Business Details
40 Years
experience
Your Trusted Employee Benefits Administrator
Transwestern Insurance has been a leader in employee benefits administration since 1986, specializing in customized health care solutions for agricultural and diverse industries. Our founders identified a need for competitive benefit plans for seasonal workers, pioneering innovative reinsurance products and a Mexico-based provider network that remains a cornerstone of our service. We combine decades of industry expertise with cutting-edge technology, including our proprietary Eldorado HEALTHpac software system, to deliver efficient claims processing with a 3-7 day turnaround.Our commitment to personalized service extends to comprehensive offerings like COBRA administration, HIPAA certification, and 5500 filings, supported by a bilingual team serving clients across California and Arizona. As a privately held company with stable carrier partnerships including Hartford and Mutual of Omaha, we maintain financial independence while prioritizing ethical standards and client-centric values established in our 20-year history.
Services
Claims Administration
COBRA Administration
HIPAA Certification
5500 Filings
Account Administration
Eligibility Verification
Fund Accounting
Provider Directories
Online Reporting
ID Card Services
Details
- Year established: 1986
Highlights and features
- 20+ years specializing in agricultural benefit plans
- Customized solutions for seasonal worker healthcare needs
- 3-7 day claims processing turnaround time
- Bilingual Spanish-English service capabilities
- Pioneering online claims status and reporting systems
Services
Claims Administration
Our claims administration service delivers efficient processing with a 3-7 day turnaround using proprietary Eldorado HEALTHpac software. We handle verification, adjudication, and payment coordination while maintaining detailed records for audit readiness. Clients benefit from real-time status tracking and dedicated support for complex claims resolution.
COBRA Administration
We provide comprehensive COBRA administration including eligibility determination, premium billing, and compliance reporting. Our system automates coverage continuation notifications while maintaining HIPAA-compliant documentation. Employers receive detailed monthly reports and year-end 5500 filings for regulatory compliance.
HIPAA Certification
Our HIPAA certification service ensures complete regulatory compliance through policy implementation and staff training. We maintain secure electronic transactions using industry-standard encryption and conduct regular audits to verify adherence to privacy and security rules for protected health information.
5500 Filings
We prepare and submit annual 5500 filings for employee benefit plans, ensuring ERISA compliance through accurate data compilation and electronic submission. Our service includes error correction support and documentation preparation for Department of Labor audits.
Account Administration
Our account administration service provides detailed fund tracking with monthly statements and online access to real-time balances. We manage premium collections, claims disbursements, and financial reporting while maintaining segregation of duties for fiduciary compliance.
People
Roger K. Boman
Owner
Roger K. Boman acquired and renovated the historic Maubridge Building in 1995, demonstrating his commitment to downtown Fresno's revitalization. As Transwestern's owner, he maintains financial independence while overseeing expansion into diverse industries beyond agricultural insurance.
Questions
What industries does Transwestern specialize in?
We specialize in agricultural benefit plans but serve diverse industries including municipalities and commercial businesses across California and Arizona.
How quickly are claims processed?
Our average claims processing time is 3-7 days using our proprietary Eldorado HEALTHpac software system.
Do you offer online account management?
Yes, clients access real-time claims status, fund accounting, and eligibility files through our secure online portal.
Are your services available in Spanish?
Yes, we provide full bilingual support for Spanish-speaking clients and providers.
What compliance services do you provide?
We offer COBRA administration, HIPAA certification, 5500 filings, and independent audits for complete regulatory compliance.
