MMC Benefits Handbook
The $400, $900, $1,500 and $2,850 Deductible Plans
Administered by Aetna, Anthem BlueCross BlueShield (Anthem BCBS), UnitedHealthcare (UHC) - all States or insured by Kaiser - CA, CO, GA, MD, VA, Washington and DC.
Medical Plans Available Under Each Carrier
  • The Marsh & McLennan Companies $400 Deductible Medical Plan
  • The Marsh & McLennan Companies $900 Deductible Medical Plan
  • The Marsh & McLennan Companies $1,500 Deductible Medical Plan
  • The Marsh & McLennan Companies $2,850 Deductible Medical Plan
The sixteen plans each form part of the Marsh & McLennan Companies Health & Welfare Benefits Program.
Plan Number
501
Plan Type
This is a group medical plan.
Plan Year
The plan year is January 1 - December 31.
Plan Sponsor
The Plan Sponsor is:
Marsh McLennan
Waterfront Corporate Center
121 River Street - 3rd Floor
Hoboken, NJ 07030-5794
Plan Administrator
The Plan Administrator is Marsh & McLennan Companies, Inc. Benefits Administration Committee and can be reached at:
Plan Administrator – Deductible Medical Plans
c/o Global Benefits, 3rd Floor
Marsh McLennan
Waterfront Corporate Center
121 River Street
Hoboken, NJ 07030-5794
Telephone: +1 201 284 4000
The Plan Administrator is responsible only for determining eligibility to participate in the plans.
Group Contract Number
Aetna - The group contract number is 868802.
Anthem BCBS - The group contract number is 270146.
Kaiser Permanente: - The group insurance contract number is by region as follows:
  • Southern CA: 232189
  • Northern CA: 604494
  • CO: 35660
  • GA: 10165
  • Oregon and Southwest Washington: 19847
  • VA/MD/DC: 23042
  • WA (Western Washington and Spokane area): 25988
UHC - The group contract number is 098400.
Source of Benefits Funding and Trustee
For Aetna, Anthem BCBS and UHC:
These plans are 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 trustee:
Mellon Trust
135 Santilli Highway
Everett, MA 02149
Benefits are payable solely from the trust.
The Company has engaged the services of the Claims Administrators who are responsible for administering and processing claims for these self-insured plans, except with respect to eligibility to participate in the plans.
For Kaiser:
The plans are fully insured through Kaiser who administers and processes claims and is solely responsible for paying medical benefits.
Contributions are made by the Company and participating employees. These contributions are held in the Marsh McLennan Employer Funded Welfare Benefit Trust by the trustee:
Mellon Trust
135 Santilli Highway
Everett, MA 02149
Premiums are payable solely from the trust.
Claims Administrator
For filing a medical claim:
For Aetna:
Aetna
P.O. Box 981106
El Paso, TX 79998-1106
Phone: +1 866 210 7858
For precertification:
Aetna
Phone: +1 866 210 7858
For filing a retail prescription drug claim:
Express Scripts.
P.O. Box 14711
Lexington, KY 40512
Phone: +1 800 282 2881
Website: www.express-scripts.com
Group #: MMCRX05
For filing a mail-order prescription drug claim:
Express Scripts
P.O. Box 30493
Tampa, FL 33630-3493
Phone: +1 800 282 2881
Web site: www.express-scripts.com
Group #: MMCRX05
For appealing a medical claim:
Aetna
Attn: National Account CRT
P.O. Box 14463
Lexington, KY 40512
For appealing a prescription drug claim:
Express Scripts
PO Box 66587
St. Louis, MO 63166-6597
Attn: Administrative Appeals Department
Claims Appeal Phone: +1 800 282 2881
Clinical Appeal Phone: +1 800 753 2851
For COBRA coverage:
Trion
Phone: +1 866 324 4087
For Anthem BCBS:
Anthem BCBS
Attn: Claims
P.O. Box 105187
Atlanta, GA 30348-5187
Phone: +1 855 570 1150
For precertification:
Anthem BCBS
Phone: +1 855 570 1150
For filing a retail prescription drug claim:
Express Scripts
P.O. Box 14711
Lexington, KY 40512
Phone: +1 800 282 2881
Website: www.express-scripts.com
Group #: MMCRX05
For filing a mail-order prescription drug claim:
Express Scripts
P.O. Box 30493
Tampa, FL 33630-3493
Phone: +1 800 282 2881
Web site: www.express-scripts.com
Group #: MMCRX05
For appealing a medical claim:
Anthem BCBS
Attn: Medical Appeals
P.O. Box 105568
Atlanta, GA 30348
Phone: +1 855 570 1150
For appealing a prescription drug claim:
Express Scripts
PO Box 66587
St. Louis, MO 63166-6597
Attn: Administrative Appeals Department
Claims Appeal Phone: +1 800 282 2881
Clinical Appeal Phone: +1 800 753 2851
For COBRA coverage:
Trion
Phone: +1 866 324 4087
For Kaiser:
Kaiser Customer Service Phone Numbers:
Region
Toll Free
TTY
Georgia
+1 888 865 5813
711
Northern California
+1 800 464 4000
711
Southern California
+1 800 464 4000
711
Oregon and Southwest Washington
+1 800 813 2000
711
Colorado:
+1 800 632 9700
711
Virginia/Maryland/Washington, DC
+1 800 777 7902
711
Washington (Western Washington and Spokane area)
+1 888 901 4636
711
Claims Processing
Region
Address
Phone:
Kaiser Permanente – Northern CA
Kaiser Foundation Health Plan, Inc.
P.O. Box 12923
Oakland, CA 94612
+1 800 464 4000
Kaiser Permanente –Southern CA
Kaiser Foundation Health Plan, Inc.
P.O. Box 7004
Downey, CA 90242-0361
+1 800 464 4000
Kaiser Permanente - CO
Kaiser Foundation Health Plan of Colorado
P.O. Box 373150
Denver, CO 80237-9998
+1 800 632 9700
Kaiser Permanente - GA
Kaiser Permanente
P.O. Box 370010
Denver, CO 80237-9998
+1 888 865 5813
Kaiser Permanente – MAS (Virginia/Maryland/Washington, D.C.)
Kaiser Permanente
P.O. Box 371860
Denver, CO 80237-9998
+1 800 777 7902
Kaiser Permanente –Oregon and Southwest Washington
Kaiser Foundation Health Plan of the Northwest
Kaiser Permanente Claims Administration
P.O. Box 370050
Denver, CO 80237-9998
+1 800 813 2000
Kaiser Permanente – Washington (Western Washington and Spokane area)
Kaiser Foundation Health Plan of Washington
Kaiser Permanente Claims Administration
P.O. Box 34585
Seattle, WA 98124-1585
+1 888 901 4636
Appeals:
Region
Address
Phone:
Kaiser Permanente – Northern and Southern CA
Kaiser Foundation Health Plan, Inc.
Special Services Unit
P.O. Box 23280
Oakland, CA 94623
+1 800 464 4000
Kaiser Permanente - CO
Appeals Program
Kaiser Foundation Health Plan of Colorado
P.O. Box 378066
Denver, CO 80237-8066
+1 303 344 7933
+1 888 370 9858
Fax: +1 866 466 4042
Kaiser Permanente - GA
Kaiser Permanente
Appeals Department
Nine Piedmont Center
3495 Piedmont Road, NE
Atlanta, GA 30305-1736
+1 404 364 4862
Fax: +1 404 364 4793
Kaiser Permanente – MAS (Virginia/Maryland/ Washington, D.C.)
Member Services Appeals Unit
Kaiser Permanente
2101 East Jefferson Street
Rockville, MD 20852
+1 301 468 6000
Fax: +1 301 816 6192
Kaiser Permanente – Oregon and Southwest Washington
Kaiser Foundation Health Plan of the Northwest
Member Relations Department
500 NE Multnomah St., Suite 100
Portland, OR 97232-2099
+1 503 813 4480
Fax: +1 503 813 3985
Kaiser Permanente – Washington (Western Washington and Spokane area)
Kaiser Foundation Health Plan of Washington
Member Appeals Department
P.O. Box 34593
Seattle, WA 98124-1585
+1 866 458 5479
Fax: +1 206 901 7340
For UHC:
For filing a medical claim:
UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800
Phone: +1 866 540 5954
For precertification:
UnitedHealthcare
Phone: +1 866 540 5954
For filing a retail prescription drug claim:
Express Scripts
P.O. Box 14711
Lexington, KY 40512
Phone: +1 800 282 2881
Website: www.express-scripts.com
Group #: MMCRX05
For filing a mail-order prescription drug claim:
Express Scripts
P.O. Box 30493
Tampa, FL 33630-3493
Phone: +1 800 282 2881
Web site: www.express-scripts.com
Group #: MMCRX05
For appealing a medical claim:
UnitedHealthcare
P.O. Box 3041
Salt Lake City, UT 84130-0432
Phone: +1 866 540 5954
For appealing a prescription drug claim:
Express Scripts
PO Box 66587
St. Louis, MO 63166-6597
Attn: Administrative Appeals Department
Claims Appeal Phone: +1 800 282 2881
Clinical Appeal Phone: +1 800 753 2851
For COBRA coverage:
Trion
Phone: +1 866 324 4087