Health plan & appeal guide
Total System Services, 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
- The filing says benefits are paid from the employer's general assets.
- Medical insurance bought from HMSA (Blue Cross Blue Shield of Hawaii) is on file, covering about 8 people.
- We ignored a small insurance contract with Cigna covering about 9 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 0% of the 12,989 participants, so most people in this plan are in the self-funded part.
- The self-funded part's claims are processed by Blue Cross Blue Shield (Schedule C).
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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