Group Benefits Handbook for Retired Employees
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 Finder Outside Texas) GROUP #: 71778 www.bcbstx.com/ut Provider Finder UT Select Benefits Guide (PDF) Blue Access for Members
UT SELECT PRESCRIPTION:
Medco Health Solutions 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 Summary of Benefits
UT DENTAL SELECT:
Delta Dental P.O. Box 1809 Alpharetta, GA 30023 1-800-893-3582 GROUP #: 00-5968 www.deltadentalins.com UT Select Dental Benefits Guide (PDF) UT Select Dental Brochure (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 Guide (PDF)
LIFE INSURANCE & ACCIDENTAL DEATH & DISMEMBERMENT:
Fort Dearborn 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 Claims Address: Continental Casualties Attn: LTC Claims P.O. Box 946760 Maitland, FL 35294-6760 (888) 825-0353 CNA Long Term Care Long Term Care Guide Long Term Care Hightlights
LONG TERM DISABILITY:
The HartfordClaim Address:The HartfordP.O. Box 946710Maitland, FL 32794-6710(800) 303-9744
Long Term Disability Benefits Guide
Long Term Disabilities Highlights
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
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