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The Exclusive Provider Organization Plan ("EPO")
Administered by Empire BlueCross BlueShield (BCBS) or UnitedHealthcare (UHC)
Plan Name
Marsh & McLennan Companies Exclusive Provider Organization Plan
Plan Number
501
Plan Type
This is a welfare plan.
Plan Year
The plan year is January 1 - December 31.
Plan Sponsor
The Plan Sponsor is:
Marsh & McLennan Companies, Inc.
Waterfront Corporate Center 121 River Street - Sixth Floor Hoboken, NJ 07030-5794
Eligible employees of Marsh & McLennan Companies, Inc. are covered by the employee benefits plan described in this document, as well as eligible employees of any subsidiary or affiliate which:
You may write to the Plan Administrator to learn which employers participate in this plan.
Plan Administrator
The Plan Administrator is Marsh & McLennan Companies, Inc. Benefits Administration Committee and can be reached at:
Plan Administrator – EPO
c/o Global Benefits, 6th Floor Marsh and McLennan Companies, Inc. Waterfront Corporate Center 121 River Street Hoboken, NJ 07030-5794 Telephone: (201) 284-4000
The Plan Administrator has full discretion and authority to control and manage the operation and administration of each of the plans except to the extent authority has been granted to the Claims Administrator for adjudication of claims.
Group Contract Number
BCBS - The group contract number is 295648.
UHC - The group contract number is 098400.
Source of Benefits Funding
The EPO is self insured by the Company through contributions made jointly by the Company and participating employees. These contributions are held in the Marsh & McLennan Companies, Inc. Employer Funded Welfare Benefit Trust by the trustees:
Mercer Trust Company
Investors Way Norwood, MA 02062 and Mellon Trust One Cabot Road Medford, MA 02155-5153
Benefits are payable solely from the trust.
The Company has engaged the services of the Claims Administrator, who is responsible for processing claims for this self-insured plan.
Claims Administrator
For BCBS:
Empire BlueCross BlueShield
P.O. Box 5076 Middletown, N.Y. 10940 Phone: 866-219-8695
(Be sure to check your claim form or instructions for the address of the claims processing office.)
For UHC:
UnitedHealthcare
P.O. Box 740800 Atlanta, GA. 30374-0800 Phone: 866-540-5954
(Be sure to check your claim form or instructions for the address of the claims processing office.)
Contacts
For filing a medical claim:
For BCBS:
Empire BlueCross BlueShield
Attn: Claims P.O. Box 5076 Middletown, N.Y. 10940 Phone: 866-219-8695
For precertification:
Empire BlueCross BlueShield
Phone: 866-219-8695
For filing a retail prescription drug claim:
Medco Health Solutions
P.O. Box 2187 Lee's Summit, MO 64063-2187 Phone: 800-987-8360
For filing a mail-order prescription drug claim
Medco Health Solutions
P.O. Box 2187 Lee's Summit, MO 64063-2187 Phone: 800-987-8360
For appealing a medical claim:
Empire BlueCross BlueShield
Attn: Appeals P.O. Box 5076 Middletown, N.Y. 10940 Phone: 866-219-8695
For appealing a prescription drug claim:
Medco Health Solutions
8111 Royal Ridge Parkway Irving, TX 75063 Attn: Coverage Appeals
For COBRA coverage:
Ceridian
Phone: (800) 877-7994
For UHC:
For filing a medical claim:
United Healthcare
P.O. Box 740800 Atlanta, GA 30374-0800 Phone: 866-540-5954
For precertification:
UnitedHealthcare
Phone: 866-540-5954, prompt 2
For filing a retail prescription drug claim:
Medco Health Solutions
P.O. Box 2187 Lee's Summit, MO 64063-2187 Phone: 800-987-8360
For filing a mail-order prescription drug claim
Medco Health Solutions
P.O. Box 2187 Lee's Summit, MO 64063-2187 Phone: 800-987-8360
For appealing a medical claim:
UnitedHealthcare
P.O. Box 3041 Salt Lake City, UT 84130-0432 Phone: 866-540-5954
For appealing a prescription drug claim:
Medco Health Solutions
8111 Royal Ridge Parkway Irving, TX 75063 Attn: Coverage Appeals
For COBRA coverage:
Ceridian
Phone: (800) 877-7994 |
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Benefits effective June 6, 2008
© 2008 Marsh & McLennan Companies. All Rights Reserved. |
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