ClaimLinx helps auto dealer save money

It doesn’t matter what type of business it is. ClaimLinx can help owners and their employees save on health insurance.

The New Hampshire Auto Dealers Association found out just that when some of its members started working with ClaimLinx. On average, businesses that use ClaimLinx’s Solution save between 20 to 40 percent on their health plan within the first year.

ClaimLinx focuses on savings

Tom Quigley, Co-Owner of Claimlinx, said all it takes for business owners to start saving is a willingness to look at their health insurance differently. His company’s Solution combines traditional group insurance with a self-funded plan. That way employers can save money while providing great benefits.

“We have developed a solution on health insurance,” he said. “The main focus of our business is showing business owners how to use tax laws to greatly reduce the cost of health insurance for both the employer and the employees.”

A real example of savings for a small business

AutoServ Dealerships in Tilton, NH are members of the New Hampshire Auto Dealers Association who became clients of ClaimLinx two years ago. In the first year, they saved almost $100,000 on their health insurance. What’s more is they were able to pass that savings onto their employees as well. Their workers saved about 5 percent year over year while keeping deductibles lower than with the group’s previous plan.

Donna Gaudet Hosmer, General Counsel at AutoServ, said they turned to ClaimLinx because they needed a better option for health insurance at their company.

“The reason we chose ClaimLinx was primarily cost,” she said. “We needed an affordable option that reached a diverse array of employee needs in terms of benefits and affordability.”

How to start saving on health insurance

ClaimLinx works with businesses of all sizes. Qualified consultants are always available to start a consultation. They start by identifying each clients needs and balancing them with the costs of the health plan.

By taking the health plan out of the hands of traditional insurance companies, there is an amazing opportunity for savings while still providing great benefits. That means low deductibles and copays at a low cost to the employer.

Tom Quigley said for most companies this all comes down to setting up a plan that balances risk with savings.

“Really what the ClaimLinx solution boils down to is a math problem,” he said. “It’s really is as simple as putting a couple of keystrokes on your calculator. And to literally figure out the risk and the savings. What most people find is that the savings generated is greater than the actual risk associated. Meaning that every single person could go into the hospital or hit their deductible and the company still saves. That’s happening about 90-95 percent of the time.”

ClaimLinx focuses on education

This new way of buying health insurance isn’t just about the plan, though. It’s about educating employees on the best way to use the plan to get affordable healthcare. ClaimLinx turns its members into educated consumers so they no longer feel lost while navigating the health insurance industry.

Donna Gaudet Hosmer said the Solution was “definitely a departure from traditional insurance” but the people at ClaimLinx were there to help with educating members and providers on the new system. She said these resources were invaluable to members at the company. They were able to save money and still get the most out of the plan.

“The cost benefit far outweighs the learning curve to understand how to use it properly and maximize it,” she said. “So it’s been a huge win for us and I would highly recommend other dealers take a look at this.”

Contact ClaimLinx today to schedule a consultation.

Best health insurance companies in the USA

Our 5 Picks For The Best Health Insurance In Usa

The US is home to thousands of Insurance companies and individuals oftentimes find themselves perplexed about which provider to opt for. There are different types of coverage that need to be taken into account alongside various other factors that are going to be outlined in this particular blog.

According to the Insurance Information Institute, the premiums for the health and accident insurance industry skyrocketed by 57.3% to roughly $1.1 trillion in the year 2018. According to the National Association of Insurance Commissioners, the largest companies accounted for 51.8% of the entire market in the USA.

According to data provided by the NAIC, the best insurance companies for health insurance include:



Estimated Market Share: 14.2%

Premiums Directly Written: $156.9 billion

Based on the principles of well-being and diversity, the core capabilities of UnitedHealth Group include state of the art technology, immense clinical expertise, health data, and much more!

Serving to numerous valued clients in the US, alongside 130 other countries, UnitedHealth provides coverage for benefits and healthcare whereas Optum provides tech health and information services. Out of 1.1 trillion transactions, more than 3.5 billion dollars are invested annually to speed up the innovation processes.


Kaiser Foundation

Estimated Market Share: 8.4%

Premiums Directly Written: $93.3 billion

Operating as a nonprofit healthcare organization, the Kaiser Foundation Health Plan, Inc. offers cardiology, nephrology, dermatology, hospice, oncology, allergy, pain management, occupational therapy, pharmacy services, and pediatric rehabilitation to patients in the USA.


Anthem, Inc.

Estimated Market Share: 6.1%

Premiums Directly Written: $67.2 billion

Dedicated towards serving communities and improving lives, Anthem, Inc. aims at simplifying the process of healthcare. Through the efforts of their strategic affiliates, Anthem has been able to serve over 78 million people. They envision themselves to become the most valuable, innovative and inclusive company in the insurance space.

The gathering’s associated wellbeing plans have made different network-based dental items, PPOs, HMOs’, different items, and wellbeing plan benefits that consolidate the characteristics shoppers find alluring with powerful cost control strategies. Singular individuals and manager gatherings can choose from essential and extensive designs to fulfil their specific necessities. A broad scope of similar forte items and different administrations is likewise accessible, including adaptable spending records and COBRA organization.




Estimated Market Share: 5.1%

Premiums Directly Written: $56 billion

Humana aims at assisting individuals in accomplishing their absolute best health by giving customized, seamless and holistic healthcare experiences. Perceiving that every individual, family, and local area’s medical care needs keep on advancing, Humana makes imaginative arrangements and assets to help individuals carry on with their best lives on their standing – whenever needed.



Estimated Market Share: 5%

Premiums Directly Written: $55.4 billion

CVS Health is a medical services organization with a vision for helping individuals on their way to better and more healthy lifestyle. Through its well-being administrations, plans, and local area drug specialists, it pioneers another way to deal with absolute well-being.

Including an excess of 9,800 retail stores, CVS has almost 1,100 clinical facilities that you can walk into, a manager for drug store benefits with around 93 million members, an enhanced medical care benefits organization serving about 22.2 million clinical individuals and 1,000,000 individuals annually as a quality drug store concerned for collective well-being. It is extending forte drug store administrations, and an independent Medicare Part D professionally prescribed medication plan.




Estimated Market Share: 3.4%

Premiums Directly Written: $36.9 billion

HCSC is a shared lawful hold organization, is the biggest client claimed medical care insurance agency in the United States. The organization is limited to only five states; Illinois, Oklahoma, New Mexico, Texas, Montana and provides service to more than 16 million users. HCSC utilizes in excess of 23,000 individuals in more than 60 neighborhood workplaces.

HCSC manufactures broad variety of life and medical coverage items and similar administrations in collaboration with its partners and auxiliaries, including TriWest Healthcare Alliance, HCSC Insurance Service Company, Prime Therapeutics, TriWest Healthcare Alliances, Medecision, Dearborn Group, Availity, TriWest Healthcare and Dental Network of America.



Centene Corp

Estimated Market Share: 3.3%

Premiums Directly Written: $36.3 billion

Centene Corporation, is an enhanced, worldwide medical care organization consisting of 500 organization and giving an arrangement of administrations to government-supported medical services programs, zeroing in on people who don’t have sufficient insurance plans. It works in three global business sectors to maximize the quality healthcare products. It operates in 32 states and has served more than 15 million patients in these states.

Centene works nearby plans for health and wellbeing and gives a scope of medical coverage arrangements. Likewise, it contracts with other medical care and business associations to offer claim to fame administrations, going from conduct wellbeing, dental advantages, life and wellbeing, and drug store benefits the executives to mind the board programming, remedial medical care administrations, in-home wellbeing administrations, overseen vision, forte drug store, and telehealth administrations.


Cigna Health

Estimated Market Share: 2.7%

Premiums Directly Written: $29.3 billion

In over 30 countries and jurisdictions, Cigna Corporation is an organization for health service which operates globally and serves more than 165 million users and needy patients. Its insurance plans and products include Medicare plans, Medicare supplemental plans, dental insurance plans, International health insurance, supplemental Insurance.




Estimated Market Share: 1.9%

Premiums Directly Written: $20.5 billion

WellCare Health Plans, Inc. centers around conveying government-supported care administrations that are managed to people, kids, seniors and families with various complex requirements clinically through Medicare Adcantage, Medicade and plans for medicines recommended by physicians. Just as people in the medical coverage commercial center. According to a report in 2019, WellCare serves about 6.4 million individuals across the country.


Molina Healthcare, Inc.

Estimated Market Share: 1.7%

Premiums Directly Written: $18.5 billion

Molina Healthcare is a wide network of 500 organizations which only provides services to specific people and families qualifying for governmental medical service plans. The organization works in collaboration state governments and fills in as a well-being plan giving a wide scope of value medical care administrations to people and families.

Molina gives well-being plans in Illinois, Wisconsin, Florida, California, Puerto Rico, New Mexico, Utah, Ohio, South Carolina, New York, Texas, Michigan, and Washington. The organization likewise offers a Medicare item and has been chosen in numerous states to participate in double show ventures to deal with the consideration for those qualified for Medicaid and Medicare.

Health insurance can save from a lot of financial problems in life. It can get you out of the hard times. Choose one of the best insurance companies from our well-researched list now!




How and Why to Start Planning Your 2021 Employee Benefits

Have you ever wondered what keeps you motivated even after working for hours? Did you ever give a thought to how employee benefits bring about a difference outside your work life? If you did not, I believe it’s high time that you do because it notably has a significant impact on you, your family as well as your lifestyle!

Employees of all ages seek security and that too originating from your employer is a plus. In the modern fast-paced world of today, where competitiveness is at its peak, a driving factor to attract and retain individuals like you is by offering Employee Benefits. It portrays the organizations are not only investing in the short-term but the organization, as an employer are looking out and concerned for your future that lies ahead of you as well.

Now let us have a deeper understanding of the much familiar term ‘Employee Benefits’


What Are Employee Benefits?

Employee Benefits, also commonly known as fringe benefits are non-financial compensation that is provided to you as part of an employment contract other than your salary. It may be required by law, depending upon the country you currently reside in, or could be also due to a risk that is associated with your job. The purpose of employee benefits is to increase your economic security as an employee.

Below is a check-list of the employee benefits commonly being provided by organizations:

  •       Health Insurance
  •       Disability Insurance
  •       Casual Leaves
  •       Sick Leaves
  •       Vacation Leaves
  •       Retirement Plans
  •       Well-being Program
  •       Tuition Reimbursement
  •       Gym Reimbursement
  •       Loan Contribution
  •       Transportation Facility
  •       Employee discounts
  •       Free lunch


Why Are Employee Benefits Important For You

Employee Benefits acts as security. This is where above 70% of the population is willing to settle for their security and wellbeing, even in comparison to high salaries being offered.

Here are some reasons why employee benefits are important to you:

  •       They ensure your security
  •       They ensure to facilitate you will all resources at their disposal
  •       They have a strong impact on your motivation towards your work
  •       They contribute towards increased satisfaction while being at work

Note: If an organization is offering a good salary along with additional benefits, it is the right moment for you to grasp the opportunity before it’s too late!


Why Is 2021 Benefits Planning Important?

We are all aware of the global pandemic and the unfortunate events that it brings along. As it continues to wage on, the COVID-19 pandemic has been a wake-up call for all employees to get themselves secured. This is observed as a reflection in the employees being super concerned about the additional benefits and support provided by their employer to help create ease in such tough times.

On this account, all employees need to start focusing on their concerning employee benefits to get themselves secured for any unfortunate causality that could occur as a result.

Here are some common reasons to why you should step ahead into employee benefits planning for the year 2021:


Healthcare Coverage

You have probably heard the common phrase ‘Health is Wealth’. Yes, your health is the most important factor and should be your top priority, especially in such times. You need to consider the maximum amount of opportunities from where you could get medical coverage as part of employee benefits.


Telehealth facility:

It is an additional sub-category that is on the rise nowadays. Telehealth is where you could get connected to a doctor through a telephonic call or video chat. As the graph for COVID-19 increases, there has been observed an increasing trend toward telehealth services, with over 60% population being dependent on it.

Therefore, it is extremely important to consider the benefits of health coverage in employee benefits planning for the year 2021.


Mental Health

A survey in 2020 investigated the after-effects of COVID-19 on employees where there was a significant increase in individuals linking the global pandemic as one of the most stressful times of their lives. This is where employees were not sure about job security where each one of us felt threatened that our organization might be laying us off.

It is hence important, to consider your mental health before even giving a second thought to any of the factors. For this reason, you should start looking into organizations and programs that cater to these in addition to the usual benefits being provided.


How To Start Planning Your 2021 Employee Benefits

Planning employee benefits has become essential in the world of today. Having the right employee benefits will give you a distinct advantage in addition to other facilities provided by either your organization or the law of your state itself.

Take into consideration the following steps while planning on your 2021 employee benefits:


Prioritize what’s benefits are important to you

As an employee, it is important to evaluate what matters to you. You should be the one deciding what is important, what is relevant, and what is it that will facilitate you in the longer-run as well. Until and unless, you do not have a goal or determination inside of you, it will be far impossible to benefit both, you and your dependents as a result.


Differentiate between required benefits and optional benefits

While organizations are increasingly providing employee benefits, it is important to focus on what is best suitable for you. You, as an employee, should be decisive and have the ability as well as a skillset to differentiate between what is necessary and what is not.

Often some startups offer small business benefits since they are not enough financially stable to offer you a range of benefits. For instance, small business benefits could include flextime, telecommuting, paid time off, or even well-being programs. For some, the above would be required benefits where in comparison some employees might have it on their optional benefits list.

Hence, now once provided with both options, you are free to select the one that fulfills your needs and requirements.


Dig Deeper into your budget constraints

Having a focused and realistic idea of your budget will aid in understanding and utilization of the benefits important to you and your family. It will provide you with a holistic overview of the employee benefits to plan on while also knowing the ones you can compromise on.

In summation, 2021 is almost here with a roaring start, that links back to employees making decisions about their benefits program and the option available. Where continued unemployment is at its peak, employees should wholeheartedly dedicate a great deal of time settling themselves for a brighter future!

Contact Claimlinx today to schedule a benefits consultation.



Employers: call us for help cutting costs to get through “stay at home” orders

As of Monday, March 23, 2020, the Ohio Governor issued a mandatory “stay at home” order. It comes on the heels of previous business closures because of social distancing guidelines. Like in many states, the order will continue until the beginning of April. It’s all in hopes of stopping the spread of the novel Coronavirus.

But for many businesses it’s already causing severe financial pain.

Remember, ClaimLinx’s primary concern is savings clients money on health insurance. We know how important health coverage is, especially at a time like this. Our consultants are ready to talk you through how to cut employers’ health insurance costs. We know it’s more important now than ever.

Please contact or call (513) 985-4465 to set up a meeting if you are considering laying off employees or cutting their hours.

Changes to Claimlinx’s Service

The mandatory “stay at home” order in Ohio, where Claimlinx’s main office is located, began on Monday, March 23 and will continue until April 6. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our mailing services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

We expect this primarily to impact mailing explanations of benefits (EOBs) and member ID cards. Temporarily, we will be sending all member ID cards digitally first and sending a hard copy later. Members can always contact if they need a copy of an EOB.

Related post: Changes for members during Coronavirus “stay at home” order

Contact us before cutting employees’ hours

Already we have had clients who are considering placing employees on furlough or moving them to part time. Our consultants already have strategies for how to use this time to cut costs while still providing benefits.

We are here to help companies get through this trying time. Many employers are worried about how long the pause in the economy will last and what affect it will have on their bottom line. We know, too, they are worried about their workers.

Contact or call (513) 985-4465 to set up a meeting. Our consultants will go over your immediate options and any other long-term planning that may be needed.

Some employers may be able to take advantage of already existing rules on coverage to save on insurance premiums in the coming months. Some employers may need to stop providing insurance for any employees who are laid off. We would like to be there to offer our services to help these people navigate the marketplace so they don’t experience any lapses in coverage.

ClaimLinx is here for all of its clients, especially when trying to cut costs because of financial strains.


Changes for members during Coronavirus “stay at home” order

As of Monday, March 23, 2020 a mandatory “stay at home” order was issued for the state of Ohio, where ClaimLinx’s main office is located. To help prevent the spread of the novel Coronavirus, Governor Mike Dewine has mandated all nonessential businesses close their offices until Monday, April 6, 2020. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

Mailing is Changing

It’s a priority for us that our clients and members can access their health coverage services, especially during this time. But it’s also a priority for us to protect our employees. So at this time, we expect delays when it comes to mailing out member ID cards and explanations of benefits (EOBs).

When it comes to member ID cards, we will be sending first a digital copy for the member to use. Then we will send a printed version later. If any member would like a copy of his or her member ID, please contact or start a conversation with a team member now using our Live Chat feature.

Because we do not want too many people in our offices at once, we do expect to have some delays when it comes to mailing documents to members. If you have any questions about a claim or would like to receive a copy of your EOB, you can email or start a conversation with a team member now using our Live Chat feature.

Contact and Processing Will Continue

As employees are able to work remotely and take turns going to our office, we are not anticipating any delays in claims processing at this time. We have worked hard in the last two years to make this process mostly digital. So our claims processors are expected to be able to continue without much interruption.

Related post: Claims processing continues during Coronavirus outbreak precautions

There will continue to be service team members available if you have questions about coverage, a prior claim or if you need a copy of your member ID. As is always the case, if you are sick or in need of medical attention, please contact your provider first.

We would also like to remind our members that local cases of the virus may be putting a strain on the healthcare system in your area. This may have an affect on your regular care. Please be proactive about checking with your provider about changes to any necessary upcoming appointments.

Your local pharmacy may also be experiencing limited hours or delays in filling regular prescriptions. Please check your stock of any regular prescriptions. Be sure to have them filled as early as possible to avoid any interruptions.

Please also remember that members still have access to the member portal for the remainder of March. That means you can still check on claims or print any important EOBs. Starting April 1, 2020, all members will need to reach out to our team directly to get these documents.

Related post: Member portal will be unavailable temporarily

ClaimLinx will continue to communicate with members via email and through our website. Please look for any updates there. Stay healthy and we hope these interruptions in service for all of us are as short as possible.