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Business Partners
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HM Insurance
Group (HM):
www.hminsurancegroup.com
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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.
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First Health Network:
www.firsthealth.com/
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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.
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MultiPlan:
www.multiplan.com/aboutus/
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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.
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Envision Rx:
www.envisionrx.com/
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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.
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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.
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WorldCare:
www.worldcarena.com/
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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.
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HMA
MGU:
www.hmadirect.com/
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| HMA
MGU, LLC provides actuarial and risk
management services including
medical underwriting, actuarial
simulation modeling, stop loss
program pricing and management. |
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POMCO PPO
Healthcare Networks:
www.pomcoplus.com/
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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
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Nationally ranked by the
Society of
Professional Benefits Administrators
as one of the largest independently
operated professional benefits
administrators in the U.S.
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340 Employees
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230 Clients across all lines of business
(including 65 medical benefits
clients/300,000 covered lives)
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Clients range in size from 200 to 24,000
lives
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Serves approximately 450,000 members
across all lines of business
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Manages client premium equivalents of more than
$600 million
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Need assistance?
Call 1-888-333-8828 or
Request a Call Back from a
Customer Service Representative.
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