Tribal Nation Third Party Benefits Administration

The Forest County Potawatomi Insurance Department specializes in benefits administration services for Tribal Nations. Our administration takes into account the varied funding mechanisms Tribal Nations use to fund the health care needs of their employees and members. Our benefit plans focus on using the Federal resources available to tribes before using Tribal dollars to fund health care claims. Our services include both the standard administration services along with the services specific to Tribal Nations.

SERVICES AVAILABLE:

• Claims Processing:
  • Medical, Dental and Vision
  • Flexible Spending Accounts
  • Health Savings Accounts

• Customer Service:
  • Telephonic
  • Walk In
  • 24 Hour Voice Response System
  • Online Web Access: Members, Providers
  • Fax Back

• Medicare Like Rates Re-Pricing:
  • Medicare Like Rates re-pricing during claims processing
  • Medicare Like Rates re-pricing for CHS facilities

• Consultation:
  • Plan Design
  • Cost containment
  • Hybrid plans