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Self-Funded Assessment


1) How many covered members are in the Plan? Under 250 251-500 501-1,000 Over 1,000 
2) Which types of insurance are self-funded?Health Pharmacy Dental Disability Worker's Compensation Life  Other:
3) Have you ever performed a claims audit? Yes No 
4) Have you ever assessed your TPA’s processes to best practices? Yes No 
5) Do you or your Agent perform monthly monitoring of your TPA/payments? Yes No 
6) Do you have concerns that negotiated claim rates are not competitive? Yes No 
7) Have you recently changed or consider changing your TPA? Yes No 
8) How does your Plan handle Medicare eligible members? Cover as primary Act as supplemental No longer eligible 
9) Does your TPA agreement contain performance guarantees?Yes No 
10) Have you or your agent benchmarked your plan parameters and cost against other self-insured plans?Yes No 
11) Does your TPA offer cost enhancement features such as contacting participants if lower cost alternatives exist (such as generics, a lower cost in network provide is available for an elective or non-emergency procedure, etc.)Yes No 



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Personnel Profiling joins MCM

Effective July 1, 2014, Personnel Profiling, Inc. has joined the team at Mountjoy Chilton Medley, Kentucky’s largest CPA & advisory firm. With MCM, we’ll continue to offer the same top notch HR assessments, services and tools, now coupled with a greater breadth of in-demand expertise and services. You can now find the PPI main office and staff at MCM’s downtown Louisville headquarters.

Read About The Merger Continue to MCM's Website