Health plan & appeal guide

The Permanente Medical Group, Inc

Oakland, CA · Form 5500 filing, plan year 2024

For current employees

Both kinds The Permanente Medical Group Inc. Health and Welfare Plan · 41,819 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. The Permanente Medical Group Inc. Health and Welfare Plan · 41,819 people · Both kinds

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Kaiser Permanente is on file, covering about 118,025 people.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
  2. The Permanente Medical Group, Inc. Physicians' Welfare Benefit Plan for Active Physicians · 10,008 people · Both kinds

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Kaiser Permanente is on file, covering about 10,008 people.
    • We ignored 1 low-cost supplemental policy(ies) such as accident or hospital cover; they don't decide how your medical claims are handled.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.

Not counted

  • The Permanente Medical Group Health Care Spending Account Plan (8,956 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

For retirees

Both kinds Tpmg, Inc. Medical Benefits Plan for Retired Non-physician Employees Covered by a Collective Bargaining Agreement · 9,232 people · judged with 3 other filings

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 4 health plans for this group; we judged them together.
  1. Tpmg, Inc. Medical Benefits Plan for Retired Non-physician Employees Covered by a Collective Bargaining Agreement · 9,232 people · Both kinds

    • The filing says benefits are paid from a trust the plan controls.
    • Medical insurance bought from Kaiser Permanente is on file, covering about 10,179 people.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
  2. The Permanente Medical Group, Inc. Physicians' Welfare Benefit Plan for Retired Physicians · 3,643 people · Both kinds

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Kaiser Permanente, Cigna is on file, covering about 1,202 people.
    • We ignored 1 low-cost supplemental policy(ies) such as accident or hospital cover; they don't decide how your medical claims are handled.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
  3. The Permanente Medical Group, Inc. Special Welfare Benefit Plan for Retired Employees · 3,408 people · Both kinds

    • The filing says benefits are paid from the employer's general assets.
    • Medical insurance bought from Kaiser Permanente is on file, covering about 229 people.
    • 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 7% of the 3,408 participants, so most people in this plan are in the self-funded part.
  4. Medical Benefits Plan for Retired Physicians and Salaried Employees of the Permanente Medical Group, Inc. · 215 people · Both kinds

    • The filing says benefits are paid from a trust the plan controls.
    • Medical insurance bought from Kaiser Permanente is on file, covering about 58 people.
    • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.

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

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