The Transparency in Coverage Rule (TCR) requires self-funded health plans and insurers to disclose rates and other price information for all covered billable services to improve health plan transparency in the cost of health services. Wellmark has provided two machine-readable files publicly available beginning July 1, 2022, including:

• • In-network allowed amount
  • Out-of-network allowed amount, if applicable, based on threshold requirement.

Review the public files effective July 1, 2022. 

Downloading files

The files are a specific file type, JavaScript Object Notation (.json.gz file format), as the law prescribes. Wellmark cannot make the files available in other formats.

Please note as machine-readable files, they are not readily interpretable by consumers. As such, members are encouraged to use the more member-friendly Find Costs tool available through myWellmark.com. The tool can help you find providers and determine how much a visit will cost you before receiving services. The machine-readable files do not provide information on a member’s out-of-pocket charges.

Form 1095‑C Availability Notice

As part of our ongoing commitment to transparency and compliance with Affordable Care Act (ACA) reporting requirements, we are providing the following notice regarding the availability of Form 1095‑C for calendar year 2025.

Under updated IRS rules, employers are no longer required to automatically mail Form 1095‑C to each covered individual. Instead, employers may satisfy the furnishing requirement by posting a notice on their website informing individuals that they may request a copy of the form. This option is permitted under the Paperwork Burden Reduction Act and IRS Notice 2025‑15.

Requesting Your Form 1095‑C

Individuals covered under our health plan may request a copy of their 2025 Form 1095‑C.

How to Request Your Form

To obtain a copy of your Form 1095‑C, please contact us using one of the methods below:

Email: HR@priceelectric.us

Mail:
Price Electric
HR Department
405 N. Troy Rd.
Robins, IA 52328

Phone: 319-393-6406

We will provide the requested form electronically or by mail, based on your preference, within the required IRS timeframe.