Health plan & appeal guide

Duane Morris LLP

Philadelphia, PA · Form 5500 filing, plan year 2024

Both kinds Medical, Major Medical, Ad&d, and Group Life Insurance for Staff, Associates & Partners of Duane Morris LLP · 1,576 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. Medical, Major Medical, Ad&d, and Group Life Insurance for Staff, Associates & Partners of Duane Morris LLP · 1,576 people · Both kinds

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Blue Cross Blue Shield, Kaiser Permanente, CareFirst, Amerihealth is on file, covering about 2,061 people.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
  2. Duane Morris Flexible Benefits Plan · 300 people · Self-funded · federal rules

    • The filing says benefits are paid from the employer's general assets.
    • No medical insurance contract is on file (Schedule A).
    • Wex Health Ince is paid to process this plan's claims (Schedule C), the usual setup when an employer pays claims itself.

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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