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Simplifying Captive Claims - HRMP, LLC · Submit claims to and follow-through with excess reinsurer on behalf of your captive. Reporting and Notiöcations Provide reporting monthly

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Page 1: Simplifying Captive Claims - HRMP, LLC · Submit claims to and follow-through with excess reinsurer on behalf of your captive. Reporting and Notiöcations Provide reporting monthly

©2019 HRMP, LLC

Phone: 978.762.9780Fax: 978.762.4892E-mail: [email protected] site: www.hrmp.com

Jim Mange – PresidentHRMP, LLC300 Rosewood Drive, Suite 250Danvers, MA 01923

Since 1990...Our success can only follow yours.®

Specic Stop Loss Claims Adjudication

Coordinate needed information with HR, TPA and PBM; consolidate medical and Rx claims; adjudicate following unique provisions of your stop loss policy.

Aggregate Stop Loss Claim Audits

Calculate aggregate excess claims, if any; conduct desk or on-site aggregate audits, making recommendations that ensure compliance with plan, policy and other requirements.

AAdvice to Pay or Claim Payments

Advise captive of amounts due to the plan or make payments on behalf of the captive.

Excess Reimbursements

Submit claims to and follow-through with excess reinsurer on behalf of your captive.

Reporting and Notications

Provide reporting monthly or as needed; notify excess reinsurer of potential claims.

Simplifying Captive ClaimsIt’s your captive. Make sure they’re your claims.