Southeast Health Plans

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Health Plan Administration Business Plan

Management Summary

The founding management of Southeast Health Plans has an accumulated 75 plus years of industry related experience. All are well versed in industry fundamentals, educated in the evolution of the health care services industry, and share a vision for the successful positioning of Southeast Health Plans, Inc. within the industry.

6.1 Organizational Structure

The three founders will manage the company's growth jointly as managing partners.

All staff and sales and marketing personnel will report to them through a sales manager (heavy in industry experience) who has also been identified.

Future branch offices will each have a general manager.

6.2 Management Team

James J. Peters, Managing Partner

Mr. Peters has more than 25 years experience in sales and marketing management in employee benefits, securities, and real estate.

He has managed the marketing and sale of pension investment services for MetLife in their Western region and for CNA and Pacific Mutual nationally.

Mr. Peters joined the MetLife HealthCare Network of Georgia as Regional Director for managed care sales in 1992. He built the marketing, sales, and service organizations for the Georgia network. Under his leadership, the network added 40,000 new, fully insured members over three years.

Mr. Peters holds a BA from the University of Notre Dame and an MA from the University of Oregon.

Thomas R. Cormier, Managing Partner

Mr. Cormier has more than 25 years of experience in the field of Employee Benefits. He began his career with Aetna Life and Casualty as a group insurance underwriter. As Project Team Leader in the Group Actuarial Department he developed procedures for the coordination of operations among departments within the Group Insurance Division.

He then spent 15 years with MetLife in the sale and servicing of large group accounts, support for regional sales staff, and budget administration.

Most recently, he was responsible for integration of capitated services with fee-for-service contracts, and the installation of risk pool arrangements for MetLife networks. He also was responsible for interfacing with corporate MIS.

Mr. Cormier holds a BA from the University of Notre Dame.

L. Richard Schumacher, MD, Managing Partner

Dr. Schumacher is a specialist in internal medicine with 25 years in practice who has been in leadership positions in managed care organizations since 1983. He has more than eight years experience in two major national insurance companies serving as Regional Medical Director and then as Vice President of Medical Affairs for Prudential in the Southeast. He later became CEO of MetLife's Georgia HMO. He has established himself as a well respected advisor/consultant within the managed care industry.

Dr. Schumacher holds a BA from Amherst College and a Doctor of Medicine from the University of Pennsylvania School of Medicine.

Jeffrey E. Farmer, Sales Manager

Mr. Farmer is a sales management professional with a consistently outstanding record of production achievement in employee benefits and managed care sales. He worked first for US Healthcare in their Boston office and was subsequently recruited by John Hancock.

He later joined MetLife Group Benefits in their Tampa regional office and graduated from the MetLife Group Benefits Training Program. With MetLife Health Care, Mr. Farmer led all MetLife sales representatives in 1995 with more than $12 million in managed health care sales.

Mr. Farmer has a current extensive and active client base. He has completed all Health Insurance of America (HIAA) courses with honors. He is a member of the National Association of Health Underwriters, and the Atlanta Association of Health Underwriters.

Mr. Farmer holds a BA from Boston College.

6.3 Personnel Plan

The following table illustrates the Personnel Plan for Southeast Health Plans, Inc. Specific needs, compensation, and timing are indicated for each position. Future branch office staffing needs are lumped together as one line item.

Personnel Plan
Year 1 Year 2 Year 3
James J. Peters $60,000 $60,000 $66,000
Thomas R. Cormier $60,000 $60,000 $66,000
L. Richard Schumacher $60,000 $60,000 $66,000
Jeffrey Farmer, Sales Mgr. $64,992 $66,000 $66,000
Sales Executive $42,000 $45,000 $48,000
Sales Executive $42,000 $45,000 $48,000
Sales Executive $10,500 $45,000 $48,000
Account Service Executive $36,000 $38,000 $40,000
Administrative Asst. $30,000 $30,000 $32,000
Administrative Asst. $6,000 $24,000 $25,000
VP Corp Dev. $18,000 $24,000 $30,000
CFO $12,000 $60,000 $66,000
Branch Sales $0 $200,000 $380,000
Total People 0 0 0
Total Payroll $441,492 $757,000 $981,000

6.4 Management Team Gaps

Two current gaps exist within the management team:

  1. a Chief Financial Officer
  2. a Business Development (Capitalization) Specialist.

Both functions will be performed on a consultative basis in the first year of operations (1997). The CFO position can later be filled on a full-time basis, and capitalization will be handled by Investment Banking Relationships.

The interim positions will be staffed by:

  • Interim CFO
    *Confidential and Proprietary information omitted.*
  • Interim VP Corporate Development
    Timothy Dineen
    Mr. Dineen is Principal and Founder of Leprechaun Capital. He is experienced in raising capital for both public and private companies in an advisory capacity.
    Mr. Dineen holds a BA from the University of Notre Dame.

6.5 Other Management Considerations

An advisory board of prominent managed health care professionals is already being assembled. These individuals are available for consultative assignment as well as Strategic Planning for Southeast Health Plans, Inc. The preliminary advisory board includes:

Dr. Nancy W. Ashbach, MD, MBA

Dr. Ashbach is a former CEO of MetLife of Colorado and Utah with responsibility for HMO, POS, and PPO products. Her areas of expertise include outcomes management, reference standard benefits, and doctor/plan relationships.

Dr. Leslie Moldauer, MD

Dr. Moldauer is a psychiatrist who was formerly the National Director of Mental Health and Chemical Dependency Services at MetLife Health Care Management Corporation. Her special interest is in the integration of mental health and chemical dependency programs into health plans as a whole.

Dr. Tighe E. Shomer, MD

Dr. Schomer has been Medical Director for a national managed care company with more than 200,000 HMO members and 1,250,000 PPO members. He has been a partner and director in a medical software and hardware company. He also advises Fortune 500 clients on issues pertaining to managed care, particularly preventative care and quality improvement.