Benefit Program Management

Depth and expertise in program management.

Amwins Accident & Health Underwriters can assist with assessing a partner’s risk sharing tolerance as well as the selection of an established reinsurance partner. We can also provide guidance and support in the development and filing of contract forms. Our comprehensive premium and claims accounting and reporting are best in class. Our partners can expect customized service to ensure their business needs are met. Our focus is on our partners’ success.

Our customized solutions include fulfilling other specialized needs as well, such as:

Facultative reinsurance placement
Support for all aspects of stop-loss administrative services only (ASO) programs
Minimum Essential Coverage (MEC) plans
Aggregate-only stop-loss underwriting
Impactful cost management programs that help conserve plan assets
Limited Benefit, Gap, Accident and other supplement plans

Our services:

Healthcare is not a one-size-fits-all business. There are many situations where traditional healthcare products do not fit the client’s needs. In response to market demand, we have developed fully-insured limited benefit health plans and self-funded MEC plans to help fill the coverage gap in certain instances.

Limited Benefit Health Plans

We offer limited medical plans with a wide range of available benefit structures. These plans can provide supplemental or basic coverage at costs more affordable to most buyers.

Employers & Associations

We can develop plans and programs to serve both the employer and association markets. Limited benefit plans are an attractive benefit for employers; that can be offered on a contributory or voluntary basis. These plans can also help associations provide more value to their members looking to supplement their healthcare coverage.

MEC Plans

We have developed compliant and affordable self-funded MEC plans that offer the most basic level of benefits required under the Affordable Care Act. The approach enables organizations to satisfy one part of the employer mandate and avoid paying the $2,880 assessment per employee for failing to offer full-time employees qualifying health coverage. Not only do the plans assist employers in avoiding fees, they also provide employees access to insurance for important preventive care.

Coalition development capabilities

With the ever-changing healthcare landscape, retailers are realizing the role self-funding and stop loss play in assisting clients in bending the healthcare cost curve. We can assist retail partners in developing stop loss coalitions.

Designing and implementing a preferred provider relationship can be complicated. We can assist with:

Defining coalition terms
Contracting with carriers and reinsurers
Managing the quoting and renewal process
Customized reporting
Profitability strategies
Internal accounting controls

Recent Group Benefits Headlines

10/10/2024

Amwins Group Benefits Expands Gene Therapy Solutions Program

Today, Amwins Group Benefits announced the expansion of its Gene Therapy Solutions (GTS) program. Now covering 15 revolutionary gene and cell therapies, the proprietary program helps employers mitigate the cost of treatments, stay ahead of new treatments receiving FDA approval, and protect their bottom line.

8/7/2024

Riva Dumeny Appointed President of Amwins Group Benefits Division

Dumeny, previously chief operating officer for Amwins’ Group Benefits division, begins her new role immediately. She succeeds Sam Fleet, who will take on a senior advisory role with Amwins. 

8/23/2023

Amwins Group Benefits Announces Updates to Gene Therapy Solutions Program

Amwins Group Benefits released updates to its Gene Therapy Solutions program exclusively available through Stealth Partner Group, an Amwins Company. This cost containment program, which launched in January, provides sustainable, revolutionary strategies that prepare employers to face unexpected, high-dollar gene therapy claims with confidence.

7/11/2023

Amwins Announces New Hires Joining Stealth Partner Group and Amwins Group Benefits

Amwins, a global distributor of specialty insurance products and services, announced three new additions to the firm. Brad Mathews and Todd Marcoux will be joining the sales team at Stealth Partner Group, the largest stop-loss wholesaler in the U.S., and Kathy Phillips will be joining the ancillary practice team for Amwins’ Group Benefits division, a leading provider of employee benefits products and services.