Page 21 - Fort Health Care 2022 Benefit Guide

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BENEFIT PLAN CONTACT INFORMATION

Plan Provider Phone Website
Number
Medical Plan UMR 800-826-9781 www.umr.com
Prescription (Rx) Optum RX 877-559-2955
Health Reimbursement Account (HRA) UMR 800-826-9781 www.umr.com
Dental Plan UMR 800-826-9781 www.umr.com
Vision Plan VSP 800-216-6248 www.vsp.com
Flexible Spending Accounts UMR 800-826-9781 www.umr.com
Life & AD&D Insurance Reliance Standard 877-202-0055 www.reliancestandard.com
Short-Term & Long-Term Disability Insurance Matrix Absence Management 877-202-0055 www.matrixabsence.com
Employee Assistance Program (EAP) LifeMatters 800-634-6433 www.mylifematters.com
401(k) Retirement Savings Plan Principal Financial 800-547-7754 www.principal.com

REQUIRED NOTICES

The following pages contain important notices related to Fort HealthCare benefit programs. Please review carefully.

• Special Enrollment Rights
• Women’s Health and Cancer Rights Act Enrollment Notice
• Health Information Privacy Practices

• Health Insurance Marketplace Coverage Options and Your Health Coverage
• Premium Assistance Under Medicaid and the Children’s Health Insurance Program
• Notice Regarding Wellness Plan
• Health-Contingent Wellness Program Notice – Reasonable Alternative Standards
• Summary of Benefits
• Medicare Part D – Creditable Prescription Drug Coverage
• General Notice of COBRA Continuation Coverage Rights

Enclosed notices have been reviewed and updated, March 2022.
Guide to Your Benefits | May 1, 2022 – April 30, 2023