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Claim forms should be sent to:
United Concordia Companies, Inc.
Dental Claims
P.O. Box 69421
Harrisburg, PA 17106-9421
Customer Service: (800) 332-0366
To locate a participating dentist, visit www.unitedconcordia.com.
Vision
The Board has contracted with Highmark Blue Cross Blue Shield to provide vision benefits
under the Plan. The vision benefit is administered by Davis Vision. Benefits are paid entirely
by Highmark in accordance with the terms of the Plan and are guaranteed under the policy.
If you receive services from a network provider, you will not have to file a claim. If you
receive services from an out-of-network provider, you must file the claim for
reimbursement to:
Vision Care
P.O. Box 1525
Latham, NY 12110-1525
Highmark has contracted with Davis Vision for use of its provider network. To locate a
network provider, call 1-800-223-4795 or visit www.highmarkbcbs.com and click on “find a
vision network provider.”
Agent For Legal Process. The agent for the service of legal process for the Plan is Steven
Gonzalez. Trustee, 1271 Avenue of the Americas, New York, NY 10020.
SUBROGATION
General Principle
When you or your enrolled spouse or dependent child(ren) receive benefits under the Plan
that are related to medical expenses that are also payable under Workers’ Compensation, any
statute, any uninsured or underinsured motorist program, any no fault or school insurance
program, any other insurance policy or any other plan of benefits, or when related medical
expenses that arise through an act or omission of another person are paid by a third party,
whether through legal action, settlement or for any other reason, you or your spouse or your
dependent child(ren) are required to reimburse the Plan for the related benefits received out
of any funds or monies you or your dependent recovers from any third party.
Specific Requirements and Plan Rights
Because the Plan is entitled to reimbursement, the Plan will be fully subrogated to any and all
rights, recovery or causes of actions or claims that you or your spouse or dependent
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