Custom Programs

As a Third Party Administrator, EHIM specializes in a Special Medical Reimbursement Program (SMRP) in which clients purchase high deductible health plans and partner with EHIM to provide reimbursement services for deductibles, coinsurance, office copayments, or other out of pocket costs. This type of program can lower fixed healthcare premiums while allowing the employer groups to provide their members the benefit levels of a richer benefit program.

EHIM’s SMRP are customized to the client specifications while the administration of the program is effortless. In many circumstances, we can have the carrier Explanation of Benefits routed directly to EHIM which allows efficient administration of the plan, a thorough claim review as it is being processed, and coordinated payments direct to the provider. EHIM’s hands on customer service and detailed reporting provides an open channel of communication between EHIM, employer group, and member as well as full accountability of the program’s performance.

In addition to the SMRP offering, through our TPA division, EHIM also provides a self funded dental program and FSA/COBRA administration services.