Page 19 - California Eye Management EE Guide 2020
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Accident Insurance
         Employee Only                          $14.89                    $14.89                    $6.87
         Employee + Spouse                      $26.09                    $26.09                    $12.04
         Employee + Child(ren)                  $27.29                    $27.29                    $12.59
         Employee + Family                      $38.49                    $38.49                    $17.76

         Hospital Indemnity
         Employee Only                          $15.14                    $15.14                    $6.99
         Employee + Spouse                      $26.58                    $26.58                    $12.27
         Employee + Child(ren)                  $24.73                    $24.73                    $11.42
         Employee + Family                      $36.15                    $36.15                    $16.69

         The following benefits are provided to you at no charge and are paid by California Eye Specialists:
         •   Employee Assistance Program
         •   Basic Life and AD&D
         The following are age-banded rates and are available to view on Paycom:
         •   Voluntary Life/AD&D
         •   Voluntary Long Term Disability
         •   Voluntary Critical Illness


                                        Resources and Contacts




         Medical Insurance                                    Phone           Website

         HMO Medical - UnitedHealthcare ….….…….………………..……………..  (800) 624-8822   www.myuhc.com
         PPO Medical - UnitedHealthcare ……….…….……………………………….  (800) 357-0978   www.myuhc.com
         Dental Insurance                                     Phone           Website

         DHMO Dental - United HealthCare…………………………………………….  (877) 813-4259    www.myuhc.com
         PPO Dental - United HealthCare………….…………………………….……...  (877) 816-3596   www.myuhc.com
         Vision Insurance                                     Phone           Website

         PPO Vision - United HealthCare………………..….…………………………..  (800) 638-3120    www.myuhcvision.com
         Life/Disability                                      Phone           Website

         Life/Disability - United HealthCare………………..….……………...……..  (888) 299-2070    fpcustomersupport@uhc.com
         Employee Assistance Program - United HealthCare………………....  (877) 660-3806    www.liveandworkwell.com
         Supplemental Benefits                                Phone           Website

         Voluntary Benefits - Guardian…………………………………………………..  (888) 600-1600    www.guardiananytime.com
                                                                              Plan Number: 567656
         For hep to file Guardian claims, call VBA......................................  (866) 797-3236



                     The Burnham Advocate Help-Line: (800) 391-6812
                     The  Burnham  Advocate  toll-free  customer  service  help-line  can  provide  assistance  with  insurance  related
                     issues when you are unable to resolve them directly with your insurance carriers. You will receive fast, skilled
                     assistance with provider issues, referral assistance, and claims management.

                     For help, simply call the Burnham Advocate help-line at (800) 391-6812. For more complicated questions or
                     claims  issues,  the  Burnham  claims  specialist  works  as  your  insurance  advocate,  researching  and  resolving
                     problems  quickly  and  effectively.  If  further  action  is  required,  the  Burnham  Advocate  will  provide  regular
                     updates until the issues are resolved.



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