Health plan & appeal guide
Children's Hospital Medical Center of Akron
This employer has both kinds of coverage. The company on your insurance card decides which rules apply to you.
How we know · medium confidence
- The filing lists stop-loss insurance (Medical Mutual Of Ohio). Employers buy stop-loss only when they pay claims out of their own money.
- The filing says benefits are paid from the employer's general assets.
- Medical insurance bought from Mckinley Life Insurance Company Aultcare is on file, covering about 79 people.
- We ignored 2 low-cost supplemental policy(ies) such as accident or hospital cover; they don't decide how your medical claims are handled.
- Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
- The insured options cover only about 1% of the 6,644 participants, so most people in this plan are in the self-funded part.
- The self-funded part's claims are processed by Medical Mutual (Schedule C).
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.
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.
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