Health

Available throughout the United States

As the largest writer of managed care reinsurance in the U.S., we are uniquely positioned to help health plans create and implement customized, self-funded employer stop loss programs in a managed care setting.

Program Overview

Employer Excess of Loss – Request for Quotation

Transplant 365 Overview

Contacts

• Matt Leming | Vice President, Market Leader Employer Programs, Health
• Susan Kistner | FLMI, HIAA, Senior Underwriter, Employer Programs, Health
• Adam Nelson | Business Development Manager, Employer Programs, Health
• Brian Reule | Assistant Vice President, Managing Underwriter, Employer Programs, Health

Available throughout the United States

Employer Stop Loss provides customized products and services for employers and self-insuring plan sponsors to help manage healthcare costs.

Program Overview

Employer Excess of Loss – Request for Quotation

Transplant 365 Overview

Claims Administrator Questionnaire

Contacts

• Matt Leming | Vice President, Market Leader Employer Programs, Health
• Susan Kistner | FLMI, HIAA, Senior Underwriter, Employer Programs, Health
• Adam Nelson | Business Development Manager, Employer Programs, Health
• Brian Reule | Assistant Vice President, Managing Underwriter, Employer Programs, Health

Available throughout the United States and U.S. Territories

HMO Reinsurance provides health maintenance organizations with customized reinsurance risk solutions consisting of a combination of financial and medical management programs and services.

Program Overview

HMO Reinsurance – Request for Quotation

Contacts

• Tasha Barbour | Vice President, Market Leader Managed Care, Health
• Angela Szeto | Senior Underwriter, Managed Care Reinsurance, Health

Our Latin America/Caribbean excess and quota share programs provide high quality medical coverage and ancillary benefits for small to mid-sized organizations, along with effective strategies and programs for managing financial exposures and other risks.

Program Features:

• Covered entities include insurance companies and employers
• Coverage of individual and group medical products
• Specific excess or quota share reinsurance options available
• Global coverage
• Access to the PULSE + Plus™ Medical Management Program

Contacts

• Marcia McKinney | Senior Vice President, Market Leader MedRe (for English speaking)

Available throughout North America, the Middle East, Latin America, the Caribbean and U.S. Territories

Medical Reinsurance addresses the complex medical risk management needs of insurance companies, captives and other risk-bearing entities through excess and quota share reinsurance programs.

Program Overview – Medical Reinsurance

Program Overview – Quota Share

Medical Excess Reinsurance – Request for Quotation

Contacts

• Marcia McKinney | Senior Vice President, Market Leader MedRe
• Christopher Chirico | Senior Underwriter, Quota Share Reinsurance, Health
• Kelli Sturgeon | Underwriter, Medical Reinsurance, Health

Available throughout the United States and U.S. Territories

Provider Excess of Loss provides financial and medical management solutions which enable healthcare providers to manage medical risk and limit catastrophe losses.

Program Overview

Request for Proposal – Hospital Capitation

Request for Proposal – Physician Capitation

Contacts

• Tasha Barbour | Vice President, Market Leader Managed Care
• Holly Gardner | Underwriter, Managed Care, Health
• Jose Feliciano | Underwriter, Managed Care, Health

Available throughout the United States

We work with companies of all types (e.g. ACOs, insurance exchange health plans, specialty carve-outs, bundled payment providers) to design and implement customized programs to capitalize on new opportunities.

Program Overview

ACO – Request for Quotation

Bundled Payments – Request for Quotation

Contacts

• Tasha Barbour | Vice President, Market Leader Managed Care

Available throughout the United States

Today, a diverse group of entities including employers, health care providers, program managers, disease management companies and payers, need access to admitted insurance company paper in order to distribute products, and manage and pool risk among subsidiaries or captives while retaining a share of the risk.

We have the experience, expertise, and breadth of services to offer you access to highly rated, admitted insurance company paper with supporting actuarial, underwriting, reinsurance administration, and claims services. This enables you to provide comprehensive products while participating in and managing the risk assumed in your captive or risk retention group.

Contacts

• Ali Duerr | Marketing Manager

Available for services rendered in the United States

PULSE + Plus™ Medical Management supports, educates and assists you in effectively managing your risk through quality, integrated medical management support solutions that optimize clinical and financial outcomes.

Program Overview

High Dollar Diagnoses

Contacts

• Missy Kveene, RN | Health Vice President, Managing Director, PULSE +Plus™
• Sandra Lidberg, RN, CCM, MSCN | Clinical Consultant, PULSE +Plus™, Health
• Mary Piché, RN, CCM | Clinical Consultant, PULSE +Plus™, Health
• Erin Dugan, RN, CCM | Clinical Consultant, PULSE +Plus™, Health
• Victoria Buchanan, RN, CCM, MBA | Clinical Consultant, PULSE +Plus™, Health