Citi Benefits Handbook
Claims Administrators
Each of the Claims Administrators below has the discretion and authority to render benefit determinations in a manner consistent with the terms and conditions of its respective Plan — namely, those provisions of the Plan Documents that apply to the participant and are administered by that particular Claims Administrator. Since TRIP, DCSAs and HSAs are not subject to ERISA, neither the Claims Administrator listed below nor the Plans Administration Committee is a fiduciary under ERISA for these arrangements.
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Plan
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Administrator Contact Information
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Medical Plan and Prescription Drug Coverage
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In-Network Only Plan
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Choice Plan
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Note: Anthem does not underwrite or assume any financial risk for claims liability.
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High Deductible Plan with HSA
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Health Savings Account (HSA) (not subject to ERISA)
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Contact Optum Financial through ConnectOne at 1 (800) 881-3938
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For fully insured HMOs
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Call the HMO directly at the telephone number on your ID card.
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Prescription Drug Program
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Paper claims address
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Mail Order service
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CVS Caremark
PO Box 659541 San Antonio, TX 78265-9541 1 (844)-214-6601 |
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Dental Plan
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MetLife Preferred Dentist Program (PDP)
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Metropolitan Life Insurance Co.
MetLife Dental Claims Unit PO Box 981282 El Paso, TX 79998-1282 1 (888) 830-7380
To submit an appeal:
MetLife Group Claims Review
PO Box 14589 Lexington, KY 40512-4093 |
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Cigna Dental HMO
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Cigna Dental HMO / Member Services
1571 Sawgrass Corporate Parkway Suite 140 Sunrise, FL 33323 1 (800) 244-6224 |
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Vision
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Aetna Vision Plan
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Aetna Vision
Attn: OON Claims PO Box 8504 Mason, OH 45040-7111 1 (877) 787-5354 Members: www.aetnavision.com |
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Spending Accounts
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Contact Optum Financial through ConnectOne at 1 (800) 881-3938.
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Supplemental Medical Plans
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Aetna Voluntary Plans
PO Box 14079 Lexington, KY 40512-4079 1 (888) 772-9682
Fax: 1 (859) 455-8650
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Other Insurance
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Short-Term Disability (STD)
Long-Term Disability (LTD)
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Metropolitan Life Insurance Co.
PO Box 14590 Lexington, KY 40511-4590 1 (888) 830-7380 |
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Basic Life
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Metropolitan Life Insurance Company — Group Life Claims
PO Box 6100 Scranton, PA 18505-6100 1 (800) 638-6420 |
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Basic and Supplemental Accidental Death and Dismemberment (AD&D)
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Metropolitan Life Insurance Company — Group Life Claims
PO Box 6100 Scranton, PA 18505-6100 1 (800) 638-6420 |
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Business Travel Accident/Medical
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Chubb USA
PO Box 5124 Scranton, PA 18505-0556
1 (800) 336-0627
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Group Universal Life (GUL)
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Metropolitan Life Insurance Company — Group Life Claims
PO Box 6100 Scranton, PA 18505-6100 1 (800) 638-6420 |
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MetLife Legal Plans
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Metropolitan Life Insurance Company.
1111 Superior Avenue Cleveland, OH 44114
1 (800) 821-6400
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