Personalized solutions from CCStpaMaking your job easier

Personalized solutions delivering resultsIn today’s health care marketplace, finding health plan solutions that are personalized for your clients needs can be a

challenge. As one of the largest third party administrators (TPA) in the Midwest, CCStpa understands unique self-insured

employers and has the solutions to deliver what your clients need.

Since 1982, our TPA has helped businesses improve the health of their population and manage costs through

personalized solutions.

Solutions designed for each client

With CCStpa, your clients have the flexibility to select the

benefits they want and the administration they need.

• Customizable health and wellness options to support your clients’ health goals

• Collaboration with a TPA who will support and integrate with you and your clients’ preferred and other “best in class” vendors

• Flexible tools and services you and your clients need

300,000 LIVES

MEDICAL ADMINISTRATION FOR MORE THAN

EXPERTISEPROCESSING AND INTEGRATION

FULL SERVICE TO SHARED ADMINISTRATION

IN SELF-INSURED THIRD-PARTY A D M I N I S T R A T I O N

30 YEARSEXPERIENCE

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CCStpa is client-centric

Our service team gets to know you and your client. We

work to understand your clients’ health plan, business

and culture — while making the members’ health care

needs a priority. You and your clients will receive highly

personalized, quality service — from onboarding to

account management.

INFORMATIONTECHNOLOGY

REPORTINGAND

ANALYTICS

CLINICALTEAM

OPERATIONS

NETWORK

LEGAL

ELIGIBILITYVENDORS

PHARMACY BENEFITMANAGERS

HEALTH AND WELLNESS VENDORS

HEALTH CARE

SPENDINGACCOUNTS

CLIENT

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anager • Account Specialist •

Client Advocate

CCStpa’s flexible approach to health care administration combined with our strategic account management positions you and your client for success.

Our implementation team will work closely with you and

your clients to create innovative solutions around plan

design, administration and preferred vendor integration.

We also take into consideration the unique health care

markets in which they operate to help optimize claims

performance. Throughout the on-boarding process, our

Implementation Specialist works closely with you and your

clients’ Account Management team to ensure a smooth

transition when set-up is complete.

Nine Oars, Customer Satisfaction & Employer Client and Broker/Consultant Thought Leader Survey, 2014

CCStpa RECEIVED A NET PROMOTER SCORE (NPS) OF 50, WHICH IS NEARLY 30 POINTS HIGHER THAN THE COMPETITIVE AVERAGE.

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CCStpa offers varying levels of medical plan administrationCCStpa has created an innovative suite of efficiently designed, third-party-administered plans to meet the needs

of value-conscious clients. Solid benefits. No unnecessary extras. Personalized for each client. All backed by a

trusted TPA partner — CCStpa.

With a personalized approach, clients can choose the level of benefit personalization and value added services that

meet their needs.

TYPICAL HEALTH PLAN TYPICAL TPA CCStpa

Integrated solutions 4 4

Choice of solutions 4 4

Personalized solutions 4

Cost management tool options:• Benefit education, cost and quality tools — easy to use and

mobile enabled for 24/7 access

• Stop-loss coverage available to balance coverage and financial risk

• Medical management and data integration pinpoint major claims cost drivers

• Online reporting and benefits modeling tools identify health care cost drivers

• Online Client Center provides administrative control 24 hours a day, seven days a week

• Claims processing system integration

• Pharmacy benefit management

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Expertise in best custom-fit solutionsWe understand the changing health care landscape and the different parts that make up a fully integrated, comprehensive experience for clients and their members. We have the ability to integrate with vendors that clients choose and in-house solutions on pharmacy and stop-loss. We provide assurance that you’re collaborating with a TPA who will support and integrate with preferred, “best in class” vendors, such as:

SelectAccount®

Medical spending accounts help members save and pay for

health care expenses when they choose an eligible high-

deductible health plan. These plans are fully integrated

with CCStpa to make it seamless and easy for members to

use. SelectAccount offers health savings accounts (HSA),

health reimbursement arrangements (HRA) and medical

flexible spending accounts (Medical FSA).

Stop-lossThrough stop-loss offered by MII Life, Inc., we can

protect employees or their dependents when they incur

unusually high medical expenses due to illness, an accident

or other unanticipated circumstances. We understand

the complexities of stop-loss and ensure employers are

positioned to manage the financial risks of their health plan.

Pharmacy benefitsWhen medical and pharmacy benefits are integrated,

better health outcomes are achieved. Our business partner,

Prime Therapeutics, delivers fully integrated pharmacy

benefits to over 22 million people, including our CCStpa

members. Neither Prime nor CCStpa is owned or aligned

with any drug manufacturer, wholesaler or a distributor,

so we act independently and in your clients best interests.

Additional administrative services that are available include:• Wellness services such as biometric screenings, health

assessments, coaching and incentives

• COBRA administration

• Subrogation

United Concordia DentalResearch has shown the strong connection between oral health and overall health. That’s why CCStpa offers a dental plan in partnership with United Concordia, an organization with more than 40 years of dental insurance expertise, to bring affordable, integrated dental programs to clients and their employees.

United Concordia has built some of the largest dental networks in the country, ensuring members can easily find

a nearby network dentist, no matter where they live.

Network designSince seeking care within a specific provider network is the most cost effective, choosing the right network is an important decision. We’ll work with you and your clients to create a network strategy based on the goals of your client.

We offer high-performance networks delivering even greater savings while providing members access to providers who deliver quality and efficient health care.

Through our relationships with regional and national PPO networks, we deliver provider access and savings for members and employer groups nationwide.

Network access in all 50 statesWe offer best-fit solutions for access and discounts based on your clients needs.

• PHCS – 4,500 hospitals and over 670,000 health care professionals

• Multiplan Network – 734 hospitals and 53,000 health care professionals

• Health EOS PPO network – More than 135 hospitals and 26,000 professionals

• Doctor On Demand – Real-time, online access to board-certified physicians in 49 states

Each health care provider is an independent contractor and is not our agent.

MII Life, Inc., d.b.a. SelectAccount, is an independent company providing account administration services.

Prime Therapeutics LLC is an independent company providing pharmacy benefit management services.United Concordia Companies, Inc. is an independent company providing dental benefit management services and access to the Advantage Plus 2.0 network.

Doctor on Demand is an independent company providing telehealth services and is not available in every state. Check DoctorOnDemand.com/ccstpa to ensure you are located in a state that is eligible to participate.

Through this collaborative effort, members will feel connected throughout the enrollment process and have

every incentive to use the benefits, value-added services, decision support tools and health and wellness

solutions available to them.

Our industry-leading approach:

Member engagement We are committed to working collaboratively to help members achieve their best health which, ultimately, helps control

health care costs.

We’ve identified top health habits that commonly affect people’s health today: managing stress, eating right, staying active,

managing weight, quitting tobacco and maintaining a healthier pregnancy, to name a few. Through year-long engagement,

members will be informed and encouraged to take advantage of their health benefit resources to help encourage healthy

habits in these areas. From pre-enrollment education to onboarding, to increasing the use of their health and wellbeing

resources, members will receive the information they need to get the most from their benefits.

To ensure high satisfaction, we conduct an integrated marketing campaign (email, text, direct mail, in-office signage, events) designed to provide information about health plan benefits, value-added services and decision management tools.

EDUCATION

During open enrollment, we provide members with the resources they need to feel clear and confident with their health plan. Some of the tools include:

Telephone resources – Member services specialists are available to answer member and non-member questions on specific benefits, network or transition of care issues prior to the effective date.

Printed material – Trifolds, brochures and other printed materials that provide information on plan benefits, administration, networks, care management programs and frequently asked questions.

Internet resources – Members have access 24 hours a day, seven days a week to valuable health tools (for example, Find A Doctor), even before coverage is effective. Member service specialists are happy to assist with questions about these web-based tools.

We recognize that one of the best ways to produce healthy outcomes is by engaging members regularly. We offer a comprehensive health and wellbeing outreach campaign utilizing email marketing, in-office signage and events to help you ensure members are regularly thinking about their health.

ENGAGEMENT

ONBOARDING

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Resources ccstpa.com

Our mobile-enabled web portals are easy to use for everyone — members, employers, providers and agents. Available

anytime, day or night, allowing access to the information you need, when you need it through our secure web portal.

It’s just one more way we strive to make it easy to do business with us.

Members have immediate access to their detailed information and tools:• Enrollment status

• Current coverage

• Claims status and Explanation of Health Care Benefits (EOBs)

• Deductible and out-of-pocket balances

• Answers to frequently asked questions

• Order member ID cards

• Find a doctor

• Send secure email inquiries to the customer service team and view responses

Client have access to a portal with features that include:

Enrollment

• Maintain enrollment

• View enrollment

Claims

• Claim detail – view line item detail

• Claim summary – view payment information

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Comprehensive Care Services, Inc.

ccstpa.com

CCStpa makes your job easierAt CCStpa, we combine exceptional service and responsiveness with unsurpassed expertise, programs

and technology. With access to the highest value networks of providers, our personalized approach to

benefit administration will help you make benefit and plan decisions with confidence.

Visit ccstpa.com

Visit ccstpa.com for information about all of our products and programs.

Here you will find connections to our online resources, such as myCCStpa

member center, CCStpa Client Center enrollment and maintenance area,

find a provider tool and much more.

Susan Foor, Sales Executive

Comprehensive Care Services, Inc.

P.O. Box 64668

St. Paul, MN 55164-0668

Toll-free: 1-866-309-8914, ext. 21509

We provide personalized solutions through real understanding.