POMCO Group Selected as Benefit Administrator for Health Care Reform’s New York Insurance Plan

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POMCO Group, one of the nation’s largest independent third party administrators, has been selected by Freelancers Union to administer the Affordable Care Act’s (ACA) Consumer Operated and Oriented Plans (CO-OP) for New York. The CO-OP, which is a nonprofit health insurance plan, will begin offering coverage in 2014. The plan will provide quality and affordable health care coverage to all New Yorkers, with an estimate of covering 100,000 New Yorkers within the next seven years.

The idea of empowerment is central to the CO-OPs. Introducing a new level of competition to the market levels the playing field so more people can reap the benefits. - POMCO Group CEO and President, Robert W. Pomfrey

The government recently awarded more than $638 million to create CO-OPs in eight states, including New York. The CO-OPs have been created to offer individuals and small businesses enhanced access to affordable health plans and will be facilitated by government-appointed sponsors that have a proven history of financial stability and corporate responsibility. The Brooklyn-based Freelancers Union, which has over 171,000 members nationwide, will sponsor CO-OPs in New York, New Jersey and Oregon through nonprofit organizations in each state. Freelancers Union already offers members health insurance coverage through its social-purpose Freelancers Insurance Company, for rates that are about one-third less than other insurers.

POMCO Group has partnered with Freelancers Union to act as the benefit administrator for the New York CO-OP and manage its claims and member services, medical management programs and provider network administration. POMCO Group was established in 1978 as a benefits consulting firm that specialized in providing organizations with cost-effective options to traditional health insurance, including self-funding. “The idea of empowerment is central to the CO-OPs,” states POMCO Group President and CEO Robert W. Pomfrey, “introducing a new level of competition to the market levels the playing field so more people can reap the benefits”

Freelancers Union will begin accepting enrollment in the fall of 2013 with coverage being offered in January of 2014. “The CO-OPs are based on our existing model of increasing access to health care for those that need it, and focusing on the needs of the insured rather than making a profit,” said Sara Horowitz, founder and Executive Director of Freelancers Union. “We’re looking forward to working with POMCO Group to bring new, innovative health care to all New Yorkers.”

For more on the CO-OPs visit http://www.POMCOGroup.com or http://www.FreelancersUnion.org/co-ops.

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Eboni Britt
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