BENEFITS INFORMATION
for 2005-2006 Plan Year

Employee Group Insurance Guide For Employee Benefits | Benefit Cost Worksheet 
  


UT SELECT MEDICAL:

Blue Cross & Blue Shield-Texas
   P.O. Box 660044
   Dallas, Texas 75266-0044
   1-866-882-2034
   1-800-810-2583 (Provider Directory Outside Texas)
   GROUP #: 71778
   www.bcbstx.com/ut  
   Provider Finder 
   UT Select Benefits Booklet (PDF)
   Blue Access for Members 
  


UT DENTAL SELECT:

Delta Dental
   P.O. Box 1809
   Alpharetta, GA 30023
   1-800-983-3582
   GROUP #: 00-5968
   www.deltadentalins.com
   UT Dental Select Plan Booklet (PDF)
   UT Dental Select Flyer (PDF)  
  


VISION:

Superior Vision
   Superior Vision Services, Inc.
   P.O. Box 967
   Rancho Cordova, CA 95741
   1-800-507-3800
   Fax: (916) 852-2290
   GROUP #: 056856
   www.superiorvision.com
   Provider Search 
   Benefits Summary (PDF)
   Plan Certificate (PDF)
     


UT SELECT PRESCRIPTION: 

Medco Health Solutions Retail
   PAID Prescriptions (Local Pharmacy)
   P.O. Box 2277
   Lee's Summit, MO 64063-2277
   1-800-818-0155
   GROUP #: UTSYSRX

   Medco Health (Home Delivery Pharmacy)
   P.O. Box 650322
   Dallas, Texas 75265-0322

   www.medcohealth.com
   Participating Pharmacies
   Summary of Benefits
   Home Delivery Pharmacy Frequently Asked Questions 
          


LIFE INSURANCE & ACCIDENTAL DEADH & DISMEMBERMENT:

   Fort Deabron Life Insurance
   Claims Address:
   P.O. Box 655403
   Dallas, TX  75265-5403
   (866) 628-2606
   Fax: (800) 925-9208
   http://www.fdl-life.com/ut
   Group Term Life Certificate
   Accidental Death & Dismemberment Certificate
          


LONG TERM CARE:

   CNA/Hartford
   Claims Address:
   Continental Casualties
   Attn: LTC Claims
   P.O. Box 946760
   Maitland, FL 35294-6760
   (888) 825-0353
   CNA Long Term Care
          


LONG TERM DISABILITY:

   The Hartford
   Claim Address:
   The Hartford
   P.O. Box 946710
   Maitland, FL  32794-6710
   (800) 303-9744 
   The Hartford Long Term Disability
   LTD Plan Certificate
             


SHORT TERM DISABILITY:    The Hartford
   Claim Address:
   The Hartford
   P.O. Box 946710
   Maitland, FL  32794-6710
   (800) 303-9744 
   The Hartford Short Term Disability
   STD Certificate
          

UT FLEX

   PayFlex Systems USA, Inc.
   Claims Address
   P.O. Box 3039
   Omaha, NE 68103-3039
   (866) 887-3539
   Fax: 1-877-230-4273 Toll Free
   www.utflex.com
   Claim Instructions
          


WORKERS' COMPENSATION INSURANCE:

   The University of Texas System
   Business & Administrative Services
   Norwood Towers
   114 West 7th Street, Suite 600
   Austin, Texas 78701
   UT System Claims Adjustor
   Martin Rodriguez
   1-888-396-6844 Toll Free
   Workers' Compensation Insurance Q&A
   Incident Report
   WCI Links
          


OTHER IMPORTANT LINKS:

   Employee Group Insurance 
   The University of Texas System 
   Social Security Administration 
   Texas Tomorrow Fund 
   Children's Health Insurance Program
   UT Retirement Manager  
          


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