UTSA Benefits Quick Reference List |
Medical Insurance |
UT Select - Blue Cross Blue Shield PPO
P.O. Box 660044
Dallas, TX 75266-0044
Group Number: 71778
1-866-882-2034
http://www.bcbstx.com/ut/utselect_main.htm
INROADS Behavioral Health
1-800-528-7264
http://www.bcbstx.com/ut/
Precertification
1-800-441-9188
Network #: PTXOA
Subscriber #: UTS+Social Security Number
To find providers outside of Texas
1-800-810-2583
http://www.bcbs.com/
Prescription Services |
Medco Health (UT Select Blue Cross Blue Shield Members Only)
Group Number: U743ACT
1-800-818-0155
http://www.medcohealth.com
New Mail Order Prescriptions
MMRX of Texas, L.L.C,
P.O. box 650322
Dallas TX 75265-0322Paper Retail Reimbursements
PaidPrescriptions, L.L.C.
P.O. Box 2277
Lee's Summitt, MO 64063-2277
Retail Pharmacy Service: 1-800-922-1557
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 830604
Birmingham, AL 35282-8322
Group Number: 132652
1-800-456-9194
http://www.assurantemployeebenefits.com/
Vision Services |
Superior Vision Plan
P.O. Box 967
Rancho Cordova, CA 95741
1-800-507-3800
http://www.superiorvision.com
Employee Assistance Program (EAP) |
Family Service Association
1-210-226-3391
Several locations are available - Call for information
Evening and Weekend Emergencies
1-210-260-8317
http://www.fsasatx.org/
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/
Life and Personal Accident Insurance |
Fort Dearborn Life Group Insurance
Basic Voluntary Term Life
Highpoint Center #1
12225 Greenville Ave
Dallas, TX 75243
1-800-231-1193
Group Number: FL 1051273
http://www.fdl-life.com/ut/
Personal Accident Insurance
Highpoint Center #1
12225 Greenville Ave
Dallas, TX 75243
1-800-231-1193
Group Number: OK 821433
http://www.fdl-life.com/ut/
MetLife Insurance Company
Texas Protects
1-800-634-5007
Long Term Insurance - Disability / Care |
Long Term Disability Insurance
CNA Insurance Company
Certificate: http://www.utsystem.edu/egi/pubs/2000CNALTDcert.pdf
National Accounts Claims
P.O. Box 946710
Maitland, FL 32794-6710
Group Number: 83098970
1-800-262-7997
Long Term Care Insurance
The Hartford
Group Medical Underwriting
P.O. Box 2999
Hartford, CT 06104-2999
1-888-825-0353
Group number 0010025TQ
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/
Optional Retirement Plan
http://www.utsystem.edu/benefits/retirement/OptionalRetirement.html
