Health plan & appeal guide

Jsi Store Fixtures Inc.

Milo, ME · Form 5500 filing, plan year 2024

Both kinds Jsi Store Fixtures Incorporated · 180 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. Jsi Store Fixtures Incorporated · 180 people · Insured · state rules

    • Medical insurance bought from Aetna is on file, covering about 180 people.
    • The filing says all benefits are paid through insurance contracts.
  2. Jsi Store Fixtures Incorporated · 107 people · Self-funded · federal rules

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Csone is on file, covering about 0 people.
    • The filing says no benefits are paid through insurance, so the medical contract on Schedule A is most likely stop-loss cover or an administration agreement.

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

Coming next

Get help writing the appeal letter

We’re building a tool that drafts your appeal from the denial letter and keeps track of every deadline. Leave your email and we’ll send one note when it’s ready.