TPAS SPECIALIZING IN BOTH P/C AND BENEFIT CLAIMS (P) (PART 11/13)

P
PCA Solutions Inc.
P.O. Box 166007, Altamonte Springs,
Fla. 32716; 800-883-4000;
fax: 407-788-8648
1996 revenues
Total$82,000,000
Claims revenue$28,000,000
Claims administration100%
Claims business by type
Automobile2%
General liability2%
Health insurance10%
Inland marine1%
Workers compensation85%
Claims business by volume
Administration claims paid$250,000,000
Clients
Total62
Association plans12
Corporations40
Public/government entities10
Staff
Total997
Claims services296
Claims services since: 1978.
Parent: Physician Corp. of America.
Service area: Alabama, Florida, Georgia, Kansas, Louisiana, Mississippi, North Carolina, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas.
Branch offices: Administrative offices in Montgomery, Ala.; Atlanta; Topeka, Kan.; Baton Rouge, La.; Jackson, Miss.; Raleigh, N.C.; Oklahoma City; Columbia, S.C.; Nashville, Tenn.
PPO access.
Officers: D. Mark Olson, CEO/president; David Willis, CFO; Marshall Snipes, executive vp; Sherman Evans, chief information officer; William Turner, senior vp.
Contact: Roy Stringfellow.
PMA Management Corp.
380 Sentry Parkway, Blue Bell,
Pa. 19422; 610-397-5000;
fax: 610-397-5028
1996 revenues
Total$10,215,000
Claims revenue$7,450,000
Claims administration90%
Claims adjusting5%
Claims auditing5%
Claims business by type
Automobile3%
Disability3%
General liability7%
Property damage2%
Workers compensation85%
Claims business by volume
Administration claims paid$80,000,000
Clients
Total98
Association plans6
Corporations70
Multiemployer plans2
Public/government entities20
Staff
Total95
Claims services78
Claims services since: 1915.
Parent: PMA Group.
Service area: Delaware, Maryland, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Virginia.
Branch offices: Administrative and sales offices in Wilmington, Del.; Hunt Valley, Md.; Mount Laurel, N.J.; Syracuse, N.Y.; Charlotte and Raleigh, N.C.; Columbus, Ohio; Allentown, Erie, Harrisburg, Pittsburgh, Valley Forge and Williamsport, Pa.; Richmond and Roanoke, Va.
Officers: Jim Fleming, senior vp; John Santulli, vp; Maureen Starr, vp-managed Care; Mike McMahon, vp-risk control; Derek Hopper, manager-corporate operations.
Contact: Ken Stanley, vp-sales.
Palmer & Cay
P.O. Box 847, Savannah, Ga. 31402; 912-231-6980; fax: 912-234-8523
1996 revenues
Total$3,000,000
Claims revenue$3,000,000
Claims administration100%
Claims business by type
Automobile2%
General liability5%
Health insurance2%
Workers compensation91%
Clients
Total45
Association plans3
Corporations35
Public/government entities7
Staff
Total40
Claims services40
Claims services since: 1980.
Service area: Southeast.
Branch offices: Administrative offices in Gainesville and Tallahassee, Fla.; Savannah, Ga.; Richmond, Va.
PPO access.
Officers: John Cay, Lewis Oden, Mike Crowley.
Contact: Ron Nolting.
Precise Group
500 N. Broadway, Jericho, N.Y. 11753; 516-390-6000; fax: 516-390-0994
1996 revenues
Total$4,500,000
Claims revenue$3,100,000
Claims administration80%
Claims adjusting20%
Claims business by type
Disability5%
Flexible benefits10%
General liability10%
Health insurance30%
Employees covered30,000
Dependents covered46,000
Property damage10%
Workers compensation35%
Clients
Total128
Association plans3
Corporations30
Multiemployer plans9
Public/government entities80
Other6
Staff
Total60
Claims services24
Service area: Nationwide (benefits), New York (workers compensation).
PPO access.
Officers: David Black, CFO; Ann Marie D'Alessandro, senior vp; Timothy T. Crowly, president; Jack Howlett, director-marketing.
Contact: Jack Howlett, 800-797-2296 ext. 6034.
Preferred Works
5251 Viewridge Court, San Diego,
Calif. 92123; 619-278-2273;
fax: 619-278-1262
1996 revenues
Total*$19,500,000
Claims revenue*$17,000,000
Claims administration95%
Claims adjusting2%
Claims auditing3%
Claims business by type
Disability15%
General liability1%
Property damage1%
Workers compensation82%
Other1%
Claims business by volume
Administration claims paid$68,576,572
Auditing projects conducted20
Clients
Total245
Association plans3
Corporations163
Public/government entities43
Other36
Staff
Total150
Claims services92
Claims services since: 1940.
Parent: Value Health Inc.
Service area: Alabama, Arkansas, California, Florida, Georgia, Iowa, Illinois, Indiana, Kentucky, Louisiana, Minnesota, Mississippi, North Carolina, New York, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin, plus nationwide disability management.
Charges: Administration: $450 to $650 per claim. Adjusting: $75 to $500 per claim.
Branch offices: Administrative and sales offices in Pasadena and Santa Clara, Calif.; Maitland, Fla.; Minneapolis; Jackson, Miss.; Buffalo, N.Y.
Officers: James E. Buncher, CEO; Debra Cerre-Ruedisili, COO; Shannon Johnston, chief administrative officer; Pat Sullivan, chief marketing officer; Blaine Faulkner, CFO.
Contact: Scott Samuels.
**Estimate.
Presidium
2923 Bradley St., Pasadena,
Calif. 91107-7001; 818-296-4205;
fax: 818-296-4220
1996 revenues
Total$35,000,000
Claims revenue$28,000,000
Claims administration100%
Claims business by type
Disability5%
Health insurance5%
Workers compensation90%
Claims business by volume
Administration claims paid$367,000,000
Clients
Total122
Corporations108
Public/government entities14
Staff
Total502
Claims services382
Claims services since: 1976.
Service area: Nationwide.
Branch offices: Administrative offices in Phoenix; San Diego; San Francisco; Washington; Miami; Chicago; Boston; Detroit; Park Ridge, N.J.; Pittsburgh; Dallas; Houston; Seattle. Sales offices in San Francisco and Santa Ana, Calif.; Detroit; Park Ridge, N.J.
PPO access.
Officers: Kent Spafford, CEO; Bob Tausz, CFO; Paul Glover, chairman; Hamilton Chaffee, chief information officer; Fred Crim, vp-managed care; Maryellen Peters, vp-client services.
Contact: Kent Spafford.
Professional Risk
Management Inc.
7260 West Blvd., Youngstown, Ohio 44512; 330-726-5800; fax: 330-726-3786
1996 revenues
Total$2,732,202
Claims revenue$2,379,604
Claims administration100%
Claims business by type
Disability0.5%
Flexible benefits0.5%
Health insurance85%
Employees covered30,325
Dependents covered50,743
Workers compensation14%
Claims business by volume
Administration claims paid$45,658,524
Clients
Total130
Corporations118
Public/government entities12
Staff
Total51
Claims services44
Claims services since: 1981.
Service area: Indiana, Kentucky, Ohio, Pennsylvania, West Virginia.
Charges: Administration: $6.45 to $8.45 PEPM.
Branch offices: Sales office in Chillicothe, Ohio.
PPO access.
Officers: James B. White, president; Ronald G. Blasko, executive vp; Robert Carr, vp; Robert E. Hogg Jr., treasurer.
Contact: Ronald G. Blasko.
R
RMSCO Inc.
731 James St., Syracuse, N.Y. 13203; 315-474-8200; fax: 315-476-8440
1996 revenues
Total$9,216,000
Claims revenue$8,105,000
Claims administration99%
Claims auditing1%
Claims business by type
Automobile1%
Disability9%
Flexible benefits5%
Health insurance45%
Employees covered105,000
Dependents covered61,000
Workers compensation40%
Claims business by volume
Administration claims paid$225,000,000
Auditing projects conducted19
Clients
Total169
Association plans3
Corporations126
Public/government entities40
Staff
Total202
Claims services140
Claims services since: 1981.
Service area: Nationwide.
Branch offices: Administrative and sales offices in Albany and Rochester, N.Y.
PPO access.
Officers: James Heitzhaus, president; Richard Sykes, Michael Hotaling, vps.
Contact: Richard Sykes.
F.A. Richard & Associates Inc.
2360 Fifth Ave., Mandeville, La. 70471; 504-624-8383; fax: 504-624-8489
1996 revenues
Total$11,800,000
Claims revenue$8,600,000
Claims administration88%
Claims adjusting7%
Claims auditing5%
Claims business by type
Automobile12%
Disability1%
General liability8%
Health insurance4%
Inland marine5%
Ocean marine3%
Professional liability2%
Property damage5%
Workers compensation40%
Other20%
Claims business by volume
Administration claims paid$285,000,000
Clients
Total163
Association plans1
Corporations110
Public/government entities52
Staff
Total190
Claims services145
Claims services since: 1978.
Service area: Nationwide.
Branch offices: Administrative offices in Long Beach, Calif.; Boca Raton, Fla.; Atlanta; Baton Rouge, Houma, Lafayette, Lake Charles, New Orleans and Shreveport, La.; Pascagoula, Miss.; Beaumont, Corpus Christi, Dallas and Houston, Texas; Norfolk and Richmond, Va. Sales offices in Boca Raton, Fla.; New Orleans; Dallas; Norfolk, Va.
Subsidiaries: FARA Benefit Services, FARA Bill Review, FARA Business Services Inc., FARA Health & Rehabilitation, FARA Healthcare Management, FARA PPO, FARA Risk Control Services, FARA Security Services Inc.
PPO access.
Officers: Francis A. Richard, chairman; M. Todd Richard, president; Reed A. Bell, executive vp; Daniel J. Clark, R.B. Calhoon, senior vps.
Contact: M. Todd Richard.