BENEFITS CONTACT LIST FOR REGIONAL HUMAN RESOURCE DEPARTMENTS
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1 BENEFITS CONTACT LIST FOR REGIONAL HUMAN RESOURCE DEPARTMENTS Anthem (Medical) Member Customer Service: Phone: /7 Nurseline Phone: Hotline Representatives: (HR Contact Only) April Scott, Laure Eck, Roxanne Swain, La Tosha Adams-Kinchlaw Phone: Fax: Tena Crabtree Enrollment and Billing (Inquiries regarding billing, eligibility and membership, HR Staff Only) Phone: Fax: Enrollment forms should be faxed to: or uploaded via the E-Submit tool. Sheila Shearer Senior Account Rep. (Employee Education Meetings, HR Staff Training, Elevated Service Issues/Trends, HR Staff Only) Phone: ext. 8 or Fax: sheila.shearer@anthem.com Megan M. Walker Account Manager (Reports on plan performance, renewal, benefit changes, contract, HR Staff Only) Phone: or ext. 9 Fax: megan.walker@anthem@anthem.com Group Number: *for sub-groups, please refer to the attached form. Express Scripts/Medco (Prescription) Client Service Center Initial point of contact for client assistance Phone: Amy Williams Account Manager Phone: awilliams3@express-scripts.com Cari Wegge Sr. Account Executive Phone: cari_wegge@express-scripts.com Group Number: Ivy Tech *for sub-groups, please refer to the attached form. Revised 1/13/2014 1
2 Castlight Health Krista dezeeuw Account Manager Phone: Delta Dental (Dental) Kathy DeWester Helps with day-to-day service needs Phone: , ext. 18 or Cell: Fax: Express Enrollment Fax: Website: Real-time Eligibility Processing Entering, Editing, Terminating Via Benefit Manager Toolkit (BMT) at BMT Support Hotline: Policy Number: 7054 *for sub-groups, please refer to the attached form. Humana / CompBenefits (Dental) Janet Ahr Assist with Benefit Fairs and escalated service issues Phone: ext.1519 or Fax: jahr@humana.com Lissa Starner Large Group Account Executive Phone: or ext Fax: lsarner@humana.com Laura Cieslinski Billing/Enrollment Specialist- Call with billing issues or discrepancies. Phone: ext Fax: Lcieslinski@humana.com Enrollment & Changes: New Enrollments Fax: or cbbegroupenrollment@humana.com Changes/Term Fax: or cbbemaintenanceteam@humana.com Website: Group Number: Revised 1/13/2014 2
3 Tower Bank (Health Savings Account) Customer Service: Phone: Beth Gremaux HSA Account Executive Phone: Fax: Ruste Pontenberg Vice President, HSA Sales Manager Phone: Fax: Cassie Dawes: HSA Deposit Specialist Phone: Jason Moore: HSA Deposit Specialist Phone: Employer Code: Key Benefit Administrators (Flexible Spending Account) Glynis Hardaway Benefit Consultant Phone: Fax: or Laura Hoshaw Billing Invoice Questions Phone: Fax: Lisa Fickel Financial Questions (Banking/EFT s/ Checks) Phone: Fax: General Questions (Balance, Claim Status, Change of Address etc) Phone: or Fax: or Employer ID KBA Revised 1/13/2014 3
4 Benefit Concepts (COBRA) Dina DeFalco Benefit Administrator Phone: ext Fax: Lucy Rolon Benefit Administrator (back-up) Phone: ext Fax: or Debbie Caforio Team Leader Phone: ext.1557 Fax: COBRA Online Reporting Website: AUL/One America (Life & LTD) Brian Case Field Vice President Phone: ext. 3 or Fax: brian.case@oneamerica.com Stephanie Marvel Sales Administrator Phone: ext. 6 or Fax: stephanie.marvel@oneamerica.com Susan Strum Inforce Service Coordinator Phone: ext or Fax: susan.strum@oneamerica.com Pam Bartel Group Life Claims Examiner Phone: ext Fax: pam.bartel@oneamerica.com Keith Johnson Disability RMS, Sr. Managed Disability Analyst Phone: ext Fax: kjohnson@disabilityrms.com Group Number: Revised 1/13/2014 4
5 VSP (Vision Services Plan) Customer Service Ann Marie Meharg Account Manager Phone: ext. 2 or Fax: annmarie.meharg@vsp.com Group Number Website benefits-eligible employees: Website adjunct/part-time/retirees: UNUM (Critical Care, Short-Term Disability) Jennifer Gaddy Billing Coordinator (handles termination and billing questions) Phone: ext Fax: jgaddy@unum.com Kim Norton National Account Manager Phone: or ext Fax: knorton@unum.com Jackie Lau Service Associate Phone: or ext Fax: jlau@unum.com Customer Service Phone: Pre-Paid Legal Services, Inc (LegalShield) Janet Vaught Account Manager Worksite Benefits Gregory & Appel Insurance Phone: or ext. 495 Fax: jvaught@gregoryappel.com Mailing Address: Gregory & Appel Insurance 1402 N. Capitol, Suite 400 Indianapolis, IN Billing Phone: Fax: Electronic: electrans@pplsi.com Revised 1/13/2014 5
6 AUL (Retirement Plans) Mark Larson Plan Services Consultant, daily contact at AUL Phone: ext or Fax: Bradley Coomer Client Services Manager, call for packets and to set up meetings Phone: ext Fax: Enrollment Kit Order Please call or Juani Briones at Website: Plan Number: G74532 TIAA-CREF (Retirement Plans) Sharon Kiker Managing Consultant Phone: Cell: Fax: Travis Ramirez Client Service Consultant Phone: ext Enrollment Kit Order please Lori Evans, Region Gary Valparaiso East Chicago Michigan City Elkhart South Bend Warsaw TIAA-CREF Phone Number Representative Jeannie Ilievski Jeannie Ilievski Fort Wayne Mike Dooley Lafayette Mike Dooley Kokomo Logansport Wabash Amanda Shorter Muncie Anderson Marion Mike Dooley Terre Haute Tim Stout Revised 1/13/2014 6
7 Central Indiana/CO Jenny Kremer Mike Dooley Richmond Ben Apraez Columbus Lori Matthews Madison Lawrenceburg Tim Stout Lori Matthews Evansville Lori Matthews Sellersburg Tim Stout Bloomington Tim Stout One on One Counseling TIAA Counseling Phone Centers: Plan Numbers RA SRA (b) Indiana Public Retirement System - PERF (Retirement Plan) Region INPRS Representative Phone Number Gary John Veltroczky jvetroczky@inprs.in.gov Valparaiso East Chicago Michigan City Elkhart John Veltroczky jvetroczky@inprs.in.gov South Bend Warsaw Fort Wayne Jim Neddeff jneddeff@inprs.in.gov Lafayette Jennifer Lowery jlowery@inprs.in.gov Kokomo Jennifer Lowery jlowery@inprs.in.gov Logansport Wabash Muncie George Shields gshields@inprs.in.gov Anderson Marion Terre Haute Jennifer Lowery jlowery@inprs.in.gov Central Indiana/CO Tommie Wilson twilson@inprs.in.gov Richmond George Shields gshields@inprs.in.gov Columbus Carl Bright cbright@inprs.in.gov Madison Carl Bright cbright@inprs.in.gov Lawrenceburg Evansville Carl Bright cbright@inprs.in.gov Sellersburg Carl Bright cbright@inprs.in.gov Bloomington Carl Bright cbright@inprs.in.gov If you need to schedule on-site meetings, use above list. Fax for requesting forms: OR visit the website Plan Information or General Questions Toll-free line: eppa@inprs.in.gov Revised 1/13/2014 7
8 Website: Account Number/Submission Unit: Anthem Subgroups IVY TECH GROUP SET UP JULY 1, 2013 Actives 75 Plan Regular Retiree / LTD COBRA 0000 Central Office 7000 Central Office 8000 Central Office 9000 Central Office 0001 North West 7001 North West 8001 North West 9001 North West 0002 North Central 7002 North Central 8002 North Central 9002 North Central 0003 North East 7003 North East 8003 North East 9003 North East 0004 Lafayette 7004 Lafayette 8004 Lafayette 9004 Lafayette 0005 Kokomo 7005 Kokomo 8005 Kokomo 9005 Kokomo 0006 East Central 7006 East Central 8006 East Central 9006 East Central 0007 Wabash Valley 7007 Wabash Valley 8007 Wabash Valley 9007 Wabash Valley 0008 Central Indiana 7008 Central Indiana 8008 Central Indiana 9008 Central Indiana 0009 Whitewater 7009 Whitewater 8009 Whitewater 9009 Whitewater 0010 Columbus 7010 Columbus 8010 Columbus 9010 Columbus 0011 Madison 7011 Madison 8011 Madison 9011 Madison 0111 Lawrenceburg 7111 Lawrenceburg 8111 Lawrenceburg 9111 Lawrenceburg 0012 South West 7012 South West 8012 South West 9012 South West 0013 South Central 7013 South Central 8013 South Central 9013 South Central 0014 Bloomington 7014 Bloomington 8014 Bloomington 9014 Bloomington Express-Scripts Subgroups Plan Region Actives 75 Plan Regular Retiree/LTD COBRA CO STDAC0000 STD STDRR8000 STDCB9000 Standard 1 STDAC0001 STD STDRR8001 STDCB STDAC0002 STD STDRR8002 STDCB STDAC0003 STD STDRR8003 STDCB STDAC0004 STD STDRR8004 STDCB STDAC0005 STD STDRR8005 STDCB STDAC0006 STD STDRR8006 STDCB STDAC0007 STD STDRR8007 STDCB STDAC0008 STD STDRR8008 STDCB STDAC0009 STD STDRR8009 STDCB STDAC0010 STD STDRR8010 STDCB STDAC0011 STD STDRR011 STDCB STDAC0111 STD STDRR8111 STDCB STDAC0012 STD STDRR8012 STDCB STDAC0013 STD STDRR8013 STDCB9013 Choice (S) 14 STDAC0014 STD STDRR8014 STDCB9014 CO HDHSAC0000 HDHS HDHSRR8000 HDHSCB HDHSAC0001 HDHS HDHSRR8001 HDHSCB HDHSAC0002 HDHS HDHSRR8002 HDHSCB HDHSAC0003 HDHS HDHSRR8003 HDHSCB HDHSAC0004 HDHS HDHSRR8004 HDHSCB9004 Revised 1/13/2014 8
9 5 HDHSAC0005 HDHS HDHSRR8005 HDHSCB HDHSAC0006 HDHS HDHSRR8006 HDHSCB HDHSAC0007 HDHS HDHSRR8007 HDHSCB HDHSAC0008 HDHS HDHSRR8008 HDHSCB HDHSAC0009 HDHS HDHSRR8009 HDHSCB HDHSAC0010 HDHS HDHSRR8010 HDHSCB HDHSAC0011 HDHS HDHSRR8011 HDHSCB HDHSAC0111 HDHS HDHSRR8111 HDHSCB HDHSAC0012 HDHS HDHSRR8012 HDHSCB HDHSAC0013 HDHS HDHSRR8013 HDHSCB HDHSAC0014 HDHS HDHSRR8014 HDHSCB9014 Choice (F) CO HDHFAC0000 HDHF HDHFRR8000 HDHFCB HDHFAC0001 HDHF HDHFRR8001 HDHFCB HDHFAC0002 HDHF HDHFRR8002 HDHFCB HDHFAC0003 HDHF HDHFRR8003 HDHFCB HDHFAC0004 HDHF HDHFRR8004 HDHFCB HDHFAC0005 HDHF HDHFRR8005 HDHFCB HDHFAC0006 HDHF HDHFRR8006 HDHFCB HDHFAC0007 HDHF HDHFRR8007 HDHFCB HDHFAC0008 HDHF HDHFRR8008 HDHFCB HDHFAC0009 HDHF HDHFRR8009 HDHFCB HDHFAC0010 HDHF HDHFRR8010 HDHFCB HDHFAC0011 HDHF HDHFRR8011 HDHFCB HDHFAC0111 HDHF HDHFRR8111 HDHFCB HDHFAC0012 HDHF HDHFRR8012 HDHFCB HDHFAC0013 HDHF HDHFRR8013 HDHFCB HDHFAC0014 HDHF HDHFRR8014 HDHFCB9014 Delta Subgroups Actives 75 Plan Regular Retiree / LTD COBRA 0000 Central Office 7000 All 8000 All 9000 All 0001 North West 0002 North Central 0003 North East 0004 Lafayette 0005 Kokomo 0006 East Central 0007 Wabash Valley 0008 Central Indiana 0009 Whitewater 0010 Columbus 0011 Madison 0011 Lawrenceburg 0012 South West 0013 South Central 0014 Bloomington Revised 1/13/2014 9
10 Revised 1/13/
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