Health plan & appeal guide
Pivotal Enterprises, LLC
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 3 health plans for this group; we judged them together.
Pivotal Enterprises, LLC Medical Plan · 251 people · Insured · state rules
- Medical insurance bought from Regence is on file, covering about 635 people.
- The filing says all benefits are paid through insurance contracts.
Pivotal Enterprises, LLC Flexible Benefit Plan · 218 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).
Pivotal Enterprises, LLC Fertility Plan · 186 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).
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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