MMC Benefits Handbook
The $1,600 and $3,200 Deductible Plans and Surest Copay Plan
$1,600 and $3,200 Deductible Plans (1) self-insured and administered by Aetna or Anthem BlueCross BlueShield (Anthem BCBS) all States excluding Hawaii or (2) insured by Kaiser - CA, CO, GA, MD, VA, Washington and DC.
Surest Copay Plan: Administered by Surest – all States excluding Hawaii.
Medical Plans Available Under Each Third Party Administrator (Or Carrier with Respect to the Insured Programs)
Seven plan options form part of the Marsh & McLennan Companies Health & Welfare Benefits Program:
- The Marsh & McLennan Companies $1,600 Deductible Medical Plan
- The Marsh & McLennan Companies $3,200 Deductible Medical Plan
- The Surest Copay Plan
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
1166 Avenue of the Americas
New York, NY 10036
1166 Avenue of the Americas
New York, NY 10036
Plan Administrator
The Plan Administrator is Marsh & McLennan Companies, Inc. Benefits Administration Committee and can be reached at:
Plan Administrator – Deductible Medical Plans and Surest Copay Plan
c/o Global Benefits Department – 31st Floor
1166 Avenue of the Americas
New York, NY 10036
Telephone: +1 212 345 5000
c/o Global Benefits Department – 31st Floor
1166 Avenue of the Americas
New York, NY 10036
Telephone: +1 212 345 5000
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
Surest – The group contract number is 78800361
Source of Benefits Funding and Trustee
For Aetna, Anthem BCBS and Surest:
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:
The Bank of New York Mellon
135 Santilli Highway
Everett, MA 02149
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:
The Bank of New York Mellon
135 Santilli Highway
Everett, MA 02149
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
P.O. Box 981106
El Paso, TX 79998-1106
Phone: +1 866 210 7858
For precertification:
Aetna
Phone: +1 866 210 7858
Phone: +1 866 210 7858
For filing a retail prescription drug claim:
CVS Caremark
One CVS Drive
For filing a mail-order prescription drug claim:
CVS Caremark
P.O. Box 659541
P.O. Box 659541
For appealing a medical claim:
Aetna
Attn: National Account CRT
P.O. Box 14463
Lexington, KY 40512
Attn: National Account CRT
P.O. Box 14463
Lexington, KY 40512
For appealing a prescription drug claim:
CVS Caremark
P.O. Box 52084
P.O. Box 52084
Phoenix, AZ 85072-2084
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
For COBRA coverage:
My Benefits Service Center
Phone: +1 866 324 4087
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
Attn: Claims
P.O. Box 105187
Atlanta, GA 30348-5187
Phone: +1 855 570 1150
For precertification:
Anthem BCBS
Phone: +1 855 570 1150
Phone: +1 855 570 1150
For filing a retail prescription drug claim:
CVS Caremark
One CVS Drive
Woonsocket, RI 02895
Phone: +1 844 449 0362
Website: www.caremark.com
Group #: 21CW
One CVS Drive
Woonsocket, RI 02895
Phone: +1 844 449 0362
Website: www.caremark.com
Group #: 21CW
For filing a mail-order prescription drug claim:
CVS Caremark
P.O. Box 659541
P.O. Box 659541
For appealing a medical claim:
Anthem BCBS
Attn: Medical Appeals
P.O. Box 105568
Atlanta, GA 30348
Phone: +1 855 570 1150
Attn: Medical Appeals
P.O. Box 105568
Atlanta, GA 30348
Phone: +1 855 570 1150
For appealing a prescription drug claim:
CVS Caremark
P.O. Box 52084
P.O. Box 52084
Phoenix, AZ 85072-2084
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
For COBRA coverage:
My Benefits Service Center
Phone: +1 866 324 4087
Phone: +1 866 324 4087
For Kaiser:
Kaiser Customer Service Phone Numbers:
Claims Processing
Appeals:
For Surest:
For filing a medical claim:
Surest
P.O. Box 211758
Eagan, MN 55121
Phone: +1 866 683 6440
P.O. Box 211758
Eagan, MN 55121
Phone: +1 866 683 6440
For precertification:
Surest
Phone: +1 877 237 0006
Phone: +1 877 237 0006
For filing a retail prescription drug claim:
CVS Caremark
One CVS Drive
One CVS Drive
For filing a mail-order prescription drug claim:
CVS Caremark
P.O. Box 659541
P.O. Box 659541
For appealing a medical claim:
Surest
Attn: Member Appeals Department
Attn: Member Appeals Department
P.O. Box 211758
Eagan, MN 55121
Phone: +1 866 683 6440
Eagan, MN 55121
Phone: +1 866 683 6440
For appealing a prescription drug claim:
CVS Caremark
P.O. Box 52084
P.O. Box 52084
Phoenix, AZ 85072-2084
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
Attn: Appeals Department MC 109
Claims Appeal Fax: +1 866 443 1172
Specialty Appeal Fax: +1 855 230 5548
For COBRA coverage:
My Benefits Service Center
Phone: +1 866 324 4087
Phone: +1 866 324 4087