Loudonville Perrysville Exempted Village
Overview
Loudonville-Perrysville Exempted Village Schools is proud to provide a comprehensive and competitive benefits package to all of its qualified employees. This website contains summaries and links to the various components of these coverages and should be used as a portal to your benefit needs.
In most cases, you have up to 31 days from your date of hire or eligibility date to complete all of the necessary applications and forms to be retroactively enrolled in the benefits as outlined below. Failure to complete these materials in the allotted time will result in you forfeiting your eligibility for these benefits until the next open enrollment period unless you have a qualifying event.
All completed forms should be sent to:
Loudonville-Perrysville
Exempted Village Schools
Attn: Christine Angerer
210 East Main Street
Loudonville, OH 44842
Click here to download a copy of the Privacy Policy of the LPEVS Health Plan
Summary of Benefits and Coverage (SBC) – High level summary of the medical benefits and what is covered.
- OAPSE
- Teachers
- Uniform Glossary of Terms – As required by the Affordable Care Act, this is a document containing definitions and common terms related to your insurance plan.
Certificate of Coverage – Detailed information about your medical and prescription benefits including coverages, exclusions and limitations.
For purposes of the Affordable Care Act, this plan is considered GRANDFATHERED.
Loudonville-Perrysville Exempted Village Schools contracts with Ceridian to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Loudonville-Perrysville Exempted Village Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify Christine Angerer of any qualifying events so they can in turn notify MMO.
– Medical Mutual Enrollment Form – ALL new and eligible employees are required to complete this form regardless if you are electing coverage. If you are waiving coverage you must sign and date the bottom portion of the application.
Claim Forms – Network providers are responsible for submitting any claim forms to Medical Mutual on your behalf. However, if you have services provided by a non-network provider, you will need to pay that provider directly and complete the claim forms below for any reimbursements.
Non-Network Medical Claim Form – Mail your completed form to the address on your member ID card or:
Medical Mutual of Ohio
P.O. Box 6018
Cleveland, OH 44101-1018
Nurse Line Brochure – Informational brochure on the Medical Mutual of Ohio nurse Line. Available to members 24/7.
24/7 Medical Mutual Nurse Line: 1-888-912-0636
Non-Network Prescription Claim Form – Mail your completed form to:
Express Scripts
ATTN: Commercial Claims
P.O. Box 2872
Clinton, IA 52733-2872
Prescription Mail Order Form – Complete this form and attach your prescription to receive up to a 90 day supply of your maintenance prescription medications.
IMPORTANT! – You have 31 days from any qualifying event such as marriage, the birth of a child or change in dependent status to make changes to your plan and notify Christine Angerer . Failure to do so could result in a loss of coverage and having to wait until the annual open enrollment period!
Medical Questions: 800.525.5957
Prescription Questions: 800.417.1961
Medical Mutual of Ohio Website: www.medmutual.com
$10 for 90 days of 400+ Generic Drugs – MMO has put together a benefit for members who use the mail order for their generic medications. Over 400 generic medications are now available for just $10!
Beltone Hearing Aid Discount – MMO Members are eligible for discounts up to 20% on all Beltone Hearing Aid models.
Loudonville-Perrysville Exempted Village Schools contracts with Ceridian to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Loudonville-Perrysville Exempted Village Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify Christine Angerer of any qualifying events so they can in turn notify MMO.
Mail your completed form to:
Medical Mutual of Ohio, Inc.
P.O. Box 6018
Cleveland, OH 44101-1018
Loudonville-Perrysville Exempted Village Schools contracts with Ceridian to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Loudonville-Perrysville Exempted Village Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify Christine Angerer of any qualifying events so they can in turn notify MMO.
Mail your completed form to:
Medical Mutual of Ohio, Inc.
P.O. Box 6018
Cleveland, OH 44101-1018
Customer Service: 800-525-5957
Milestone Benefits Agency, Inc.
521 Village Park Drive
PO Box 2038
Powell, OH 43065
Local Phone: 614-431-9540
Toll-Free Phone: 877-990-4622
Fax: 614-844-5364
Milestone Benefits Agency: www.milestonebenefits.com
Contact information signs – Content information about this website and how to contact your representatives at Milestone Benefits Agency, Inc.
Direct: (614) 318-5220
Extension: 9106
E-mail: Marie@milestonebenefits.com
Chad Smith
Direct: (614) 318-5244
Extension: 9102
E-mail: Chad@milestonebenefits.com
Disclaimer: The information contained on this site serves as a resource for the employees and administrators of your employer and in some instances only contains an overview of the benefits, provisions, limitations and exclusions of these programs. Information can sometimes change and may not be current on this site. In all instances, if the information contained on this site conflicts with the applicable plan documents or carrier administration of these programs, the plan documents and their administrative policies will prevail. Each company reserves the right to change these benefits at any time without prior notice and at their own discretion.
Our Location:
Powell, Ohio 43065
Contact Info:
Hours of Operation: