Scope of Services

Core TPA Services

  • Pay Claims
  • Phone Support
  • AHT Quotas
  • Debit Cards
  • COBRA

National Retiree Medical Accounts

  • PRA or 213(d) Coverage
  • Notional RMSA
    (Type I,II,or III)
  • Basic Retiree Billing

Retiree Advisory Services

  • Retiree Forums
  • Health Plan PRA Integration
  • Plan Specific Collateral
  • Broker Integration
  • POA Mgmt
  • Retiree Admin Portal
  • Dedicated PSO
  • Grow-in Services

Retiree-Focused Business Unit

  • Retiree-specific Pay My Provider
  • Retiree specific Claim Form (14pt,)
  • Retiree-Specific IVR
  • Interest-bearing RMSA
  • Integrated COBRA
  • Retiree Transition Framework
  • RDS-compatible Retiree Billing

Trust and Funded HRAs

  • VEBA | 115 Trust Sub-accounting
  • Record keeping
  • Funded Accounts
  • BP-based billing
  • Investment Management
  • Integrated Premium PMT Platform
  • HCE RMA Plans
  • Union Enrollment
  • Trust Debit Card

Call Center

Through our call center, our agents ( medicare coordinators ) employ a consultative approach with all prospects. After a thorough review of each individuals personal circumstances as well as the coverage and cost variables, the individual and the insurance professional arrive together at the best " Medicare Solution " for that person.