Health plan & appeal guide

Antis Roofing & Waterproofing, Inc. / Antis Marketing, Inc.

Irvine, CA · Form 5500 filing, plan year 2024

Both kinds Antis Roofing & Waterproofing, Inc. Welfare Benefits Plan · 149 people · judged with 1 other filing

This employer has both kinds of coverage. The company on your insurance card decides which rules apply to you.

How we know · medium confidence
  • This employer files 2 health plans for this group; we judged them together.
  1. Antis Roofing & Waterproofing, Inc. Welfare Benefits Plan · 149 people · Insured · state rules

    • Medical insurance bought from Kaiser Permanente, California Physicians' Service is on file, covering about 112 people.
    • The filing says all benefits are paid through insurance contracts.
    • We ignored 1 low-cost supplemental policy(ies) such as accident or hospital cover; they don't decide how your medical claims are handled.
  2. Antis Roofing & Waterproofing, LLC · 7 people · Self-funded · federal rules

    • The filing says benefits are paid from a trust the plan controls.
    • No medical insurance contract is on file (Schedule A).

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.

  1. Which company is on your insurance card?

    It’s printed on the front of the card. The filing shows which companies sell insured options here and which ones run the self-funded plan.

  2. Send your appeal here

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  3. Know your deadlines

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  4. What happens next

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