Sample Data, The Standard Directory of Third Party Administrators

Two Sample Entries

This directory is loaded with the specific data you need to do business with TPA's. See the sample listings below (the first sample shows all the information categories contained in the directory).

Note: Company name and contact information in samples is fictionalized.

Peak Administrators, Inc.
4 Grant Hill Ave
Irvine, CA 92618-1116
Tel: 949-000-4250
800-000-4282
Fax: 949-000-5255
Url: www.peak-inc.com
Parent Co: The Peak Group
Subsidiaries: XLT FLEX Administrators & Slover Ins. Agency

Mr. John Dunlap
Director of Marketing
jdunlap@peak-inc.com

Mr. William Slover
CEO
wslover@peak-inc.com

Ms. Mary McCarthy
VP Administration
mmccarthy@peak-inc.com

Mr. James Tyler
VP Vendor Relations
jtyler@peak-inc.com

Company Info
Years in Business: 19
Employees: 92
Branch offices: 2
Clients: 195
Avg. Client Size: 2,300
Employee Lives Served: 245,000
Total Lives Served:452,000
Processor/Employee Ratio: 1:1200
Avg. Tenure of Processors: 8 years
Total Claims Paid: $548,000,000
Claims Processed: 456,987
WC Claims Processed: 23,014
Percentage of Claims Processed Electronically: 80%
Claims Revenues: $2,300,000
WC Claims Revenues: $800,000
Total Revenues: $5,000,000
Bonded & Insured?: Yes

Membership: SPBA, SIIA, SIAA, EFPBA, TPAA, ECFC
Software Vendor: WLT of Florida
Hardware: IBM AS400
Do you outsource your data print stream? Yes
Regions Served: Nationwide
Other Business: Insurance Agency, MGU, ASO, Retirement Plan Administrator

Clients
Self-insureds School Districts Liability Insurers
Fully-insureds Finacial Insts P&C Insurers
Unions Health Insurers Disability Insurers
Associations Dental Insurers WC Insurers
Government Vision Insurers Insurance Agencies
Groups/Churches Life Insurers Other:Hospitals
 
In-House Services
Enrollment Claims Adjusting Eligibility
Communication Claims Auditing 5500 Preparation
Education Claims Settlement Interactive Internet
Premium Collection Claims Loss Reports Billing Health Providers
Bill Review Claims Subrogation Online Enrollment
Plan Design Claims Repricing Retiree/Direct Billing
ID Cards Claims Paying Call Center
Disease Management Reserve/Actuarial Other:_____
 
Outsourced Services
Case Management Pre-Certification Debit Cards
Disease Management Utilization Review Claims Investigation
 
Health and Welfare Administrative Services
PPO-Health Plans Substance Abuse LT Disability
POS-Health Plans Stop Loss Admin ST Disability
HMO-Health Plans Stop Loss Provision AD&D
Medical Plans Long Term Group Term Life
Indemnity Cancer Plan Corp Owned Life
Psychiatric COBRA Trust Owned Life
Voluntary Benefits Cafeteria/Flex/Sect 125 Product Sales
Prescription Section 132F Direct Proprietary Ins Product
Dental Flex Spending Fringe Benefit Administration
Vision Sup. Medicare Other:_____
HSA Administration HRA Administration  

Stop Loss Partners: HCC & Hartford
Health Partners: PHCS & Beech Street
Other Alliances: RxAmerica

 
Workers Compensation Administrative Services
Occup. Disability State/Federal Reporting Managed Care Program
Stop Loss Admin Return to Work Program Product Sales
Stop Loss Provision Rehabilitation P+C Administration
Case Management Loss Control Other_____

Stop Loss Partners: Safety National Casualty Corp
Other Alliances: First Health
Comments: We service groups with over 500 lives.


Sky, Shaw & Associates
17 Beach Blvd
Jacksonville, FL 32217-1225
Tel: 904-000-0110
800-000-1749
URL: www.ssassoc.com

Mr. David Sky
President
dsky@ssassoc.com

Ms. Alice Hill
Vice President

Company Info
Years in Business: 4
Employees: 18
Clients: 4,000
Total Lives Served: 85,000

Membership: SPBA SIIA
Software: RIMS
Regions Served: Nationwide
Other Business: Broker & Consultant

Clients
Single Employer (Self-Insured)
School Districts
Unions
Government
 
Services
Enrollment Bill Review Eligibility
Education Claims Paying Debit Cards
Premium Collection 5500 Preparation Claims Adjudication


Health/Welfare Administration
PPO Health Plans Vision Prescription Drugs
Medical Plans Stop Loss Admin   Dental
Indemnity Group Term Life Short Term Disability
Long Term Care COBRA Voluntary Benefits
Cafeteria/FSA    


Pennywise Pharmacy Benefit Managers
350 Old Boot Ave Ste 200
Birmingham, AL 35203
Tel: 205-000-1222
800-000-1222
Fax: 205-000-1244
URL: www.PennywisePBM.com
Parent Co: MegaRx Holding Company

Ms. Bee Watermen
VP Sales
bee_watermen@pennywisepbm.com

Mr Brian Wagner
CEO
brian_wagner@pennywisepbm.com

Company Info
Years in Business: 15
Employees: 48
Clients: 125
Avg. Client Size: 180

Clients
Self-Insureds
Associations
Groups/Churches
 
Services
Enrollment Claims Auditing
Plan Design Claims Paying
Eligibility Claims Adjusting
5500 Preparation Claims Settlement
Utilization Review Claims Repricing


Health/Welfare Administration
Prescription Drugs    


Flex and Save, LLC
1432 22nd Street W
Seattle WA 98195
Tel: 206-000-3565
Fax: 206-000-3574
Url: www.FlexandSave.biz

Mr. Bart Jacobs
President
Jacobsb@flexandsave.biz

Company Info
Years in Business: 5
Employees: 12
Clients: 400
Avg. Client Size: 20

Clients
Single Employers
Associations
 
Services
Enrollment Eligibility
Communication 5500 Preparation
Education Plan Design
Debit Cards Claims Adjudication


Health/Welfare Administration
Cafeteria/FSA HRA Administration
HSA Administration Sect. 132F Administration
Fringe Benefits Voluntary Benefits

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