Premier Health Solutions

What Premier Health Solutions does

Premier Health Solutions, LLC (PHS) is a private third-party administrator founded in 2012 and headquartered in Frisco, Texas, providing end-to-end administrative services for supplemental, limited-benefit, and individual health insurance products. The company operates as an intermediary between A-rated insurance carriers (which provide coverage products and underwriting) and distribution partners — primarily 1,500+ licensed independent insurance agents operating across 48+ states, as well as trade and professional associations and their members. PHS handles enrollment processing, premium billing and reconciliation, member services, regulatory compliance across multiple states, and commission administration for agents selling its 16-product portfolio spanning 10 insurance lines (short-term medical, fixed indemnity, critical illness, accident, hospital indemnity, term life, disability income, dental, vision, ACA marketplace) and 6 non-insurance programs (direct primary care, Rx savings, value-added benefits, pet insurance via Embrace, travel insurance, home warranty).

The company's core technology is Nexus, a proprietary agent management platform providing real-time dashboards for enrollment tracking, commission visibility, retention analytics, and billing health metrics, complemented by a member self-service portal (myhealthmembers.com) and an AI-powered chat interface for routine support interactions. Billing transparency is reinforced through published descriptors (PHS-HEALTH-BILL, PHSHEALTH, HEALTHPHS) and a dedicated verification line.

PHS earns revenue primarily through TPA administration fees for billing, enrollment, member services, and compliance work performed on behalf of carrier partners, as well as through transaction-based commission administration services for independent agents. The company operates as a founder/management-controlled private entity with no disclosed external investment, registered as PHSI Administrators, LLC in California and PremierHS, LLC in five additional states. Its leadership team combines co-founders Brandon M. Wood (ex-AIG, ex-Homeland HealthCare) and Brian J. Duly (founder of Premier Access Inc., which delivered $700M+ in PPO savings) with senior executives recruited from New York Life, Zurich Insurance, Willis Towers Watson, and AIG.

Name

Premier Health Solutions

Legal name

Premier Health Solutions, LLC

Website

https://premierhsllc.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

Premier Health Solutions is a Frisco, Texas-based third-party administrator providing enrollment, billing, compliance, and member services for supplemental health insurance products across 48+ U.S. states. It serves 1,500+ independent insurance agents, A-rated carriers, and trade associations via its proprietary Nexus platform.

Ownership category

akta.pro rank

Product category

Third-Party Insurance Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN)

akta.pro secondary industries

Care Management & Population Health Program Administration (HLAEALAG), Dental & Vision Third-Party Administration (TPA) (FSAIAHAL), Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

Keywords

• Third-party administration
• Supplemental health insurance
• Benefits administration
• Insurance agent services
• TPA services

Headquarters

HQ city

Frisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. TPA Administration Fees: PHS earns fees for administering billing, enrollment processing, member services, regulatory compliance, and reporting for insurance carriers and agent partners. The company handles premium collection, payment tracking, and reconciliation on behalf of carrier partners.
2. Agent Commission Administration: PHS processes and distributes commissions to licensed independent agents for insurance products sold. Commission rates vary by product type, with persistency-based commissions and bonus structures available.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Premier Health Solutions operates as a Third-Party Administrator (TPA) providing end-to-end benefits administration for supplemental and limited-benefit health insurance products. The company partners with A-rated insurance carriers, 1,500+ independent agents, and trade/professional associations to deliver enrollment processing, automated billing, member services, and multi-state regulatory compliance support through its proprietary Nexus agent platform and Member Portal.

Product overview

Premier Health Solutions operates as a Third-Party Administrator (TPA) providing end-to-end benefits administration rather than a single product. Their offering is a platform-plus-services model: the Nexus agent management platform serves as the core technology enabling independent agents to sell and manage supplemental health products, paired with comprehensive administrative services including enrollment processing, billing, member support, and compliance. The product portfolio spans 10 insurance products (Short-Term Medical, Fixed Indemnity, Critical Illness, Accident, Hospital Indemnity, Term Life Insurance, Disability Income, Dental, Vision, and ACA Marketplace plans) and 6 non-insurance programs (Direct Primary Care, Rx Savings, Value-Added Benefits, Pet Insurance, Travel Insurance, and Home Warranty). The company administers these products for A-rated carrier partners, processing billing through descriptors PHS-HEALTH-BILL, PHSHEALTH, and HEALTHPHS, with member support accessible through a dedicated portal and Frisco-based phone team.

Differentiator

Problem solved

Functional benefit

Products and services

• Third-Party Administration Services End-to-end third-party administration for health and supplemental benefit programs, including enrollment processing, automated recurring billing, payment tracking, grace period management, reconciliation, multi-state regulatory compliance monitoring, member services, and reporting. Serves A-rated insurance carriers, licensed independent agents, and trade/professional associations.
• Nexus Agent Platform

Quantifiable outcome

• Companies on the Inc. Regionals: Southwest list had a median growth rate of 79 percent
• +1 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature3 records

Partnerships

Four partnerships are on record, tiered core and minor.

• A-Rated Insurance CarrierscoreChannel Partner/ Reseller/ DistributorPHS partners with A-rated insurance carriers to administer supplemental, individual, and limited benefit products. Carriers provide coverage products and underwriting while PHS handles enrollment, billing, and member support. The partnership allows carriers to expand distribution through PHS's network of 1,500+ independent agents without building their own TPA operations.
• Licensed Independent Insurance AgentscoreChannel Partner/ Reseller/ DistributorPHS partners with 1,500+ licensed independent agents across 48+ states who sell supplemental and individual health benefit products. PHS provides agents with access to A-rated carrier products, competitive commissions, compliance support, marketing resources, and the Nexus agent management dashboard. Agents benefit from full back-office operations.
• Trade & Professional AssociationscoreChannel Partner/ Reseller/ DistributorPHS works with trade groups, professional associations, and chambers of commerce to design and administer comprehensive benefits packages for their members. Association benefits programs can include health insurance, supplemental coverage, direct primary care, prescription savings, and value-added benefits. PHS handles full administration.
• Embrace (Pet Insurance)minorStrategic or Co-development PartnerPHS offers pet insurance coverage through partnership with Embrace, a pet insurance provider. Pet insurance is offered as a value-added benefit through PHS-administered programs.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• AGIA Affinity Services: AGIA is a TPA focused on affinity, association, and member-benefit insurance programs, administering supplemental and specialty products for trade groups and professional associations similar to PHS's association vertical.
• BenefitMall: BenefitMall is a benefits broker and TPA providing enrollment, billing, and back-office services to small-group and individual benefits producers, operating in a comparable TPA-plus-agent-distribution model to PHS.
• Warner Pacific Insurance Services: Warner Pacific is a national insurance brokerage and TPA specializing in supplemental health, individual health, and association benefits products, closely mirroring PHS's product mix and agent-channel go-to-market model.
• MediaBenefits Insurance Services: MediaBenefits specializes in association and affinity group supplemental benefits administration with a similar agent/association-channel model and product set, including hospital indemnity, accident, and limited-benefit medical plans.
• HealthSmart (now Vitori Health): HealthSmart is a TPA providing benefits administration including enrollment, billing, and member services for self-funded and supplemental plans, competing with PHS for the same agent and carrier relationships.

Broad incumbents

• AFLAC: AFLAC is the dominant direct writer of supplemental insurance (accident, critical illness, hospital indemnity) and competes indirectly with PHS-administered products through its own captive agent and group distribution, shaping pricing and commission dynamics across the category.
• Sun Life Financial (U.S. Group Benefits): Sun Life's U.S. Group Benefits division offers disability, dental, vision, and supplemental health products with in-house administration. It overlaps with PHS's product mix and competes for similar employer, association, and agent partnerships.
• Cigna Group (Evernorth Health Services): Cigna, through Evernorth, is a large-scale health benefits administrator offering medical, dental, supplemental, and PBM services. It represents the scaled TPA/insurer model that could absorb PHS's niche if it expanded supplemental capabilities.
• Unum Group: Unum is a leading provider of disability, life, and supplemental benefits products including the lines PHS administers. As a broad incumbent with captive administration, it competes in similar markets and serves many of the same employer and agent relationships.
• Allstate Benefits (National General): Allstate Benefits is a major supplemental and worksite benefits carrier offering accident, critical illness, hospital indemnity, and disability products. While primarily a carrier, it competes with PHS-administered supplemental products and could disintermediate via direct distribution.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/premier-health-solutions

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Premier Health Solutions