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Group Health Insurance Plans

Group Health Insurance Plans 

  • Plans and administers medical, prescription, dental, vision, and life insurance plans.
  • Coordinates claims processing with insurance carriers.
  • Enrolls newly eligible employees and dependents and maintains eligibility systems.
  • Processes invoices for payment of claims and administrative fees.
  • Administers Medical Bill Audit Program.
  • Ensures HIPAA compliance.
  • Administers COBRA.

Medical Coverage - Medical Mutual of Ohio (MMO) is the current medical carrier and processes medical claims. The Medical Mutual Claim form should be used to process medical claims.

Prescription Drug - CVS Caremark is the current prescription drug carrier for active employees. Prescriptions can be provided two ways: Retail, which are immediate fills at the local pharmacy OR Mail Order/ Retail 90.

Dental Coverage - Guardian is the current dental carrier and processes dental claims. The Guardian Dental Claim form should be used to process dental claims.

Vision Coverage - Medical Mutual of Ohio (MMO) is the current vision carrier and processes vision claims. The Medical Mutual Claim form should be used to process vision claims.

Basic Group Term Life Insurance and Accidental Death and Dismemberment - The Standard is the current life insurance carrier. The Standard Beneficiary Designation Form should be used to update beneficiary designations.

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Mayor Don  Plusquellic

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