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UTSA Benefits Quick Reference List

   
 
















 

Medical Insurance

 

UT Select - Blue Cross Blue Shield PPO
P.O. Box 660044
Dallas, TX 75266-0044
Group Number: 071778
1-866-882-2034
http://www.bcbstx.com/ut/utselect_main.htm

INROADS Behavioral Health
1-800-528-7264
http://www.bcbstx.com/ut/

Preauthorization
1-800-441-9188
Network #: PTXOA

To find providers outside of Texas
1-800-810-2583
http://www.bcbs.com/


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Prescription Services

Medco Health (UT Select Blue Cross Blue Shield Members Only)
Group Number: UTSYSRX
1-800-818-0155
http://www.medcohealth.com

New Mail Order Prescriptions
MERCK - MEDCO Rx Services
P.O. Box 14711
Lexington KY40512

Paper Retail Reimbursements
PaidPrescriptions, L.L.C.
P.O. Box 2277
Lee's Summitt, MO 64063-2277
Retail Pharmacy Service: 1-800-922-1557

 

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 Dental

Delta Dental (Premier Plan)
P.O. Box 1809, Alpharetta, GA 30023-1809
Group Number: 5968
1-800-893-3582
http://www.deltadentalins.com/group_sites/universityoftexas/directories.html

 

Assurant Dental DHMO (formerly Fortis Dental)
P.O. Box 830607
Birmingham, AL 35283-0949
Group Number: CX86
1-800-443-2995
http://www.assurantemployeebenefits.com/

 


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Vision Services

 

Superior Vision Plan
P.O. Box 967
Rancho Cordova, CA 95741
1-800-507-3800
http://www.superiorvision.com

 

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 Employee Assistance Program (EAP)


Deer Oaks Employee Assistance Program
1-866-EAP-2400 or (210) 615-8880

National Relay: 1-800-877-8339
Email: eap@deeroaks.com
www.deeroaks.com
Login & Password: UTSA

Effective Wednesday, October 1, 2008, Deer Oaks became UTSA’s new Employee Assistance Services provider.


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 Flexible Spending Accounts (UT FLEX)


PayFlex
P.O. Box 3039
Omaha, NE 68103-3039
1-866-887-3539
1-877-230-4283 FAX
http://www.payflex.com/utflex/


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 Life and Personal Accident Insurance

 

Fort Dearborn Life Group Insurance

Basic Voluntary Term Life
Fort Dearborn Life Insurance Company
PO BOX 655403
Dallas, TX 75265-5403
1-866-628-2606
Group Number: GFZ71778
http://www.fdl-life.com/ut/

 

Accidental Death and Dismemberment
Fort Dearborn Life Insurance Company
PO BOX 655403
Dallas, TX 75265-5403
1-866-628-2606
Group Number: GFZ71778
http://www.fdl-life.com/ut/

 

 

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Short and Long Term Disability

 

Fort Dearborn Life
(Beginning September 1, 2009)
Group: GFZ71778

P.O. Box 655403
Dallas, TX 75265-5403

(866) 628-2606
M-F 7:00 AM - 7:00 PM CT

http://www.fdl-life.com/ut/

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 Long Term Care

 

Long Term Care

CNA Insurance Company

Continental Casualty
Attn: LTC Claims
PO Box 946760
Maitland, FL 32794-6760
Group Number: 0010025TQ
1-800-825-0353


 

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Retirement

 

Tax Sheltered Annuity (TSA) 403 (b) plan


Teacher Retirement System of Texas
1000 Red River Street
Austin, TX 78701-2698
1-800-223-8778
Information Line (24 hours):
1-888-877-0123
http://www.trs.state.tx.us/

 

ORP - Optional Retirement Plan

http://www.utsystem.edu/benefits/retirement/optionalretirement.htm

 

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