Contacts
This section provides addresses, group numbers, phone numbers, and website addresses so you can contact the organizations that manage or administer the benefit plans.
If You Have Questions
If you have any questions about your benefit options, dependent eligibility or any other benefits, you can contact the PG&E Benefits Service Center at 866-271-8144 (open weekdays from 7:30 a.m. to 5 p.m. Pacific time).
Plan
Group No.
Phone No.
Web Site
Address
Blue Shield HMO
IBEW and SEIU: H11871
ESC: H11872
LTD IBEW and SEIU: H11874
LTD ESC: H11875
888-235-1765
Blue Shield of California
P.O. Box 272540
Chico, CA 95927-2540
Blue Shield Medicare COB HMO
(LTD Medicare Only)
H11473
888-235-1765
Blue Shield of California
P.O. Box 272540
Chico, CA 95927-2540
Health Net HMO
IBEW and SEIU: 68990A
ESC: 68991A
LTD IBEW and SEIU: 68990E
LTD ESC: 68991E
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 Seniority Plus
(LTD Medicare Only)
LTD IBEW and SEIU: 6899SP
LTD ESC: 6899SN
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 HMO
Effective 1/1/2012 (for all active employees not on LTD):
Kaiser Permanente North and South EPO
North
IBEW and SEIU: 28-0000
ESC: 28-0100
LTD IBEW and SEIU: 28-0005
LTD ESC: 28-0109
South
IBEW and SEIU: 107932-0001
ESC: 107932-0100
LTD IBEW and SEIU: 107932-0047
LTD ESC: 107932-0110
Effective 1/1/2012 (for all active employees not on LTD)
North and South:
00120002
800-464-4000
Effective 1/1/2012 (for all active employees not on LTD), call:
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
PG&E Self-Funded Plans Administered by Anthem Blue Cross
Network Access Plan (NAP)
Comprehensive Access Plan (CAP)
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
Tax-Advantaged Accounts Administered by ConnectYourCare:
Health Care Reimbursement Account (HCRA)
Dependent Care Reimbursement Account (DCRA)
Health Savings Account (HSA)
None
888-439-5121
www.connectyourcare.com
(general information)
www.connectyourcare.com/pge
(personalized portal)
ConnectYourCare
307 International Circle
Suite 200
Hunt Valley, MD 21030
Prescription Drug Plan Administered by Medco Health
For NAP, CAP, and HSA Medical Plan
PGE0000
800-718-6590
Medco
P. O. Box 14711
Lexington, KY 40512
Mental Health and Substance Abuse Program Administered by ValueOptions
For NAP, CAP, and all 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
None
800-345-2476, ext. 233
Dental Plan Administered by Delta Dental
IBEW and SEIU:1515-0101
ESC:1515-0106
LTD IBEW and SEIU: 1515-0111
LTD ESC: 1515-0116
888-217-5323
Marketing Department
P. O. Box 7736
San Francisco, CA
94120
Vision Plan Administered by Vision Service Plan
Union: 401601-Div 6, Class 3
LTD Union: 401604-Div 44, Class 8
800-877-7195
Customer Service
P. O. Box 997100
Sacramento, CA
95899-7100
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
COBRA
(Administered by Ceridian)
None
800-877-7994
Ceridian (COBRASERV)
P.O. Box 534099
St. Petersburg, FL
33747-4099
GlobalFit
None
800-294-1500
Employee Assistance Program
None
888-445-4436
www.achievesolutions.net/pge
ValueOptions, Inc.
P.O. Box 1290
Latham, NY 12110
PG&E Leave Management
None
866-369-7582
Aon Hewitt
P.O. Box 1548
Farmington, CT 06034-1548
PG&E Long-Term Disability
Plan No.: 503
Utility EIN: 94-0742640
888-445-4462
Matrix Absence Management, Inc.
P.O. Box 11036
San Jose, CA 95103
Life Insurance
Administered by MetLife
74300
888-878-8490
Will Preparation Services
Administered by Hyatt Legal Plans
74300
800-821-6400