About Us

Specializing in flexible services and innovative solutions for employers.


A Reputation for Excellence


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 520,000+ members from our headquarters in Dubuque, IA.


A Broad Mission






A Broad Mission


To enhance the value of the employee benefits offered to your employees and plan members.


Innovative Cost Control Solutions


High Quality, High Touch Customer Service


Integrated Medical Management & Wellness Services


A Different Approach


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. We:

  • Encourage frequent and direct communication between our nurses and your members before, during, and after episodes of care.
  • Never automatically accept a benefit claim as accurate or reasonable.
  • Review, adjust, and fully adjudicate all claims where our expert staff may have the opportunity to add value.








SISCO has helped direct our passion for our health plan in ways that are refreshing and culturally contagious. Partnering with SISCO, we feel confident in our programs.