Carriers & TPAs...Carriers & TPAs formerly: Self-Funded and Fully Insured Guides 326 E. Coronado Rd....

Carriers & TPAsformerly: Self-Funded and Fully Insured Guides

326 E. Coronado Rd. • Phx., AZ 85004t: 602-252-4042 • f: 602-417-2871 [email protected]

www.azfmc.com

Arizona Foundation for Medical Care (AFMC) is recognized as a leader in the Arizona healthcare market for over 40 years due to its high degree of accountability, continued commitment to the provision of quality, cost-effective healthcare, outstanding customer care, stability, responsiveness and competitive savings.

AFMC’s unique difference is that we do not offer benefits nor act as a benefit administrator. Instead, we work directly with brokers, consultants, general agents, third party administrators, and insurance companies to provide freedom of choice by offering a variety of healthcare solutions.

Included in this document is a wealth of information designed to inform and support:

• Individuals seeking information on health insurance (individual or family);

• Employers seeking information and/or quotes on health plans for their company; and/or

• Insurance professionals seeking information and/or quotes on group plans.

Please note: This is not an inclusive list. If you are interested in placing your company’s information, update existing information, or would like to learn more about AFMC’s portfolio of products, please contact AFMC at 800-624-4277, [email protected] or www.azfmc.com.

TABLE OF CONTENTSFully Insured - Pg. 2

Self-Funded - Pg. 4

TPAs & Reinsurance - Pg. 7

Additional Resources - Pg. 10

American National Life Insurance Company of TexasCraig S. Kovacevich, Moody Insurance Group

Phone: (800) 252-4002 | Fax: (409) 763-4002 | [email protected] | www.anico.com

American National Life Insurance Company of Texas is an insurance company. They write individual medical expense reimbursement plans across the nation. Their plans are fully-insured and administered directly. They offer both HSA and non-HSA options.

Assurant HealthPhone: (800) 800-1212 | www.assuranthealth.com

When you’re looking for a financially stable organization that is easy to do business with, choose one with a history of being both. Assurant Health has been in business since 1892 and is the brand name for products underwritten and issued by Time Insurance Company, John Alden Life Insurance Company and Union Security Insurance Company. Each company is financially responsible for its own insurance products. Primary products include Individual Medical, Small Business Health Insurance, Short Term Health Insurance and Student Health Insurance products, as well as non-insurance products and consumer-choice products such as Health Savings Accounts and Health Reimbursement Savings Arrangements.

Roster:

John Alden Life Insurance CompanyRyan Osterhaus, District Manager1230 W. Washington, Ste. 210, Tempe, AZ 85281Direct: 602-667-3006 | Toll Free: 800-458-3246 | Fax: 602-667-3467 | [email protected]

Time Insurance CompanyEric Almassy, Regional Sales DirectorPO Box 2707, Carefree, AZ 85377-2707Direct: 480-361-5798 | Toll Free: 800-548-4454 | Fax: 480-361-5813 | [email protected]

Union Security Insurance GroupTammy Kennedy, Manager7740 N. 16th Street, #375, Phoenix, AZ 85020Direct: 602-943-6300 | Fax: 602-943-6311 | [email protected]

MGAs:

State Farm - Assurant Health is the exclusive health insurance carrier for State Farm. Please visit any State Farm representative in your area to inquire about any insurance needs you may have for you or your family.

Design Benefit PlansLuke Dale35 N. Alma School Road, Ste. 202, Mesa, AZ 85201Direct: 480-491-1888 | Fax: 480-491-0253 | [email protected]

Western Pacific Benefit Group IncTracy Greiff2211 S Mill Ave., Tempe, AZ 85282Direct: 480-736-9500 | Fax: 480-736-9510 | [email protected]

BEST Life and Health Insurance Co.Steve Course

Phone: (800) 237-8543 ext. 129 | Fax: (949) 222-2166 | [email protected] | www.besthealthplans.com

Fully Insured group products available for groups with 2-50 employee lives enrolling. PPO co-pay and HDHP Plans available. Dental, Vision, STD, and Life plans also available.

EMI HealthNancy PurdyPhone: (480) 433-0899 | Fax: (801) 269-9734 | [email protected] | www.emihealth.com

EMI Health offers a comprehensive selection of self-funded and fully-insured medical, dental, and vision plans to the public and commercial sectors. In addition, EMI Health features a dedicated wellness program, pooling for minimized risk, and COBRA administration. EMI Health has been recognized for its superior customer service and robust provider networks. With no stockholders, EMI Health can use excess earnings to offer members quality health benefits for lower premiums.

Trustmark Companies: Small GroupStarmarkPhone: (800) 522-1246 ext. 33057 | Fax: (847) 615-9115 | www.starmarkinc.com

Starmark is a distinguished leader in small group healthcare benefits. By offering flexible health plans, unparalleled personal service, innovative, paperless employee enrollment, comprehensive health and wellness management tools, nationwide network access, and seamless HRA administration, Starmark is the choice to meet the diverse needs of small businesses today. Trustmark Life Insurance Company, Lake Forest, Illinois, insurers Fully Insured Plans and provides Stop-loss Insurance for the self-funded market in the Starmark portfolio. Plan availability and/or coverage may vary by state.

Arizona Benefit Plans, Inc.Phone: (800) 224-3333 or (602) 249-2030 | Fax: (602) 242-3324 | [email protected]

Insurance Network America, Inc.Phone: (800) 456-7999 or (208) 344-1143 | Fax: (208) 344-5560 | www.insurancenetwork.com

Western Region Sales OfficeTrustmark Life Insurance CompanyPhone: (888) 236-0116 or (208) 658-1817 | Fax: (208) 658-1870

Trustmark Companies: Large GroupsTrustmark Group Benefits, a division of Trustmark Life Insurance Companywww.trustmarkins.com/group


Trustmark Group Benefits, an operating division of Trustmark Life Insurance Company, delivers health, prescription drug, dental, life and disability coverage to companies with 100 or more covered lives. Health plans are underwritten by Trustmark Life Insurance Company or Trustmark Insurance Company, Lake Forest, Illinois. Plan availability coverage may vary by state.

Trustmark Companies: AssociationsTrustmark has more than 50 years experience serving the healthcare benefit needs of associations.

Contact George Michelic for more information. Phone: (847) 283-2041 | [email protected]

United Security Life and Health Insurance CompanyInternal Marketing Team

Phone: (800) 770-7239 | Fax: (780) 475-6120 | [email protected] | www.unitedsecuritylandh.com

The core product line at USL&H is their individual major medical plans. In Arizona specifically, there are five plans to choose from that offer a variety of deductibles and optional benefits that will suit the needs of many. We have short-term health products for those who need health insurance coverage on a temporary basis. Our short term products can also be written for children only.In addition to major medical insurance, USL&H offers a wide range of ancillary products including Disability Income, Accident/Hospital Indemnity, Critical Illness, Cancer, EZ Life and First Step Children’s Whole Life Insurance.

Advanced Benefit Solutions (ABS)Michele Terzich

Phone: (623) 889-7200 | Fax: (623) 889-7299 | www.absaz.net

ABS provides full third party claims administration services for single employer, self-funded, and self-insured employee benefit plans. ABS assists with plan design and works with Reinsurance Carriers to secure the most favorable rates.

AlliedRob Valerious

Phone: (800) 288-2078 | [email protected] | www.Alliedbenefit.com

Allied is a national health solutions company providing a wide range of medical, dental, FSA, COBRA and government compliance services to health and welfare plans throughout the United States.

AmeriBen/IEC GroupJon Aubrey

Phone: (801) 993-6100 ext.104 | [email protected] | www.ameribeniecgroup.com

AmeriBen administers medical, dental, vision and STD plans for self-funded employers, medical administration for fully insured student plans, COBRA and HIPAA administration along with FSA, HRA and HSA administration.

America’s TPAJean LaFavor

Phone: (952) 896-1207 | Fax: (952) 841-1993 | [email protected] | www.americastpa.com

America’s TPA has more than 25 years experience in the healthcare industry. They are leaders in administering consumer-driven and wellness-centric plans for self-funded employers, which has resulted in minimal cost increases. They provide a consolidated statement and medical payment service to members through HealthEZ.

Delta Health SystemsRichard Roge, VP, Sales & Marketing

Phone: (714) 307-6609 | Fax: (209) 393-3968 | [email protected] | www.deltahealthsystems.com

Self-Insurance; Reliable Claims Technology; Individual Policy Purchasing, EDI - Electronic Claims Payment; Quality Services; Delta TeamCare - Risk Identification, Disease Management, Case Management, and Utilization Management; Delta Direct - Administration of consumer directed products; Delta DataMart - Online reporting tool.

Employee Benefit Management Services, Inc. (EBMS)Sandra Hartman, RHU, Regional Sales Manager

Phone: (406) 245-3575 ext. 1286| Fax: (406) 652-5380 | [email protected] | www.ebms.com

EBMS offers medical, dental, vision, flexible spending, HSA, HRA, disease management, wellness, COBRA, HIPAA, proprietary PPO and LTD (for single employers), Multiple Employer Welfare Arrangement (M.E.W.A.), association plans, government sponsored, fully-insured, and proprietary stop-loss products.



Gilsbar, Inc.Matt Cooper

Phone: (985) 809-2428| Toll Free: (800) 445-7227| Fax: (480) 344-3449 | [email protected] | www.gilsbar.com

Third Party Administration; Medical, Dental, Vision, COBRA, Utilization Review, Medical Management, Disease Management, and Wellness Programs.

HealthNow Administrative Services (HNAS)Jason Gard

Phone: (602) 885-8855 | Fax: (602) 840-7810 | [email protected] | www.hnas.com

HealthNow Administrative Services (HNAS) is one of the nation’s leading administrative services organizations offering innovative strategies to meet any plan sponsor’s group benefit objectives. As an affiliate of HealthNow New York, Inc., parent company of BlueCross and BlueShield of Western New York and BlueShield of Northeastern New York, HNAS has unparalleled access to resources with the capacity to provide superior administrative and outsourcing services that deliver integrated and creative benefit solutions. HNAS offices are located in Arizona, Kentucky, Massachusetts, Pennsylvania and Texas.

IHC Administrative Services, Inc.Brad Waldrop

Phone: (602) 906-6227 | Fax: (602) 861-6063 | [email protected] | www.iacusa.com

Insurer’s Administrative Corp. offers Medical; Dental; Life; Limited Benefits; Short Term Medical; Self Funding; and Hour Bank administration.

The Loomis CompanyBill Bixler

Phone: (610) 374-4040 x2439 | Fax: (801) 761-4321 | [email protected] | www.loomisco.com

Full array of TPA services; Custom Proprietary Enrollment System; Custom Reports; Low Admin Fees.

Mayo Clinic Health Solutions (MMSI)Scott Scherkenback

Phone: (480) 342-3864 | Fax: (480) 342-3846 | [email protected] | www.mayoclinichealthsolutions.com

Mayo Clinic Health Solutions works with more than 600 employers, health plans, and member organizations to provide Web, telephonic and print population health management resources to employees and members.

PreferredOne Administrative Services, Inc. Phone: (763) 847-4007 | Fax: (763) 847-4010 | www.preferredone.com

PreferredOne offers a full range of products, services, and networks to brokers, employers and members. These include self funded and fully insured products.

Professional Benefit Services, Inc.Mabel LaChappell

Phone: (602) 914-1315 | Fax: (602) 914-9239 | [email protected] | www.pbsazonline.com

Third Party Administrator (TPA) for self funded health plans, pension, annuity, HRAs, FSA, Vacation, Dental, Vision, Cobra, STD, LTD for single or multi-employers/or health plans.

Tall Tree Administrators, LLCMark Wade

(623) 523-4346 | Fax: (801) 274-8900 | [email protected] | www.talltreehealth.com

Tall Tree Administrators is a Utah based, privately held third party administrator that offers medical and dental claims administration, stop-loss placement, cafeteria, FSA, HRA, HSA, COBRA and HIPAA administration. Our state-of-the-art, web-based systems are dynamic and adaptable to allow for unlimited plan designs and tailored reporting packages with online tools for enrollment and H.R. and member ease of use.




Insurance Network America, Inc.Phone: (800) 456-7999 or (208) 344-1143 | Fax: (208) 344-5560www.insurancenetwork.com

Western Region Sales OfficeTrustmark Life Insurance CompanyPhone: (888) 236-0116 or (208) 658-1817Fax: (208) 658-1870

Trustmark Companies: AssociationsTrustmark has more than 50 years experience serving the healthcare benefit needs of associations. Contact George Michelic for more information.

Phone: (847) 283-2041 | [email protected]

Trustmark Group Benefits, a division of Trustmark Life Insurance Company: Large Groupswww.trustmarkins.com/group


Trustmark Group Benefits, an operating division of Trustmark Life Insurance Company, delivers health, prescription drug, dental, life and disability coverage to companies with 100 or more covered lives. Health plans are underwritten by Trustmark Life Insurance Company or Trustmark Insurance Company, Lake Forest, Illinois. Plan availability coverage by vary by state.

Trident Plan AdministratorsPeter Ranke or Pauline Doherty

(602) 240-2404 | Fax: (602) 240-6000 | [email protected] | www.tridenttpa.com

Trident Plan Administrators is a full service third party administrator for employer self-funded employee health benefit plans. They process, adjudicate and handle all aspects of medical, dental and vision claims, and can arrange for and coordinate network placement, utilization review, case management, disease management, stop loss/reinsurance placement and claims filing. Trident can also assist with plan design and SPD preparation. Trident also offers COBRA/HIPAA and Section 125/FSA services.

Benefit Dynamics, LLCRichard Anderson

Phone: (719) 575-0411 | Fax: (719) 575-0456 | [email protected] | www.benedyn.com

Stop Loss Intermediary

HCC Life Insurance CompanyHolgate Dean

Phone: (714) 432-6572 | Fax: (972) 248-7157 | [email protected] | www.hcclife.com

HCC Life Insurance Company has been an industry leader in the medical stop loss market for over three decades. They have outstanding ratings such as A+ by A.M. Best Company; assets of over 8 billion; and are traded on the NYSE, symbol “HCC”.

HM Insurance GroupSteve C. Atkinson, CEBS, Regional Sales Director

Phone: (602) 667-9394 | Fax: (602) 667-9396 | [email protected] | www.hminsurancegroup.com

As a leader in Stop Loss for nearly three decades, HM Insurance Group puts a high value on protecting companies from catastrophe. Utilizing our strength and experience in employee benefits, we have created a connected portfolio of products to deliver Health Risk Solutions. Current product portfolio includes: Stop Loss; Worksite Critical Illness, Accident, and Disability income; and Limited Benefit Medical.

ING Employee BenefitsRay EvelethPhone: (602) 328-8654 | Fax: (602) 749-9002 | [email protected] | www.ing.us/employers/employee-benefits

ING offers both Specific and Aggregate Stop Loss Insurance to groups of 250 employees or more, with a minimum spec level of $75k.

International Specialty Underwriters/Companion LifeTom Thompson

Phone: (480) 882-8840 | Fax: (904) 281-0384 | [email protected] | www.isu-inc.net

ISU provides self funded proposals through Companion Life, an A+ carrier. ISU partners with their clients by offering competitive pricing and services such as large claims consulting on dialysis, transplants, and premature deliveries.

Intermediary Insurance Services, Inc. (IISI)Jim Henry

Phone: (415) 399-6723 | Fax: (415) 398-6851 | [email protected] | www.iisinet.com

IISI is a full service Managing General Underwriter (MGU) of employer stop loss for groups of 50+, representing QBE Insurance Company and American National Life Insurance Company of Texas. Headquartered in San Francisco, IISI has been providing quality MGU services since 1983.

Medical ExcessMichael Hopkins

Phone: (415) 836-2884 | Fax: (415) 836-3154 | [email protected] | www.medicalexcess.com

Medical Excess provides catastrophic health care risk solutions to organizations that are at risk for the health care of their members. They distribute our Employer Stop Loss and first-dollar Organ Transplant products through a select number of qualified Claims Administrators and Brokers.

Montgomery Management CorporationCarrie Staab

Phone: (800) 883-1500 | Fax: (215) 793-0535 | [email protected] | www.montmgmt.com

Montgomery Management Corporation (MMC) is a managing general underwriter of employer stop-loss coverage. MMC has been in this business since 1989. They provide a full range of services including underwriting, policy binding, contract issuance, premium collection and claims payment. In additin to stop-loss, they offer Life, AD&D, STD and LTD coverage. They are a wholly-owned subsidiary of Companion Life Insurance Company. Montgomery Management’s staff is known for its excellent customer service and responsiveness. Our goal is to be flexible in accommodating the needs of their partners. MMC ensures the entire process of underwriting, premium remittance, contract issuance and claims payment is done in an efficient and timely manner.

NorthWind, LLCDouglas Thomas

Phone: (610) 840-0101 ext. 7103 | Fax: (610) 644-6108 | [email protected] | www.northwindllc.com

NorthWind, LLC is a full service Managing General Underwriter of various specialty insurance products. Since its 1997 inception, NorthWind has written over $200 million of premium with insurance companies rated “Excellent” by AM BEst across 40 states. In addition to its underwriting services, the company provides specialty brokerage services in both employee benefit and property/casualty spaces.

R.E. Moulton Inc.Staci O’Toole

Phone: (650) 941-8499 | Fax: (650) 941-8469 | [email protected] | www.oneamerica.com

Products and Services: R.E. Moulton Inc. offers affordable premium rates, alternative funding arrangements and competitive producer compensation. R.E. Moulton’s medical stop loss insurance products are issued by AUL, a OneAmerica company and exclusively marketed and administered by R.E. Moulton.

Risk Assessment StrategiesPat Vignone lll

Phone: (860) 289-1844 | Fax: (860) 282-7379 | [email protected] | www.ras-mgu.com

Risk Assessment Strategies is a full service Managing General Underwriter providing Medical Stop Loss to employer groups who self-fund their medical benefits.

StarLine GroupMachelle ApplegatePhone: (612) 455-8332 | Fax: (508) 495 0708 | [email protected] | www.starlinegroup.com

Eliane OlsonPhone: (619) 694-6531 | Fax: (508) 495-0708| [email protected] | www.starlinegroup.com

Star Line is a specialty underwriting management company. Areas of expertise include Specialty Benefits, Stop Loss, and Managed Care.

Swiss Reinsurance CompanyBrian Reule

Phone: (847) 273-1227 | Fax: (888) 595-3504 | [email protected] | www.swissre.com

Direct writer of Employer Stop Loss coverages - Specific and Aggregate Stop Loss. Since 1975, Swiss Re’s Medical Expense Group has protected self-funded employers against catastrophic and unpredictable losses with a variety of innovative and creative Employer Stop Loss Programs.

Symetra Life Insurance CompanyArizona Benefit Plans, Inc. – General Agent

Mike Hoffman

Phone: (602) 249-2030 | Fax: (602) 242-3324 | www.benefit-plans-inc.com

Symetra Financial offers life, disability, limited medical coverages, and stop-loss insurance. The Symetra contract and claims paying ability are the cornerstone of their commitment to the stop-loss business.

USBenefits Insurance ServicesMarcus Floyd

Phone: (877) 877-4872 | Fax: (866) 504-4872 | [email protected] | www.usbins.net

USB is a managing general underwriting company that provides employer stop loss reinsurance products to self funded plans and ancillary fully insured products to employer groups through qualified Third Party Administrators and select brokers.

Zurich North AmericaCustomer Inquiry CenterZurich North America1400 American LaneSchaumburg, IL 60196

[email protected] | Phone: 1-800-987-3373 | www.zurichna.com

Offering operational and financial discipline, coupled with a strong capitol base. Zurich retains 100 percent of the risk, so all claims decisions are made in-house and paid quickly. Their contract is easy to read and does not include actively at work, pre-existing condition limitations, or self inflicted injury limits to provide continuity with typical plan language. They offer a No Laser and Limited Rate Increase Renewal Option, which allows customers to accurately forecast a maximum renewal increase, and offer a step down deductible when their Interlink transplant network is accessed. Also offering a fully insured organ transplant carve out product.

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FULLY INSUREDOutsource Marketing Strategies, Inc.Cindy Lee Rottmann

Phone: (480) 858-0056 | Fax: (480) 858-0058 | [email protected] | www.oms.inc.net

Outsource Marketing Strategies, Inc. provides self-funded services to Consultants and TPAs nationwide since 1998. They are a “behind the scenes” marketing and services company representing a variety of stop loss companies and managed care vendors. They provide additional market access, stop loss enrollment, technical support and renewal management. This leaves the Broker/Consultant to oversee the entire process for your client and know someone else is sweating the details on the stop loss piece. They are your “Easy Button”. Consider Outsource Marketing Strategies for your self-funded renewals and prospects over 30 employees.

RW King and AssociatesBob King

Phone: (602) 277-6033 | Fax: (602) 264-5768| [email protected] | www.rwking.com

R W King & Associates, Inc. service and assists insurance brokers to write and retain more employee benefit business. R W King, with 38 years of experience, specializes in aspects of self funding benefit plans for brokers and their clients. They assist in determining the correct administrator, network, PBM, and stop loss provider, and will work with you on value based plan design, using wellness concepts, and discussing products/services that can be unbundled. From A to Z R.W. King is your back room.






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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Outsource Marketing Strategies, Inc.Cindy Lee Rottmann






FULLY INSURED






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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SELF-FUNDED - TPAsOutsource Marketing Strategies, Inc.Cindy Lee Rottmann











Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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SELF-FUNDED - TPAs






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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SELF-FUNDED - TPAs






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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REINSURANCEOutsource Marketing Strategies, Inc.Cindy Lee Rottmann











Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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REINSURANCE






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









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REINSURANCE






Roster:




MGAs:

























AlliedRob Valerious




























































































Mike Hoffman









ADDITIONAL RESOURCES

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Carriers & TPAs...Carriers & TPAs formerly: Self-Funded and Fully Insured Guides 326 E. Coronado Rd....

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