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Plan Type — Welfare
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Plan Name/Number
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Insurer
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Payment of Benefits
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Type of Administration
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The JPMorgan Chase Medical Plan/502
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See " Contacting the Claims Administrators" for names, addresses, and telephone numbers for the Preferred Provider Organization (PPO)/ Point-of-Service (POS) High and Low Options, the Health Maintenance Organization (HMO) Option, the Exclusive Provider Organization (EPO) Option, the Traditional Indemnity Option, the Medicare Traditional Indemnity High and Low Options, the Prescription Drug Plan, the Dental Plan, and the Vision Plan.
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See " Contacting the Claims Administrators" for names and addresses for the PPO/POS High and Low Options, the Health Maintenance Organization (HMO) Option, the Exclusive Provider Organization (EPO) Option, the Traditional Indemnity Option, the Medicare Traditional Indemnity High and Low Options, the Prescription Drug Plan, the Dental Plan, and the Vision Plan.
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Self-Insured/Trustee: PPO/POS High and Low Options, the EPO Option, Traditional Indemnity Option, and the Prescription Drug Plan.
With respect to the EPOs, no contract of insurance has been issued. The Medical Plan has the responsibility to fund the financial benefits.
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The JPMorgan Chase Dental Plan/502
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Self-Insured/Trustee: PDP Option and Traditional Indemnity Option offered by MetLife.
DMO Option and DHMO Option
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The JPMorgan Chase Vision Plan/502
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The JPMorgan Chase Basic Life Insurance Plan/502
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The Prudential Insurance Company of America
Livingston, NJ 07039-0483
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The Prudential Insurance Company of America
Livingston, NJ 07039-0483
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The JPMorgan Chase Business Travel Accident (BTA) Insurance Plan/506
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National Union Fire Insurance Company of Pittsburgh, PA
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National Union Fire Insurance Company of Pittsburgh, PA
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The JPMorgan Chase Supplemental Term Life Insurance Plan/502
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The Prudential Insurance Company of America
Livingston, NJ 07039-0483
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The Prudential Insurance P.O. Box 483
Livingston, NJ 07039-0483
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The JPMorgan Chase Accidental Death and Dismemberment (AD&D) Insurance Plan/502
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The Prudential Insurance Company of America
Livingston, NJ 07039-0483
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The Prudential Insurance Company of America
Livingston, NJ 07039-0483
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The JPMorgan Chase Long-Term Disability Plan/502
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The JPMorgan Chase Long-Term Care Insurance Plan/502
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The JPMorgan Chase Group Legal Services Plan/502
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The JPMorgan Chase Employee Assistance Program (EAP)/502
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ComPsych Corporation
455 N. Cityfront Plaza Dr.
24th floor
Chicago, IL 60611-5506
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ComPsych Corporation
455 N. Cityfront Plaza Dr. 24th floor
Chicago, IL 60611-5506
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