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Premier Benefit Solutions (PBS) was created exclusively to
identify, integrate and retrofit cost-saving mechanisms within
Union Health and Welfare Trusts. Today, trust benefit portfolios
must be actively managed in detail to control both hard expenses
and reverse undetected attrition of dollars.
- We source and coordinate subject matter expertise for trust
management
- We perform audits of existing trust programs and vendor
contracts to ensure maximum financial performance and efficiency
- We define, propose and implement solutions to stop financial
attrition
- We streamline benefits, vendors and technology to achieve
maximum return for participants
The PBS team, lead by Carl Romstadt, are
career California labor and trust experts. Carl and his team
have worked closely with trust operations from a number of perspectives
including: medical cost containment, health and welfare products,
processes, networks and trends, insurance carrier negotiations
and operations, large group actuarial and underwriting analysis,
alternative dispute resolution programs, collective bargaining
agreements, internal technology platforms and much more.
PBS understands health care expenses are the central concern
of most trustees. Medical costs are continuing to escalate,
while trust fund balances remain largely static. This trend
will continue to put pressure on trustees to streamline and
modernize their operations. [More
on runaway health care costs...]
PBS works with Management and Union Trustees to significantly
increase the efficiency of existing programs, while identifying
and sourcing new products and services to reduce costs and increase
overall value of health and welfare benefits.
Mission Statement
"Premier Benefit Solutions maximizes the scope, quality,
value and cost-containment for all health and welfare benefits
developed for trust fund participants."
Executive Board Members
Carl Romstadt | Principal
Carl Romstadt is a leading California authority on current health
and welfare trends and large group process and procedures specific
to union Health and Welfare benefit trusts. With 25 years spent
in the health and welfare insurance field, Carl has worked closely
with administrators and trustees of dozens of health and welfare
trust funds throughout California to develop strategic cost
containment.
Carl has held senior management positions for labor and trust
accounts within various sectors of the insurance industry. Most
recently Carl served as Vice President, Labor & Trust Sales
& Marketing for Intercare Insurance Services where he created
a Labor & Trust division and the Alternative Dispute Resolution
(ADR) division and processes for workers' compensation, managed
care, self-insured programs and TPA services. Prior to joining
Intercare, Carl was Vice President Labor and Trust Division
for Health Net of California, where he developed labor and trust
programs for over 200,000 union members. Carl has worked with
Fortune 50 companies such as Health Net and Foundation Health,
and a wide variety of insurance carriers including Sun Life
of Canada and United Life. Before assuming his role with Health
Net, Carl founded and developed the Labor and Trust Department
and programs for Foundation Health. In his early career, Carl,
with an actuary, worked to build Premier Access Dental Plan,
which is today one of the most successful dental plans in California.
Carl is a member of International Foundation of Employee Benefit
Plans and Toastmasters International.
Matthew Schafer | Board Member
Matt Schafer is founder and Chief Executive Officer of Benefit
and Risk Management Services, Inc. (BRMS) a company that manages
and administers employee benefits programs. Matt is an expert
on managed healthcare, self-insured medical plans and automated
administration of health care delivery, with over 30 years of
experience focused on employee benefit plans. In addition to
BRMS, Matt founded and is co-owned Advanced System Designs,
Inc., a software company that specialized in custom software
applications and system integration. Prior to starting Advanced
System Designs, Matt founded Self Assurance Company, Inc., a
third party administrator (TPA) specializing in the development
and administration of self-insured employee benefits. As president
of the company, he oversaw the management of hundreds of self-insured
and fully insured programs. Matt was also one of the original
founders of Simpata, an Internet based/ASP model provider of
HR, Benefits and Payroll administration services.
Matt is a member of the Society of Benefit Administrators,
the National Association of Life Underwriters and the Sacramento
Area Health Underwriters. In 1997 he served on the Health Care
Financing Administration's task force, which studied criteria
for privatizing Medicare.
Larry Innocent, CPA | Board Member
Larry Innocent is a senior health care executive with proven
financial track record in revenue, profit and cash flow growth,
cost reduction, turnaround profitability projects, internal
operations and vendor management. Currently, Larry is President
of Pharmacy Benefit Solutions, Inc., a consulting firm with
clients that include union trusts, pharmacy benefit management
(PBM) companies, State Governments, and a variety of Health
Maintenance Organizations (HMOs). Larry has negotiated over
$50 million in savings for existing clients through contract
negotiation, RFP management, rebate agreements, program audits
and error correction.
Prior to his current position, Larry was Chief Operating Officer
for Health Net, Inc., one of the nation's largest publicly-traded
managed care companies. Under his direction, Health Net insured
approximately 5.5 million individuals in over 13 states. Larry
steered the company's return to profitability, bringing earnings
to over $100 million annually within 4 years, and negotiating
over $45 million in savings within the pharmacy programs alone.
Before assuming the COO role, Larry served as Chief Financial
Officer for Health Net's Pharmaceutical Services (overseeing
combined $1 billion of pharmaceuticals annually) and Specialty
Services Divisions (including Behavioral Health HMO, Dental
HMO, Vision HMO, Life Insurance, PBM), with annual revenues
of $500 million). Larry began his insurance finance career with
early experience at Price Waterhouse and Foundation Health.
He is a Certified Public Accountant and has a degree in Accounting
and Administration from Pacific Union College.
Walter Weller, ASA, MAAA | Board Member
Walter "Wes" Weller is a leading California health
insurance actuary with 25 years experience working with insurance
companies, health maintenance organizations and the California
Department of Health Services. His areas of expertise include
product development and pricing, financial reporting, reserve
development, financial analysis, profitability studies, provider
reimbursement design, provider contracting, Medicare and Medicaid
contracting, projections, forecasting, strategic financial planning
and risk analysis and adjustment. Wes has developed numerous
proposals for the State of California, including reform and
privatization of Medicaid. He designed and led development of
a Simulation Model comparing actual health care costs and utilization
to expected benchmark standards of performance, used by a wide
variety of public agencies and private insurance entities. He
has served as a professional expert in nationwide Federal issues
and has been called to give testimony on Medicaid reform before
the California legislature. Wes has also held executive positions
with national health care corporations. He has been extremely
successful at creating and maintaining profitability, while
ensuring quality that earned an A- rating by AM Best during
5 years of his tenure.
Wes is a member in good standing of the American Academy of
Actuaries, and an Associate of the Society of Actuaries. He
holds a Masters in Statistics and a Bachelor's in Mathematics.
He has made presentations to the National Governors Association,
the Society of Actuaries, and several conferences for Fortune
500 corporations.
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