Page 37 - Great Circle 2021 Benefits Guide
P. 37
2021
Great Circle Benefits Enrollment
Contact Information
Medical and Rx Accident and Critical Illness
Anthem The Hartford
800.490.6145 866.547.4205
www.anthem.com thehartford.com/beneits/myclaim
Network: Blue Access Employee Assistance Program
Network for St. Louis and surrounding Lincoln Financial
counties: Blue Access Choice 888.628.4824
Group Number: W60490 www.GuidanceResources.com
Plan: 748
Rx BIN: 020099 Healthcare and Dependent Care
Dental Flexible Spending Accounts
Delta Dental Navia Beneits
800.669.3539
800.335.8266 866.535.9227 (fax)
service@deltadentalmo.com service@naviabeneits.com
www.deltadentalmo.com
Navia Beneits
Primary Network: Delta Dental PPO PO Box 53250
Secondary Network: Delta Dental Premier Bellevue, WA 98015
Base Plan Policy Number: 1996-1000
Buy-Up Plan Policy Number: 1997 Health Savings Account
Vision Central Bank
Superior Vision 833.232.4676
www.hsacentral.net
800.507.3800 HSACentral@healthaccountservices.com
www.superiorvision.com
401(k) Education and Guidance
Network: Superior National
Group Number: 03659401 Moneta
855.666.3828
Life and AD&D Myadvisor@monetagroup.com
The Hartford Retirement
888.563.1124
gbclaimsclife@thehartford.com EPIC Retirement Plan Services
www.hartford.webtpa.com 800.716.3742
www.epicrps.com
Group Number: 681398 1699 S Hanley Rd, Suite 300
St. Louis, Mo 63144
Short Term and Long Term Disability COBRA
Lincoln Financial The Taben Group
800.423.2765 PO BOX 7330
www.lfg.com Shawnee Mission, KS 66207-0330
For claims: disabilityclaims@lfg.com 800.675.7341
913.649.7847 (fax)
Group ID: GreatCIR
Short Term Disability Policy Number: The Benefit Hub—discount program
STD0010244931
Long Term Disability Policy Number: https://greatcircle.beneithub.com
LTD0010244930 Code for irst-time users: SHY245
37
Great Circle Benefits Enrollment
Contact Information
Medical and Rx Accident and Critical Illness
Anthem The Hartford
800.490.6145 866.547.4205
www.anthem.com thehartford.com/beneits/myclaim
Network: Blue Access Employee Assistance Program
Network for St. Louis and surrounding Lincoln Financial
counties: Blue Access Choice 888.628.4824
Group Number: W60490 www.GuidanceResources.com
Plan: 748
Rx BIN: 020099 Healthcare and Dependent Care
Dental Flexible Spending Accounts
Delta Dental Navia Beneits
800.669.3539
800.335.8266 866.535.9227 (fax)
service@deltadentalmo.com service@naviabeneits.com
www.deltadentalmo.com
Navia Beneits
Primary Network: Delta Dental PPO PO Box 53250
Secondary Network: Delta Dental Premier Bellevue, WA 98015
Base Plan Policy Number: 1996-1000
Buy-Up Plan Policy Number: 1997 Health Savings Account
Vision Central Bank
Superior Vision 833.232.4676
www.hsacentral.net
800.507.3800 HSACentral@healthaccountservices.com
www.superiorvision.com
401(k) Education and Guidance
Network: Superior National
Group Number: 03659401 Moneta
855.666.3828
Life and AD&D Myadvisor@monetagroup.com
The Hartford Retirement
888.563.1124
gbclaimsclife@thehartford.com EPIC Retirement Plan Services
www.hartford.webtpa.com 800.716.3742
www.epicrps.com
Group Number: 681398 1699 S Hanley Rd, Suite 300
St. Louis, Mo 63144
Short Term and Long Term Disability COBRA
Lincoln Financial The Taben Group
800.423.2765 PO BOX 7330
www.lfg.com Shawnee Mission, KS 66207-0330
For claims: disabilityclaims@lfg.com 800.675.7341
913.649.7847 (fax)
Group ID: GreatCIR
Short Term Disability Policy Number: The Benefit Hub—discount program
STD0010244931
Long Term Disability Policy Number: https://greatcircle.beneithub.com
LTD0010244930 Code for irst-time users: SHY245
37
