The best traditions and technologies for managing your health benefits
 
 
 
 

TPA Services

Since 1991, Pequot Plus Health Benefits Service has been helping employers enjoy the cost savings and flexibility that self-funding can provide. Our state-of-the art Third Party Administration (TPA) technology and experienced staff help us provide reliable, accurate claims management to self-funded employer groups. We offer access to regional and national health care provider networks, furnish easy-to-understand reports on eligibility, provider payments, utilization and much more. A wide range of custom designed reports is also available. Pequot Plus will work with your current dental and vision provider networks or set up a new plan for your dental and vision coverage.

Our health benefit analysts review claims data regularly to offer suggestions on plan design and benefit construction. Our goal is to help clients improve the health status of plan members balancing cost containment, quality, access and freedom of choice.

Pequot Plus Health Benefit Services offers:
  • Increased flexibility through self-funding
  • Consultation on plan design
  • Knowledge of Indian law
  • Cost control through claims management
  • Comprehensive and custom reporting
  • Flexible benefit alternatives
  • Access to regional and national provider networks
  • Access to stop loss (excess) insurance
  • Separate banking arrangements – no co-mingling of funds
  • Management of eligibility
  • Friendly, knowledgeable in-house customer service representatives
  • Toll-Free customer service line
  • Fast and accurate medical, dental and vision claims processing
  • Access to utilization review, case management services, disease management and wellness programs
  • Flexible Spending Accounts administration
  • Health Savings Account administration
  • HIPAA compliance
  • Subrogation recovery
  • COBRA administration
  • On-site Mail Service Pharmacy and Pharmacy Benefits Management (PBM)
Pequot Plus Health Benefit service can administer all your self-funded benefit needs.