State managed care

There are several states which provide an MCO program or require specific documents be posted or provided outside of a program. Each state has their own unique requirements for implementation and Zurich currently offers a program or has provided the required documents in the states listed below.  Please select the state you are interested in to find the required documents or specific requirements and directions for program implementation.  If you have any questions regarding the MCO programs or required documents, please send an email to mcaenrollment@zurichna.com.

California

If you are enrolled in ZSC Select MPN or Zurich’s CA MPN – First Health CompAmerica Select HCO or First Health CompAmerica Primary HCO – the following is important information you will need:

MPN website: www.zurichna.com

MPN address: 1299 Zurich Way, Schaumburg, IL 60196-1056

Medical Access Assistant: 866-732-5342 available Monday through Saturday 7:00 am to 8:00 pm Pacific time to provide employee assistance with access to medical care under the MPN

MPN Contact: Sheree Barros, MPN Contact and Grievance Coordinator 800-835-7169

MPN Materials: If you need to obtain a copy of The Complete Written Employee MPN Notification, Transfer of Care Policy Process , Continuity of Care Policy Process or a copy of the Second or Third Opinion Policy Process, you can request by contacting our MPN Contact at 800-835-7169.

MPN ID number: If you do not know or recall your MPN ID number from the original documents provided, please contact your employer or call us at 800-835-7169

OR

If your employer is Wellpoint/Anthem, please click here for MPN information.  

The following are the necessary documents for implementing the California Medical Provider Network (MPN). The Time of Hire pamphlet must be given to all newly hired employees in the state of California, regardless of enrollment in the MPN.

Employer Instructions
Enrollment Instructions for CA MPN

CA Complete Employee Notice
English
Spanish

Time of Hire Pamphlet
English
Spanish

Template - MPN Coverage Termination Notice to Employee
The employer should use their own letterhead for the template.
English
Spanish

Additional Forms

Continuity of Care Plan Overview for Employees
English
Spanish

Second and Third Opinion Plan Overview for Employees
English
Spanish

Transfer of Care Plan Overview for Employees
English
Spanish

Connecticut

If you would like to enroll or obtain education materials for this state, please send an email to mcaenrollment@zurichna.com.

North Carolina

For your convenience, Zurich is pleased to offer electronic funds transfer (EFT) payments. Click here to learn more.

Texas

West Virginia

If you would like to enroll or obtain education materials for this state, please send an email to mcaenrollment@zurichna.com.