Medical Plans Group # Phone # Website/E-mail



BENEFITS PROVIDER CONTACT INFORMATION Below you will find important information about Bremerton School District and the vendors with whom we conduct our employee benefits business. It includes names and addresses of both District and vendor contacts. Medical Plans Group # Phone # Website/E-mail Group Health Cooperative PO Box 34585 Seattle, WA 98124-1585 HMO- 0139000 $200- 6518600$500- 6518500$1,000-6518400$1,500-00000001-888-901-4636 Member Card Mailed Premera Blue Cross PO Box 91080 Seattle, WA 98111 Prescriptions 8000014 BCWAPDP 1-800-932-9221 Plan benefit book: wea Member Card Mailed PORTAL for WEA Plans Premera Blue Cross & Willamette Dental WEA Select Benefits Center: 1-855-668-5039 wea Dental Plans Ameritas Group P.O. Box 82520 Lincoln, NE 68501-2520 010-350701 1-800-487-5553 group. Member Card Mailed Willamette Dental 6950 NE Campus Way Hillsboro, OR 97124 SEIU ALL OTHERS See PORTAL information in Medical section for WEA Plans Customer Service: Appointments & Emergencies: WW10CO1-WEAFM4 WW10CT1 - WEA 1-800-360-1909 1-800-359-6019 WEA Plans Portal Member Card Mailed Vision Plan Vision Service Plan 3333 Quality Drive Rancho Cordova, CA 95670 07112406 1-800-877-7195 SSN &/or Printable Card From Website Life Insurance Standard Insurance Company1100 SW 6th 1-800-348-3226 Long Term Disability Standard Insurance Company1100 SW 6th AvenuePortland, OR 97204 1-800-348-3226 State Retirement Group # Phone # Website/E-mail Dept. of Retirement Systems PO Box 48380 Olympia, WA 98504-8380 (Mandated 401(a) Plan) 1-800-547-6657 drs. Plan 3 Self Investment ICMA Retirement Corp. 777 North Capitol Street NE Washington, DC 20002-4240 Fax: 1-888-711-8773 1-202-962-4601 403(b) Tax Sheltered Annuities (TSA) Administrator PenServe Plan Services 103 Trade Zone Drive West Columbia, SC 29170 1-800-849-4001 403bservice@ COBRA Administrator Sprague Israel Giles, Inc.1501 Fourth Avenue, Suite 730Seattle, WA 98101-1637 Send COBRA Payments to the above address. 1-800-946-70661-206-957-7066 Fax: 1-253-272-0932 Email: Questions@ VEBA Administrator c/o Sprague Israel Giles, Inc.1501 Fourth Avenue, Suite 730Seattle, WA 98101-1637Plan Questions: Fax: Account Questions: Fax: 1-800-422-4023 1-253-435-8850 1-800-832-2101 1-509-535-7883 Health Care Authority PEBB Health Care Benefits (Upon retirement) 1-800-200-1004 hca/pebb Social Security Administration For name changes and related items 1-800-772-1213 Deferred Compensation Group # Phone # Website/E-mail Dept. of Retirement Systems PO Box 40931 Olympia, WA 98504-0931 1-888-327-5596 DRS/dcp Employee Assistance Program First Choice Health 601 Union Street, Suite 1100 Seattle, WA 98101 TDD: 1-800-777-4114 1-800-777-4939 Voluntary Life Standard Insurance Company1100 SW 6th AvenuePortland, OR 97204 1-800-348-3226 Voluntary Short Term Disability American Fidelity Assurance PO Box 25160 Oklahoma City, OK 73125 Local contact: Corey Dahlberg Claims: Fax: Enrollment: 1-800-662-1113 1-800-703-1191 1-866-576-0201 Corey.Dahlberg@AFLAC PO Box 47 Port Orchard, WA 98366 Attn: Paul Mueller Fax: 360-204-2003 360-876-8513 The-Aflac-Guy@ Long Term Care Prudential Financial 601 Union Street, Suite 3525Seattle, WA 98101 (New plans no longer offered)1-800-732-0416 gltc Cancer Insurance American Fidelity Assurance PO Box 25160 Oklahoma City, OK 73125 Local contact: Corey Dahlberg Claims: Fax: Enrollment: 1-800-662-1113 1-800-703-1191 1-866-576-0201 Corey.Dahlberg@AFLAC PO Box 47 Port Orchard, WA 98366 Attn: Paul Mueller Fax: 360-204-2003 360-876-8513 The-Aflac-Guy@ Flexible Spending Accounts American Fidelity Assurance PO Box 25160 Oklahoma City, OK 73125 Local contact: Corey Dahlberg Claims: Fax: Enrollment: 1-800-662-1113 1-800-703-1191 1-866-576-0201 Corey.Dahlberg@ Pre-Paid Legal/LegalShield Pre-Paid Legal Local contact: Steven Hoisington Phone: 360-440-7751 stevehoisington@ If you have difficulty obtaining answers to questions or resolving coverage or claim issues through the numbers previously listed, call: Broker Consultant Sprague Israel Giles, Inc.1501 Fourth Avenue, Suite 730Seattle, WA 98101-16371-800-946-70661-206-957-7066 Fax: 1-253-272-0932 Questions@ **If you have questions regarding Cigna, please contact the BSD Benefits Specialist Jennifer Sobocinski (360)473-1021 Updated February 2016 ................
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