Your move to Medical Mutual on January 1, 2027.
For participating employers and employees: key dates, what to do, your 2027 plan match, and who to call. UnitedHealthcare continues to administer current coverage through December 31, 2026.
Received a letter about your 2027 health plan?
Beginning the week of September 28, 2026, 90-day discontinuation notice letters are being mailed to participating employer groups and their employees, as required by the Ohio Department of Insurance. The letter is titled “Important Information About Your 2027 Health Plan Transition.” It’s expected, and here’s what it means.
If you’re the employer
Your current health benefit plan will expire on Dec. 31, 2026. To help ensure a smooth transition and continued coverage, your organization will need to select a new benefit plan and your employees will need to enroll. The notice encourages completing enrollment by December 15, 2026.
New plan options, rates and instructions for making your selection are on the way, and your broker can help you choose. If OCIA is your broker, we’ll walk you through every step.
If you’re an employee
At this time, there is no action needed. Your employer will provide additional information about your 2027 health benefits and any steps you may need to take as details become available.
Participants who are receiving an ongoing course of treatment at the time of the transition may be eligible for transition-of-care accommodations in accordance with the terms of the applicable benefit plan and any applicable state or federal requirements.
Sources: Medical Mutual Broker Update (Sept. 29, 2026); Ohio Chamber Health Benefit Program notices to employers and participants (Sept. 28, 2026).
Key dates
- Week of Sept. 28, 2026 90-day discontinuation notices are mailed to participating employer groups and their employees, as required by the Ohio Department of Insurance.
- December 1, 2026 Medical Mutual encourages groups to accept their coverage and submit all required materials by December 1 to help ensure ID cards are received by January 1.
- December 1–31, 2026 Special open enrollment for a January 1 effective date.
- December 15, 2026 The employer notice encourages completing enrollment by this date.
- December 31, 2026 Current benefit plans end. UnitedHealthcare administers coverage through this date.
- January 1, 2027 Medical Mutual becomes the program’s third-party administrator (TPA) and stop-loss carrier, and 2027 plans take effect.
- January 2027 Groups can submit open enrollment changes for a February 1, 2027 effective date.
Our advice: aim for December 1
January 1 is a high-volume effective date, and Medical Mutual asks for 5–10 business days after complete and accurate materials are received to load each group. Deciding early gives your group the best chance of having ID cards in hand on January 1.
When will we renew after the transition?
Groups whose original renewal date was January 1 will receive a 12-month rate offer. Groups with a May 1 original renewal date will renew again May 1, 2028. Groups with a September 1 original renewal date will renew Sept. 1, 2027.
Sources: Medical Mutual Broker Transition Guide and Broker Update (September 2026); employer notice (Sept. 28, 2026).
For employers: what to do
The steps Medical Mutual has laid out for moving your group, in order. As your broker, OCIA handles the paperwork with you.
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Choose your 2027 plan and accept your rate offer.
To confirm acceptance and begin implementation, Medical Mutual needs the completed employer application, an updated Medical Mutual membership census, and the signed rate offering — plus a COBRA waiver, if applicable. Signing the employer application also serves as acknowledgement of the participation agreement, plan documents and underwriting regulations.
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Allow 5–10 business days for setup.
That’s how long Medical Mutual needs after complete and accurate materials are received for your group and enrollment to be available in its systems.
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Use the Medical Mutual Employer Dashboard (MED).
MED is the employer’s administrative resource — where you sign up for EFT and access ID cards, claims, benefits and plan resources. Between setup and January 1, make any enrollment updates in MED so employees who need access are enrolled and terminated employees are removed. Enrollment exceptions can only be processed retroactively for up to 60 days.
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Audit your enrollment before paying your first invoice.
Prior to paying the first invoice — and preferably prior to Jan. 1, 2027 — all groups should audit their enrollment in MED to ensure it is complete and correct.
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Identify employees in active treatment early.
Employees or dependents with ongoing treatment, scheduled procedures, pregnancy-related care, behavioral health care, oncology care, complex specialty care or other time-sensitive services may be candidates for a transitional care waiver. Requests should be submitted with or shortly after implementation. Waivers cannot be approved until implementation is complete, and approval is not automatic — it is subject to Medical Mutual review, plan provisions, clinical criteria and applicable regulatory requirements.
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Review COBRA and continuation coverage.
Beginning Jan. 1, 2027, the Ohio Chamber Health Benefit Program will follow the plan documents and federal guidelines for COBRA and state continuation eligibility, based on group size. Medical Mutual will grandfather participants who have already elected COBRA, regardless of group size: if an employer not subject to COBRA (fewer than 20 employees) currently has a COBRA beneficiary, that person may remain on the plan until the continuation period ends. Groups with fewer than 20 employees must self-administer COBRA beginning Jan. 1, 2027, or can stay with their current COBRA vendor (may incur fees).
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On an HSA plan? Decide on banking.
Banking fees are included in premium when the group uses Medical Mutual’s authorized banking solution. Maintaining an outside banking solution may cause the group to incur additional fees.
Source: Medical Mutual, Ohio Chamber Health Benefit Program Broker Transition Guide (September 2026). Compliance questions about COBRA or continuation coverage? Talk with us — we’ll help you understand what applies to your group.
For employees: what to expect
Your new ID card and account
After you receive your Medical Mutual ID card, register for My Health Plan and download the MedMutual mobile app. My Health Plan is where you view benefits, claims, ID cards, provider information and plan resources.
Check your doctors
All 2027 plans use the Medical Mutual SuperMed network, with out-of-state coverage through Cigna’s PPO network. Look up physicians, specialists, hospitals and facilities with Medical Mutual’s Find a Provider tool, then call before your appointment to confirm they’re still in network and accepting new patients. Hospital-based providers may have different network participation than the facility itself.
Plan ahead for prescriptions
Prescription benefits move to Express Scripts. If your supply may run out during the transition, refill eligible prescriptions before the effective date — and start early for specialty medications. Keep your medication name, dosage, prescribing physician, pharmacy and refill schedule handy.
In the middle of treatment?
Let your employer know early so a transitional care request can be reviewed. Keep upcoming appointments scheduled while the request is reviewed, but verify coverage and network status before receiving services.
Most participating providers submit claims directly to Medical Mutual. If you ever need to file a paper claim, forms are on Medical Mutual’s Member Forms page or in My Health Plan.
Sources: Medical Mutual Broker Transition Guide and Plan Grid (September 2026). Cigna out-of-state network: OCIA.
Find your 2027 plan
Medical Mutual has identified the 2027 plan option that most closely aligns with each current plan. Find your current plan ID below — it’s the “Med Plan Code” on the 2026 plan grid, and your OCIA advisor can look it up for you. Four additional plan options are also available if you’d like to explore other coverage choices during enrollment.
| 2027 Medical Mutual plan | Current plan ID |
|---|---|
| 25-0-1000 | EQ-ZX |
| 2520-1000 | EQ-ZD, EQ-ZL, EQ-ZT, EQ-ZU |
| 25-0-2000 | EQ-ZI, EQ-ZH |
| 2520-2000 | EQ-Y7, EQ-ZE, EQ-ZM, EQ-ZP, EQ-ZV |
| 2520-3000 | EQ-Y8, EQ-ZF, EQ-ZN, EQ-ZQ, EQ-ZW, EB-SJ |
| 25-0-3500 | EQ-ZJ, EQ-ZR, EQ-ZB |
| 25-0-5000 | EQ-Y9, EQ-ZK, EQ-ZC |
| 2520-6000 | EQ-ZA, EQ-ZG, EQ-ZO, EQ-ZS, EQ-ZY, EB-RW |
| HSA 3500/20% PD Rx* | EQ-YM, EQ-YR, EQ-YX, EQ-Y2 |
| HSA 5000/0% PD Rx* | EQ-YN, EQ-YP, EQ-YQ, EQ-YS, EQ-YU, EQ-YY, EQ-Y3 |
| HSA 7000/0% PD Rx* | EQ-Y5, EQ-Y6, EQ-YO, EQ-YT, EQ-YV, EQ-YW, EQ-YZ, EQ-Y4 |
| 35-0-6500 | New for 2027 |
| 3520-7500 | New for 2027 |
| HSA 3000/0% (aggregate) | New for 2027 |
| HSA 8750/0% MMRx | New for 2027 |
No match for that ID. If your current plan ID is not listed, Medical Mutual may not have received sufficient plan information from your previous carrier to provide a recommended match — all available plan options remain open to you, and we can help identify the closest fit.
* PD = post deductible. If your current plan ID is not listed, all available plan options remain open to you, and your broker can help identify the plan that most closely aligns with your current coverage. Source: Medical Mutual, Coverage Options with the Ohio Chamber Health Benefit Program (X12106-SMG 8.26).
2027 plan options
The Ohio Chamber Health Benefit Program, administered by Medical Mutual, offers Health Savings Account (HSA) and copay plans designed to meet a variety of coverage needs and budgets. All plans use the Medical Mutual SuperMed network.
2027 Plan Grid All 15 plan options for 2027 — 10 copay plans and 5 HSA plans — with prescription copays. Medical Mutual, September 2026. Download PDF ↓Deductibles, coinsurance, out-of-pocket maximums, office visit and prescription copays for every 2027 option. Refer to the plan documents for exact coverage terms.
Who to call
Medical Mutual’s Quick Contacts and Resources sheet lists who to call for billing and enrollment, claims and ID cards, prescriptions, COBRA, dental, vision, and life and disability benefits. For questions about your current 2026 coverage, use the contact information on your current ID card.
Quick Contacts and Resources Who to call for billing, claims, prescriptions, COBRA, dental, vision, and more. Medical Mutual, September 2026. Download PDF ↓Questions about your plan options or renewal? Call your OCIA team at 614-629-0936.
Downloads
2027 Plan Grid All 15 plan options for 2027 — 10 copay plans and 5 HSA plans — with prescription copays. Medical Mutual, September 2026. PDF ↓ 2027 Plan Mapping Your current plan ID and its recommended 2027 equivalent. Medical Mutual, September 2026. PDF ↓ Quick Contacts and Resources Who to call for billing, claims, prescriptions, COBRA, dental, vision, and more. Medical Mutual, September 2026. PDF ↓ Current Plan Grid — through December 31, 2026 The 2026 plans administered by UnitedHealthcare. Your current plan ID is the “Med Plan Code” column. PDF ↓This page summarizes materials published by Medical Mutual and the Ohio Chamber Health Benefit Program in September 2026. It is a general description, not a contract, a guarantee of coverage or savings, or legal or tax advice. Refer to your plan documents for exact coverage terms. We’ll update this page as new materials are published. Last updated October 2026.
Questions about your transition?
Your OCIA team will help you choose your 2027 plan, gather what Medical Mutual needs, and get your employees enrolled.
Schedule a Consultation