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PacificSource is a not-for-profit health insurance firm that provides medical, dental, and prescription drug benefits to nearly 200,000 members throughout Oregon and in parts of Idaho. PacificSource company provides both PPO and HMO-type managed care products for groups and individuals, as well as flexible spending accounts and health reimbursement accounts. Its network includes tens of thousands of health care providers. Founded in 1933, PacificSource also offers supplemental coverage including life insurance, vision care, chiropractic services, and acupuncture treatments. PacificSource company provides benefits administration services through its Manley Services and Select Benefits Administrators subsidiaries.

Paramount Care helps Midwesterners take care of their most important asset: their health. The managed care organization provides health coverage to more than 187,000 members in 26 counties of northwestern Ohio and southeastern Michigan. With a network that includes 34 hospitals and 1,900 physicians, it offers a variety of commercial health plans, including HMO, PPO, and point-of-service options. For seniors, it provides Medicare supplemental coverage and Medicare Advantage plans. Its Paramount Insurance unit offers life policies, and Paramount Preferred Network unit provides workers' compensation services to area employers. Formed in 1988, Paramount Care is a subsidiary of ProMedica Health System.

PHP Companies, which does business as Cariten Healthcare, is caring for thousands of residents in eastern Tennessee. A managed care organization, Cariten provides group health plans, including HMO, PPO, and POS plans and Medicare Advantage plans for retirees. The firm provides its services on a fully-insured basis or as a third-party administration services for self-insured employers. Its Business Health Solutions unit provides managed workers' compensation care and vocational rehabilitation services. Covenant Health and Mountain State Health Alliance owned Cariten until it was acquired by Humana for $245 million in late 2008.

Preferred Health Systems (PHS) is the managed care organization of choice for Kansas businesses. Through its operating companies Preferred Plus of Kansas and Preferred Health Systems Insurance,Preferred Health Systems company provides HMO, POS, and PPO health plans, as well as a high-deductible plan combined with a health savings account. It also offers Medicare supplemental health plans. PHS provides group plans to about 120,000 employer groups on a fully-insured or administrative services only model; it is one of several companies that administers the health coverage of Kansas state employees. Preferred Health Systems company was acquired by Coventry Health Care in 2010; it was previously part of Via Christi Health System.

Premera Blue Cross is a leading health care coverage provider to 1.5 million residents of Washington State and Alaska. A licensee of the Blue Cross and Blue Shield Association, Premera offers Blue-branded health care coverage including group and individual PPO, HMO, and consumer-directed plans, as well as Medicare supplemental, dental, vision, and prescription drug coverage. Its health care networks encompass tens of thousands of health care providers and more than 100 hospitals. The not-for-profit Premera also operates several for-profit subsidiaries offering non-Blue health, life, and disability insurance in the Western US.

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