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M S Administrative Services, Inc. – An HCCB Featured Producer
 M S Administrative Services, Inc. (MSAS), a third party administrator headquartered
in Boise, Idaho, understands it takes special expertise and knowledge to establish and maintain a successful,
money-saving, self-funded employee benefits plan. MSAS has proven itself in the self-funded market over the past 21
years and has continued to grow its capabilities and knowledge.
Read the whole story…
Alternative Methods for Underwriting Known Risk in New Business Accounts
The challenge of underwriting a new business case for potential risk can vary
depending on the type of information provided for underwriting and pricing. Many Commercial Carriers hide behind HIPAA
to suppress claimant information and prevent self-funded plans from shopping their coverage to the TPA market. Many
times, ongoing claims information is intentionally vague and the producer and underwriter have to be creative to move
the account away from the Commercial Carrier. The type of information provided for underwriting and pricing can vary
quite a bit from case to case. At HCCB, we strive to create and develop new methods of handling inadequate information
about known ongoing large claims.
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Specialty Pharmacy Management, Paying the fair share
Many employers may not be aware of the numerous cost-shifting strategies that occur
in the self- funded marketplace. Providers constantly seek ways to recover financial losses incurred from the managed
care side. Among the most significant, is the dramatic pricing mark-up on specialty pharmaceuticals. Specialty drugs are
injectables and select orals generally reserved for the treatment of chronic illnesses. Although only 1-2% of a plan’s
population falls into the category, their overall costs to the plan may exceed 30% of total plan expenditures. For
example, the costs for a single specialty drug may exceed $100,000/year (e.g. Factor VIII for Hemophilia or Cerezyme
for Gaucher’s Disease).
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State-of-the-Industry Comments/Opinions
At the recent Self-Insurance Institute of America’s (SIIA) Annual TPA & MGU/Excess Insurer Executive
Forum on April 29, 2004, several reinsurers made general comments about the industry and current state of the market.
In order to assist HCCB in the development of the products and services we provide, we would like your opinions
or comments on the statements made
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2004 HCCB Producer Conference an Overwhelming Success
The phrase “this place is spectacular” was heard more than once during the 2004 HCC
Benefits Producer Conference at the
Montage Resort & Spa in Laguna Beach, Calif. HCCB hosted its top-producing Southeast and West regional producers
from Sunday, April 25 – Wednesday, April 28 and its top-producing Northeast, Midwest and Southwest producers Thursday,
April 29 – Sunday, May 2, 2004. Those in attendance worked diligently to place $1 million or more in business with HCCB
during the qualification period (July 1, 2003 – January 1, 2004), and earned a place on the most successful Producer
Conference to date.
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HCCB Employee Profile – Kellie Carlisle, RN - Risk Management Coordinator, HCCB
Southeast Region
 Kellie
Carlisle, RN, serves as a Risk Management Coordinator in HCC Benefits’ southeast regional office in Kennesaw,
Ga. In her position, Kellie’s main responsibility is to assess ongoing medical risk so that the
underwriters are able to quote more effectively and efficiently. She also works with underwriting and
marketing to educate and establish relationships with third party administrators, brokers and utilization review
vendors so that it is possible to obtain the most up-to-date and accurate medical information needed when
assessing risk.
Read the whole story…
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