Your appeal
The claims administrator
Send it to the appeal address on your denial letter or the back of your card. This filing doesn't name the administrator; your card does.
Health plan & appeal guide
Parker Hannifin Corporation
Both kinds
Group Insurance Plan Hourly and Salaried Employees of Parker Hannifin Corp · 27,288 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 Kaiser Permanente is on file, covering about 1,254 people.
- We ignored a small insurance contract with Cigna covering about 16 people; it is too small to be the main plan.
- 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 5% of the 27,288 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.
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.
Send your appeal here
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Know your deadlines
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What happens next
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Get free help
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Self-funded · federal rules
Health and Insurance Benefit Plan for Certain Retired Employees of Parker-hannifin Corporation · 4,479 people
Your employer pays the claims from its own money, so federal law (ERISA) applies — not your state’s insurance rules.
How we know · medium confidence
- The filing says benefits are paid from the employer's general assets.
- No medical insurance contract is on file (Schedule A).
- We ignored a small insurance contract with United American Insurance Company - Mckinney covering about 16 people; it is too small to be the main plan.
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.
Send your appeal here
Plan documents, and a copy of your appeal
The plan administrator
PARKER TOTAL REWARDS PLAN ADMINISTRATION COMMITTEE
ATTN: PLAN ADMINISTRATOR
6035 PARKLAND BLVD.
CLEVELAND, OH 44124-4186The plan administrator is legally responsible for the plan. Ask in writing for the Summary Plan Description and the plan document. The plan administrator must send them within 30 days, or a court can add a penalty of up to $110 a day.
Know your deadlines
- Internal appeal to the plan180 days from the denial
- Independent external review4 months from the final denial
Dates you enter stay on this device.
What happens next
File in writing within 180 days of the denial notice. Ask for your complete claim file and the criteria they used. They must give it to you free. They decide within 30 days for care you haven't had yet, 60 days for care you already received.
If they say no again, request external review within 4 months of that final denial. The plan must send it to an independent review organization it contracts with. Some states let self-funded plans use the state's program instead. Your denial letter has to tell you where to send it. A reviewer outside the plan decides, usually within 45 days, and the plan must follow the decision.
If waiting could seriously harm your health, say so in writing. The plan must decide within 72 hours, and you can ask for expedited external review at the same time.
Call the Department of Labor's benefits advisors. They enforce these rules for employer plans and can contact the plan for you, free. After the appeals are finished, a lawyer can sue under ERISA if the denial was wrong.
Get free help
External review covers denials based on medical judgment ("not medically necessary", "experimental"), cancelled coverage, and surprise-billing disputes. A flat plan exclusion usually isn't eligible, but you can still file the internal appeal.
If your plan documents say the plan is "grandfathered" (unchanged since March 2010), the external-review rules may not apply.
Insured · state rules
Parker Hannifin Corp Retiree Medical Plan · 735 people
An insurance company pays the claims, so your state’s insurance rules apply and your state can help overrule a wrong denial.
How we know · high confidence
- Medical insurance bought from Aetna is on file, covering about 627 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.
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.
Send your appeal here
Your appeal
The insurance company on your card
Aetna
Send it to the appeal address printed on your denial letter (or the back of your card). Appeals go to the insurer, not your employer.
Plan documents
The plan administrator
PARKER TOTAL REWARDS PLAN ADMINISTRATION COMMITTEE
ATTN: PLAN ADMINISTRATOR
6035 PARKLAND BLVD.
CLEVELAND, OH 44124-4186Ask in writing for the Summary Plan Description and the insurance certificate. Employer plans must send them within 30 days.
Know your deadlines
- Internal appeal to the insurance company180 days from the denial
- Independent external review4 months from the final denial
Dates you enter stay on this device.
What happens next
File in writing within 180 days of the denial notice. Ask for your complete claim file and the criteria they used. They must give it to you free. They decide within 30 days for care you haven't had yet, 60 days for care you already received.
If they say no again, request external review within 4 months of that final denial. It is run by the state where the policy was issued, usually your employer's home state (OH). The review is usually free. A reviewer outside the plan decides, usually within 45 days, and the plan must follow the decision.
If waiting could seriously harm your health, say so in writing. The plan must decide within 72 hours, and you can ask for expedited external review at the same time.
Get free help
External review covers denials based on medical judgment ("not medically necessary", "experimental"), cancelled coverage, and surprise-billing disputes. A flat plan exclusion usually isn't eligible, but you can still file the internal appeal.
If your plan documents say the plan is "grandfathered" (unchanged since March 2010), the external-review rules may not apply.
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