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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 products. Here are some, but not limited to, stop-loss carriers or MGUS that are updated on an annual basis:

  • Accurisk LLC
  • ARAN Ins. UW
  • Arch Insurance
  • Ardellis
  • Bardon Insurance Group
  • Berkley Accident & Heath
  • Best RE
  • Breckpoint
  • Certus Management Group
  • East Coast Underwriters (ECUM)
  • Employer Benefit Underwriters
  • Everest RE
  • Excess RE
  • HCC
  • HM Insurance Group
  • IAT
  • IHC Risk Solutions
  • IISI
  • International Specialty Underwriters
  • Liberty Mutual
  • Litchfield MGU
  • Magellan Risk
  • Matrix Benefits Group
  • Matrix Benefits Group, LLC
  • MDS
  • Medical Risk Managers(MRM)
  • Munich RE
  • Mutual of Omaha
  • One80 Intermediaries
  • Optum Health
  • Perico
  • Peru LLC
  • Phoenix Excess Risk (Peru LLC)
  • Prodigy Health Insurance Services
  • QBE Accident & Health
  • RE Moulton
  • RTMS
  • Rockport Benefits
  • Roundstone
  • RTMS, LLC
  • Sextant Self-Funding
  • Skyward Specialty
  • Spectrum Underwriters
  • Standard Security Life
  • Star Line Group
  • Stone Mountain Risk
  • Strategic Underwriting Solutions
  • Summit RE
  • Sun Life
  • Symetra
  • Tokio Marine HCC
  • US Group and Pension
  • Voya
  • Western Skies MGU

If there is a stop loss carrier you would like for us to update, please email the reinsurance network questionnaire or requirements to Steve Harley, Account Representative at sharley@encoreppo.com.

TPAS and PROSPECTIVE GROUPS
To discuss our network ratings, please reach out to an Encore team member below:

SALES TEAM
Shawn Gibbons, VP of Development at (317)621-4260 or email at sgibbons@encoreppo.com
Rochelle Forrest at (317) 621-4261 or email at rforrest@encoreppo.com
Bert Sorenson at (317) 868-4269 or email at bsorenson@encoreppo.com

PAYOR ACCOUNT TEAM
Fred Douse at (317) 621-4265 or email at fdouse@encoreppo.com
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 your Payor Account Manager, Fred Douse at (317) 621-4265 or fdouse@encoreppo.com or Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com
    PROVIDERS: Please contact Provider Contracting Coordinator, Logan Joyce at (317) 621-4262 or ljoyce@encoreppo.com.