Health plan & appeal guide

Southwest Research Institute

San Antonio, TX · Form 5500 filing, plan year 2024

Both kinds Southwest Research Institute Employees' Insurance Programs · 3,284 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. Southwest Research Institute Employees' Insurance Programs · 3,284 people · Insured · state rules

    • Medical insurance bought from Sierra Health And Life Insurance Company, Hartford Life And Accident, UnitedHealthcare, Kaiser Permanente is on file, covering about 1,288 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.
  2. Southwest Research Institute Employees' Health Care Expense Benefit Plan · 3,170 people · Self-funded · federal rules

    • The filing lists stop-loss insurance (UnitedHealthcare). Employers buy stop-loss only when they pay claims out of their own money.
    • The filing says benefits are paid from the employer's general assets.
    • The filing says benefits are paid from a trust the plan controls.
    • No medical insurance contract is on file (Schedule A).

Not counted

  • Southwest Research Institute Employee Assistance Program (3,284 people): The plan name shows a spending account or employee assistance program, not medical coverage.
  • Southwest Research Institute Health Care Reimbursement Plan (570 people): The plan name shows a spending account or employee assistance program, not medical coverage.

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.