Transparency In Coverage: The Pep Boys – Manny, Moe & Jack LLC Health & Welfare Benefits Program

Federal regulations known as the Transparency in Coverage Rule require the  The Pep Boys Manny Moe & Jack LLC Health & Welfare Benefits Program (the “ Pep Boys Plan”) to make certain machine-readable data files (“MRFs”) available to the public beginning July 1, 2022. The MRFs include medical plan pricing information regarding in-network rates for covered items and services and out-of-network allowed amounts and billed charges for covered items and services.

MRFs for the medical plan options offered under the The Pep Boys Manny Moe & Jack LLC Plan are maintained by and hosted on the websites of the third-party administrators and insurers who administer those plan options. Links and instructions for locating the MRFs are below.

• Aetna Life Insurance Company (“Aetna”) creates and publishes the MRFs for the Aetna medical plan benefits offered under The Pep Boys Manny Moe & Jack LLC Plan. To find and download those MRFs, please visit the Table of Contents file on the Aetna website at Search for care. You can search for MRFs files applicable to the Pep Boys Manny Moe & Jack Plan using the Plan ID number for The Pep Boys Manny Moe & Jack LLC Plan. The Plan ID is 854254017.
• MCS creates and publishes the MRFs for the MCS medical plan benefits offered under the The Pep Boys Manny Moe & Jack LLC Plan. To find and download those MRFs, please visit MCS’ Transparency in Coverage Rule website at MCS . The link will allow you to search for files applicable to the The Pep Boys Manny Moe & Jack LLC Plan by clicking “Press Here” under the “in-network” section. The “allowed amount file” is also available if you wish to obtain information about the allowed amount of pay to out-of-network providers.