Strategic Underwriting Solutions (SUS) was formed to offer high quality health insurance underwriting provided as an outsource service to insurance companies, Third Party Administrators (TPA), Managed Care Organizations (MCO) and other risk taking entities, such as Multiple Employer Welfare Associations (MEWA). SUS was established to respond to a market need for TPA's, insurers, and MCO's considering entry into new products where they have all the pieces in place, e.g. efficient processing, distribution, clinical expertise, all of the needed positive factors except for highly qualified and capable medical underwriting and risk taking management.