BENEFITS

HIPAA

Health Plan (PDF file)

Forms

Vision Service Plan

Delta Dental

AFLAC

Insurance Presentation

Medical Coverage

Blue Cross of California
Group # 1224KA
Provider List www.bluecrossca.com
Professional Claims:
Keenan & Associates Prudent Buyer Plan
P.O. Box 42035
Hazelwood, MO 63042
(800) 653-3626 (Customer Service)
www.keenanassoc.com
Hospital Claims:
Blue Cross of California
P.O. Box 60007
Los Angeles, CA 90060
Out of State Providers:
Multi-Plan
www.Multiplan.com
(800) 557-6794

Vision Coverage

Vision Service Plan
Group # 12262043-0001
P.O. Box 997105
Sacramento, CA 95899-7105
(800) 877-7195
www.vsp.com

Dental Coverage

Delta Dental Plan of California
Group # 2751-0004
P.O. Box 7736
San Francisco, CA 94120
(866) 499-3001
e-mail: cms@delta.org
www.deltadentalca.org

Section 125 Plan
(Unreimbursed Medical, Dependent Day Care, and Supplement Insurance)

AFLAC
Brett & Terrie Runolfson
P.O. Box 1959
Cottonwood, CA 96022
(530) 347-7232
www.aflac.com

 

Prescription Coverage

Express Scripts
Group # V5SA
P.O. Box 66583
St. Louis, MO 63166
(888) 676-7881
www.express-scripts.com