Health plan & appeal guide

Sharp Healthcare

San Diego, CA · Form 5500 filing, plan year 2024

Both kinds Sharp Healthcare Health & Dental Plan · 16,105 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. Sharp Healthcare Health & Dental Plan · 16,105 people · Insured · state rules

    • Medical insurance bought from Sharp Health Plan is on file, covering about 36,240 people.
    • The filing says all benefits are paid through insurance contracts.
  2. Sharp Healthcare Flexible Benefits Plan · 15,196 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).

Not counted

  • Sharp Healthcare Flexible Spending Account - Health (3,152 people): The plan name shows a spending account or employee assistance program, not medical coverage.
  • Sharp Healthcare Flexible Spending Account - Dependent Care (496 people): The plan name shows a spending account or employee assistance program, not medical coverage.
  • Sharp Healthcare Group Accident Insurance Plan (4,453 people): Its insurance contracts (Schedule A) are for accident or hospital cover, none of it medical, and this employer files its medical plan separately.
  • Sharp Healthcare Hospital Indemnity Insurance Plan (2,871 people): Its insurance contracts (Schedule A) are for accident or hospital cover, none of it medical, and this employer files its medical plan separately.

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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