IBM Benefits Plan Administrator Contacts April 1, 2012

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1 IBM Benefits Plan Administrator Contacts April 1, 2012

2 IBM Self Insured Medical Plan Administrators by State AK WA ME OR CA HI NV ID AZ UT MT WY CO NM ND SD NE KS OK TX MN WI IA IL MO AR MS LA MI IN KY TN AL NY PA OH MD WV VA NC SC GA VT NH NJ DE MA CT RI Albany/Poughkeepsie/ Binghamton/Endicott DC FL * Relates to IBM employees enrolled in the IBM PPO, IBM PPO Plus, IBM EPO and IBM High Deductible PPO with H S A Medical options. Aetna Anthem Blue Cross Blue Shield 2 * Empire Blue Cross Blue Shield name changed to Anthem Blue Cross/Blue Shield MVP UnitedHealthcare

3 Anthem Alternate Networks for Certain Locations State Service Area Alternate Network Georgia Kansas Kansas City (Includes counties of Johnson & Wyandotte) Blue Open Access POS Preferred Care Blue PPO Missouri New Hampshire New York Tennessee Kansas City (Includes the counties of Andrew, Atchison, Bates, Benton, Buchanan, Caldwell, Carrol, Cass, Clay, Clinton, Daviess, Dekalb, Gentry, Grundy, Harrison, Henry, Holt, Jackson, Johnson, Lafayette, Livingston, Mercer, Nordaway, Pettis, Platte, Ray, Saline, St. Clair, Vernon, and Worth) St. Louis (Includes the city of St. Louis and the counties of Franklin, Jefferson, St. Charles, St. Louis, and Warren) New York City & Suburbs Preferred Care Blue PPO Blue Access Choice BlueChoice Open Access POS Empire POS Network S 3 * Empire Blue Cross Blue Shield name changed to Anthem Blue Cross/Blue Shield ** If you reside in one of these areas you must use a provider that participates in the alternate provider network when obtaining services to receive the higher, In-Network level Benefit. If you use a provider that does not participate in the alternate provider network you will receive the Out-of-Network Benefit and your Out-of-Pocket costs will be higher. *** Outside these areas, you will have access to the Blue Card PPO network. **** Many providers participate in both the current Anthem network and the alternate provider network. Go to to check your provider s participation. Select Find a Doctor, enter the provider your seeking (The name if you know it) or use the specialty drop down box. From the Search Results page, choose Insurance Options, choose Add/Edit Selections. A new window will open. Enter the state where you reside, choose Alternate Network for the type of Health Medical Plan and choose your alternate network from the drop down menu. Select Search to see your In-Network providers. You should also confirm your provider s participation directly with your provider by giving him/her the specific name of your alternate network as show above.

4 IBM Medical, Rx and Mental Health Plan Administrator Contacts IBM Self Insured Medical Plan Administrators: Aetna Anthem BC & BS MVP UnitedHealthcare Customer Services Hours Mon-Fri, 8:00 am - 6:00 pm (ET) Mon-Fri, 8:00 am - 6:00 pm (ET) Mon-Fri, 8:00 am - 8:00 pm. (ET) Sat., 8:00 am - 4:00 pm. (ET) Mon-Fri, 8:00 am - 8:00 pm (ET) (call collect) Login Details Username: IBM; Password: IBM Carrier Name Aetna Inc Anthem Blue Cross Blue Shield MVP Select Care UnitedHealthcaare Group Contract Number N/A Network Name Aetna Choice POS II (Open Access) Refer to Slide 3 for Network Details MVP Select Care UHC Choice Plus Prescription Drug Administrator CVS Caremark Mental Health & Substance Abuse Administrator OptumHealth 24 hours a day, 365 days a year Claims Customer Service: Mon-Fri, 8:00 am - 7:00 pm (ET) Dial 711 and enter * The HMO Plan Administrator contacts are located within the HMO Plan Detail Sheets on the Transition Website ** Plan Administrator web sites have current information on participating Network Providers *** The IBM Employee Services Center is before Date of Hire after DOH 4

5 IBM Dental & Vision Plan Administrator Contacts Dental IBM Dental Basic & Plus Plans MetLife Mon-Fri, 8:00 am - 11:00 pm (ET); Automated System, 24 hours per day/7 days per week Vision AT&T Access Code IBM Vision Plan Anthem Blue View Vision Login Details Employer ID = IBM CIGNA Dental Maintenance. Alternative Cigna EyeMed Discount Card EyeMed Vision Care Available 24 hours a day/7 days a week CIGNA24 5

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