BENEFITS CONTACT LIST FOR REGIONAL HUMAN RESOURCE DEPARTMENTS Anthem (Medical) Member Customer Service: Phone: 800.345.2460 24/7 Nurseline Phone: 888.279.5449 Hotline Representatives: (HR Contact Only) April Scott, Laure Eck, Roxanne Swain, La Tosha Adams-Kinchlaw Phone: 800.275.5380 Fax: 317.287.5734 E-mail: anthem.accountinquiries@anthem.com Tena Crabtree Enrollment and Billing (Inquiries regarding billing, eligibility and membership, HR Staff Only) Phone: 317.287.6704 Fax: 317.287.8115 E-mail: Tena.Crabtree@anthem.com Enrollment forms should be faxed to: 877.628.4602 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: 800.671.1107 ext. 8 or 317.287.5788 Fax: 317.287.8708 E-mail: sheila.shearer@anthem.com Megan M. Walker Account Manager (Reports on plan performance, renewal, benefit changes, contract, HR Staff Only) Phone: 317.287.6578 or 800.599.1970 ext. 9 Fax: 317.287.8708 E-mail: megan.walker@anthem@anthem.com Group Number: 00110901 *for sub-groups, please refer to the attached form. Express Scripts/Medco (Prescription) Client Service Center Initial point of contact for client assistance Phone: 800.988.2285 Amy Williams Account Manager Phone: 952.837.7504 E-mail: awilliams3@express-scripts.com Cari Wegge Sr. Account Executive Phone: 317.989.5947 E-mail: cari_wegge@express-scripts.com Group Number: Ivy Tech *for sub-groups, please refer to the attached form. Revised 1/13/2014 1
Castlight Health Krista dezeeuw Account Manager Phone: 651.402.4719 E-mail: kdezeeuw@castlighthealth.com Delta Dental (Dental) Kathy DeWester Helps with day-to-day service needs Phone: 800.382.5404, ext. 18 or 317.348.1818 Cell: 317.753.0766 Fax: 317.706.3577 E-mail: kdewester@deltadentalin.com Express Enrollment Fax: 517.347.5219 Website: www.deltadentalin.com Real-time Eligibility Processing Entering, Editing, Terminating Via Benefit Manager Toolkit (BMT) at www.deltadentalin.com BMT Support Hotline: 866.356.0301 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: 800.444.9137 ext.1519 or 317.573.1519 Fax: 317.573.1030 E-mail: jahr@humana.com Lissa Starner Large Group Account Executive Phone: 317.573.1553 or 800.444.9137 ext. 1553 Fax: 317.573.1030 E-mail: lsarner@humana.com Laura Cieslinski Billing/Enrollment Specialist- Call with billing issues or discrepancies. Phone: 800.558.4444 ext. 3378552 Fax: 920.339.5380 E-mail: Lcieslinski@humana.com Enrollment & Changes: New Enrollments Fax: 855.580.3810 or cbbegroupenrollment@humana.com Changes/Term Fax: 920.339.3900 or cbbemaintenanceteam@humana.com Website: www.compbenefits.com Group Number: 241329 Revised 1/13/2014 2
Tower Bank (Health Savings Account) Customer Service: Phone: 888.472.8697 Beth Gremaux HSA Account Executive Phone: 260.427.7060 Fax: 260.427.7185 E-mail: beth.gremaux@thehsaauthority.com Ruste Pontenberg Vice President, HSA Sales Manager Phone: 260.427.7167 Fax: 260.427.7185 E-mail: ruste.pontenberg@thehsaauthority.com Cassie Dawes: HSA Deposit Specialist Phone: 260.207.7230 E-mail: cassie.dawes@thehsaauthoity.com Jason Moore: HSA Deposit Specialist Phone: 260.427.7064 E-mail: jason.moore@thehsaauthority.com Employer Code: 134328 Key Benefit Administrators (Flexible Spending Account) Glynis Hardaway Benefit Consultant Phone: 317.284.7685 Fax: 317.284.7269 or 866.241.1488 E-mail: glynis.hardaway@keybenefit.com Laura Hoshaw Billing Invoice Questions Phone: 317.284.7510 Fax: 317.284.7269 E-mail: laura.hoshaw@keybenefit.com Lisa Fickel Financial Questions (Banking/EFT s/ Checks) Phone: 317.284.7100 Fax: 317.284.7269 E-mail: lfickel@keybenefit.com General Questions (Balance, Claim Status, Change of Address etc) Phone: 317.284.7150 or 800.558.5553 Fax: 317.284.7269 or 866.241.1488 Employer ID KBA052480 Revised 1/13/2014 3
Benefit Concepts (COBRA) Dina DeFalco Benefit Administrator Phone: 800.969.2009 ext. 1568 Fax: 866.629.6390 E-mail: ddefalco@benefitconcepts.com Lucy Rolon Benefit Administrator (back-up) Phone: 800.969.2009 ext. 1424 Fax: 401.427.8701 or 866.629.6390 E-mail: lrolon@benefitconcepts.com Debbie Caforio Team Leader Phone: 800.969.2009 ext.1557 Fax: 866.629.6390 E-mail: dcaforio@benefitconcepts.com COBRA Online Reporting Website: www.avantserve.com/login.aspx AUL/One America (Life & LTD) Brian Case Field Vice President Phone: 800.451.7361 ext. 3 or 317.285.1797 Fax: 317.285.1151 E-mail: brian.case@oneamerica.com Stephanie Marvel Sales Administrator Phone: 800.451.7361 ext. 6 or 317.285.1067 Fax: 317.285.1151 E-mail: stephanie.marvel@oneamerica.com Susan Strum Inforce Service Coordinator Phone: 800.553.5318 ext. 4809 or 317.285.4809 Fax: 317.285.1151 E-mail: susan.strum@oneamerica.com Pam Bartel Group Life Claims Examiner Phone: 800.553.3522 ext. 4292 Fax: 317.285.7666 E-Mail: pam.bartel@oneamerica.com Keith Johnson Disability RMS, Sr. Managed Disability Analyst Phone: 866.258.8744 ext. 3853 Fax: 207.591.3808 E-mail: kjohnson@disabilityrms.com Group Number: 606334 Revised 1/13/2014 4
VSP (Vision Services Plan) Customer Service 800.877.7195 Ann Marie Meharg Account Manager Phone: 800.839.2033 ext. 2 or 248.350.2082 Fax: 248.350.1645 E-mail: annmarie.meharg@vsp.com Group Number- 30013275 Website benefits-eligible employees: https://vsp.com/go/ivytechcommunitycollege Website adjunct/part-time/retirees: https://vsp.com/go/ivytech UNUM (Critical Care, Short-Term Disability) Jennifer Gaddy Billing Coordinator (handles termination and billing questions) Phone: 800.635.5597 ext. 45608 Fax: 423.785.2975 E-mail: jgaddy@unum.com Kim Norton National Account Manager Phone: 859.982.0557 or 800.543.7612 ext. 20557 Fax: 859.982.0600 E-mail: knorton@unum.com Jackie Lau Service Associate Phone: 859.982.0575 or 800.543.7612 ext. 20575 Fax: 859.982.0600 E-mail: jlau@unum.com Customer Service Phone: 800.635.5597 Pre-Paid Legal Services, Inc (LegalShield) Janet Vaught Account Manager Worksite Benefits Gregory & Appel Insurance Phone: 317.686.6495 or 800.968-7491 ext. 495 Fax: 317.634.6629 E-mail: jvaught@gregoryappel.com Mailing Address: Gregory & Appel Insurance 1402 N. Capitol, Suite 400 Indianapolis, IN 46202 Billing Phone: 580.310.7752 Fax: 580.272.2840 Electronic: electrans@pplsi.com Revised 1/13/2014 5
AUL (Retirement Plans) Mark Larson Plan Services Consultant, daily contact at AUL Phone: 800.261.9618 ext. 1773 or 317.285.1773 Fax: 317.285.1728 E-mail: Mark.Larson@OneAmerica.com Bradley Coomer Client Services Manager, call for packets and to set up meetings Phone: 800-566-5952 ext. 4324 Fax: 317.285.3285 E-mail: Bradley.Coomer@OneAmerica.com Enrollment Kit Order Please call or email Juani Briones at Juani.Briones@OneAmerica.com Website: www.oneamerica.com Plan Number: G74532 TIAA-CREF (Retirement Plans) Sharon Kiker Managing Consultant Phone: 513.263.2828 Cell: 513.314.2410 Fax: 614.932.9566 E-mail: Skiker@tiaa-cref.org Travis Ramirez Client Service Consultant Phone: 800.842.2638 ext. 242482 E-mail: Tramirez@tiaa-cref.org Enrollment Kit Order please email Lori Evans, LEvans2@tiaa-cref.org Region Gary Valparaiso East Chicago Michigan City Elkhart South Bend Warsaw TIAA-CREF Phone Number Email Representative Jeannie Ilievski 765.497.8742 Jilievski@tiaa-cref.org Jeannie Ilievski 765.497.8742 Jilievski@tiaa-cref.org Fort Wayne Mike Dooley 317.706.6203 mdooley@tiaa-cref.org Lafayette Mike Dooley 317.706.6203 mdooley@tiaa-cref.org Kokomo Logansport Wabash Amanda Shorter 765.497.8744 ashorter@tiaa-cref.org Muncie Anderson Marion Mike Dooley 317.706.6203 mdooley@tiaa-cref.org Terre Haute Tim Stout 812.349.4453 tstout@tiaa-cref.org Revised 1/13/2014 6
Central Indiana/CO Jenny Kremer Mike Dooley 317.706.6202 317.706.6203 jkremer@tiaa-cref.org mdooley@tiaa-cref.org Richmond Ben Apraez 317.706.6205 bapraez@tiaa-cref.org Columbus Lori Matthews 812.349.4442 lmatthews@tiaa-cref.org Madison Lawrenceburg Tim Stout Lori Matthews 812.349.4453 812.349.4442 tstout@tiaa-cref.org lmatthews@tiaa-cref.org Evansville Lori Matthews 812.349.4442 lmatthews@tiaa-cref.org Sellersburg Tim Stout 812.349.4453 tstout@tiaa-cref.org Bloomington Tim Stout 812.349.4453 tstout@tiaa-cref.org One on One Counseling TIAA Counseling Phone Centers: 800.842.2776 Plan Numbers - 101050 RA 101051 SRA 101052 457(b) Indiana Public Retirement System - PERF (Retirement Plan) Region INPRS Representative Phone Number Email Gary John Veltroczky 317.771.0702 jvetroczky@inprs.in.gov Valparaiso East Chicago Michigan City Elkhart John Veltroczky 317.771.0702 jvetroczky@inprs.in.gov South Bend Warsaw Fort Wayne Jim Neddeff 317.650.0356 jneddeff@inprs.in.gov Lafayette Jennifer Lowery 317.650.6186 jlowery@inprs.in.gov Kokomo Jennifer Lowery 317.650.6186 jlowery@inprs.in.gov Logansport Wabash Muncie George Shields 317.605.7237 gshields@inprs.in.gov Anderson Marion Terre Haute Jennifer Lowery 317.680.6186 jlowery@inprs.in.gov Central Indiana/CO Tommie Wilson 317.234.2745 twilson@inprs.in.gov Richmond George Shields 317.605.7237 gshields@inprs.in.gov Columbus Carl Bright 317.650.9343 cbright@inprs.in.gov Madison Carl Bright 317.650.9343 cbright@inprs.in.gov Lawrenceburg Evansville Carl Bright 317.650.9343 cbright@inprs.in.gov Sellersburg Carl Bright 317.650.9343 cbright@inprs.in.gov Bloomington Carl Bright 317.650.9343 cbright@inprs.in.gov If you need to schedule on-site meetings, use above list. Fax for requesting forms: 317.232.4162 OR visit the website Plan Information or General Questions Toll-free line: 888.876.2707 Email: eppa@inprs.in.gov Revised 1/13/2014 7
Website: www.in.gov/inprs Account Number/Submission Unit: 8008000 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 STD757000 STDRR8000 STDCB9000 Standard 1 STDAC0001 STD757001 STDRR8001 STDCB9001 2 STDAC0002 STD757002 STDRR8002 STDCB9002 3 STDAC0003 STD757003 STDRR8003 STDCB9003 4 STDAC0004 STD757004 STDRR8004 STDCB9004 5 STDAC0005 STD757005 STDRR8005 STDCB9005 6 STDAC0006 STD757006 STDRR8006 STDCB9006 7 STDAC0007 STD757007 STDRR8007 STDCB9007 8 STDAC0008 STD757008 STDRR8008 STDCB9008 9 STDAC0009 STD757009 STDRR8009 STDCB9009 10 STDAC0010 STD757010 STDRR8010 STDCB9010 11 STDAC0011 STD757011 STDRR011 STDCB9011 111 STDAC0111 STD757111 STDRR8111 STDCB9111 12 STDAC0012 STD757012 STDRR8012 STDCB9012 13 STDAC0013 STD757013 STDRR8013 STDCB9013 Choice (S) 14 STDAC0014 STD757014 STDRR8014 STDCB9014 CO HDHSAC0000 HDHS757000 HDHSRR8000 HDHSCB9000 1 HDHSAC0001 HDHS757001 HDHSRR8001 HDHSCB9001 2 HDHSAC0002 HDHS757002 HDHSRR8002 HDHSCB9002 3 HDHSAC0003 HDHS757003 HDHSRR8003 HDHSCB9003 4 HDHSAC0004 HDHS757004 HDHSRR8004 HDHSCB9004 Revised 1/13/2014 8
5 HDHSAC0005 HDHS757005 HDHSRR8005 HDHSCB9005 6 HDHSAC0006 HDHS757006 HDHSRR8006 HDHSCB9006 7 HDHSAC0007 HDHS757007 HDHSRR8007 HDHSCB9007 8 HDHSAC0008 HDHS757008 HDHSRR8008 HDHSCB9008 9 HDHSAC0009 HDHS757009 HDHSRR8009 HDHSCB9009 10 HDHSAC0010 HDHS757010 HDHSRR8010 HDHSCB9010 11 HDHSAC0011 HDHS757011 HDHSRR8011 HDHSCB9011 111 HDHSAC0111 HDHS757111 HDHSRR8111 HDHSCB9111 12 HDHSAC0012 HDHS757012 HDHSRR8012 HDHSCB9012 13 HDHSAC0013 HDHS757013 HDHSRR8013 HDHSCB9013 14 HDHSAC0014 HDHS757014 HDHSRR8014 HDHSCB9014 Choice (F) CO HDHFAC0000 HDHF757000 HDHFRR8000 HDHFCB9000 1 HDHFAC0001 HDHF757001 HDHFRR8001 HDHFCB9001 2 HDHFAC0002 HDHF757002 HDHFRR8002 HDHFCB9002 3 HDHFAC0003 HDHF757003 HDHFRR8003 HDHFCB9003 4 HDHFAC0004 HDHF757004 HDHFRR8004 HDHFCB9004 5 HDHFAC0005 HDHF757005 HDHFRR8005 HDHFCB9005 6 HDHFAC0006 HDHF757006 HDHFRR8006 HDHFCB9006 7 HDHFAC0007 HDHF757007 HDHFRR8007 HDHFCB9007 8 HDHFAC0008 HDHF757008 HDHFRR8008 HDHFCB9008 9 HDHFAC0009 HDHF757009 HDHFRR8009 HDHFCB9009 10 HDHFAC0010 HDHF757010 HDHFRR8010 HDHFCB9010 11 HDHFAC0011 HDHF757011 HDHFRR8011 HDHFCB9011 111 HDHFAC0111 HDHF757111 HDHFRR8111 HDHFCB9111 12 HDHFAC0012 HDHF757012 HDHFRR8012 HDHFCB9012 13 HDHFAC0013 HDHF757013 HDHFRR8013 HDHFCB9013 14 HDHFAC0014 HDHF757014 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
Revised 1/13/2014 10