OEFI Picks HealthEdge for Benefits Administration

The nonprofit, which administers the benefit programs for International Union of Operating Engineers Local 12 members, as well as their dependents and beneficiaries, was looking for a platform that would help it evolve with healthcare regulations and needs.

Operating Engineers Funds Inc. (OEFI; Pasadena, Calif.) has chosen the HealthRules software from Burlington, Mass.-based HealthEdge to administer the health benefits for its client base, which includes members of the International Union of Operating Engineers Local 12, and its dependents and beneficiaries.

With an in-house, legacy system that had been extensively modified, OEFI needed a platform that could quickly and easily address the complexity of its existing plans and contracts, while at the same time enabling it to offer new products, the companies said in a release.

"After struggling for years with an outdated claims processing system, our trustees were looking for a proven, next-generation healthcare technology platform that would serve us well both now and into the future," OEFI fund manager Mike Graydon says in a statement. "We did not want to face yet another major system overhaul in a few years when the next set of healthcare standards are adopted. Our use of the HealthRules platform will enable us to enter into more sophisticated agreements with our insurance carriers."

San Francisco-based health insurer SeeChange Health implemented HealthRules earlier this year.

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio