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South Dakota State Medical Holding Company, operating under the name DAKOTACARE, is a statewide HMO plan. Product offerings include comprehensive group and individual medical plans, flexible spending and COBRA plans, Medicare Advantage coverage, and dental, life, and disability policies. All hospitals and nearly all physicians in South Dakota contract with the firm. In addition to serving some 100,000 customers in its home state, third-party administration (TPA) subsidiary DAKOTACARE Administrative Services is active in over a dozen neighboring states. Founded in 1986, DAKOTACARE is the managed care affiliate of the South Dakota State Medical Association.

The Heart & Family Health Institute of Port St. Lucie (HFHI), the name pretty much says it all. HFHI is a hospital serving the "Treasure Coast" area in and around Port St. Lucie, Florida. It provides specialized medical services for the treatment of cardiovascular disease, as well as diagnostic and therapeutic services for a variety of health problems. The institute's 25-plus physicians offer services in areas such as radiology, audiology, nutrition, osteopathy, urology, and nuclear medicine. HFHI was founded in 1984 and serves about 40,000 patients annually.

The Puerto Rican Family Institute (PRFI) wants to keep families intact and healthy. It offers more than 20 social and health care programs to families who live in primarily Latino neighborhoods in New York and New Jersey, as well as Puerto Rico. Services include mental health treatment through clinics in the Bronx, Brooklyn, Jersey City, Manhattan, and Queens; crisis intervention; foster care placement prevention programs; and Head Start programs. PRFI also reaches out to the mentally and developmentally disabled by operating intermediate care and residential alternative facilities. The not-for-profit serves those infected with AIDS through counseling, psychiatric services, and case management.

Trustmark Mutual Holding Company established in 1913 as the Brotherhood of All Railway Employees to provide disability coverage to railroad workers, the company still provides workplace benefits in the US. Trustmark offers group health insurance to employer and affinity groups, benefits administration for companies that self-fund, and voluntary benefits (life, disability, and illness insurance) sold in the workplace. To help its customers control costs and boost employee health, it also offers consumer health advice providers HealthFit and Health Contact Partners. Trustmark Mutual Holding is owned by its policyholders.

Tufts Associated Health Plans is a leading New England health insurer operating as Tufts Health Plan.Tufts Associated Health Plans company provides medical coverage to about 735,000 members in Massachusetts and (to a lesser degree) Rhode Island. Its products include HMO, PPO, and point-of-service plans for both employers and individuals, as well as Medicare Advantage plans for retirees. With partner CIGNA, Tufts also offers a nationwide health network called CareLink for multi-state employers.Tufts Associated Health Plans company, founded in 1979, is led by CEO James Roosevelt Jr.

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