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HCAA Reports

Summer 2008

 

 

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  Letter from the President 
 The Value of Connection

By Debi Hardwick, Coastal TPA, Inc.

The HCAA mission statement is "to improve the quality and cost effectiveness of health care administration by promoting education, information and the exchange of ideas."  So, how are we doing?  As the 2008-09 President, I am interested in hearing from our membership about ways that we can further our mission and improve the exchange of ideas and information.

As a membership organization, we cannot fulfill our mission without your participation.  Your volunteer involvement with a committee is a great way to meet your colleagues and have great fun while contributing to the organization.  
A listing of all committees is included in this newsletter.

As we begin our new fiscal year, I want to take a moment to thank Linda Ludwick for her leadership, as HCAA's 2007-08 President.  Linda's commitment and enthusiasm for the organization has set a new standard of excellence.

award photo
Incoming President Debi Hardwick presents outgoing Presdient Linda Ludwick with a plaque in appreciation for her hard work over the past year.

HCAA's Board of Directors dedicate countless volunteer hours and I am extremely honored to work with these very talented individuals. HCAA's 2008-09 Infrastructure and Initiatives, developed by the Board during our strategic planning meeting is posted on our web site www.hcaa.org.  

I couldn't conclude my first message without a huge THANK YOU, for the many contributions made by the 2008 TPA University Committee.  This year's conference "Executive Blueprint for Operations Excellence - TPA best practice for current and future leaders within your organization " exceeded my expectations.  We hit another milestone with 195 registrants and I want to share some of the comments that we have since received:  
 

"HCAA delivers timely, relevant information and resources and has become the 'go to' for professional development for our organization. They live their "value of connection" brand."

"HCAA provides an excellent forum for industry professionals to share ideas and build relationships. The organization strives to provide access to critical industry information in an open, friendly environment."

"A tremendous group of knowledgeable TPA professionals seeking to meet the demands and issues faced specific to the TPA community came together to address the current and future challenges to keep our industry flourishing!"

"It was inspiring"


Click here to see photos from this year's very successful conference!

Based on the feedback, we are ready to launch the first of our webinar series.  Scott Primiano, President of Polestar Performance Programs will continue his training on "Transforming Service Teams Into Productive Sales Teams" with four HCAA hosted webinars geared to skill development and performance improvement training.  See below for more information.

 

 WEBINAR SERIES

Business Growth & Development: What Matters?

presented by Polestar Peformance Programs, Inc.

HCAA is pleased to provide this new value added benefit to our members.  This webinar series is designed specifically to provide you with some unique tools, tips, strategies and structure that will enhance your ability to differentiate in a crowded marketplace.

The program will be facilitated by Scott Primiano of Polestar Performance Programs.  Polestar is the premier provider of performance consulting and training services in the Insurance Industry and facilitated a very popular session at our recent program in San Francisco. 

 

The program is delivered in four monthly two-hour segments using the most advanced and efficient web-broadcast methods available and is FREE of charge to HCAA members.
 
To register, send an email to sharon@hcaa.org with the names of the participants and the sessions you will be attending.

Session I - Introduction: What Market Are We In
(Review from TPA University)

Friday, September 26, 2008
2:00 p.m. Eastern / 11:00 a.m. Pacific
Navigating the Industry's pricing cycles - causes, constraints, and lingering effects of market combustion. A new strategy for a new Insurance Era - converting client relationships into value-driven partnerships.  Rising above the rest- breaking through presumptions, stereotypes, and conventional "wisdom" while rejuvenating your entrepreneurial spirit.
 
Session II - Cross Selling, Account Rounding,
and Referral Harvesting

Wednesday, October 15, 2008
2:00 p.m. Eastern / 11:00 a.m. Pacific
We have an obligation...Why cross-selling is really cross-servicing.
Creating a sustainable, formalized, and professional strategy to harvest cross-selling and account rounding opportunities.
Conducting midterm client assessments for every line of business.
Client education initiatives that promote partnership solutions.
Promoting cooperation and preventing internal combustion...how to avoid territorialism and prevent anxiety about cross-selling initiatives.
Establishing accountabilities, incentives, and commission sharing arrangements.  Building a network of affiliates and comfortably leveraging your greatest asset - your existing relationships.
Firmly establishing the referral harvesting system as the primary method for prospecting. Say goodbye to the cold introduction.
Managing referrals professionally and consistently.
 
Session III - Priority Management & Personal Organization
Wednesday, November 12, 2008
2:00 p.m. Eastern / 11:00 a.m. Pacific
Focus on high payoff, high impact, business building and proactive client service activities that are unique, efficient, and extremely effective.  Improve self-manageability, self-esteem, and confidence in any environment and under any conditions.
A proven system to stay on target and on plan in spite of distractions, interruptions, and setbacks.

Session IV - Channel Marketing - Gaining Visibility and Viability
Wednesday, December 10, 2008
2:00 p.m. Eastern / 11:00 a.m.Pacific
Refreshing and sensible marketing strategies that attract and retain desirable, prequalified opportunities within target markets.
Differentiating with integrity- creating, conducting, evaluating, and responding to a needs assessment. Earning client trust rather than pitching a bid.  Creating a value proposition by designing a comprehensive insurance program rather than focusing on policies and price.

This series of webinars are FREE and offered to HCAA Members Only.  To register, please email sharon@hcaa.org with the names of the participants and the sessions you will attend.

 

GOVERNMENT AND REGULATORY AFFAIRS UPDATE 

HCAA's newly formed Governmental and Regulatory Affairs Committee (GRA) is responsible for serving as a legislative and regulatory watchdog for HCAA members and communicating those legislative and regulatory updates as needed to the membership.  This committee will also identify and recommend to the HCAA Board opportunities to support organizations that have legislative and regulatory efforts which support our industry. 
 
Currently members of the GRA Committee include Dolores Green, Chair, Foundation Administrative Servicews, Inc; Adam Russo, Phia Group; Steven Imber, Polsinelli Shalton Flanigan Suelthaus PC;  Matt Stephens, Lawrence & Russell, LLP; and John Barlament, Michael Best & Friedrich LLP. 
 
If there is a topic of interest you would like the GRA Committee to address in future issues, please email HCAA at jnolan@hcaa.org.
 

 Department of Health & Human Services
 releases guidance clarifying certain
 requirements for Medicare secondary
 payer reporting; other questions
 remain unaddressed

By John Barlament, Esq.

On January 4, 2007, Congress enacted the Medicare, Medicaid, and SCHIP Extension Act of 2007 (the "Act").  The Act imposes information gathering and reporting requirements on insurers or third-party administrators and, in the case of a self-insured, self-administered group health plan, a plan administrator or fiduciary (the "Reporting Entities").  Reporting Entities must compile and report to Health and Human Services ("HHS") information related to situations where the group health plan is (or has been) primary to Medicare under the Medicare Secondary Payer Act (the "MSP"). 

Medicare is generally a secondary payer to a group health plan in various circumstances, usually when an employee is 65 or older and participates in an employee-sponsored health plan.  The Act appears to have been designed to track and report these circumstances.  The Act does not address what information must be disclosed to HHS.  The Act is effective January 1, 2009.

On August 1, 2008, HHS released guidance which hints at - but does not clearly address - the ultimate form the reporting requirements will take.  Although important questions remain unanswered, this much is clear:

  • Reporting will be performed electronically through a Center for Medicare and Medicaid Services' ("CMS") website.  The website address is: www.cms.hhs.gov/MandatoryInsRep/.  Reporting Entities will register through the website.  Thereafter, CMS will work with the Reporting Entity to set up the data reporting and response process.
  • Reporting Entities must submit information on a quarterly basis.
  • CMS requests, but does not require, that Reporting Entities retain MSP information for ten years.
  • The required (and optional) data that a Reporting Entity must provide has been listed in the guidance.  It is unclear whether HHS will expand this list.  The list includes 23 required items and six optional items.  For example, HHS requires disclosure of a beneficiary's name, social security number, date of birth, gender, coverage type, coverage effective date and termination date, the policyholder's name and social security number, the employer's size, its EIN number and business address.  TPAs may have to perform a significant amount of work to gather, record and report this information.

The guidance leaves open several issues, including the following:

  • Is a group health plan required to report MSP information for the fourth calendar quarter of 2008 in January 2009, or is it merely obligated to begin information collection in January 2009 for reporting in April 2009 (or some later date)?

    It is not clear.  The Act provides that HHS may require information where the plan is or has been primary to MSP.  HHS believes that Reporting Entities are already collecting this information and that the burden to comply is relatively small.  HHS has not provided guidance regarding how far back a Reporting Entity must look.
  • Will reporting be required at the beginning or the end of a calendar quarter?

    The HHS guidance is silent as to the reporting deadline.  HHS promises further information will be forthcoming.  However, it is clear that there will be a date certain and that a Reporting Entity's failure to submit a report to HHS will result in a penalty of $1,000 for each day of non-compliance.
  • What plans are subject to the reporting requirements?

    The Act has a broad definition of "health plan" that appears to include a major medical plan, dental plan, vision plan and health reimbursement arrangement ("HRA").  It is possible, but less certain, whether the rules apply to a health flexible spending account ("FSA") or health savings account ("HSA").

Reporting Entities should consider identifying individuals who are eligible for Medicare coverage and plans that are subject to the MSP rules.  In addition, Reporting Entities may wish to start reviewing the types of required data to compile once the HHS formalizes its requirements.  Reporting Entities should refrain from destroying records that aid reporting until HHS provides guidance regarding how far back it will require reports.

John Barlament, Esquire is an attorney at Michael Best & Friedrich LLP based in Milwaukee, WI. Mr. Barlament can be contacted at JLBarlament@michaelbest.com or (414) 225-2793. The contents of this document are not deemed to be legal advice. Specific facts and circumstances should be reviewed and analyzed by your in-house legal counsel, as well as any individual self-funded welfare benefit plan and its legal counsel, in light of specific facts, circumstances, SPDs, subrogation, reimbursement and/or set-off provisions and specific state and federal laws and regulations.

 

 

 

 The Shank Case

By Adam Russo, Esq.

As many of you probably know, in early April, Wal-Mart waived its subrogation rights in the well publicized Shank case.  While reducing or waiving a lien on a case by case basis is certainly not unusual, doing so now that this case has attracted so much attention may hurt Plan rights to subrogation in future cases.  Hopefully, this will not set an unofficial precedent whereby every patient with a sad story publicly contests the Plan's rights to reimbursement.  If it does, the costs of providing employee benefit plans will surely skyrocket.  In the end, it is the employees who will pay when their contributions need to increase or the Plan is dissolved when costs become too high for employers to bear.

For those of you who don't know, Ms. Shank was severely injured in a car accident.  Her substantial medical expenses were paid by Wal-Mart's self-funded benefit plan.  In the meantime, Ms. Shank's family sued the insurance carrier of the truck that collided with her.  They settled their claim for $700,000 and Wal-Mart sought to enforce their Plan Document's subrogation provision.  Both the district and circuit courts enforced Wal-Mart's right to recovery and the Supreme Court refused to hear an appeal by the Shanks, implying their concurrence to the prior decisions.

In November 2007, The Wall Street Journal, in an extremely anti-Wal-Mart tone, published an article discussing how Wal-Mart sued to recover every penny it paid leaving Ms. Shank brain damaged and penniless.  The article never discussed how the Plan is substantially funded by the employees of Wal-Mart, not Wal-Mart itself, such that by allowing the Shanks to keep the money would amount to less for other employees' health claims and that the money recovered is returned to the employee benefits plan and not Wal-Mart.

A few months later, CNN picked up the story and also took an anti-Wal-Mart approach.  Unfortunately, they failed to address the facts.  Thousands of angry emails, blogs and letters hit the media bashing Wal-Mart and its greed.  While this is a sad story and it is proper to feel bad for Ms. Shank, if benefit plans were to ignore the terms of their plans every time patients had a "sad story" there would be no money left to pay claims.  How often will there be serious medical expenses involving a major accident with a happy result?  In addition, CNN and the media utterly ignored the substantial attorney's fees involved since the Shank's attorney took more of the settlement proceeds than Wal-Mart sought to recoup. 

While it is clear that Wal-Mart could have enforced its rights in a more politically correct manner, the media has certainly cast subrogation in an unnecessarily negative light.  As I have stated many times before, it is important that plans pick their battles carefully when subrogation rights are concerned.  One bad case with bad facts can turn the tide against us if we aren't more careful.

Adam V. Russo, Esquire is co-founder of The Phia Group LLC., a claims recovery subrogation company, based in Braintree, MA. Mr. Russo can be contacted at
arusso@phiagroup.com or 781-535-5678.

The contents of this document are not deemed to be legal advice. Specific facts and circumstances should be reviewed and analyzed by your in-house legal counsel, as well as any individual self-funded welfare benefit plan and its legal counsel, in light of specific facts, circumstances, SPDs, subrogation, reimbursement and/or set-off provisions and specific state and federal laws and regulations.

 

 

NewsByte

INETICO, Inc. and its care management company INETICARE have created a new and
exclusive MGU/REINSURER gateway into INETIPASS, their electronic care management system.  Through the new transparent gateway in the INETIPASS website portal, MGU's and Reinsurers will receive many benefits including 27/7 log-in access, the ability to view information by payor and group, the ability to download medical records, case management nurse notes, status reports and much more.  For more information, visit
www.inetico.com

INETICO, Inc. announced today that its INETICARE Care Management program has
been awarded Health Utilization Management Accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. By receiving the Health Utilization Management Accreditation, INETICO, Inc. is recognized as an organization that utilizes only appropriately trained and qualified clinical personnel to conduct and oversee the utilization review process, that has a reasonable and timely appeals process in place, and that medical decisions are based on valid clinical criteria.

Medical Excess LLC, a member company of AIG, has announced that it now has arrangements with 45 Third Party Administrators across the nation that distribute its fully insured Organ Transplant Program to qualifying self-funded groups. Through these relationships, Medical Excess has issued transplant policies to nearly 1,000 groups since the program began in 2004. Currently, there are approximately 400,000 participants covered under the program.

WorldDoc, Inc. and D2Hawkeye, Inc. announced a strategic partnership to develop an enhanced consumer care gap identification system. D2Hawkeye's wide range of clinical rules to predict individual and aggregate risk within a population will be integrated with WorldDoc's consumer care management systems. The result will be earlier identification of medical care gaps for individuals with access to WorldDoc's systems. Healthcare consumers will be further empowered to make better personal health decisions, leading to improved health outcomes and cost control.

 

 Standard Stop-Loss
 Employer Disclosure Form

As reported in previous issues of HCAA Reports, the Self Insurance Institute of America (SIIA) and the Society of Professional Benefit Administrators (SPBA) met to develop a system to "standardize" the disclosure reporting process, with the objective that all insurers would come to accept the reporting system/form as an industry standard. As a result, they have endorsed a standardized stop-loss disclosure form, which also includes ICD-9 codes. The documents are intended to help facilitate the sharing of health data information between self-insured entities/TPAs and stop-loss insurers/MGUs for the purpose of medical stop-loss underwriting.

HCAA Reports will continue running a recurring notice in each issue of the Stop Loss Carriers and MGUs that have adopted the Standardized Form. If your company has adopted the form, please contact Jaime Nolan at jnolan@hcaa.org

AIG Medical Excess

Azeros Healthcare (MGU) on behalf of London Life Reinsurance Company

BEST Re on behalf of US FIRE & BEST LIFE 

BP Inc. (MGU) on behalf of Combined Insurance - Supplemental Insurance

Cairnstone Re

The Hartford

HCC Life

HMA MGU, LLC (MGU)

Independence Holding Company (Standard Security Life Insurance Company of New York, Madison National Life and Independence American Insurance Company)

Intermediary Insurance Services, Inc. (IISI), MGU on behalf of QBE Insurance Company and American National Life Insurance Company of Texas

Medical Risk Managers (MGU)

Mid Atlantic Underwriters, Inc., (MGU) on behalf of ACE American Insurance Company

National Benefit Resources (MGU) on behalf of UnitedHealth Group insurance companies

J. Allan Hall & Associates, Inc. (MGU) on behalf of their underwriting facility, Lloyd's of London

R. E. Moulton, Inc. / American United Life Insurance Company (OneAmerica Companies)

Spectrum Underwriters (MGU)

RMTS, LLC (MGU) on behalf of their carriers Nationwide Life Insurance Company, Gerber Life Insurance Company, and Trustmark Insurance Company (as filed)

Stop Loss Concepts, Inc., (MGU) on behalf of their carriers, Gerber Life Insurance Company and QBE Insurance Company

Swiss Re Commercial Insurance

Zurich North America

 

 

 

 Welcome New Members!

Louis Lapiana, Executive Vice President
US Health and Life Insurance Company / Automated Benefit Services, Inc.
8220 Irving
Sterling Heights, MI 48312
PH:  586.693.4845
FX:  586.693.4835
llapiana@ushealthandlife.com
www.ushealthandlife.com    www.abs-tpa.com
Type:  TPA

Kathy Enochs, COO
Group & Pension Administrators, Inc.
12770 Merit Drive, 2nd Floor
Dallas, TX 75251
PH:  972.744.2530
FX:  972.744.2410
kathye@gpatpa.com
www.gpatpa.com
Type:  TPA

Camile Drew, VP Sales & Marketing
P5 Health Plan Solutions
2455 East Parleys Way, Suite 300
Salt Lake City, UT 84109
PH:  801.474.2555
FX: 801.474.2522
cdrew@p5health.com
www.p5health.com   
Type:  TPA

Steve Nichols, Managing Director
Medtral New Zealand
PO Box 99-894
Newmarket 1149 Auckland
New Zealand
PH:  +649.623.6588
steve.nichols@medtral.com
www.medtral.com   
Type:  Medical Travel

Joy Beth Fissette, Manager Account Development
Coalition America, Inc.
Two Concourse Parkway, Suite 300
Atlanta, GA 30328
PH:  404.459.7201
FX:  404.250.3962
joybeth@coalitionamerica.com
www.CoalitionAmerica.com
Type:  Other: Cost containment

Arnold M. Katz, President
Brokerage Concepts, Inc.
1021 West 8th Ave.
King Of Prussia, PA 19406
PH:  610.491.4802
FX:  610.962.6901
Arnold.katz@bcitpa.com
www.bcitpa.com
Type:  TPA

Melissa Anderson, Director of Operations
New World Administrators, Inc.
PO Box 948
Fresno, CA 93755
PH:  559.226.4021
FX:  323.395.5720
melissa@newlifeagency.com
www.newworldadministrators.com
Type:  TPA

Don Fitzgibbons, Vice President
Interactive Health Solutions
3800 North Wilke Road, Suite 155
Arlington Heights, IL 60004-1266
PH:  847.922.9707
d.fitzgibbons@interactivehs.com
www.interactivehs.com
Type:  Other:  Population Health Management

Rick Donatini, VP-Western Region
Consumer Health Technologies
23411 Aliso Viejo Pkwy, Ste K209
Aliso Viejo, CA 92656
PH:  310.259.2439
Rick.donatini@consumerhealthtech.com
Type:  Software

Steve Imber, Partner
Polsinelli Shalton Flanigan Suelthaus PC
6201 College Blvd, Ste 500
Overland Park, KS 66211
PH:  913.234.9469
FX:  913.451.6205
simber@polsinelli.com
Type:  Legal

Andrew Butler, President
Butler Benefit Service, Inc.
PO Box 3310
Davenport, IA 52808-3310
PH:  563.327.2200
FX:  563.327.2260
ajbutler@butlerins.com
Type:  TPA, not carrier owned


CORRECTION NOTICE:
In the previous issue of HCAA Reports, we welcomed new member The SandsTech Group.  Unfortunately the wrong contact information was published.  Following is the correct information.  Our apologies for the misprint!

Ken Meyer, Vice President of Sales
The SandsTech Group
1385 Kemper Meadow Drive
Cincinnati, Ohio  45240
kmeyer@sandstechgroup.com
513-504-4333 Cell
513-772-8866 x3225 Office
 
For information about membership, call 888-637-1605 or email HCAAinfo@HCAA.org

 

 

 

 

 Join a Committee

Looking for ways to get more involved in the association?  Join a committee!  HCAA's success depends on the hard working volunteers who keep us moving forward and bring new ideas to the table.  The following information highlights the committees that are currently accepting new members.  If you are interested, email jnolan@hcaa.org

BENCHMARKING COMMITTEE
This committee is responsible for the implementation of the annual benchmarking survey.  Duties include securing and working with selected vendor, reviewing and revising survey content, providing feedback for continuous improvement, and presenting results at TPA University.

EDUCATION COMMITTEE
This committee is responsible for the following:
i.    Development and management of the Certified Self-Funding Specialist Certification (CSFS) certification program.  
ii.    Development of an Employer Education program to include HR, CE, CLE, CPA credits
iii.    Application of Continuing Education credits for HCAA conferences
iv.    Development of additional education opportunities for members (e.g. webinars, etc.)

EXECUTIVE FORUM COMMITTEE
This committee is responsible for creating the theme of the conference, identifying topics and speakers, and approving presentation content before publishing.  The committee will support HCAA staff as needed in planning of logistics.

GOVERNMENT & REGULATORY AFFAIRS COMMITTEE
This committee is responsible for serving as a legislative watchdog for HCAA members, communicating legislative updates as needed to the membership.  This committee shall also identify and recommend to the Board opportunities to support organizations that have legislative efforts which support our industry.  

MEMBERSHIP COMMITTEE
This committee is responsible to assist with the recruitment and retention of HCAA members. Duties include evaluating member benefits, making recommendations for change and/or new benefits as opportunities arise, and establishing and implementing a memberhsip campaign.

PUBLIC RELATIONS COMMITTEE
This committee is responsible for overseeing and making recommendations for change to the HCAA website and the newsletter.  The committee is also responsible for the development and implementation of a plan to market HCAA and the TPA industry.

SPONSORSHIP COMMITTEE
This committee is responsible for evaluating the annual sponsorship campaign and making recommendations for benefits to the Board, as needed.  This committee will also assist in finding and securing sponsors for annual corporate sponsorships and the individual conference sponsorships.  

TPA UNIVERSITY COMMITTEE
This committee is responsible for creating the theme of the conference, identifying topics and speakers, and approving presentation content before publishing.  The committee will support HCAA staff as needed in planning of logistics.

 

 

 

 

 SAVE THESE DATES!

2009 Annual Executive Forum
February 3-5, 2009
The Wynn, Las Vegas

2009 TPA University
July 15-17, 2009
Disneyland Grand Californian Hotel, Anaheim, CA

 

In This Issue

Letter from the President

Webinar Series

Department of Health & Human Services...

The Shank Case

NewsByte

Standard Stop-Loss Employer Disclosure Form

Welcome New Members!

Join a Committee

SAVE THESE DATES!

 


AFP

 


American Health

 


Benefit Informatics

 


Red Card

 


 


 


 


 


 


 


 

HCAA Members

A&I Benefit Plan Administrators, Inc.

 

Acclamation Systems, Inc.

Advantek Benefit Administrators 

AIG/Medical Excess 

 Allegiance Benefit Plan Management, Inc.

 

Alliance Underwriters 

AllMed Healthcare Management


 AmeriBen/IEC Group

 American Health Holding, Inc.

 Arizona Foundation for Medical Care 

 

Arrowhead Administrators

 

ASR Health Benefits

 

Benefit Informatics, Inc. 

 Benefit Management Administrators 

 Ben-E-Lect 

 

Brokerage Concepts, Inc. 

 

 

Butler Benefit Service, Inc.

 

Cairnstone Inc.


 Capitol Administrators 

 CBA Administrators
 
 CDS Group Health

 

Coalition America, Inc.

 

 Coastal TPA, Inc. 

 Community Health Group


Consumer Health Technologies

Core V Solutions

 

Coresource, Inc.

 CVS Caremark 

DataMetrix 

Delta Health Systems 

 Dentafits-RxReins

 

Devon Health Services

 EBA&M 

 Employee Benefit Management Services, Inc. 

 EnCore System Professionals

 

Envision Rx

 

Express Scripts, Inc. 

First Administrators 

First Choice Health

 

 First Choice Health Network

First Dental Health

 First Recovery Group

 

FirsTier GA

 Foundation Administrative Services, Inc

 

Gilsbar, Inc.

 

Global Claim Resources 

 

Group & Pension Administrators, Inc.


 HBS Insurance Services 

 HCC Life Insurance Company 

 Health Future LLC

 

Health Services Benefit Administrators, Inc.

 

 Healthaxis, Inc. 

 HealthCare Solutions Group Inc.  

HealthComp Administrators

 

Health Edge Administrators

 

 

HealthFirst TPA

 

HealthMedia, Inc.

 

Healthplace America

 

 HealthRisk Resource Group Inc.

 

Healthx, Inc.


 Hines and Associates

 

HM Insurance Group


 Humboldt-Del Norte Fnd. For Medical Care 

 

 INETICO, Inc. 

 Ingenix 

Insurance Management Services

 

Intergrity Administrators, Inc.


 Interactive Health Solutions 

 Interface EAP 

 Intermediary Insurance Services, Inc. 

 Interplan Health Group 

 IOA RE

 

ISU - International Specialty Underwriters


 Keenan & Associates

 

Lawrence & Russell, LLP

 

Maxor National Pharmacy Services, LLC

 

Medco Health Solutions

 Medical Eye Services, Inc

 MedImpact HealthCare Systems, Inc

Medtral New Zealand 

Michael Best & Friedrich LLP 

 MMSI, Inc. 

 Mountain States Administrative Services 

 Munich Re HealthCare 

 Mutual Assurance Administrators 

 Mutual of Omaha 

National CooperativeRx 

New World Administrators, Inc.

 

NorthWind, LLC

 

NuFACTOR Specialty Pharmacy Services

 

OneSource StopLoss Insurance Marketing 

 Orange County Fnd for Medical Care 

 

P5 Health Plan Solutions

 

 Partners Rx Management LLC 

 PCG Software, Inc


 Pequot Plus Health Benefit Services

 Performance Health Technology, LTD

 Pinnacle Claims Management, Inc.

 

Polsinelli Shalton Flanigan Suelthaus PC

 

 Preferred Medical Claim Solutions

 

Premier Healthcare Exchange


 Professional Benefit Administrators, Inc. 


 Professional Insurance Consultants, Inc. 

 QVI Risk Solutions Inc. 


 R. E. Moulton, Inc. 

Red Card Systems

RESTAT, LLC

RMTS, LLC

RolloverSystems, Inc.

 Self-Funding Actuarial Services, Inc.

 SOCRATES, INC. 

 Southwest Service Administrators, Inc. 

 StarLine Group 

 Summit Management Services Inc.

 SunGard, iWORKS GBAS 

 Swiss Re 

 Symetra Life Insurance Company

 

TC3 Health, Inc.

 The Lungen Group 

The Phia Group, LLC

The Principal Financial Group 

The SandsTech Group, Inc.

 

The Sentinel Group

 

The TPAA

 

Total Administrative Services Corp.


 Tri-County Schools Insurance Group 


 TRU Services, LLC 

 U. A. Local #447 Pipe Trades Trust Funds 

 United Administrative Services 


 United Medical Alliance

 

Universal American

 

Universal Health Network

US Health and Life Insurance Company/Automated Benefit Services, Inc.

 

USBenefits Insurance Services, LLC

 WellDyneRx 

 William J. Sutton & Co. Ltd. 

 WorldDoc, Inc.

 

Zurich North America

 

 

 
 

HCAA Officers

President:
Debi Hardwick
Coastal TPA, Inc.

Vice President
Todd Archer
Mutual Assurance Administrators, Inc.

Treasurer
Jean Sukovez
United Administrative Services

Secretary
Rayne Niehaus
CDS Group Health


 
Directors
 
Carol Berry
Consultant

Dolores Green
Foundation Administrative Services, Inc.

Carolyn Jarschke
QVI Risk Solutions, Inc.

Kevin Larson
Employee Benefit Management Services, Inc.

Linda Ludwick
Mountain States Administrative Services

Thomas Partlow
Delta Health Systems

Walter Pregizer
Keenan & Associates

David Reynolds
Capitol Administrators

Nancy Young, RHU
Zurich North America

 
Executive Director
 
Jaime Nolan, CAE 
IntrinXec Management Inc.

 

 
 

HCAA Reports is the newsletter of the Health Care Administrators Association, a nonprofit California corporation.
 
Mailing Address:
Health Care Administrators Association
5353 Wayzata Blvd., Suite 207
Minneapolis, MN 55416
Phone: 888-637-1605
Fax: 952-252-8096
Email: HCAAinfo@HCAA.org
Website: www.hcaa.org
 
"HCAA REPORTS" prints articles written directly for "HCAA REPORTS" and reprints articles previously published elsewhere. The editor welcomes and encourages contributions from HCAA members and friends. The officers and directors of HCAA reserve the right to final determination of the suitability of any item submitted for publication.
 

HCAA REPORTS" IS NOT LEGAL ADVICE
Neither "HCAA REPORTS" nor any other written or verbal communication from HCAA should ever be considered legal advice. Your editor, and individual HCAA members (unless otherwise noted), are not attorneys. Only an attorney with access to all the facts and circumstances of a particular situation can render competent legal advice. If you recognize a situation in one of our articles that seems to apply to you or one of your clients, before you act or advise your client to act, you should consult an attorney who specializes in employee benefits issues.