Page 3 - Employer Admin Guide
P. 3

Addresses                                          Utilization Review Appeals
                                                                   Connecticut:
                General Correspondence:                            ConnectiCare, Inc. & Affiliates
                ConnectiCare, Inc.                                 Member Appeals
                175 Scott Swamp Road                               175 Scott Swamp Road
                P.O. Box 4050                                      P.O. Box 4061
                Farmington, CT 06034-4050                          Farmington, CT 06034-4061

                Premium Payments:                                  Massachusetts:
                ConnectiCare, Inc. & Affiliates                    ConnectiCare of Massachusetts, Inc.
                P.O. Box 416191                                    Member Appeals
                Boston, MA 02241-6191                              175 Scott Swamp Road
                                                                   P.O. Box 4061
                Enrollment Forms/                                  Farmington, CT 06034-4061
                Correspondence:
                ConnectiCare, Inc. & Affiliates                    ConnectiCare of Massachusetts, Inc.
                175 Scott Swamp Road                               175 Scott Swamp Road
                P.O. Box 4058                                      P.O. Box 522
                Farmington, CT 06034-4058                          Farmington, CT 06034-0522

                Medical Claims                                     ConnectiCare, Inc. Sales & Marketing
                Connecticut:                                       ConnectiCare, Inc.
                ConnectiCare, Inc.                                 175 Scott Swamp Road
                175 Scott Swamp Road                               P.O. Box 4050
                P.O. Box 546                                       Farmington, CT 06034-4050
                Farmington, CT 06034-0546
                                                                   Questions & Complaints
                Massachusetts:                                     ConnectiCare, Inc.
                ConnectiCare of Massachusetts, Inc.                Member & Provider Services
                175 Scott Swamp Road                               175 Scott Swamp Road
                P.O. Box 522                                       P.O. Box 4050
                Farmington, CT 06034-0522                          Farmington, CT 06034-4050









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