SISCO was established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan designs. Today, SISCO is recognized as a premier third-party administrator, serving 600 employers and 450,000+ members from our headquarters in Dubuque, IA. For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry trends in the wrong direction.
The result is a lower standard of prudent review and ever-increasing costs. Our strategy is to simply administer your plan with the same care, diligence, and expertise we apply to our own benefit program.
The result is a lower standard of prudent review and ever-increasing costs. Our strategy is to simply administer your plan with the same care, diligence, and expertise we apply to our own benefit program.
Services
SISCO's broad range of expertise and flexible admin options help you develop and deliver the benefit programs that are right for your clients. SISCO is a leading provider in health plan management and third-party administration to help your clients achieve their goals. We consistently outperform our peers by continually finding new, innovative ways to control rising healthcare costs and help our clients and their employees maximize the value of their benefit plan.Our integrated approach means you and your clients have one point of contact for all of your needs.
Your health plan needs to perform. For your employees and plan members. For your company. For your budget. We administer your plan in a way that skillfully balances cost-containment with member support, and strategically aligns state-of-the art technology with responsive, professional customer service representatives to deliver better results to you and your employees. Our integrated approach enhances the value of the employee benefits offered to your employees and plan members. Plus, it saves you time.
SISCO helps simplify the benefits process and delivers a one-stop shop for our members. With our 24/7 online portal, Benefits Information Network (BIN), and licensed call center representatives, you get the support you need from enrollment through finding a provider, getting information on your claim status, and access to a library of documents related to your company-sponsored plan. Benefit Information Network (BIN) is a customized web portal specific to your health plan.
Reviews (8)
Hilary Post
Jun 06, 2022
Shailesh Godkhindi
May 10, 2022
Just called the customer service and got the most unpleasant and rude rep on the phone. I was asking her questions about a claim and immediately realized that she wanted to get the phone done in a hurry. With each question I asked she her tone was getting more impatient and irritated. I hope it's the last time I have to deal with this pathetic customer service.
Jenna Wesenberg
May 09, 2022
Susan Jewell Kaiser
May 10, 2021
Not a good experience. Vicki the representative was very pleasantly rude. She did not want to except that I did not need any of the insurance they were offering. I opt out of them all. She still signed me up for insurance after telling her more than one time that I needed no insurance I said no to all of them. So beware and check into what coverage your paying for.
Lucinda Smallwood
Nov 29, 2020
Sue F.
Jan 04, 2020
T. H.
Apr 18, 2019
My former employer used this company as a third party benefits administrator for the 5+ years I was there. They were simply awful to work with! Customer service was often unprofessional, sounding like they were talking to a "buddy". A number of times, they wouldn't know the answer to the question asked. Sometimes, the representative would give their personal opinion.
When questioned about their answer, which seemed unreasonable, they would get defensive. Other times, they would use the excuse that they were the "administrator" and that it was up to my insurance company to determine. The problem was that when contacted directly by myself, my insurance company would refused to speak with me and refer me to the "administrator".
One time, I had to insist the Sisco representative stay on the line with me while contacting my insurance company, so that I can get an answer to a simple question. When I found a new provider, I went above and beyond to verify they were in network. The provider called Sisco to confirm as well. After 3 visits, I received an EOB, stating the services were not covered because the provider was "out-of-network".
To make a long story short, after a number of months of consistent interactions with Sisco, countless hours spent on the phone, waiting on hold to then go through a lengthy self-identification process and start explaining my story from scratch every single time, I involved my HR department and finally got my $500+ back, but I felt I should have been reimbursed for the wasted time and energy. This was just one of the many awful experiences I had with this company. I had heard similar stories from colleagues. as well.
When questioned about their answer, which seemed unreasonable, they would get defensive. Other times, they would use the excuse that they were the "administrator" and that it was up to my insurance company to determine. The problem was that when contacted directly by myself, my insurance company would refused to speak with me and refer me to the "administrator".
One time, I had to insist the Sisco representative stay on the line with me while contacting my insurance company, so that I can get an answer to a simple question. When I found a new provider, I went above and beyond to verify they were in network. The provider called Sisco to confirm as well. After 3 visits, I received an EOB, stating the services were not covered because the provider was "out-of-network".
To make a long story short, after a number of months of consistent interactions with Sisco, countless hours spent on the phone, waiting on hold to then go through a lengthy self-identification process and start explaining my story from scratch every single time, I involved my HR department and finally got my $500+ back, but I felt I should have been reimbursed for the wasted time and energy. This was just one of the many awful experiences I had with this company. I had heard similar stories from colleagues. as well.
Summer Mauves
Dec 31, 2017
Awful. 1st they denied my claims as non-covered when they were covered services. I called, they reprocessed. THEN they went back and re-denied them stating the doctor was not in network when I had checked before going to see her if she was or not. So I call again and they once again reprocess my claims. Finally they don't apply the balances to the correct deductible.
Because of the wacky tiered system I have 3 deductibles- 1 is the lowest 3 is the highest. Well you can imagine where they wrongly applied. Another call and finally 6 months later my claims are hopefully processed correctly but its hard to tell on the EOB because they include co-pays with the deductible and you have to know what to subtract out for it to all add up.
Because of the wacky tiered system I have 3 deductibles- 1 is the lowest 3 is the highest. Well you can imagine where they wrongly applied. Another call and finally 6 months later my claims are hopefully processed correctly but its hard to tell on the EOB because they include co-pays with the deductible and you have to know what to subtract out for it to all add up.
