Stop-Loss/Reinsurance

One important factor in maintaining low administrative costs for self-funded plans is a competitive stop-loss premium for the employer. Encore Health Network recognizes the importance of ensuring that stop-loss carriers have the most current information about all of our network product. We update the following stop-loss carriers or MGUS on an annual basis:

  • Arch Insurance
  • Berkley Accident & Heath
  • Best RE
  • East Coast Underwriters (ECUM)
  • Excess RE
  • HCC
  • IHC Risk Solutions
  • IISI
  • International Specialty Underwriters
  • Matrix Benefits Group, LLC
  • Medical Risk Managers (MRM)
  • Munich RE
  • Mutual of Omaha
  • Perico
  • Peru LLC
  • RE Moulton
  • RTMS, LLC
  • Standard Security Life
  • Strategic Underwriting Solutions
  • Summit RE
  • Sun Life
  • Symetra
  • US Group and Pension

If there is a stop loss carrier you would like for us to update, please email the reinsurance network questionnaire or requirements to Fred Douse, Network and Data Services Coordinator at fdouse@encoreppo.com.

To discuss our network ratings, please reach out to our Sales or Account Executive team:
Shawn Gibbons, VP of Development at (317) 621-4260 or email at sgibbons@encoreppo.com

Sales Executive
Rochelle Forrest at (317) 621-4261 or email at rforrest@encoreppo.com

Account Executive
Kevin McShay at (317) 621-4264 or email at kmcshay@encoreppo.com

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My Payor Download



If you have any questions, please contact webmaster@encoreconnect.com
Special Authorization is required to access the Payor Updates.
Please contact one of the following Account Executives for access:
· Holly Joyce at (317) 621-4263 or hjoyce@encoreppo.com, or
· Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com

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Notice

Encore has entered into a new arrangement for chiropractic services with HSM, Inc. HSM, Inc., a Minnesota-based specialty network services organization, will administer the chiropractic network for our Encore and Encircle service areas.

HSM will directly hold contracts with all participating chiropractors; therefore, there are some changes of which you should be aware. Regarding billing, chiropractors will now send their claims directly to HSM. HSM will collect the data in their system, including treatment plans for case management, and forward claims to the appropriate Encore payor. The payor will send all payment directly to HSM, who will in turn reimburse the chiropractor according to the negotiated rates.

If you are interested in becoming a participating chiropractor in the Encore Health Network, please contact HSM at 800-432-3640 or visit their web-site at www.hsminc.com.

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Current Worker's Comp Payors

Arete USA D/B/A The Covenant Companies
HealthSmart
HFN, Inc
Indiana University
InterPlan Health Group
IU Health Plan
MCMC LLC
ASU Group
Major Hospital
ACS CompIQ Corporation, A Xerox Company

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Payor and Provider Resources

Payors please contact Account Executive Kevin McShay at (317)621-4264 or kmcshay@encoreppo.com for access.

For any provider issue, please contact Provider Contracting Coordinator, Tina Bilodeau at (317)621-4269 or tbilodeau@encoreppo.com.