The Client

- HQ: Minnesota

- Carrier: United Healthcare

- 82 employees

- 3 plant locations

Problem

Advisor was unable to obtain claims data from the carrier to evaluate alternative health plan options.

Solution

- Rover retrieved the claims data and identified a disparity in the carrier’s reporting that reflected claimants who were no longer on the health plan.

- Gaps in coverage were also identified by the Advisor.

Outcome

A captive reduces their original quote based on “shadow pricing,” by $235,000, due to the accurate claims report that reflected a “healthier” population.