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Executive
Responsiveness
Island
Group also provides clients with accessibility
to information by responding to their needs and
requests with the utmost attention. This is of
paramount importance to us corporately. A designated
representative drops off all monthly reports and
is available to review all facets of utilization.
We
remain continually available to the client, and
we promote such communication to maintain a functional,
effective and quality association with our client.
Our company President acting through his corporate
officers, rigorously monitors the levels of service
received by each client and meets with personnel
weekly to assure all the goals and objectives
are met.
Disputes
over claims payment decisions are reviewed directly
by an in-house committee headed by Mr. Kaplan.
This committee is the ultimate arbiter of any
disputed claims from within the company, and is
guided by the general plan parameters in that
regard. In the event that a client disputes a
claims payment decision, we will meet with the
client to discuss the reason for the payment decision,
and we will be guided by the client as to the
propriety of any unusual payment decision. It
is highly unlikely that this would ever occur,
however, since any payment decision that is questionable
will always be presented to the client directly
before making such payment. In addition, any employee
or dependent who appeals a claims payment decision
will be responded to as required by law. Should
the client have an appeals committee in place,
Island Group will cooperate and work with the
designated committee members to adjudicate and
respond to the appeal.
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