Code of Ethics: Operating with integrity and compliance.
Premier Health Solutions is committed to our code of ethics—operating with integrity, transparency, and accountability in every aspect of our work. This page explains the standards we hold ourselves to, how our compliance integrity frameworks work, and what to do if you have concerns.
Code of ethics and compliance integrity
- Premier Health Solutions, LLC is a Third-Party Administrator (TPA) committed to ethical operations, aligned with standards from the Ethics & Compliance Initiative.
- We manage billing, administration, and member support after enrollment.
- We do not sell health insurance or health-related products to consumers or enroll members directly.
- We do not underwrite coverage for any of the insurance products for which we serve as a third-party administrator.
- We review and route ethical concerns related to programs we administer.
Our role and responsibilities
Premier Health Solutions supports health and supplemental benefit programs by handling operational and administrative functions before and after a member enrolls in coverage. This includes billing processes, account administration, and member support.
Before enrollment, we work closely with carriers and program administrators to think differently about health and wellness. Together, we create flexible solutions for members who want alternatives — like combining supplemental coverage with direct primary care visits, unlimited telemedicine, and prescription discounts to help keep out-of-pocket costs down.
We do not market or sell insurance products directly to consumers. Enrollment is handled by licensed, independent agents or agencies. Coverage terms, underwriting, and claims determinations are made by the carrier or program administrator identified in your plan materials.
Key definitions
Third-Party Administrator (TPA)
An organization that manages administrative functions such as billing, enrollment processing, and member support on behalf of carriers or program administrators.
Independent Agent or Agency
A licensed individual or organization that discusses coverage options and completes enrollment with consumers. Independent agents or agencies are not employees of Premier Health Solutions.
Billing Descriptor
The name that appears on a bank or credit card statement to identify the entity processing a payment. For programs administered by Premier Health Solutions, this may appear as "PHS-HEALTH-BILL", "amemberbill.com" or a similar descriptor.
Review Period
Many benefit plans include a review period after coverage begins. A 30-day review period is common. Whether cancellation is permitted and whether any refund applies depends on the terms of the specific plan.
Insurance Carrier
The company that underwrites the insurance policy and assumes the risk. The carrier sets the terms of coverage, decides claims, and is responsible for paying benefits under the plan.
Program Administrator
An entity that oversees a benefit program, which may include setting program terms, managing compliance, and coordinating with carriers and TPAs to deliver benefits to members.
Member Portal
A secure online platform where enrolled members can view plan information, review billing history, update payment methods, access e-signature documents, and submit support requests.
If you feel you were misled
If you believe your plan does not match what you were told by the independent agent or agency, Premier Health Solutions LLC wants to be aware of the issue.
Helpful information to gather includes:
- The name of the independent agent or agency
- Approximate enrollment date
- Member ID
- Any emails, texts, or documents you received, including your E-Signature Enrollment Document.
- A brief description of what you believe was misrepresented
Concerns can be submitted for review through our Consumer Protection and Complaints process.
Premier Health Solutions reviews reports related to programs we administer and works with appropriate parties to address concerns. Outcomes depend on the nature of the issue and may include follow-up requests for information, referral to a carrier or agency, or other appropriate actions.
This process is intended to support fairness, transparency, and proper handling of concerns. It is not a substitute for member support, billing assistance, or claims inquiries.
Reporting ethical concerns
Use this form for
- Suspected misrepresentation during enrollment
- Ethical issues connected to programs administered by PHS
- Privacy or compliance-related concerns
Do not use this form for
- Billing questions or payment updates
- Cancellations or claims status
- Portal login or account access
Those matters are best handled through Member Support.
Reports are reviewed confidentially, and information is shared only as needed to evaluate the concern. Premier Health Solutions does not tolerate retaliation for submitting a good-faith report.
Report an ethical concern
Use the form below to submit an ethical concern related to a program administered by Premier Health Solutions. If you need help with your account, billing, or portal access, please visit Member Support instead.
Company name clarification
Premier Health Solutions, LLC is a Third-Party Administrator that provides billing, administrative, and member support services for health and supplemental benefit programs.
We are not an insurance carrier, hospital system, or insurance agency. We are not associated with any other organization that may have a similar name to Premier Health Solutions LLC. For accurate information, refer to Premier Health Solutions, LLC and our official website.
Ethics FAQs
No. Coverage is sold by licensed agents or agencies. Premier Health Solutions becomes involved after enrollment.
No. Independent agents and agencies are not employees of Premier Health Solutions.
Claims are handled by the carrier or program administrator printed on your ID card or included in your plan materials located on the Member Portal. Our team cannot approve, deny, or override claims decisions.
Complaints are reviewed confidentially, although it is helpful to receive the following information to fully resolve your issue. Additional information may be requested, or the concern may be routed to the appropriate party depending on the issue.
You may choose how much contact information to provide, although it is helpful to receive the following information to fully resolve your issue. Providing contact details can help with follow-up if clarification is needed.