Health plan & appeal guide

Duke Energy Corporation

Charlotte, NC · Form 5500 filing, plan year 2024

Both kinds Duke Energy Retiree Health & Welfare Benefit (financed) Plans · 40,266 people

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 says benefits are paid from the employer's general assets.
  • The filing says benefits are paid from a trust the plan controls.
  • Medical insurance bought from Sierra Health And Life Insurance Company is on file, covering about 7,421 people.
  • We ignored 1 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 18% of the 40,266 participants, so most people in this plan are in the self-funded part.

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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  5. Get free help

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Both kinds Duke Energy Active Health & Welfare Benefit Plans · 27,143 people

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 says benefits are paid from the employer's general assets.
  • Medical insurance bought from UnitedHealthcare is on file, covering about 0 people.
  • We ignored 1 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 0% of the 27,143 participants, so most people in this plan are in the self-funded part.
  • The self-funded part's claims are processed by United Behavioral Health Dda Optum (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.

  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

    Unlocks after you answer the question above

  3. Know your deadlines

    Unlocks after you answer the question above

  4. What happens next

    Unlocks after you answer the question above

  5. Get free help

    Unlocks after you answer the question above

Not clear yet Duke Energy Retiree Health & Welfare Benefit Plans · 7,914 people

The filing doesn’t settle it. One question about your insurance card will.

How we know · low confidence
  • No medical insurance contract is on file (Schedule A).
  • The filing says all benefits are paid through insurance contracts.

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. Is your plan insured or self-funded?

    Look at your card or plan summary, or ask HR: “Is our medical plan fully insured or self-funded?”

  2. Send your appeal here

    Unlocks after you answer the question above

  3. Know your deadlines

    Unlocks after you answer the question above

  4. What happens next

    Unlocks after you answer the question above

  5. Get free help

    Unlocks after you answer the question above

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