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Business Partners







HM Insurance Group (HM)
www.hminsurancegroup.com

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.




First Health Network:  www.firsthealth.com/

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.




MultiPlan:  www.multiplan.com/aboutus/

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.




Envision Rx:  www.envisionrx.com/

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.




MPAY Inc.: www.mpay.com/
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.comTM.  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.comTM 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.comTM.  In addition to Payentry.comTM, MPAY provides effective solutions for time and attendance, pay-as-you-go workers' compensation, 401(k) administration and much more.



WorldCare: www.worldcarena.com/

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.




HMA MGU: www.hmadirect.com/
HMA MGU, LLC provides actuarial and risk management services including medical underwriting, actuarial simulation modeling, stop loss program pricing and management.



POMCO PPO Healthcare Networks:  www.pomcoplus.com/

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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