It’s always hard to know if you’re buying the right coverage. Too much? Too little? Good thing you can get expert help: Summit Re’s people offer the depth of experience that almost no one else can match, and we put that experience to work for you on a consultative basis. We look at what kind of claims are impacting your reinsurance, examine your true risks, and help you put together a reinsurance program that helps stabilize the large fluctuations in your medical claims experience. With this many years in the business, we have a pretty good idea what makes sense - and what doesn’t. We want a long-term relationship with you, and the way to get it is to make sure you’re satisfied with your coverage at renewal time.
Best-in-Class Medical Management Services
Sure, there are a lot of medical management programs out there but there is a critical difference. Summit Re, has developed Summit ReSources by carefully screening various medical management programs. When it comes to the high-dollar claims that many of these programs address, the difference between one program and another can greatly impact the final outcome of a patient’s care, not to mention your bottom line.
The uniqueness of Summit ReSources is that it offers you a broader range of programs - everything from bleeding disorder programs to neonatal management. We know what types of claims are likely to become problems and have the Summit ReSources programs in place to help you manage them.
Access to New Markets
If you compete with the national healthcare organizations, chances are you’ll need an out-of-area indemnity product for members outside your service area and a PPO product for employers who want a dual-option insurance program for their employees. Unlike many other reinsurers, we offer out-of-area indemnity and PPO products that eliminate the need to set up an insurance company - thus saving you the administrative headaches and cost of capital associated with owning your own insurance company. Bottom line? A way to offer the coverage at a fraction of the cost.
Or perhaps you’re considering pursuing the self-funded market segment as a way to fully leverage your network and administrative capabilities. Here’s another place we can help: we offer you managed-care stop-loss products that analyze each network individually. You can give your self-funded clients the best of both worlds - solid reinsurance coverage and a continuing relationship with your HMO.
Easy to Understand Coverage
Most reinsurers have their own contracts, full of exclusions, limitations and highly subjective definitions. We do things differently, and it makes your life a lot easier. We simply build your coverage based upon the defined risk you have selected so you won’t have to worry about whether or not your claim has to meet someone else’s idea of an acute care hospital stay.
And to make things even better, we offer an explanation of benefits statement with each claim payment that’s easy to read and understand. Most reinsurers still don’t. The way we see things, it’s just good business to let you know how the claim was handled and why.
Endorsements from Healthcare Organizations
One of the benefits of the Summit Re/Swiss Re relationship is the endorsement of Swiss Re by the The Health Plan Alliance (an association of large provider owned health plans). The Health Plan Alliance, www.healthplanalliance.org examined a number of reinsurers and deemed Swiss Re one of its choices for HMO Reinsurance. The review criteria used by The Health Plan Alliance included areas such as experience, administration, managed care programs and coverage design options. Summit Re and Swiss Re are glad to be able to offer their services and products to The Health Plan Alliance. Summit Re is also a preferred vendor for the Association for Community Affiliated Plans (ACAP), www.communityplans.com. The Association for Community Affiliated Plans is a national trade association representing 42 nonprofit safety net health plans in 23 states. ACAP's mission is to represent and strengthen not-for-profit, safety net health plans as they work in the communities to improve the health and well being of vulnerable populations. Collectively, ACAP plans serve over 6 million enrollees, over 50% of individuals enrolled in Medicaid-focused health plans.
Financial Security
You’ve already read about them in the financial newspapers - reinsurers pulling out of the market, others having financial difficulty. You don’t want to be caught with this kind of questionable coverage so it’s important for you to have a high comfort level with your reinsurance. The Swiss Re company that provides medical reinsurance to our clients, Westport Insurance Corporation, is rated A+ by A.M. Best and AA- by Standard & Poors.
Administration Help
Most reinsurers just place a large administration manual on your desk and leave you and your associates to figure it out. We make it a lot simpler and more personal. We send our administrative personnel to your offices to meet with the individuals from your organization who will actually be handling administration, whether they’re case managers, premium, or claim staff. We explain administrative policies and walk you through the key procedures and reinsurance forms you’ll be using. Your staff becomes more comfortable with administration, and they develop a relationship with the individuals at our office with whom they’ll be working.
