GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits...

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GROUP BENEFITS DIVISION OVERVIEW

Transcript of GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits...

Page 1: GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits and Rx • Special risk, accident medical TPA SERVICES • Claims-paying TPA, focused

GROUP BENEFITS

DIVISION OVERVIEW

Page 2: GROUP BENEFITS...• Medical stop-loss • Student accident and catastrophic MEC, limited benefits and Rx • Special risk, accident medical TPA SERVICES • Claims-paying TPA, focused

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

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SPECIALIZING IN GIVING YOU MORE.

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