Hammerman & Gainer continues to offer unique opportunities to the insurance industry, including HMOs, Managed Care Organizations, TPAs, Associations, Health & Welfare plans and individual employers that provides for efficient and cost effective solutions to their premium administration operations.

THE COMPLETE PROCESS

H&G provides a complete process for collecting, depositing, distribution and reporting health insurance premiums for all lines of insurance benefits and employee populations including active, retirees and their dependents. All premiums are directed to the clients bank account through a lockbox environment with reconciliation reports available to audit the flow of premiums. We support a variety of banking arrangements including, but not limited to:

Our systems capabilities go beyond standard premium administration through the use of a highly automated system. The system, “IMPACT’, provides an integrated billing and receivable system that features:

• Group and Individual Premium Calculations
• Flexible premium rate structures
• Adherence to Underwriting, Actuarial Formulas and Risk Methodology
• Custom Billing Statements
• On-Line History of All Billing Activities
• Automatic Adjustments and Postings
• Flexible Broker Commission Tables
• Eligibility Administration Determining Effective Date, Maintaining Eligibility, Benefit Plans in Specific Geographic Areas, and Ensuring Over-Age Dependents are Terminated.
• Premium Calculation for medical, dental vision, life, LTD, STD, AD&D and other Employee
  Benefit Programs
• Consolidated Group Billing for Each Group or Subgroup, Division or Location.
• Electronic uploads to Carriers for premium distribution.
• Detail Reporting including Carrier Reports and Broker Commission Statements

Changes can be submitted via fax, or through on our web based portal. Groups can also review and print their invoices directly from our web site.

For more information, please call (866) 444-5577.