefit Management Administrators (BMA) is a professional TPA specializing in the administration of self-funded employer sponsored benefit plans. BMA utilizes the most advanced cloud based processing system for managing and controlling medical claim costs. BMA employer clients use BMA's secure web portal to communicate with claims examiners and medical providers, saving time while encouraging employee wellness. BMA automates plan enrollment and administration for HR and streamlines monthly billing and claim funding through an easy to use advanced web portal.
BRMS SIIA Member
Shelley Harlan, Director of Sales & Marketing
80 Iron Point Circle, Suite 200
Folsom, CA 95630
Phone: (916) 467-1400
Email: sales@brmsonline.com
Website: www.brmsonline.com
BRMS is a leading employee benefit administration and healthcare risk management TPA that is building trusted and valued relationships to reduce healthcare costs. Redefining the value of Third Party Administration with the most advanced technology solutions, BRMS helps organizations control their benefit costs with advanced administration services, creative funding options and an innovative Web-based Virtual Benefits Administration System (Vbas) that streamlines processes.
Collective Health SIIA Member
Shauna Kashyap, Vice President of Platform Partnerships & Strategy
85 Bluxome Street
San Francisco, CA 94107
Phone: (844) 265-3288
Email: shauna.kashyap@collectivehealth.com
Website: www.collectivehealth.com
Collective Health is the first Workforce Health Management System (WHMS) that gives employers a platform to mix-and-match the right networks and point solutions, administer plans and adjudicate claims through one integrated system, engage members through one connected experience, and leverage comprehensive analytics to optimize their health benefits program.
Considine & Associates HealthClaim Solutions® SIIA Member
James Considine, MD, MBA, President and Chief Executive Officer
25401 Cabot Road, Suite 200
Laguna Hills, CA 92653
Phone: (949) 470-1800
Email: jimconsidine@healthclaim.net
Website: www.healthclaim.net
Considine & Associates HealthClaim Solutions® provides exceptional medical claim solutions for group health, workers’ comp and excess payers. Medical appropriateness, cost analysis and individualized claim payment recommendations are provided in the setting of a URAC-accredited IRO. Hospital/facility bill review is provided on a flat-fee non-contingent basis.
Consociate Health SIIA Member
Darren Reynolds, JD, CBWA, President & Chief Executive Officer
2828 North Monroe Street
Decatur, IL 62526
Phone: (800) 798-2422
Email: darrenr@consociate.com
Website: www.consociatehealth.com
Consociate Health delivers superior performance health plans with defined results. Our high tech, high touch service model helps all members navigate health care at the right place, time, outcome and value. We partner with employers to transition their benefits from an operating expense into a performing asset.
Continental Benefits SIIA Member
Laurie Gardner
5701 East Hillsborough Avenue, Suite 1417
Tampa, FL 33610
Phone: (813) 210-8201
Email: lgardner@continentalbenefits.com
Website: www.continentalbenefits.com
National third party administrator of employee health benefits.
Custom Design Benefits SIIA Member
Amanda Guinan, Vice President, Business Development & Compliance
5589 Cheviot Road
Cincinnati, OH 45247
Phone: (800) 598-2929
Email: aguinan@customdesignbenefits.com
Website: www.customdesignbenefits.com
Custom Design Benefits (CDB), founded in 1991, is Cincinnati’s largest, independent Third Party Administrator of self-funded health benefit plans and consumer-driven services as well as compliance solutions. CDB is recognized as a national leader in the development and implementation of reference-based-pricing plans and other healthcare strategies.
D.W. Van Dyke & Co., Inc. SIIA Member
Walter Roland, President
2 Corporate Drive, Suite 642
Shelton, CT 06484
Phone: (203) 761-9300 Ext. 312
Email: wroland@dwvd.com
Website: www.dwvd.com
A&H Reinsurance Intermediary that works with carriers, reinsurers, distributors, MGUs, TPAs. We identify and secure reinsurance partners for insurers and MGUs. Product expertise in multiple lines with particular strengths in the ESL business and other healthcare finance. Annually conduct carrier and MGU survey, includes $5+ Billion annual premium.
DAKOTACARE Administrative Services, Inc. (DAS) SIIA Member
Greg Jasmer, Chief Administrative Officer
2600 West 49th Street
Sioux Falls, SD 57105
Phone: (605) 274-3166
Email: Greg.Jasmer@dakotacare.com
Website: www.dakotacare.com
DAS has nearly 30 years’ experience as a third party administrator for self-funded health plans as well as outsourced administrative services to other payers. DAS specializes in medical, dental, and vision claims payment services as well as subrogation, COBRA/FLEX/HSA/HRA/STD administration, and population health management with real-time analytics and reporting solutions.
Delta Health Systems SIIA Member
Rich Roge, President
3244 Brookside Road
Stockton, CA 95219
Phone: (209) 939-3485
Email: Rich.roge@delapro.com
Website: www.deltahealthsystems.com
TeamCare is a full service wellness company that engages employees, reduces claims and increases healthcare savings through a proven suite of integrated solutions. Our comprehensive approach to wellness gives employers unparalleled insight into their workforces’ health and the tools necessary to effectively reduce population health risk.
Diversified Group SIIA Member
Brooks Goodison, President
369 North Main Street/P.O. Box 299
Marlborough, CT 06042
Phone: (888) 322-2524
Email: bgoodison@diversifiedgb.com
Website: www.dgb-online.com
Diversified Group was built on the premise that self-funding is the most cost effective and transparent health insurance option for most companies. With over 50 in business, our experience allows us to provide comprehensive and cost effective approaches to healthcare. We are passionate about healthcare, cost control and customer service.
Eliance Health Solutions SIIA Member
Erica Brandt
Urban Place, 480 New Holland Avenue, Suite 7203
Lancaster, PA 17602
Phone: (717) 560-9494
Email: ebrandt@phcunity.com
Website: www.eliancehealthsolutions.org
Eliance Health Solutions brings employers, providers and members together for better health. We offer employers in the Lancaster, Pennsylvania area an integrated suite of self-funded group health plans, corporate wellness and occupational medicine services. As part of Lancaster General Health, Eliance is uniquely positioned to offer direct access to nationally recognized programs and services. Our program offers custom solutions to help businesses better control medical benefits, reduce costs and enhance employees’ health and wellness.
Employee Benefit Logistics SIIA Member
Holli Titus, Chief Executive Officer/TPA
P.O. Box 2220
Brighton, MI 48116
Phone: (877) 480-7442
Email: holli@yourebl.com
Website: yourEBL.com
Michigan's only hospital system and DPC direct contracted TPA.
Employee Plans, LLC SIIA Member
Deb Eovaldi, Director
1111 Chestnut Hills Parkway
Fort Wayne, IN 46814
Phone: (260) 625-7347
Email: deb.eovaldi@employeeplansllc.com
Website: www.employeeplansllc.com
At Employee Plans, we put the health of the employee and your business first. We're the benefits administrator that employees, employers and brokers trust for creative benefit solutions and superior person service.
Exceedent SIIA Member
Todd Kuehl, National Vice President of Sales
W129 N7055 Northfield Drive
Menomonee Falls, WI 53051
Phone: (844) 532-5200
Email: todd.kuehl@exceedenthealth.com
Website: www.exceedent.com
Exceedent is an innovative full-service third-party administrator (TPA) that specializes in serving self-funded employers locally and nationally. Exceedent delivers an optimized health and wellness planning experience that provides employers with assets and solutions they should expect from their health care benefit administrator.
Exemplar Health Benefits Administrator, LLC SIIA Member
Theresa Dixon, Chief Executive Officer
1107 West Market Center Drive
High Point, NC 27260
Phone: (804) 338-2892
Email: theresa.dixon@exemplarhba.com
Website: www.exemplarhba.com
Exemplar Health Benefits Administrator (EHBA) is an experienced third-party administrator (TPA) that’s committed to providing cost-effective healthcare solutions that are customized for individual client needs. We believe in true partnership and provide a very personal approach to ensure that we improve your organization’s member health benefits every time.
Gilsbar SIIA Member
Doug Layman, President of Health & Life
2100 Covington Centre
Covington, LA 70433
Phone: (800) 445-7227
Email: gilsbarmarketing@gilsbar.com
Website: www.Gilsbar.com
For more than half a century, Gilsbar has offered services and solutions for businesses looking for happier constituents and healthier bottom lines. As one of the nation’s largest privately held health and benefits management organizations, Gilsbar delivers an unwavering commitment to partnerships guided by a corporate vision focused on the clients we serve—employers, brokers, consultants, affinity groups, insurance carriers and more. These professionals choose Gilsbar for our innovation, ingenuity, knowledge and world-class service. Our expertise makes Gilsbar the trusted choice for clients across the nation.
Global Benefits Group (GBG)
Melissa Nicholson, Director, Marketing & Communications
27422 Portola Parkway, Suite 110
Foothill Ranch, CA 92610
Phone: (888) 824-6627
Email: melissa.nicholson@gbg.com
Website: www.gbg.com
For more than 35 years, Global Benefits Group (GBG) has been specializing in the international financial services market, serving as leading underwriters, developers, and distributors of international insurance products. Because of our unique underwriting platform, GBG can offer a miltitude of insurance solutions, including TPA services, to groups around the world.
Group & Pension Administrators, Inc. SIIA Member
Kathy Enochs, Chief Executive Officer
12770 Merit Drive, Suite 200
Dallas, TX 75251
Phone: (972) 744-2445
Email: kathye@gpatpa.com
Website: www.gpatpa.com
Since our founding over 50 years ago, GPA has grown to be the largest independently owned third-party administrator (TPA) in the Southwest. Our success is built on providing self-insured employers a truly personalized approach to healthcare. Our approach relies on combining industry-leading technology with high-touch patient care to deliver the healthiest employees and a better bottom line.
Group Management Services SIIA Member
Heather Summers, Benefits Administration Manager
3750 Timberlake Drive
Richfield, OH 44286
Phone: (330) 659-0190
Email: Hsummers@groupmgmt.com
Website: www.groupmgmt.com
GMS TPA Services offers comprehensive solutions for both insurance brokers and employers. When you partner with GMS, our TPA services include: Self-funded benefit plans Level-funded benefit plans Stop loss insurance HRA (Health Reimbursement Arrangement) COBRA Eligibility management Consolidated billing
Group Marketing Services, Inc. SIIA Member
James Kaiser, President
P.O. Box 19040
Kalamazoo, MI 49019-0040
Phone: (800) 354-4768
Email: jbk@groupmarketingservices.com
Website: www.groupmarketingservices.com
Group Marketing Services, Inc. has been offering group benefits to small and medium businesses since 1972. With offices in Kalamazoo and Grand Rapids, MI, we are able to serve your group insurance needs throughout Michigan, Indiana, Ohio and the entire Midwest. We offer and administer self-funded and fully-insured Major Medical, Dental, Vision, Life and Disability insurance. We also offer COBRA and Flexible Spending Account administration. We pride ourselves in customer service and our ability to customize solutions to meet each employer's group benefit needs.
Hawaii-Mainland Administrators, LLC SIIA Member
Jeremy Ramsland, Director, Managed Care Contracting
1600 West Broadway Road, Suite 300
Tempe, AZ 85282
Phone: (480) 921-8944 Ext. 3214
Email: jeremy.ramsland@hmatpa.com
Website: www.hma-az.com
Hawaii-Mainland Administrators is one of the largest Third-Party Administrators (TPA) of self-funded and fully insured health plans throughout Hawaii and the US continental southwest. For nearly 30 years, HMA has provided services including claims adjudication, medical management, technology and infrastructure and customer service to Employers, Payers, Taft-Hartley Trust Plans, Native American Tribes and more. Utilizing a variety of exceptional technology services, including complete healthcare management software, data warehouses, specialized applications, and advanced optical scanning software, HMA offers our clients a wide range of solutions.
Health One Alliance SIIA Member
Mark Mixer, Chief Executive Officer
201 West Waugh Street 3rd Floor
Dalton, GA 30720
Phone: (877) 668-1015
Email: mmixer@alliantplans.com
Website: alliantplans.com
Health plan and network located in North Georgia. Serving all size employer groups and the individual/family plan markets.
Health Plans, Inc. SIIA Member
Deborah Hodges, President
1500 West Park Drive, Suite 330
Westborough, MA 01581
Phone: (508) 475-6105
Email: cmagnusson@healthplansinc.com
Website: www.healthplansinc.com
Health Plans, Inc. (HPI) is a team of forward-thinking entrepreneurs rooted in 35 years of TPA experience. Our flexible, innovative approach, along with our commitment to quality, technology, and personalized service, enables us to bring HPI’s unique self-funding solutions and best practices to companies across the country.
HealthComp SIIA Member
Keri Dixon, Vice President Marketing & Account Management
621 Santa Fe Street
Fresno, CA 93721
Phone: (559) 312-2551
Email: kdixon@healthcomp.com
Website: www.healthcomp.com
With over 400,000 members, HealthComp is one of the nation's leading independent health plan administrators. We have a proven track record managing health care costs, delivering unparalleled service and member experience and providing insights through our proprietary analytics solution, resulting in an NPS of 77 (>6x higher than industry average).
HealthSCOPE Benefits SIIA Member
Mary Catherine Person, President
27 Corporate Hill Drive
Little Rock, AR 72205
Phone: (501) 225-1551
Email: mary.person@healthscopebenefits.com
Website: www.healthscopebenefits.com
HealthSCOPE Benefits is a full-service claims administration and health management firm providing administrative and other support services to self-funded employers. As noted in the 2019 Business Insurance rankings, HealthSCOPE Benefits is the 3rd largest benefits-only TPA in the U.S. based on administrative fee revenue. Most importantly, we are uniquely positioned to provide custom-tailored solutions for our clients. Headquartered in Little Rock, AR, HealthSCOPE Benefits administers benefits in all 50 states for more than 500 clients and more than 700,000 members. The company’s more than 800 employees support clients in the management of greater than 1.6 billion in annual healthcare expenditures.
HealthSmart SIIA Member
Ron Wozny, Vice President of Marketing
222 West Las Colinas Boulevard, Suite 500N
Irving, TX 75039
Phone: (214) 574-2362
Email: ron.wozny@healthsmart.com
Website: www.healthsmart.com
HealthSmart is one of the largest third party administrators of self-funded health plans and the premier provider of innovative, customizable healthcare and claims solutions for employers, brokers and payers. We offer benefit administration, pharmacy solutions, provider networks, care management and wellness programs, as well as claims and administration services for property, casualty and workers’ compensation.
HealthVue360 SIIA Member
James Patton, Partner
3806 Bunny Run
Austin, TX 78746
Phone: (512) 633-5166
Email: jpatton@healthvue360.com
Website: www.healthvue360.com
HealthVue360 solves the inflexibilities of today’s payor platforms using Salesforce.com application platform as its core system enabling revolutionary UI and UX; providing world-class security, built-in API access and analytics software; and, integrated hardware and software for one-time plan inputs providing a 360-degree view of client information anytime and anywhere.
Hi-Tech Health, Inc. SIIA Member
Michael Carrara, President
1500 Route 517
Hackettstown, NJ 07840
Phone: (908) 813-3440
Email: mcarrara@hi-techhealth.com
Website: www.hi-techhealth.com
If you’re a “startup” Third Party Administrator, just entering the self-insurance industry, an insurance company, union, large corporation, or small brokerage firm wanting control of your client’s health care claims through a turnkey, customized Claim Administration System, then your organization needs Hi-Tech Health, Inc. Please visit our website for more information regarding Custom Software Solutions that will allow you to run your business YOUR way.
HMA SIIA Member
Lindsay Harris, Chief Client Officer
10700 Northup Way, Suite 100
Bellevue, WA 98004
Phone: (425) 462-1000
Email: lindsay.harris@accesstpa.com
Website: www.accesstpa.com
HMA is a leading provider of data-driven health benefit services for self-funded organizations. Grounded in 35 years of experience with access to top-tier networks, we focus on delivering the highest quality services at unrivaled value, striking the right balance between cost and quality of healthcare. Proving What’s Possible In Healthcare®
HRMP, LLC SIIA Member
John Mange, President
300 Rosewood Drive, Suite 250
Danvers, MA 01923
Phone: (978) 762-9780
Email: jmange@hrmp.com
Website: www.hrmp.com
HRMP is a distinctive third-party administrator positioned to offer creative solutions to underwriters, insurance carriers, and reinsurers. Our unique solutions include back office or run-out administration, auditing services, life conversions, and more. We'll be there for you because Our Success Can Only Follow Yours.®
IHS - ClaimsBridge Direct SIIA Member
Robert Schmidt, President
1511 Ritchie Highway, Suite 205
Arnold, MD 21012
Phone: (410) 349-3222
Email: rschmidt@claimsbridge.com
Website: www.claimsbridge.com
ClaimsBridge Direct provides cost containment for self-funded plans through its custom provider networks using Medicare based direct contracts customized to the self-funded plan’s medical services need. ClaimsBridge Direct reduces the self-funded employer’s medical spend and growth trend, without the financial risk of large network or reference based (“no network”) solutions.
Interactive Medical Systems - IMS SIIA Member
Eric Ludwig, President
11635 Northpark Drive, Suite 330
Wake Forest, NC 27587
Phone: (919) 882-5318
Email: ELudwig@IMS-tpa.com
Website: www.IMS-tpa.com
For over 35 years Interactive Medical Systems has designed benefit packages that save money while providing the best possible health care for Plan members. IMS provides services for over 200 groups, including self-funded Health, Dental & Vision Plans (RBP & PPO), and HSA, FSA, HRA, and COBRA administration.
IPMG SIIA Member
Gregg Peterson, President & Chief Executive Officer
225 Smith Road
St. Charles, IL 60174
Phone: (630) 485-5849
Email: gregg.peterson@IPMG.com
Website: www.ipmg.com
IPMG's claims management and employee benefits services offer a comprehensive approach that exceed traditional handling of claims to help self-insurers achieve real, impactful change to their finances and their employees. We're proud to serve a variety of organizations, including public entities, long-term care providers and alternative funding group programs.
Key Benefit Administrators SIIA Member
Craig Frazier, Vice President, Human Resources
360 Kingsley Park Drive, Suite 200
Ft. Mill, SC 29715
Phone: (803) 396-4837
Email: craig.frazier@keybenefit.com
Website: www.keybenefit.com
Key Benefit Administrators (KBA) is a nationally recognized employee benefit expert because of our competency in working with complex healthcare administration and risk management. Our process is patented by the US Patent Office, resulting in 98% of our customers experiencing a reduction in their healthcare costs in relation to the current medical trend.
Leading Edge Administrators, Inc. SIIA Member
Tom Cardwell, Director of Operations
14 Wall Street, Suite 5B
New York, NY 10005
Phone: (224) 532-8613
Email: tcardwell@leadingedgeadmin.com
Website: www.Leadingedgeadmin.com
National TPA specializing in Taft Hartley and Corporate self funded programs. Strive for innovation using National carrier based networks, High Value Networks and Reference Based Pricing to assist our clients in managing the cost and quality of care in managing the risk of their self funded programs.
Lifetime Benefit Solutions SIIA Member
Lori Florack, President
333 Butternut Drive
Syracuse, NY 13214
Phone: (585) 453-6291
Email: Lori.Florack@LifetimeBenefitSolutions.com
Website: www.lifetimebenefitsolutions.com
As a full-service third-party administrator, Lifetime Benefit Solutions facilitates the insurance, self-funding and consulting needs of thousands of clients throughout the United States. Our products and services include Self-funding Third Party Administration (TPA), Reimbursement Account Administration, COBRA Administration, Retirement Services and Compliance Services.
Maestro Health SIIA Member
Jillian Best, Director of Marketing
500 West. Madison Street, Suite 605
Chicago, IL 60661
Phone: (312) 517-3500
Email: jbest@maestrohealth.com
Website: www.maestrohealth.com
Maestro Health is on a mission to make employee health & benefits people-friendly again. Our innovative health plan management approach to self-funding, known as (me)SELF-FUNDED BENEFITS‚Ñ¢, integrates the best technology, high-quality care and personalized service to improve the health of employees and lower costs for employers.
MCA Administrators, Inc. SIIA Member
Charles Davidson, President
1910 Cochran Road, Suite 605
Pittsburgh, PA 15220
Phone: (412) 638-3694
Email: ced@mcoa.com
Website: www.mcaadministrators.com
SBA Certified Small Woman Owned Business. TPA for over 40 years. Processes all lines of medical, dental, vision, FSA, HRA, Taft Hartley, UR/UM. Willing to act as subcontractor/vendor for RFPs requiring minority or women owned participation.
Meritain Health SIIA Member
Sales Department
300 Corporate Parkway
Amherst, NY 14226
Phone: (800) 242-6226
Email: emily.shields@meritain.com
Website: www.meritain.com
At Meritain Health, we are your Advocates for Healthier Living. By listening to and understanding our clients’ needs, we offer flexible, cost-effective and easy-to-use healthcare solutions. We’re dedicated to providing compassionate support and guidance to help our members be active participants in their health.
Nova Healthcare Administrators SIIA Member
Todd Martin, National Sales Director
6400 Main Street, Suite 210
Buffalo, NY 14221
Phone: (716) 932-5105
Email: tmartin@novahealthcare.com
Website: www.novahealthcare.com
Nova offers personalized service with a tailored approach to cost management and customized, actionable strategies to improve health plan performance. Beyond traditional administrative services, Nova supports plans with DPC and RPB leveraging in-house medical management, HSA, FSA and HRA products. Nova also provides a variety of private-labeled solutions.
NTT DATA Services SIIA Member
Anna Mathy, HealthCare Staffing Services Senior Director
P.O. Box 597
Muskego, WI 53150
Phone: (414) 248-6419
Email: Anna.Mathy@nttdata.com
Website: www.nttdataservices.com/healthcarestaffing
NTT DATA can meet your healthcare staffing needs. Whether you need assistance with business continuity issues or seasonal surges in volumes, NTT DATA provides the staff you need, when you need them, and where: onsite, remote, onshore or offshore. NTT DATA provides business solutions for TPAs, PPOs and health plans.
Pharmacy Benefit Dimensions SIIA Member
Michelle Plimpton, Regional Sales Manager
511 Farber Lakes Drive
Buffalo, NY 14221
Phone: (716) 635-3578
Email: Michelle.Plimpton@pbdrx.com
Website: www.pbdrx.com
Pharmacy Benefit Dimensions believes that each client is unique and that pharmacy benefits should not be a “one-size-fits-all” solution. Our understanding of total cost of care, coupled with our experience in managing prescription drug benefits, sets us apart from other PBMs. We deliver greater quality, better service and lower cost.
PharmPix Corporation SIIA Member
Carmen Mendez, Sales & Account Services Director
3340 Peachtree Road, Suite 1800
Atlanta, GA 30326
Phone: (404) 566-2000
Email: cmendez@pharmpix.com
Website: www.pharmpix.com
PharmPix Corp is a pharmacy benefit management(PBM) company offering services to health plans, insurers, employers and union groups, government health programs and to Pharmacy Benefit Managers. The company is focused on controlling pharmacy benefit costs, and impacting medical cost through applied clinical expertise, using our state-of-the-art proprietary technology called OneArk. This claims adjudication and ancillary PBM applications platform is the key for PharmPix’s proactive and preventive approach that is triggered at the point-of-sale, even before the prescription is dispensed, generating accurate alerts, which address the inefficiencies inherent in most PBM offerings. This is the most efficient and effective quality and cost control approach. Find out how we have changed the way PBM's do business.
Planned Administrators, Inc. SIIA Member
Clay Kelley, Director of Sales
17 Technology Circle, Suite E2AG
Columbia, SC 29203
Phone: (800) 768-4375 Ext. 3117
Email: ckelley@paisc.com
Website: www.paisc.com
PAI is a third party administrator offering benefit plan design flexibility and customization. PAI specializes in Self-funded major medical health plans, voluntary Specialty Products for part time and hourly employees, Property and Casualty products, and Population Health options. PAI is known for service excellence and minimizing cost for clients.
Prairie States Enterprise, Inc. SIIA Member
Felicia Wilhelm RN, Chief Executive Officer
35 East Wacker Drive
Chicago, IL 60601
Phone: (312) 464-1888
Email: fwilhelm@prairieontheweb.com
Website: www.prairieontheweb.com
Health Benefit Plan Third Party Administration (TPA) Services for Self-Insured Organizations with Health Management Services by RNs, Wellness Programs, Consulting, Data Analytics, Risk Mitigation &Predictive Modeling. Services include Medical, Dental, Vision, Disability, Hospital Bill Audit, and more. Trend maintained at 2.6% for 10 years. 99% financial accuracy rate guaranteed.
ProAct, Inc. SIIA Member
Erison Rodriguez, Director of Sales Operations
6333 Route 298, Suite 210
East Syracuse, NY 13057
Phone: (888) 254-3552
Email: ErisonRodriguez@proactrx.com
Website: www.proactbenefits.com
ProAct, Inc. is a Pharmacy Benefit Management Company that provides innovative, affordable and flexible solutions for clients. ProAct services a diversified client base consisting of school districts, higher education, municipalities, hospitals and healthcare providers, corporations, labor unions, not-for-profit organizations, financial institutions and manufacturers. Our unique solutions provide customized cost-effective prescription benefits
Renalogic SIIA Member
Jim Wachtel, Executive Vice President, Sales and Marketing
22601 North 19th Avenue, Suite 230
Phoenix, AZ 85027
Phone: (623) 594-3060
Email: solutions@renalogic.com
Website: www.renalogic.com
Renalogic has led the industry for 17 years in dialysis cost containment. Now we are changing how employers think about dialysis. Cost savings is important but cost avoidance is better. Contact us today about our Chronic Kidney Disease Management Program.
SISCO SIIA Member
Dick Sigwarth, Vice President and Chief Operating Officer
800 Main Street
Dubuque, IA 52001
Phone: (563) 587-5285
Email: dsigwarth@siscobenefits.com
Website: www.siscobenefits.com
Established in 1980, SISCO is a premier third-party administrator offering innovative cost control solutions, high quality customer service and intergrated medical management and wellness services. SISCO administers plans with expert care and diligence, carefully examining all claims prior to adjudication and encouraging frequent communication with our in-house nursing staff.
Southern Premier Administrators SIIA Member
Lynn Smith, President
5301 South West Parkway, Suite 425
Austin, TX 78735
Phone: (512) 306-0201
Email: smithl@southernpremieradmin.com
Website: www.southernpremieradmin.com
Southern Premier Administrators is a non-risk assuming, full-service TPA, delivering the highest quality of service. Through our team of dedicated Customer Care Specialists and Benefit Advisors/Analysts, we are committed to providing you with the worry free, cost effective service that you deserve.
Summit Administration Services, Inc. SIIA Member
Alfred Gregory
P.O. Box 25160
Scottsdale, AZ 85255
Phone: (480) 505-0400
Email: alfred@summit-inc.net
Website: www.summit-inc.net
Established in 1996, Summit provides TPA services for Medical, Dental, Vision, STD, FSA, HRA and COBRA. Having emphasized expertise in Governmental, Public School and Native American Plans.
TCC Benefits Administrator SIIA Member
Phil Ericksen, Senior Vice President and Chief Marketing Officer
4400 Leeds Avenue
North Charleston, SC 29405
Phone: (800) 815-3314
Email: pericksen@tccba.com
Website: www.tccba.com
TCC Benefits Administrator is a full-service third party administrator of self-funded and fully-insured health and ancillary benefits. Since 1972 TCC has earned a reputation for self-funding expertise, leading edge technology, and legendary customer care. TCC is small enough that you’ll know your contacts by name, yet part of a large A+ (Superior) health insurance group, providing enormous resources.
The Health Plan SIIA Member
Richard Legg, Vice President
1110 Main Street
Wheeling, WV 26003
Phone: (740) 699-6260
Email: rlegg@healthplan.org
Website: www.healthplan.org
We are a fast growing TPA as well as an insurance carrier, offering fully insured plans, doing government programs administration. Our clinical services are best class in the industry, along with our claims processing, customer service. We have our own Behavioral Health Unit, our own Prescription Benefit Manager.
Trustmark Health Benefits SIIA Member
Erin Polis, Senior Director, Marketing
400 North Field Drive
Lake Forest, IL 60045
Phone: (847) 283-2496
Email: epolis@coresource.com
Website: www.trustmarkbenefits.com
Trustmark Health Benefits’ (formerly CoreSource) expertise and dedication to clients has propelled them to become one of the nation’s leading administrators of self-funded employee health plans. With an innovative and evolving suite of solutions, Trustmark Health Benefits designs personalized and comprehensive benefit plans — all aimed at reducing clients’ healthcare spend without sacrificing access and quality of care.
UMR SIIA Member
Mike Benson, Director Sales Operations
11 Scott Street
Wausau, WI 54403
Phone: (715) 841-6112
Email: mike.benson@umr.com
Website: www.UMR.com
UMR, UnitedHealthcare’s TPA solution, is the country’s largest third-party administrator (TPA) of health benefits, providing customized solutions, cost-effective networks and compassionate service for self-funded medical, dental, vision, disability and risk management plans.
Wellfleet SIIA Member
Benjamin Larsen, Marketing & Communications Manager
2077 Roosevelt Avenue
Springfield, MA 01104
Phone: (413) 733-4540
Email: marketing@wellfleetinsurance.com
Website: www.wellfleetinsurance.com
Wellfleet, formerly known as Consolidated Health Plans, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace.
WorldCare International, Inc. SIIA Member
Tina Karas, Vice President, Marketing
7 Bulfinch Place, Suite 301
Boston, MA 02127
Phone: (617) 250-5142
Email: tkaras@worldcare.com
Website: www.worldcare.com
We improve medical outcomes worldwide by connecting people to 20,000+ specialists in the top-ranked hospitals of The WorldCare Consortium™ to deliver medical second opinions. As the industry pioneer, our multi-disciplinary approach is unique. No one else delivers everything in one package: experience; superior level of clinical rigor and impact.
Zelis Healthcare SIIA Member
Rita Ferrari, Senior Director of Enterprise Marketing
2 Crossroads Drive
Bedminster, NJ 07921
Phone: (888) 311-3505
Email: rita.ferrari@zelis.com
Website: www.zelis.com
Zelis Healthcare is a healthcare technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets.