McPhee & Associates Services Overview

A Brief Overview of McPhee’s Organization and Managed Care Experience

McPhee & Associates, Inc. was founded in 1983 specifically to work with the Managed Care Industry to provide new markets for stop-loss reinsurance.  While working as a Lloyd’s of London broker, the founder, A. Lloyd McPhee, created a new market for HMO stop-loss reinsurance.  This provided much needed competition to overcome the exorbitant rates charged by the two insurers offering stop-loss reinsurance coverage at that time.

Located in Southern California, McPhee & Associates services many health systems, HMOs, hospitals, medical groups, IPAs, MSOs and ACOs with reinsurance and capitation/provider stop-loss insurance.  References can be supplied upon request.

We have longstanding relationships with the specialized carriers in the stop-loss market and have access to more markets than any other single broker.

McPhee’s Staffing & Services for your Account

An account executive is specifically assigned to you as a facilitator to ensure that responsibilities are met, such as: 

  • Assessment of risk
  • Marketing to insurers/reinsures and negotiating for the best program for the Insured
  • Present proposals and discuss with the client the options and how the coverage applies
  • Arrange and lead an installation meeting, once coverage is purchased, to discuss the coverage, terms, and responsibilities of the policy to all appropriate client personnel.

A Claims Manager whose responsibilities include working directly with the client’s personnel to make certain stop-loss contract obligations are met throughout the year.  This includes monthly reporting and claims submissions

An Account Assistant whose responsibilities include maintenance of the client’s file.

Summary

We play a very direct role in the entire insurance process.  We recognize that the objective of the Insurance program is not only to get for you the best value in coverage and price from a reputable insurer, but also to see to it that your stop-loss program operates smoothly and effectively and that claims are reimbursed accurately and in a timely basis.

We built McPhee & Associates as a service organization first and foremost.  Many brokers have larger sales forces that we do.  None have a service organization that comes close to ours or that compares in knowledge and experience.

A more detailed Broker’s Services Outline is available on request