Important Benefits Contacts

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1 Important Benefits Contacts

2 Important Benefits Contacts This insert lists important benefits telephone s and es. For general information or to contact a plan administrator, call the as described below. General information about your benefits Your Benefits Resources P.O. Box Half Day Road Lincolnshire, IL Enter the last four digits of your social security and your date of birth. (You may also be prompted to enter your home ZIP code.) Then choose from one of the following menu options: Retirement and Pension Savings Plan Health Care Life and Disability Voluntary Separation Plan or program Medical plan Health care network (HCN) Aetna, Inc Blue Cross Blue Shield of Massachusetts Excellus Blue Cross Blue Shield of Central New York V-B-AA-N-G-986-1/07 1

3 MVP Select Care Inc. Univera Healthcare Mental health/substance abuse United Behavioral Health (UBH) Empire MEP Indemnity Empire BlueCross BlueShield Mental health/substance abuse United Behavioral Health (UBH) Aetna MEP PPO Aetna, Inc. Member services Mental health/substance abuse United Behavioral Health (UBH) Prescription drug program Medco For pharmacists under the HCN only: To receive prior authorization for drugs listed in the SPD under Medications That Require a Coverage Review To initiate a review for the drugs listed as requiring a lesser review in the SPD under Medications That Require a Coverage Review V-B-AA-N-G-986-1/07 2

4 Other medical plan contacts LASIK discount information Davis Vision, Inc. Claims administrator HMO supplemental mental health and substance abuse treatment benefits MHN Claims administrator Dental plan Dental expense plan Metropolitan Life Insurance Company Member services, benefits administrator and claims and appeals administrator Dental PPO plan NE United Concordia, benefits administrator and member services Vision care plan Davis Vision, Inc. Member services, benefits administrator and claims and appeals administrator Flexible reimbursement plan Your Spending Account P.O. Box Orlando, FL (fax) Other flexible reimbursement plan contacts Internal Revenue Service Forms and publications V-B-AA-N-G-986-1/07 3

5 Survivor benefits Basic life and Basic AD&D Benefits administrator and claims and appeals administrator Supplemental life, Dependent life, Supplemental AD&D and Dependent AD&D Benefits administrator and claims and appeals administrator Disability plans Sickness and accident disability benefit plan Metropolitan Life Insurance Company and benefits administrator Long-term disability plan Metropolitan Life Insurance Company and benefits administrator Long-term care insurance John Hancock Insurance Company Benefits administrator, customer service center and claims and appeals administrator Income protection plans Option 5 (voluntary separations) Savings plan Verizon Savings Plan Service Center Benefits administrator V-B-AA-N-G-986-1/07 4

6 Pension plan Benefits administrator Other pension plan contacts Pension Benefit Guaranty Corporation Plan insurance and ask to be connected to Additional contacts Qualified Order Team Qualified medical child support orders (QMCSOs) (Medical plan, Dental expense plan, Vision care plan, Flexible reimbursement plan, Savings plan and Pension plan) COBRA (Medical plan, Dental expense plan, Vision care plan and Flexible reimbursement plan) Other plans and programs Absence Management Center 500 Summit Lake Drive Valhalla, NY Absence Reporting Center (ARC) Go to Digital Workplace Click on About You Click on Work/Life Events Click on Time Off & Leave Policies Adoption Assistance Program Harris Rothenberg International (HRI) 99 Wall Street 8 th Floor NewYork, NY VZ-LIFE Founders Stock Option Grant Fidelity Investments Tuition Assistance Plan V-B-AA-N-G-986-1/07 5

7 CAEL Educational Loan Program ConSern Education Program password SOSLOAN Subrogation vendor Healthcare Recoveries Attention: Verizon Subrogation Unit P.O. Box Louisville, KY V-B-AA-N-G-986-1/07 6

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Important Benefits Contacts

Important Benefits Contacts Important Benefits Contacts Important Benefits Contacts This insert lists important benefits telephone s and es. For general information or to contact a plan administrator, call the, as described below.

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