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 firstname.lastname@example.org.
If you are enrolled in the ZSC Select MPN or the ZSC Primary MPN or Zurich’s CA MPN; First Health Comp America Select HCO or First Health Comp America 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
If your employer is 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.
CA Complete Employee Notice
Time of Hire Pamphlet
Template - MPN Coverage Termination Notice to Employee
The employer should use their own letterhead for the template.
Continuity of Care Plan Overview for Employees
Second and Third Opinion Plan Overview for Employees
Transfer of Care Plan Overview for Employees
Enrollment Letter to Employer
Notice of Network Requirements
Employee Acknowledgement Form