GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits...
Transcript of GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits...
GROUP BENEFITS
DIVISION OVERVIEW
GROUP BENEFITSDIVISION OVERVIEW• 600+ employees
• Offices in 18 locations
• 4,000 retail agency relationships
• Place business through 200 carriers and MGUs
• Provide outsourcing services for 35+ carriers
MAIN CAPABILITIESAmWINS Group Benefits offers wholesale distribution,
administrative services and underwriting across nine
product practices and three industry/risk practices.
• WHOLESALE PRODUCTS AmWINS is a wholesale distributor of specialty health
insurance, as well as other benefit products, programs
and services.
• OUTSOURCING SERVICES AmWINS provides a full range of administrative
services, including claims payment, communications,
enrollment, billing and ongoing support.
• UNDERWRITING As an MGU for niche specialty L&H and accident
insurance programs, AmWINS Group Benefits
underwrites and binds insurance coverage on behalf of
carriers. (AmWINS takes no risk.)
Our Group Benefits division offers the industry’s most compelling solutions for group insurance programs and administrative services. Dedicated to empowering clients with the information and infrastructure to manage group plans, we develop, distribute and administer benefit programs with tremendous efficiency.
STOP-LOSS• Preferred access to stop-loss carriers with
$140M of in-force premium
• Unmatched technical expertise
• Effective claims management insight and advocacy
• Mitigates impact of high-cost claims with complementary products:
Organ transplant
Dialysis management
MANAGING GENERAL UNDERWRITER• Medical stop-loss
• Student accident and catastrophic
• MEC, limited benefits and Rx
• Special risk, accident medical and general liability
TPA SERVICES• Claims-paying TPA, focused on healthcare
• Self-funded plan administration
• Health benefit services to American Indian and Alaskan native peoples
HEALTHCARE• Administrative capabilities for provider-
sponsored health plans and bundled payment arrangements
• Unique captive arrangement specifically for the healthcare industry
• Stop-loss expertise for self-funded healthcare employers
• Enrollment services to meet the needs of healthcare workers
PUBLIC ENTITY• Retiree solutions to help manage other post-
employment benefits
• Reduce costs and improve healthcare and pharmacy administration for public entities that self-fund their employee health plan
• Healthcare audits to reduce costly billing errors
• Underwriting capabilities to provide a range of solutions for schools, teams, leagues and events
SELF-FUNDING• Mitigates self-funded risk with stop-
loss, transplant carve-out and dialysis management
• Transition from fully insured to self-funding
• Specialized administrative services for self-funded health plans
• Audit services to identify budget draining inefficiencies and eliminate waste
RETIREE BENEFITS• Medical and pharmacy benefits
• Help reduce balance sheet liabilities
• Outsource administration (communications, enrollment, billing and ongoing support)
• Transition retirees to a medicare exchange
PHARMACY BENEFITS• Improve outcomes and decrease costs
• Predictive modeling
• Case management integration and utilization review
• Disease and demand management
• Audit capabilities
SMALL GROUP• MGU and TPA, representing more than 12
carriers offering coverage in:
Medical
Vision and dental
Life and AD&D
Long- and short- term disability
Exclusive GA for BCBS of RI (Under 25)
• Small group self-funding (25-250)
PROGRAM DEVELOPMENT• Carrier program management
• Outsourced administration
• Underwriting (plan design and pricing)
• Strategic business solutions (product development and consulting)
AFFINITY MEMBER BENEFITS• Administration outsourcing
• Association marketing
• Policy administration
• Customer service
SPECIALIZING IN GIVING YOU MORE.
DIVISION OVERVIEW
VOLUNTARY BENEFITS• Strong carrier partnerships, providing
best-in-class solutions
• Consolidated enrollment and communication services
• Multiple enrollment methodologies, including: face-to-face, call center and proprietary enrollment technology
PRODUCT PRACTICES INDUSTRY/RISK PRACTICES
SPECIALIZING IN GIVING YOU MORE.
07/15