Page 148 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat
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MLB League-Wide Insurance Program
Plan and Summary Plan Description
Address: 1271 Avenue of the Americas
New York, NY 10200
Telephone: (212) 931-7852
Plan Information. The official Plan name, Plan identification number, and Plan Year (fiscal
year used for plan records) for the Plan are as follows:
Plan Name: Major League Baseball League-Wide Insurance Program
Plan ID #: 501
Plan Year: Begins on January 1 and ends on December 31.
Type Of Plan. The Plan is a multiple employer welfare benefit plan providing medical and
dental benefits.
Claims Administration And Funding.
Medical
The Board has contracted with Highmark Blue Cross Blue Shield to provide medical benefits
and claims services under the Plan. Benefits are paid entirely by the insurance company in
accordance with the terms of the Plan and are guaranteed under the policy.
Highmark Blue Cross Blue Shield
120 Fifth Avenue Place
Pittsburgh, PA 15222
Send non-network claims to:
Highmark Blue Cross Blue Shield
P.O. Box 1210
Pittsburgh, PA 15230
Customer Service: (800) 701-2324
To locate a participating provider, visit www.highmarkbcbs.com.
Dental
The Board has contracted with Metropolitan Life Insurance Company (MetLife) to provide
dental benefits and claims services under the Plan. Benefits are paid entirely by the insurance
company in accordance with the terms of the Plan and are guaranteed under the policy.
MetLife Group Dental Claims
P.O. Box 981282
El Paso, TX 79998
Agent For Legal Process. The agent for the service of legal process for the Plan is Steven
Gonzalez, Esq., 1271 Avenue of the Americas, New York, NY 10020.
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