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
|
|
|