The USI Preferred TPA Panel is comprised of TPAs that agreed to eliminate administrator profit from stop loss for all USI clients, reducing health plan costs by 1.5% to 2%.

We’ve estimated the financial impact for you. Feel free to update the assumptions. 

  • Create maximum flexibility for à la carte purchasing of numerous innonovative and cost-effective solutions
  • Terminate carve-out fees for Pharmacy Benefit Management (PBM) placement to save $15 to $20 PEPM
  • Allowance for custom and employer-favorable plan document languages

USI extensively vetted leading TPAs across the country and negotiated the following terms for USI clients:

  • Provide full transparency to all revenue sources
  • Eliminate administrator profit from stop loss and PBM placement
  • 5% cap on administrative fee increases
  • Provide monthly file feeds at no cost
  • Provide caps for the percentage of savings revenue channels to administrator
  • Offer claim fiduciary protection
  • Provide exclusive Performance Guarantees for USI clients
  • Allow custom and employer favorable plan document language

It was established in response to large carrier consolidation that created multiple hidden profit streams not typically detailed in an administrative fee spreadsheet.

This solution is primarily designed to manage fixed and adminitrative costs by improving the efficiency, flexibility, and transparency of the services received from a TPA.

USI has other solutions that are designed to specifically address claims cost by improving utilization and managing cost of medical care.