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   Plan Administration
Contacting the Claims Administrators
Your primary contact for matters relating to the general administration of the Health and Income Protection Plans is the Benefits Call Center. Your primary contact for the Retirement Plan is the accessHR Contact Center. Your primary contact for matters relating to the 401(k) Savings Plan is the 401(k) Savings Plan Call Center. However, the Benefits Call Center, the accessHR Contact Center, the 401(k) Savings Plan Call Center, and its representatives cannot make promises about benefits or interpret any of the plans. This section provides specific contact information for each benefit plan.
Medical Plan
For Issues on:
Contact
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits
The claims administrator for your Medical Plan option
  • Voluntary appeals of denied benefits and eligibility under the Medical Plan PPO/POS Option, Traditional Indemnity Option, Medicare Traditional Indemnity High and Low Options
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Prescription Drug Plan (PPO/POS, EPO, Traditional Indemnity, and Medicare Indemnity High and Low Options)
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits
CareMark, the claims administrator
CareMark, Inc.
Attention: Claims
P.O. Box 686005
San Antonio, TX 78268
1-866-209-6093
  • Voluntary appeals of denied benefits and eligibility under the Prescription Drug Plan
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Dental Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits
The claims administrator for your Dental Plan option
  • Voluntary appeals of denied benefits and eligibility under the Dental Plan PDP Option and Traditional Indemnity Option
The Plan Administrator, care of the JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Vision Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits
EyeMed, the claims administrator
EyeMed
P.O. Box 8504
Mason, OH 45040-7111
1-866-723-0596 (during benefits enrollment)
1-888-497-7391 (after benefits enrollment)
  • Voluntary appeals of denied benefits and eligibility
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Employee Assistance Program
For Issues on:
Contact:
At:
  • General program administration and eligibility to participate in the program.
The Employee Assistance Program
ComPsych Appeals Coordinator
ComPsych
455 N. Cityfront Plaza Dr.
13th floor
Chicago, IL 60611
1-212-464-2685 or ComPsych at 1-800-276-0760
(TDD Hearing Impaired:
1-800-697-0353)
  • Payment of benefits, denial of plan benefits
  • Voluntary appeals of denied benefits
The Employee Assistance Program
ComPsych Appeals Coordinator
ComPsych
455 N. Cityfront Plaza Dr.
13th floor
Chicago, IL 60611
1-212-464-2685 or ComPsych at 1-800-276-0760
(TDD Hearing Impaired:
1-800-697-0353)
Health Care Spending Account
For Issues on:
Contact:
At:
  • General program administration and eligibility to participate in the program.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits, claims appeals
ADP, the claims administrator
ADP Claims Processing
P.O. Box 1800
Alpharetta, GA 30023-1800
1-866-872-2427
TDD: 1-877-318-2330
  • Eligibility appeals
The JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Long-Term Disability Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits, claims appeals
The Hartford, the insurance carrier and claims administrator
The Hartford
P.O. Box 946710
Maitland, FL 32794-6710
1-888-485-7353
  • Eligibility appeals
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Life and Accident Insurance Plans
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the basic, supplemental term life, and AD&D insurance benefits options, payment of benefits, denial of plan benefits, claims appeals
  • Status of evidence of insurability
  • Portability of supplemental term life and AD&D insurance coverage
  • Conversion of basic life insurance coverage
The Prudential Insurance Company of America, the insurance carrier
The Prudential Insurance Company of America
P.O. Box 8517
Philadelphia, PA 19101
  • 1-800-524-0542
  • 1-888-257-0412 (for evidence of insurability questions only)
  • 1-877-889-2070 (to convert basic life insurance coverage only)
  • Eligibility appeals
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Group Legal Services Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits, claims appeals
Hyatt Legal Plans, Inc., the claims administrator
Hyatt Legal Plans, Inc.
1111 Superior Avenue
Cleveland, OH 44114
1-800-821-6400
  • Eligibility appeals
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Long-Term Care Insurance Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits, claims appeals
MetLife, the Plan Administrator
Metlife Long-Term Care Group
P.O. Box 937
Westport, CT 06881-0937
1-888-673-9582
TDD: 1-800-638-1004
  • Eligibility appeals
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Business Travel Accident Insurance Plan
For Issues on:
Contact:
At:
  • General plan administration and eligibility to participate in the plan.
Benefits Call Center
The Benefits Call Center through accessHR:
  • 1-877-JPMChase (1-877-576-2427)
  • Quick Path: Enter your Standard ID or Social Security number: press 1; enter your PIN; press 1
  • TDD: 1-800-719-9980
If calling from outside the United States:
  • 1-212-552-5100
    (GDP# 352-5100)
Service Representatives are available from 8 a.m. to 7 p.m., Eastern Time, Monday through Friday except certain U.S. holidays.
  • Plan interpretation
  • Filing an initial claim, benefit provisions under the plan, payment of benefits, denial of plan benefits, claims appeals
National Union Fire Insurance Company of Pittsburgh, PA, the insurance carrier and claims administrator
National Union Fire Insurance Company of Pittsburgh, PA
AIGCS
A & H Claims Department
600 King Street
1 Alico Plaza, 5th Floor
Wilmington, DE 19801
1-800-551-0824
  • Eligibility appeals
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
611 Woodward Avenue
Mail Code: MI1-8010
Detroit, MI 48226
Employee Stock Purchase Plan
For Issues on:
Contact:
At:
  • All Employee Stock Purchase Plan questions
Mellon Investor Services, the Plan Administrator
Mellon Investor Services
P.O. Box 33336
South Hackensack, NJ 07600-1936
1-800-758-4651
Retirement Plan
For Issues on:
Contact:
At:
  • General plan administration, eligibility to participate in the plan, and claims for benefits
accessHR Contact Center
  • 1-877-JPMChase (1-877-576-2427) Monday through Friday, from 8 a.m. to 7 p.m., Eastern Time, except certain U.S. holidays. (The TDD number for employees with a hearing impairment is
    1-800-719-9980.)
  • accessHR Contact Center
    Mail Code: TX2-F360
    P.O. Box 4896
    Houston, TX 77210-4896
    1-877-JPMChase
    (1-877-576-2427)
    TDD: 1-800-719-9980
  • Appeals of
    denied benefits
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
One Chase Manhattan Plaza
20th Floor
Mail Code: NY1-A340
New York, NY 10005-1401
401(k) Savings Plan
For Issues on:
Contact:
At:
  • General plan administration, eligibility to participate in the plan, and claims for benefits
401(k) Savings Plan Call Center
  • 1-866-JPMC-401k (1-866-576-2401) Monday through Friday, from 8 a.m. to 8 p.m., Eastern time, except New York Stock Exchange holidays. (The TDD number for employees with a hearing impairment is 1-800-345-1833).
JPMorgan Retirement Plan Services
401(k) Savings Plan Call Center
Mail Code: MO5-M103
P.O. Box 419784
Kansas City, MO 64141-6784
  • Appeals of denied benefits
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase Employee Benefits Appeals Committee
JPMorgan Chase & Co.
One Chase Manhattan Plaza
20th Floor
Mail Code: NY1-A340
New York, NY 10005-1401
Child/Elder Care and Transportation Spending Accounts — Whom to Contact
Although the Child/Elder Care Spending Account and the Transportation Spending Accounts are not subject to ERISA, you can always contact ADP (the claims administrator for the Child/Elder Care Spending Account) or WageWorks (the claims administrator for the Transportation Spending Accounts) with questions about the eligibility of an expense for reimbursement, payment of benefits, or denial of plan benefits:
Child/Elder Care Spending Account
ADP FSA Claims
P.O. Box 1800
Alpharetta, GA 30023-1800
1-866-872-2427
TDD: 1-877-318-2330
Transportation Spending Accounts
WageWorks
P.O. Box 14053
Lexington, KY 40511
1-877-924-3967
TDD: 1-866-361-8017
Medical and Dental Claims Administrator Address and Telephone Directory
Medical Plan Claims Administrators
Preferred Provider Organization (PPO)/Point-of-Service (POS) High and Low Options
UnitedHealthcare — National (all states not listed below)
UnitedHealthcare JPMorgan Chase Dedicated Service Center
P.O. Box 740800
Atlanta, GA 30374-0800
1-800-272-8970
Empire BlueCross BlueShield
Louisiana, Michigan, Western New York
Empire BlueCross BlueShield
P.O. Box 5075
Middletown, NY 10940-9075
1-866-446-1532
Aetna, Inc.
Texas, Delaware, Maryland, West Virginia
Aetna, Inc.
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Anthem BlueCross BlueShield
Ohio, Indiana, Kentucky
Anthem BlueCross BlueShield
P.O. Box 37010
Louisville, KY 40233-7010
1-866-236-4372
Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) Options
Traditional Indemnity Options and Medicare Indemnity High and Low Options
UnitedHealthcare
UnitedHealthcare
JPMorgan Chase Dedicated Service Center
P.O. Box 740800
Atlanta, GA 30374-0800
1-800-272-8970
Dental Plan Claims Administrators
Preferred Dentist Program (PDP) and Traditional Indemnity Options
MetLife
MetLife Dental
P.O. Box 9811282
El Paso, TX 79998-1282
1-888-673-9582
Dental Maintenance Organization (DMO) Options
Aetna, Inc. (DMO)
Aetna, Inc.
P.O. Box 14094
Lexington, KY 40512
1-800-741-4781
Dental Health Maintenance Organization (DHMO) Options
First Commonwealth (DHMO)
First Commonwealth
P.O. Box 3319
Chicago, IL 60654
1-866-494-4542
HMO/EPO Claims Administrator Address and Telephone Directory
Arizona
Aetna HMO of Arizona (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna HMO – Arizona
(Medicare Advantage HMO)
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
CIGNA HMO of Arizona (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
CIGNA Healthcare of Arizona HMO
(Medicare Advantage HMO)
11001 N. Black Canyon Highway
Phoenix, AZ 85029
1-800-592-9231
Health Net of Arizona HMO
P.O. Box 867
Shelton, CT 06484
1-800-289-2818
California
Health Net HMO of California
21281 Burbank Boulevard
Woodland Hills, CA 91367
1-800-522-0088
Kaiser Permanente HMO Northern California
Attn: California Claims
P.O. Box 12923
Oakland, CA 94604-2923
1-800-464-4000
Kaiser Permanente HMO Southern California
Attn: California Claims
P.O. Box 7102
Oakland, CA 91109-7102
1-800-464-4000
Kaiser Permanente HMO
(Medicare Advantage HMO)
Southern California
Attn: California Claims
P.O. Box 7102
Oakland, CA 94604-2923
1-800-443-0815
Kaiser Permanente HMO
(Medicare Advantage HMO)
Northern California
Attn: California Claims
P.O. Box 12923
Oakland, CA 94604-2923
1-800-443-0815
Pacificare HMO of California
5701 Katella Avenue
Cypress, CA 90630
1-800-624-8822
Colorado
CIGNA HMO of Colorado (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Kaiser Permanente HMO Colorado
2500 South Havana Street
Aurora, CO 80014-1618
1-800-632-9700
1-303-338-3800
Pacificare (Secure Horizons)
Medicare Advantage HMO
410 N. 44th Street
Phoenix, AZ 85008
1-800-771-4347
Connecticut
Aetna HMO of CT/NY/NJ (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Health Net HMO of Connecticut/New York/New Jersey (EPO)*
One Far Mill Crossing
P.O. Box 904
Shelton, CT 06484-0944
1-888-747-5858
Oxford HMO Connecticut/New York/New Jersey
Attn: Claims Department
P.O. Box 7082
Bridgeport, CT 06601-7082
1-800-444-6222
DC/Maryland/Virginia
Aetna HMO of Virginia/DC (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Empire Blue Cross Blue Shield EPO of Maryland/DC/Virginia*
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940-9075
1-866-446-1532
Kaiser Permanente HMO
Mid-Atlantic
P.O. Box 6233
Rockville, MD 20849-6233
1-800-777-7902
Delaware
Delaware Valley Aetna HMO of DE/MD (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Empire Blue Cross Blue Shield EPO of Delaware*
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940-9075
1-866-446-1532
Florida
Empire Blue Cross Blue Shield EPO of Florida*
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940
1-866-446-1532
Humana HMO of Florida (EPO)*
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
Humana HMO
Medicare Advantage HMO)
P.O. Box 14546
Lexington, KY 40512-4601
1-800-992-2551
Georgia
Aetna HMO of Georgia (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Illinois
Blue Cross Blue Shield HMO of Illinois–Blue Advantage
1515 W. 31st Street
Downers Grove, IL 60515
1-800-892-2803
Blue Cross Blue Shield HMO of Illinois
1515 W. 31st Street
Downers Grove, IL 60515
1-800-892-2803
Health Alliance HMO of Illinois (EPO)*
301 South Vine Street
Urbana, IL 61801
1-800-322-7451
Humana Premier HMO
(Medicare Advantage)
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
Personal Care HMO of Illinois
2110 Fox Drive
Champaign, IL 61820
1-800-431-1211
Unicare HMO
233 S. Wacker Drive
Suite 3900
Chicago, IL 60606
1-888-234-8855
Illinois/Indiana
Blue Cross Blue Shield HMO of Illinois
1515 W. 31st Street
Downers Grove, IL 60515
1-800-892-2803
Humana HMO of Illinois/Indiana (EPO)*
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
Humana Premier HMO
Medicare Advantage HMO)
P.O. Box 14546
Lexington, KY 40512-4601
1-800-992-2551
Indiana
Anthem Blue Preferred HMO Indiana
P.O. Box 37180
Louisville, KY 40233-7180
1-800-884-9925
Arnett HMO of Indiana
415 N. 26th Street
Suite 101
P.O. Box 6108
Lafayette, IN 47903
1-888-448-7440
M-Plan HMO of Indiana
8802 N. Meridian Street
Indianapolis, IN 46260
1-800-816-7526
1-317-571-5320
Kansas
CIGNA HMO of Kansas City (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Kentucky
Anthem Blue Preferred EPO, Kentucky*
P.O. Box 37180
Louisville, KY 40233-7180
1-866-236-4372
Humana HMO of Kentucky (EPO)*
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
Louisiana
HMO Louisiana, Inc. (EPO)*
P.O. Box 98029
Baton Rouge, LA 70898
1-800-376–7741
UnitedHealthcare of Louisiana (EPO)*
P.O. Box 740800
Atlanta, GA 30374-0800
1-800-272-8970
Vantage Health Plan HMO
130 Desiard Street
Suite 300
Monroe, LA 71201
1-888-823-1910
1-318-361-9696
Maryland
Aetna HMO of Delaware and Maryland (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Massachusetts
Tufts Health Plan HMO
705 Mt. Auburn Street
Watertown, MA 02471
1-800-462-0224
Tufts Health Plan HMO
Medicare Advantage HMO
705 Mt. Auburn Street
Watertown, MA 02471
1-800-701-9000
Michigan
Blue Care Network of
Michigan (HMO)
BCN Claims
P.O. Box 68710
Grand Rapids, MI 49516-8710
1-800-662-6667
Blue Care Network
Medicare Advantage HMO
P.O. Box 68753
Grand Rapids, MI 49516-8753
1-800-450-3680
TTY:1-800-430-3211
Health Alliance Plan HMO of Southeast Michigan
2850 W. Grand Boulevard
Detroit, MI 48202
1-800-422-4641
1-313-872-8100
Health Plus HMO of Michigan
Saginaw/Bay City/Midland:
5454 Hampton Place
Saginaw, MI 48604
1-800-942-8816
1-989-797-4037
All Other Areas:
2050 S. Linden Road
Flint, MI 48532
1-800-332-9161
1-810-230-2222
M-CARE HMO of Michigan
P.O. Box 130799
Ann Arbor, MI 48113-0799
1-800-658-8878
1-734-913-2211
Priority Health HMO of Michigan
Attn: Claims Department
1231 E. Beltine NE
P.O. Box 232
Grand Rapids, MI 49501-0232
1-800-446-5674
Missouri
Mercy Health Plans of Missouri (HMO)
c/o Premier Benefits, Inc.
P.O. Box 4568
Springfield, MO 65808-4568
1-800-836-0402
1-417-836-0402
New Hampshire
CIGNA HMO of New Hampshire (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
New Jersey
Aetna HMO of Connecticut/ New York/New Jersey (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
CIGNA HMO of New Jersey (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Empire Blue Cross Blue Shield EPO of New Jersey*
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940-9075
1-866-446-1532
Health Net HMO of Connecticut/New York/New Jersey (EPO)*
One Far Mill Crossing
P.O. Box 904
Shelton, CT 06484-0944
1-888-747-5858
Aetna Medicare Advantage HMO of New Jersey/New York/Pennsylvania
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
Oxford HMO of Connecticut/New York/New Jersey
Attn: Claims Department
P.O. Box 7082
Bridgeport, CT 06601-7082
1-800-444-6222
Oxford
Medicare Advantage HMO
Medicare Advantage Claims Department
P.O. Box 7082
Bridgeport, CT 06601
1-800-234-1228
New York
Aetna Medicare Advantage HMO of New Jersey/New York/Pennsylvania
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
Aetna HMO of Connecticut/
New York/New Jersey (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Blue Cross Blue Shield of Rochester
Medicare Advantage HMO
Medicare Blue Choice
P.O. Box 40246
Rochester, NY 14604
1-800-659-1986
CIGNA HMO of New York (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Empire Blue Cross Blue Shield EPO of New York*
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940-9075
1-866-446-1532
Empire HealthChoice
Medicare Advantage HMO
Empire BlueCross BlueShield
JPMorgan Chase Service Center
P.O. Box 5075
Middletown, NY 10940
1-800-499-9554
Excellus Blue Cross Blue Shield of Rochester (HMO)
165 Court Street
Rochester, NY 14647
1-800-462-0108
Health Net HMO of Connecticut/ New York/New Jersey (EPO)*
One Far Mill Crossing
P.O. Box 904
Shelton, CT 06484-0944
1-888-747-5858
HIP Health Plan of New York (HMO)
55 Water Street
New York, NY 10041
1-800-447-8255
HIP Health Plan of New York HMO
Medicare Advantage HMO
55 Water Street
New York, NY 10041
1-800-447-8255
Independent Health HMO
511 Farber Lakes Drive
Buffalo, NY 14221
1-800-501-3439
Independent Health HMO
Medicare Advantage HMO
511 Farber Lakes Drive
Buffalo, NY 14221
1-800-501-3439
MVP Health Care HMO
625 State Street
Schenectady, NY 12305
1-888-687-6277
Oxford HMO of Connecticut/
New York/New Jersey
Attn: Claims Department
P.O. Box 7082
Bridgeport, CT 06601-7082
1-800-444-6222
Oxford
Medicare Advantage HMO
Medicare Advantage Claims Department
P.O. Box 7082
Bridgeport, CT 06601
1-800-234-1228
Preferred Care HMO
259 Monroe Avenue
Rochester, NY 14607
1-800-950-3224
Preferred Care HMO
Medicare Advantage HMO
259 Monroe Avenue
Rochester, NY 14607
1-800-665-7924
1-585-327-5760
Vytra Health Plan HMO
395 North Service Road
Melville, NY 11747-3127
1-866-409-0999
1-631-694-6565
Ohio
Aetna HMO of Ohio (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
CIGNA HMO of Ohio (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
QualChoice Health Plan HMO
6000 Parkland Boulevard
Cleveland, OH 44124
1-800-260-2643
The Health Plan HMO of Ohio
52160 National Road East
St. Clairsville, OH 43950
1-888-847-7902
UnitedHealthcare EPO of Ohio*
P.O. Box 740800
Atlanta, GA 30374-0800
1-800-272-8970
UnitedHealthcare Ohio
Medicare Advantage HMO
13621 NW 12th Street
Sunrise, FL 33323
1-888-867-5548
Oklahoma
CIGNA HMO of Oklahoma (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Pacificare HMO of Oklahoma
Pacificare University Park
6200 Northwest Parkway
San Antonio, TX 78249-3348
1-800-825-9355
Pacificare Secure Horizons HMO of Oklahoma
Medicare Advantage HMO
Pacificare University Park
6200 Northwest Parkway
San Antonio, TX 78249-3348
1-800-771-4347
Pennsylvania
Aetna HMO of Pennsylvania (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna Medicare Advantage HMO of New Jersey/New York/Pennsylvania
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
Texas
Aetna HMO of Austin (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna HMO of Houston (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna Texas
Medicare Advantage HMO
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
Aetna HMO of North Texas (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna HMO of San Antonio (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Aetna San Antonio
Medicare Advantage HMO
P.O. Box 963
Blue Bell, PA 19422-9921
1-800-282-5366
CIGNA HMO of Texas (EPO)*
P.O. Box 5200
Scranton, PA 18505-5200
1-800-790-3086
Community First HMO
4801 N.W. Loop 410
Suite 1000
San Antonio, TX 78229
1-800-434-2347
1-210-358-6070
Humana HMO of Texas (EPO)*
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
Utah
Altius Health Plan HMO
10421 South Jordan Gateway
Suite 400
South Jordan, UT 84095
1-800-377-4161
Select Med HMO of Utah
Member Services
4646 West Lake Park Boulevard
Salt Lake City, UT 84120
1-800-538-5038
1-801-442-5038
West Virginia
Aetna HMO of West Virginia (EPO)*
P.O. Box 981109
El Paso, TX 79998-1109
1-888-238-6275
Wisconsin
Dean Health Plan of Southern Wisconsin (HMO)
1277 Deming Way
Madison, WI 53717
1-800-279-1301
Humana HMO of Wisconsin (EPO)*
P.O. Box 14546
Lexington, KY 40512
1-800-992-2551
UnitedHealthcare HMO North Wisconsin
P.O. Box 30555
Salt Lake City, UT 84130
1-866-633-2446
UnitedHealthcare HMO of Wisconsin
P.O. Box 30555
Salt Lake City, UT 84130
1-866-633-2446
Unity HMO of Madison
840 Carolina Street
Sauk City, WI 53583-1374
1-800-362-3308