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THIRD PARTY ADMINISTRATION FOR THE PARTIALLY FUNDED UW-MADISON SHIP
(contract last updated 04/10/2009)

SCOPE: Contract for University Health Services for the business of providing full service Third Party Administration (TPA) for partially funded health insurance plans.

Student Health Insurance Plan (SHIP) has been administered as a partially funded health insurance plan since August 2002.  The TPA services include, but are not limited to: underwriting; stop loss negotiation; PPO and vendor negotiation; compliance; claims processing; utilization review and case management; customer service; compliance; reporting and actuarial assessment. 
                                                                               
SHIP enrollment is voluntary for eligible Domestic Students and Dependents.  SHIP enrollment is mandatory for registered International Students and International Scholars and any Visa Dependents.  SHIP will waive this requirement if the student has alternative insurance that satisfies one of the criterions listed on the International Waiver Application.  Effective August 15, 2008, SHIP enrollment is mandatory for registered Medical Students.  SHIP will waive this requirement on behalf of the University of Wisconsin School Of Medicine and Public Health, if the student has alternative insurance which satisfies the criteria listed on the Medical Student Health Insurance Application.
CONTRACT # DESCRIPTION
09-5122 THIRD PARTY ADMINISTRATION FOR THE PARTIALLY FUNDED UW-MADISON SHIP
CONTRACT ORIGIN: ADDITIONAL INFORMATION:
UW-Madison
Purchasing Services
21 N Park St, Ste 6101
Madison, WI 53715-1218 		UW-Madison users contact:
Carl Hubbard
(608) 262-6557 FAX (608) 262-4467
CHubbard@bussvc.wisc.edu
  Non-UW-Madison users contact: Vendor Representative
RESTRICTED TO: University Health Services
COOPERATIVE PURCHASING: NO
CONTRACT TERM: August 15, 2009 through August 14, 2010, with automatic renewal extensions to August 14, 2015, unless amended, cancelled or rebid.
Vendor(s)
019371
Maksin Group
2 Aquarium Dr  Ste 200
Camden  NJ  08103
     
Sales Representative: PHONE # FAX #
Katie McGrath 800-220-1123 X177 856-858-6157
E-mail: kmcgrath@maksin.com
  PHONE # FAX #
Ordering/Expediting: 800-220-1123 X177 856-858-6157
Invoice Information: 800-220-1123 X177 856-858-6157
Supplier Diversity Reporting: 800-220-1123 X215 856-858-6157
Website: www.maksin.com
Commodity Code 918-69
953-48
953-52
958-61
Federal Employee ID # (FEIN) 22-1955953
F.O.B. “E” F.O.B. DESTINATION, FREIGHT PREPAID AND BILLED
Terms: N/30
Invoicing: Invoices shall reflect contract pricing.
Pricing Information: Contact agent at (608) 262-6557 or email: CHubbard@bussvc.wisc.edu for pricing.

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