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Business Partners
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HM Insurance Group (HM):
www.hminsurancegroup.com
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It's HM Insurance Group's (HM) policy to protect. This has been
our mission for almost three decades. As times have changed, so
have we, continually working to accommodate the needs of the
market, and, ultimately, our clients.
HM has a strong foundation in effective operations and
relationship-based sales, both of which enable HM to provide
clients with the right products, advice and attitudes to meet
the ever-changing market.
The company began as a TPA in 1980, assisting customers with
alternative funding options for their benefits. Not long after,
Stop Loss sales began, assisting companies in managing the
excess risk associated with their health coverage. Business then
expanded to all 50 states in the early 1990s through
acquisitions. As the company grew and evolved, our ancillary
benefits options expanded to better address the growing needs of
clients.
In the early 2000s, we began our transition to become a provider
of health risk solutions by expanding Stop Loss sales and
introducing worksite products. Most recently, HM launched sales
of a Limited Benefit Medical Portfolio.
Throughout our history, HM has focused on building strong and
consultative relationships with the organization's producers and
business partners. Flexibility is an integral part of our
business model. Experience and expert knowledge have led to
innovations that continue to move the company to where the
market is going to be, keeping a step ahead so that our clients
can be protected as market changes influence their health
benefit risks.
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First Health Network:
www.firsthealth.com
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First Health, a
wholly owned subsidiary of Coventry Health Care, has been
providing health benefits services to self-funded national
employers across the country for more than 40 years. The company
is headquartered in Downers Grove, Illinois, a suburb of
Chicago.
The First Health Network is one of the
nation's largest PPO networks, offering access to quality,
affordable health care through TPAs, carriers and managed care
plans. We provide seamless, flexible managed care solutions that
help clients to manage medical expenditures, ease administrative
burdens and promote optimal member outcomes and satisfaction.
First Health has been
providing health benefits services to self-funded national
employers across the country for more than 40 years. The company
is headquartered in Downers Grove, Illinois, a suburb of
Chicago.
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MultiPlan:
www.multiplan.com/aboutus/
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MultiPlan helps healthcare
payers and providers partner together to combat rising
healthcare costs - for their mutual benefit as well as for their
members.
With the
country's largest network at our core, MultiPlan offers a single
gateway to a host of primary, complementary and out-of-network
strategies that help payers and providers
manage the financial risks associated with healthcare claims.
When they
participate with MultiPlan, providers get access to a large,
diverse member base that gives them more value for their
discounts. Payers get access to unrivaled provider networks to
help them deliver the choices their members demand.
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Envision Rx:
www.envisionrx.com
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Envision Pharmaceutical
Services, created in 2001, with a commitment to providing
transparency and disclosure to the PBM marketplace, provides
full service, integrated PBM services, including
network-pharmacy claims processing, home delivery (mail-order),
benefit-design consultation, drug-utilization review, formulary
management, disease management, and drug data analysis services.
Envision also provides a full range of injectable and infusion
biopharmaceutical products directly to patients or their
physicians, and provides extensive cost-management and
patient-care services.
●100% of rebates,
discounts, incentives instantly credited at the point of
sale
●Competitive pharmacy
network pricing with no pricing differentials
●Competitive generic pricing
●Customizable Preferred Drug Lists
●Online interactive reporting
●Interactive Website with Member Specific Drug History and Benefit Information
●Medicare Part D Retiree Subsidy Reporting
●Innovative products and services
●24/7 Member and Pharmacy Helpdesk
●Dedicated Client Services Professional
Envision charges a low,
flat monthly management fee per employee per month (which
includes all dependents) for all services. From sales, to
implementation to customer service, Envision guarantees the
satisfaction of your company and employees or members.
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MPAY Inc.: www.mpay.com
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MPAY is a New England-based payroll services company that has
combined superior technology with simplicity, allowing clients
to get the most out of their workday. MPAY’s products provide
supervisors and employees with convenient and secure access to
payroll information through its easy to use, web-based payroll
and human resource management interface – Payentry.com™. The
Employee Self Service (ESS) page provides for easy navigation
and customization. The ESS offering also includes online check
stubs, W-2’s, and 1099’s. Security is never a problem because
Payentry.com™ utilizes a 128 bit SSL encryption and does not
require the installation of additional software. The
flexibility of being available anytime and anywhere over the
internet is the best feature of Payentry.com™. In addition to
Payentry.com™, MPAY provides effective solutions for time and
attendance, pay-as-you-go workers’ compensation, 401(k)
administration and much more.
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National Association of
Health Underwriters:
www.nahu.org
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NAHU will improve its members'
ability to meet the health, financial and retirement security
needs of all Americans through education, advocacy and
professional development.
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WorldCare:
www.worldcarena.com
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WorldCare, Inc. was founded in 1992 by a
team of internationally-renowned physicians at Massachusetts
General Hospital. These physicians understood that rapid
advances in medical sciences make it difficult for people to get
the most up to date medical advice and care.
MISSION: To
improve the quality of healthcare, worldwide, by developing and
commercializing global healthcare services and solutions that
provide timely, effective and strategic access to The WorldCare
Consortium SM, a provider alliance of the very best academic
medical centers in the United States.
WorldCare was among the first to deliver
highly specialized electronic second opinions from the best
medical centers in North America for the benefit of patients
worldwide. WorldCare's proprietary technology is FDA cleared and
HIPAA compliant as a method of transmitting diagnostic and
imaging text electronically. WorldCare's proprietary
technology enables access to specialists at leading hospitals
including Duke University Medical Center, Massachusetts General
Hospital, Brigham and Women's Hospital. Our physicians are on
the cutting edge of medicine because their hospitals are
referral centers that perform high volumes of very difficult
procedures.
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HMA Administrators, LLC:
www.hmaadministrators.com
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HMA Administrators, LLC provides
employers with medical, dental, and vision benefits management
services, including total claims management, prescription drug
management, total health, wellness program and disease
management, provider network development, COBRA, HIPAA
consulting and compliance services.
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POMCO PPO
Healthcare Networks: www.pomcoplus.com
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POMCO believes that a comprehensive,
integrated national provider network strategy is critical to the
success of any employee benefits or workers compensation
program. This belief led POMCO to develop a national
network solution that included developing its own proprietary
network while also partnering with an elite group of top-tier
regional and national provider networks based on reputation,
coverage and savings agreements. POMCO's network solution
currently includes: Access to more than 700,000 health care
providers and hospitals nationwide
POMCO Group Business Profile
●Nationally ranked by the Society of
Professional Benefits Administrators as one of the largest
independently operated professional benefits administrators
in the U.S.
●340 Employees
●230 Clients across all lines of business
(including 65 medical benefits clients/300,000 covered
lives)
●Clients range in size from 200 to 24,000
lives
●Serves approximately 450,000 members
across all lines of business
●Manages client premium equivalents of
more than $600 million
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