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BAL 06-404 - Attachment 2 Plan Contacts for Enrollment Forms Guide Name Name/Department Email Address Phone Number Fax Number Address Line 1 Address Line 

10 Blue Cross and Blue Shield Service Benefit Plan ENROLLMENT SERVICES UNIT enrollment.service@fepoc.carefirst.com (202)488-4200 (202)479-5511 OPERATIONS CENTER 840 FIRST STR11 Blue Cross and Blue Shield Service Benefit Plan ENROLLMENT SERVICES UNIT enrollment.service@fepoc.carefirst.com (202)488-4200 (202)479-5511 OPERATIONS CENTER 840 FIRST STR17 Unicare HMO ALMA TELFORD alma.telford@wellpoint.com (312)234-7464 (312)234-8009 233 S WACKER DRIVE SUITE 3900 22 Aetna HealthFund JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 26 HealthAmerica Pennsylvania WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE 2C Piedmont Community Healthcare CHERYL F MIDKIFF cmidkiff@pchp.net (804)947-4463 x216 (804)947-4465 2255 LANGHORNE ROAD SUITE 2 2G CareFirst BlueChoice DIR DIXIE ADAMS dixie.adams@carefirst.com (410)998-6264 (410)505-6779 10455 MILL RUN CIR. 2J Coventry Health Care DEEMETRESS DANZY dmdanzy@cvty.com (302)283-6978 (302)283-6788 211 LAKE DRIVE 2L Health Plan of Nevada MS MARY KOKER enr109@sierrahealth.com (702)242-7384 (702)242-9186 2720 N TENAYA WAY 2N PacifiCare of Oklahoma BARBARA SCHEIB barbara.scheib@phs.com (210)478-4403 (210)474-5378 6200 NORTHWEST PARKWAY TX70-100 2U Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 2X Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 31 GEHA Benefit Plan SHERYLL THOMAS sheryll.thomas@geha.com (816)257-5500 (816)257-0972 17306 E 24 HWY 32 NALC PATTI SCOTT nalchbpadmin@msn.com (703)729-4677 (703)729-8131 20547 WAVERLY COURT 34 GEHA High Deductible Health Plan SHERYLL THOMAS sheryll.thomas@geha.com (816)257-5500 (816)257-0972 17306 E 24 HWY 38 Rural Carrier Benefit Plan BARBARA BRUCE bbruce@nrlca.org (703)684-5552 (703)684-9627 1630 DUKE ST, 2ND FLOOR 3A AultCare HMO KEVIN HARVEY kharvey@aultman.com (330)363-4878 (330)363-7658 2600 SIXTH ST 40 Foreign Service Benefit Plan KATHY YELDELL kathy.yeldell@afspa.org (202)833-4910 (202)833-4918 1716 N STREET, NW 42 Association Benefit Plan GILES TOLLISON nancyw1@ucia.gov (703)613-7030 (703)734-7013 ATTN: GILES TOLLISON 4080, LF 7 

43 Panama Canal Area Benefit Plan MARTHA MAZA martha.maza@axa-assistance.com (800)424-8196 (305)523-1360 AXA ASSISTANCE FLORIDA 1200 BRICKEL44 SAMBA DARLENE CAMPBELL dcampbell@sambaplans.com (301)984-4140 (301)816-0191 11301 OLD GEORGETOWN ROAD 45 Mail Handlers Benefit Plan LINDA WELCH lswelch@cvty.com (801)954-3093 (801)954-6156 2650 SOUTH DECKER LAKE DRIVE 47 APWU Health Plan KEVIN MACKLEY kmackley@apwuhp.com (410)424-1522 (410)424-1512 799 CROMWELL PARK DRIVE SUITES K-Z 48 Mail Handlers Benefit Plan Consumer Option LINDA WELCH lswelch@cvty.com (801)954-3093 (801)954-6156 2650 SOUTH DECKER LAKE DRIVE 4N HealthAmerica Pennsylvania WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE 51 HIP of Greater New York HAROLD MILLER hmiller@hipusa.com (212)630-8316 (212)630-8351 55 WATER STREET 52 Health Alliance Plan DORETHEA JENKINS djenkins@hap.org (248)443-1165 (248)443-8175 2850 WEST GRAND BLVD 53 HealthPartners Classic/Open Access Deductible MARGARET J SCHMOLLER margaret.j.schmoller@healthpartners.com (952)883-7943 (952)883-7666 8170 33RD AVENUE SOUTH PO 1309 54 Group Health Cooperative MARIANNA TOKAREFF tokareff.m@ghc.org (206)988-7043 (206)988-7001 12401 E. MARGINAL WAY SO 57 Kaiser Foundation Health Plan of Northwest FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 59 Kaiser Foundation Health Plan of California TEAM FEDERAL scal.csc-federalteam@kp.org (858)614-3386 (858)614-3344 3840 MURPHY CANYON ROAD, 3RD FL 5E Vista Healthplan of South Florida Tom Montgomery Tom.montgomery@vistahealthplan.com (954)965-3074 (954)965-3175 340 Concord Terrace 5M SuperMed HMO PEGGY SIMS Peggy.Sims@mmoh.com (216)687-7179 (216)687-6362 2060 E 9TH STREET COST CENTER 5W SummaCare Health Plan TRACIE KINAITIS babarickt@summacare.com (330)996-8410 (330)996-8454 10 NORTH MAIN ST 62 Kaiser Foundation Health Plan of California TEAM FEDERAL scal.csc-federalteam@kp.org (858)614-3386 (858)614-3344 3840 MURPHY CANYON ROAD, 3RD FL 63 Kaiser Foundation Health Plan of Hawaii FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 64 Kaiser Foundation Health Plan of Ohio FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 65 Kaiser Foundation Health Plan of Colorado FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 6J Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 6N Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 6U Firstcare SHARON MATTHEWS smatthews@firstcare.com (512)257-6176 (512)257-6027 12940 NORTH HWY 183 6V GHI HMO Select LINDA PINO LPino@ghihmo.com (845)340-2249 (845)334-8950 PO BOX 4181 6Y Advantage Health Solutions, Inc. MS LEATHA MILLER lmiller@advantageplan.com (317)573-7933 (317)536-3827 9490 PRIORITY WAY, WEST DRIVE 72 Unicare HMO ALMA TELFORD alma.telford@wellpoint.com (312)234-7464 (312)234-8009 233 S WACKER DRIVE SUITE 3900 75 Humana Health Plan Inc. ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 76 Union Health Service MARILYN ALMODOVAR jrock@unionhealth.org (312)829-4224 x306 (312)829-0184 1634 WEST POLK STREET 7D Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 7G Coventry Health Care of Kansas, Inc. (HDHP) TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE 7M Mercy Health Plans KATHY SITZE ksitze@mhp.mercy.net (314)214-8164 (314)214-8102 14528 SOUTH OUTER 40, #300 7T Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 7W Coventry Health Care of Kansas-Wichita/Salinas TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE 7Z PacifiCare of Oregon BARBARA SCHEIB barbara.scheib@phs.com (210)478-4403 (210)474-5378 6200 NORTHWEST PARKWAY TX70-100 80 GHI Health Plan CARYN HACKNEY CHackney@ghi.com (212)615-0767 (212)563-8679 441 NINTH AVENUE 7TH FLOOR 85 Triple-S VIVIAN LOEW vloew@ssspr.com (787)277-6610 (787)277-6611 1441 ROOSEVELT AVENUE 87 HMSA LUUKIA NGE luukia_abbley@hmsa.com (808)948-5361 (808)948-6285 818 KEEAUMOKU STREET 89 Triple-S VIVIAN LOEW vloew@ssspr.com (787)277-6610 (787)277-6611 1441 ROOSEVELT AVENUE 8G Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 8J Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 8W UPMC Health Plan ALYSON STRAIGHT straightac@msx.upmc.edu (412)454-7694 (412)454-7800 112 WASHINGTON PLACE SUITE 800 9E Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 9F OSF Health Plans, Inc. KELLEY WAGNER kelley.wagner@osfhealthcare.org (309)677-8287 (309)677-8259 7915 N HALE AVENUE STE D 9G BlueCHOICE SUSAN MILLER susan.miller@bcbsmo.com (573)986-3763 (818)234-6062 1831 CHESTNUT ST 9H Coventry Health Care of Kansas (Kansas City)-HDHP TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE 9J Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 9K Altius Health Plans JANET WENTZ jmwentz@cvty.com (701)250-5459 (866)506-5259 1720 SOUTH SYKES DR 9L Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 9N Health America Pennsylvania-HDHP WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE 9R Optima Health Plan DIANA KIMBRO dlkimbro@sentara.com (757)552-7159 (757)552-7199 4417 CORPORATION LANE 9S Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE A3 PacifiCare of Arizona DINA CANALES dina.canales@phs.com (210)474-5490 (210)474-5378 6200 NW PARKWAY TX70-100 A7 Health Net of Arizona, Inc. NANCY JANKOVSKY nancy.jankovsky@healthnet.com (203)225-8992 (818)676-8822 ONE FAR MILL CROSSING AD Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE AH HMO Blue LISA SUTTER lsutter@bcbsuw.com (315)792-9725 (315)798-4326 12 RHOADS DR AK United Healthcare of Ohio, Inc. NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 AU Sioux Valley Health Plan TONI MCENTEE McenteeT@siouxvalley (605)328-6832 (605)328-6811 500 BROADBAND LANE SUITE 500 B9 United Healthcare of the Midwest NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 BJ Coventry Health Care of Louisiana TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE BP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE BT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE BW Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 

OPM/ISP/PPEG12/19/2006
CA United Healthcare of Ohio, Inc. BAL 06-404 - Attachment 2 NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 

CH United HealthCare of Colorado Plan Contacts for Enrollment Forms NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 CK Firstcare SHARON MATTHEWS smatthews@firstcare.com (512)257-6176 (512)257-6027 12940 NORTH HWY 183 CY PacifiCare of California ELIZABETH LEONARD elizabeth.leonard@phs.com (210)474-5294 (210)474-5398 6200 NORTHWEST PARKWAY TX70-100 D6 PacifiCare of Colorado DINA CANALES dina.canales@phs.com (210)474-5490 (210)474-5378 6200 NW PARKWAY TX70-100 DA Blue CHiP Coordinated Health Plan - BCBS of RI FRED COLARDO colardo.a@bcbsri.org (401)459-5706 (401)459-5585 444 WESTMINSTER ST DB Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE DL Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE DQ Physicians Health Plan of Northern Indiana SANDY WINANS swinans@phpni.com (219)432-6690 x357 (219)432-0493 8101 W JEFFERSON BLVD DV Fallon Community Health Plan HDHP AMY STUCZYNSKI amy.stuczynski@fchp.org (508)368-9287 (508)831-1136 10 CHESTNUT ST ATTN: AMY STE3 Kaiser Foundation Health Plan Mid-Atlantic States JANICE HORMAN janice.horman@kp.org (301)816-6714 (301)388-1614 2101 EAST JEFFERSON ST PO BOX 6611 E9 United HealthCare Definity HDHP BRIAN HARGEST brian.s.hargest@uhc.com (410)540-5980 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 EA Capital Health Plan NANCY CARTER NCCarter@chp.org (805)383-3402 (805)383-3590 1545 RAYMOND DIEHL ROAD EB HMOBlue-CNY AMANDA FALANGE Amanda.Falange@excellus.com (315)798-4269 (315)798-4326 12 RHOADS DR ED Keystone Health Plan East REGINA GRIER regina.grier@ibx.com (215)241-2641 (215)241-2218 1901 MARKET ST EE Humana Medical Plan, Inc. ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 500 WEST MAIN STREET 5TH FLOOR EG M-Care TOM KRASNY tkrasny@MCARE.MED.UMICH.EDU (734)332-2260 (734)332-2021 2301 COMMONWEALTH BLVD F8 Kaiser Foundation Health Plan Of Geogria, Inc. FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 FB Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE FC Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE FK AmeriHealth HMO JOANNE KADLE JoAnne.Kadle@ibx.com (215)241-0573 (215)761-9158 1901 MARKET ST FT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE FX Health Alliance HMO PATRICIA COLLINS patricia.collins@healthalliance.org (800)851-3379 (217)337-8055 301 SOUTH VINE STREET G2 Arnett HMO DEBBIE GUCKIEN guckiend@arnett.com (765)448-7702 (765)449-0621 415 N 26TH ST, SUITE 101 GA MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-7884 (518)386-3880 625 STATE ST GE PersonalCares HMO SARA TERGESON sltergeson@cvty.com (877)775-5657 x4002 (701)250-5394 1720 SOUTH SYKES DR GF Pacificare of Texas BARBARA SCHEIB barbara.scheib@phs.com (210)478-4403 (210)474-5378 6200 NORTHWEST PARKWAY TX70-100 GG Geisinger Health Plan LORRAINE UNGER launger@thehealthplan.com (570)271-8760 (570)271-5871 100 N ACADEMY AVE GN United Healthcare of Georgia NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 GT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE GV Preferred Care MORGAN HOWE mhowe@preferredcare.org. (999)999-9999 (999)999-9999 259 MONROE AVENUE GW Kaiser Foundation Health Plan of Georgia Inc. HDHP FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (866)291-4008 x6300 (817)735-4301 300 BURNETT STREET SUITE 350 GX United Healthcare of the Midwest NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3449 6095 MARSHALEE DRIVE SUITE 200 GZ Coventry Health Care HDHP DEEMETRESS DANZY dmdanzy@cvty.com (302)283-6978 (302)283-6788 211 LAKE DRIVE HA Coventry Health Care of Kansas-Kansas City TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE HB Coventry Health Care of Louisiana HDHP TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE HM Mercy Health Plans KATHY SITZE ksitze@mhp.mercy.net (314)214-8164 (314)214-8102 14528 SOUTH OUTER 40, #300 HQ HealthPartners Primary Clinic Plan MARGARET J SCHMOLLER margaret.j.schmoller@healthpartners.com (952)883-7943 (952)883-7666 8170 33RD AVENUE SOUTH PO 1309 HZ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE IB Carolina Care MICHELLE BAKER MBaker@CCareplan.com (803)750-7400 (803)750-7479 201 EXECUTIVE CENTER DRIVE IE Coventry Health Care of Nebraska TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE IG Coventry Health Care DEEMETRESS DANZY dmdanzy@cvty.com (302)283-6978 (302)283-6788 211 LAKE DRIVE IK Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N IM Globalhealth, Inc. DEBRA HYNEK debra.hynek@globalhealth.cc (405)280-5616 (999)999-9999 701 N.E. 10TH STREET SUITE 300 IN M*Plan TALORA TIPTON TTIPTON@thcg.org (317)705-3283 (317)705-3300 8802 N MERIDIAN ST STE 100 J8 JMH Health Plan DAMOND ADAMS dadams4@um-jmh.org (305)575-3711 (305)575-5212 1801 NW 9TH AVENUE SUITE 700 JA Coventry Health Care of Louisiana TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE JC Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N JK TakeCare JOYCE QUINTANILLA joyce.quintanilla@phs.com (671)646-6956 (671)647-3548 155 E T CALVO MEMORIAL PKWY, STE 102 P.O. BOX 6578 JN Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N JP M.D. IPA KIMBERLY HOLMAN kimberly_j_holman@uhc.com (240)379-1854 (301)360-8918 800 OAK STREET P.O. BOX 931 JR Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N JV Fallon Community Health Plan AMY STUCZYNSKI amy.stuczynski@fchp.org (508)368-9287 (508)831-1136 10 CHESTNUT ST ATTN: AMY STK5 Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)223-5147 (248)799-6327 20500 CIVIC CENTER DR MC C411 K9 PacifiCare of Nevada DINA CANALES dina.canales@phs.com (210)474-5490 (210)474-5378 6200 NORTHWEST PARKWAY TX70-100 KQ Univera Healthcare ESINASH MANGENA esinash.mangena@univerahealthcare.com (716)843-7897 (716)504-5573 205 PARK CLUB LANE KS Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N KV Bluegrass Family Health, Inc. GARY RICE gary.rice@bgfh.com (800)787-2680 (859)335-3721 651 PERIMETER DRIVE SUITE 300 L1 KPS Health Plans LIL KERLEE LKerlee@kpshealthplans.com (800)552-7114 x6712 (360)698-0982 400 WARREN AVENUE L4 HMO Health Ohio PEGGY SIMS Peggy.Sims@mmoh.com (216)687-7179 (216)687-6362 2060 E 9TH STREET COST CENTER L6 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE L8 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE LB Health Net of California GRISEL MONTERO grisel.montero@healthnet.com (800)909-6362 (818)676-7411 P.O. BOX 9103 LK Coventry Health Care HDHP DEEMETRESS DANZY dmdanzy@cvty.com (302)283-6978 (302)283-6788 211 LAKE DRIVE LM Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE LN Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)223-5147 (248)799-6327 20500 CIVIC CENTER DR MC C411 LT Coventry Health Care of Louisiana HDHP TRUDY GARMAN tgarman@cvty.com (717)671-5273 (717)671-2429 3721 TECPORT DRIVE LX Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)223-5147 (248)799-6327 20500 CIVIC CENTER DR MC C411 M5 Blue Cross- HMO MARILYN FERNANDO marilyn.fernando@wellpoint.com (818)234-4915 (818)234-3028 21555 OXNARD STREET M9 MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-7884 (518)386-3880 625 STATE ST MJ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE MK Blue Choice Nicholas Carbone nicholas.carbone@excellus.com (585)399-6650 (585)238-4557 165 COURT STREET 

ML Av-Med Health Plan ROSA DAWSON Rosa.Dawson@avmed.org (305)671-4795 (305)671-4764 9400 SOUTH DADELAND BLVD. MM Group Health Plan, Inc. KERRY FINK kfink@cvty.com (717)541-5724 (800)471-2252 3721 TECPORT DRIVE MP Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N MQ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE MS Humana Health Plan, Inc. ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 500 WEST MAIN STREET 5TH FLOOR MV Vantage Health Plan, Inc. GLORIA TURNER gturner@vhpla.com (318)361-0900 x103 (318)361-2168 130 DESIARD STREET SUITE 300 MW Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE MX MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-7884 (518)386-3880 625 STATE ST ND Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N NM Health Plan of Nevada MS MARY KOKER enr109@sierrahealth.com (702)242-7384 (702)242-9186 2720 N TENAYA WAY NV New West Health Services SYBIL SHULTS sshults@nwhp.com (406)457-2271 (406)457-2299 130 NEILL AVENUE P1 Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N 

OPM/ISP/PPEG12/19/2006
P2 Presbyterian Health Plan BAL 06-404 - Attachment 2 FRANCISCA DE LA CRUZ fdelacruz@phs.org (505)923-8163 (505)923-8163 2501 BUENA VISTA SE PO BOX 27489 

P3 Aetna Open Access Plan Contacts for Enrollment Forms JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N PH Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE PN HealthAmerica Pennsylvania WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-59 3721 TECPORT DRIVE PU Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N PV WINhealth Partners BETH WASSON bwasson@winhealthpartners.org (307)638-7700 (307)638-7701 1200 EAST 20TH STREET SUITE A Q1 Lovelace Health Plan GAIL LOVE glove@harringtonbenefits.com (614)212-7015 (614)212-7060 HARRINGTON BENEFITS SERVICES 675 BROOKSEQ8 Univera Healthcare ESINASH MANGENA esinash.mangena@univerahealthcare.com (716)843-7897 (716)504-5573 205 PARK CLUB LANE QA Independent Health Assoc Margo Fraass mfraass@independenthealth.com (716)635-4952 (716)631-4059 511 Farber Lakes Drive QP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE R5 Blue HMO DANIEL DUNDES Dan.Dundes@anthem.com (513)872-6546 (513)872-3929 1351 WILLIAM H TAFT ROAD MAIL DROP ORD Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N RL Grand Valley Health Plan SHERYL LINTON lintons@gvhp.com (616)949-2410 (616)949-4978 829 FOREST HILL AVENUE SE RU Heart of America Health Plan SHARON PEDERSON hoahp@gondtc.com (701)776-5848 (701)776-5425 810 SOUTH MAIN S4 Keystone Health Plan Central KATHY MILLER kathy.miller@khpc.com (717)302-0405 (717)541-6667 2500 ELMERTON AVENUE SA Pacificare of Washington BARBARA SCHEIB barbara.scheib@phs.com (210)478-4403 (210)474-5378 6200 NORTHWEST PARKWAY TX70-100 SG CDPHP Universal Benefits KIM MARINUCCI kmarinuc@cdphp.com (518)641-4172 (518)641-4998 500 PATROON CREEK BLVD SJ Blue Shield of CA Access+HMO BEV COPPESS bev.coppes@blueshieldca.com (209)367-6347 (209)367-6650 121 N. GUILD AVE. BLDG. A SL Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N SV Coventry Health Care of Iowa PAMELA WOOD pwood@cvty.com (302)283-6643 (866)287-6592 211 LAKE DRIVE SW HealthAmerica Pennsylvania WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-59 3721 TECPORT DRIVE SX CDPHP Universal Benefits - HDHP KIM MARINUCCI kmarinuc@cdphp.com (518)641-4172 (518)641-4998 500 PATROON CREEK BLVD T2 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE T8 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE TE ConnectiCare GINGER MALLARD GMallard@Connecticare.com (860)409-8935 (860)678-5255 175 SCOTT SWAMP ROAD TP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE TU Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE TV Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE U2 Paramount Health Care JOAN JAEGER joan.jaeger@ProMedica.org (419)887-2928 (419)887-2016 1901 INDIAN WOOD CIR U4 The Health Plan of the Upper Ohio Valley JODY MCADAMS jodym@healthplan.org (740)695-7621 (740)699-6162 52160 NATIONAL ROAD E. UB Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N UR Humana Health Plan of Texas ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE VA Preferred Plus of Kansas KAREN LANDER klander@phsystems.com (316)609-2604 (316)609-2327 8535 E. 21ST STREET NORTH VR Group Health Cooperative MARIANNA TOKAREFF tokareff.m@ghc.org (206)988-7043 (206)988-7001 12401 E. MARGINAL WAY SO VT KPS Health Plans LIL KERLEE LKerlee@kpshealthplans.com (800)552-7114 x6712 (360)698-0982 400 WARREN AVENUE VW MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-7884 (518)386-3880 625 STATE ST WD Dean Health Plan HEATHER HEILIGER heiliger_heather_c@ssmhc.com (608)827-4037 (608)836-9620 1277 DEMING WAY WJ Group Health Cooperative LORI MILLER lm_miller@ghc-hmo.com (608)828-4827 (608)828-9333 1265 JOHN Q HAMMONS DRIVE WQ Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N X4 GHI HMO Select LINDA PINO LPino@ghihmo.com (845)340-2249 (845)334-8950 PO BOX 4181 X5 HealthPlus MI BECKY TROBAUGH hpenroll@healthplus.org (810)230-2190 (810)733-1925 2050 S LINDEN RD Y1 Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N Y6 Health America Pennsylvania-HDHP WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE YE Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-4340 (215)775-5870 1425 UNION MEETING RD MS U21N YG Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE YH UnitedHealthcare Plan of the River Valley Inc. PATRICIA RUMLER rumlerpatriciam@johndeere.com (309)765-1362 (309)749-1220 1300 RIVER DR STE 200 YM HMO Blue Texas MARY HANDY mary_handy@bcbstx.com (325)793-2907 (325)793-4280 4002 LOOP 322 FEP YN Health America Pennsylvania-HDHP WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE YW Health America Pennsylvania-HDHP WANDA NEARHOOD Wnearhood@cvty.com (717)526-2948 (717)541-5979 3721 TECPORT DRIVE ZJ Humana Health Plans of Puerto Rico, Inc. ROBIN ANDERSON randerson@humana.com (502)580-7484 (502)508-4613 101 E MAIN ST 9TH FL SE 

OPM/ISP/PPEG12/19/2006