Plan
|
Group No.
|
Phone No.
|
Website
|
Address
|
Blue Shield HMO
|
H11473
|
888-235-1765
|
Blue Shield of California P.O. Box 272540 Chico, CA 95927-2540 |
|
Blue Shield Medicare COB HMO
|
H11473
|
888-235-1765
|
Blue Shield of California P.O. Box 272540 Chico, CA 95927-2540 |
|
Health Net HMO
|
68992M
|
800-522-0088
|
Claims Department
P.O. Box 14702 Lexington, KY 40512
Appeals and Grievance Dept. P.O. Box 9103 Van Nuys, CA 91409 |
|
Health Net Medicare COB HMO
|
68992R
|
Medical with Health Net
800- 522-0088
Pharmacy with SilverScript 888-648-9626 |
Claims Department
P.O. Box 14702 Lexington, KY 40512
Appeals and Grievance Dept. P.O. Box 9103 Van Nuys, CA 91409 |
|
Health Net Seniority Plus
|
68992S
|
Current members:
800-275-4737
Prospective members: 800-596-6565 |
Claims Department
P.O. Box 14702 Lexington, KY 40512
Appeals and Grievance Dept. P.O. Box 9103 Van Nuys, CA 91409 |
|
Kaiser Permanente North and South EPO
|
North
Retiree:
603702; EU 2
Surviving Spouse:
603702; EU11
South
Retiree:
231142; EU 2
Surviving Spouse: 231142; EU11 |
North —
800-663-1771
South — 800-533-1833 |
Claims Administration Department
P. O. Box 12923 Oakland, CA 94604-2923
Member Service Call Center P. O. Box 210004 Stockton, CA 95210 |
|
Kaiser Permanente Senior Advantage
North and South
|
North
Retiree:
738; EU 1
Surviving Spouse:
738; EU 2
South
Retiree and Surviving Spouse: 107932; EU 0002 |
800-443-0815
|
Claims Administration Department
P. O. Box 12923 Oakland, CA 94604-2923
Member Service Call Center P. O. Box 210004 Stockton, CA 95210 |
|
PG&E Self-Funded Plans Administered by Anthem Blue Cross
Network Access Plan (NAP)
Comprehensive Access Plan (CAP)
Retiree Optional Plan (ROP)
Medicare Supplemental Plan (MSP)
|
PZG170157
|
800-964-0530
|
Anthem Blue Cross P.O Box 60007 Los Angeles, CA 90060 |
|
Health Savings Account Medical Plan (HSA Medical Plan)
|
PZG170157
|
866-940-8299
|
Anthem Blue Cross P.O Box 60007 Los Angeles, CA 90060 |
|
American Specialty Health Network (ASHN)
Network Chiropractic Care for Anthem Blue Cross-Administered Plans
|
PZG170157
|
800-678-9133
|
American Specialty Health 777 Front Street San Diego, CA 92101 |
|
Health Savings Account (HSA) Administered by ConnectYourCare (through 12/31/13)
|
None
|
888-439-5121
|
|
ConnectYourCare 307 International Circle Suite 200 Hunt Valley, MD 21030 |
Health Savings Account (HSA) Administered by UMB Bank (effective 1/1/14)
|
None
|
866-520-4HSA (4472)
|
|
|
Prescription Drug Plan Administered by Medco Health
For NAP, CAP,ROP, MSP, and HSA Medical Plan
|
PGE0000
|
800-718-6590
|
Medco P. O. Box 14711 Lexington, KY 40512 |
|
Mental Health and Substance Abuse (MHSA) Program Administered by ValueOptions
For NAP, CAP, all HMOs (including Medicare COB HMOs and Medicare Advantage HMOs)
|
None
|
800-562-3588
|
ValueOptions, Inc. P.O. Box 1290 Latham, NY 12110 |
|
Smokeless®- Tobacco Cessation Program
Offered in conjunction with the American Institute for Preventive Medicine
(through 12/31/13)
|
None
|
800-345-2476, ext. 233
|
|
|
Tobacco Cessation Program Administered by Provant Health Solutions
(effective 1/1/14)
|
None
|
866-271-8144
|
|
|
Retirement Savings Plan—401(k)
Administered by Fidelity
|
Plan No.: 001
EIN: 94-3234914
|
877-743-4015
|
|
|
Financial Engines
|
Plan No.: 001
EIN: 94-3234914
|
877-743-4015 (ask for Financial Engines)
|
www.401k.com (click the Financial Engines link)
|
|
Retirement Plan — Pension
Administered by PG&E
|
Plan No.: 001
EIN: 94-0742640
|
866-271-8144
(ask for Retirement)
|
|
|
COBRA
(Administered by Ceridian)
|
None
|
800-877-7994
|
Ceridian (COBRASERV) P.O. Box 534099 St. Petersburg, FL 33747-4099 |
|
Life Insurance
Administered by MetLife
|
74300
|
888-878-8490
|
|