2018 FEHB Plan Name

Carrier	

Code

HMO Brochure Order

Contact Email Address FAX Work Address

Aetna	HealthFund CDHP and Aetna	Value Plan EP DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund CDHP and Aetna	Value Plan F5 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund CDHP and Aetna	Value Plan G5 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund CDHP and Aetna	Value Plan H4 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund CDHP and Aetna	Value Plan JS DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund HDHP with HSA and Aetna	Direct 22 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	HealthFund HDHP with HSA and Aetna	Direct N6 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access 2U DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access 2X DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access HA DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422

Aetna	Open Access JC DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access JN DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access JR DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access P3 DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access UB DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access WQ DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Aetna	Open Access YE DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Altius Health Plans 9K DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Altius Health Plans DK DANINE FAPKA FapkaD@aetna.com (860) 907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422-

Anthem Blue Cross Select	HMO of CA B3 PAULA MEECE paula.meece@anthem.com (513) 872-3929 (513) 872-8219 3075 VANDERCAR	WAY MAIL DROP OH3402-B014 CINCINNATI	OH	45209

AultCare HMO 3A MEGAN LATTIMER mlattimer@aultcare.com (330) 363-7658 (330) 363-1575 2600 6TH	ST SW CANTON OH	44710

Av-Med Health Plan ML ROSA DAWSON rosa.dawson@avmed.org (305) 671-4764 (305) 671-4795 9400 SOUTH	DADELAND BLVD. MIAMI	FL 33156

Blue Cross and Blue Shield of Illinois A2 MILES DEAN deanm@bcbsil.com (312) 228-7814 (312) 653-4581 300 E. RANDOLPH	STREET 21 FLOOR	CHICAGO IL 60601-

Blue	Open Access POS QM PAULA MEECE paula.meece@anthem.com (513) 872-3929 (513) 872-8219 3075 VANDERCAR	WAY OH3402-A495 CINCINNATI	OH	45209

Blue	Preferred 9G PAULA MEECE paula.meece@anthem.com (513) 872-3929 (513) 872-8219 3075 VANDERCAR	WAY MAIL DROP OH3402-B014 CINCINNATI	OH	45209

Blue Shield of CA Access+HMO SI ANNE MARIE ENGLISH annemarie.english@blueshieldca.com (310) 744-2706 (415) 229-6768 50 BEALE ST SAN FRANCISCO CA 94105

Bluecare Network of MI K5 JENALYN HINTZKE jhintzke@bcbsm.com (866) 665-7881 (313) 448-5913 600 E. LAFAYETTE BLVD D517 DETROIT MI	48226

Bluecare Network of MI LX JENALYN HINTZKE jhintzke@bcbsm.com (866) 665-7881 (313) 448-5913 600 E. LAFAYETTE BLVD D517 DETROIT MI	48226

Calvo's Selectcare B4 FRANK CAMPILLO fcampillo@calvos.com (671) 477-4141 (671) 479-7959 115 CHALAN SANTO PAPA P.O. BOX	FJ HAGATNA GU 96932

Capital Health Plan EA DEBORAH	SISK djsisk@chp.org (850) 523-7334 (850) 383-3329 1545 RAYMOND DIEHL PLACE, 3RD FLOOR, TALLAHASSEE, FL 32308

CareFirst	BlueChoice 2G TIFFANY BIVENS tiffany.bivens@carefirst.com (410) 720-6133 (202) 680-5258 840 1ST STREET NE WASHINGTON DC 20065

CareFirst	BlueChoice B6 DOROTHY CONLEY dorothy.conley@carefirst.com (301) 470-5359 (202) 680-7059 840 FIRST ST, NE WASHINGTON DC 20065-

CDPHP Universal Benefits, Inc. SG KANDRA O'CONNOR Kandra.oconnor@cdphp.com (518) 641-5004 (518) 641-5586 500 PATROON CREEK BLVD NULL ALBANY NY 12206-1057

Dean Health Plan WD DANA ROBERTS dana.roberts@deancare.com (608) 252-0834 (608) 828-7551 1277 DEMING WAY MADISON WI	53717

Geisinger Health Plan GG RAHMAIRE BROOKS rdbrooks@thehealthplan.com (570) 271-5268 (570) 214-5281 100 N ACADEMY AVE DANVILLE PA 17822-

GHI	Health Plan - 80 SHARON FISHER sfisher@emblemhealth.com (646) 447-3033 (646) 447-5019 55 WATER	STREET 8TH	FLOOR	NEW YORK NY 10041-

GlobalHealth, Inc. IM DIANE LANCASTER diane.lancaster@globalhealth.com (918) 878-7350 (918) 878-7317 6120 S YALE SUITE 925 TULSA OK 74136-

Group Health Cooperative WJ MICHAEL POLK mpolk@ghcscw.com None	Provided (608) 828-4829 1265 JOHN Q. HAMMONS DR. MADISON WI	53717

Health Alliance HMO K8 KATY THOMPSON katy.thompson@healthalliance.org (217) 365-7496 (217) 255-4695 301 SOUTH	VINE STREET URBANA IL 61801-

Health Alliance Plan 52 SHEILA POWELL spowell@hap.org (248) 443-0094 (248) 443-1046 2850 WEST GRAND BLVD DETROIT MI	48202-

Health Alliance Plan GY SHEILA POWELL spowell@hap.org (248) 443-0094 (248) 443-1046 2850 WEST GRAND BLVD DETROIT MI	48202-

Health Net	of Arizona, Inc. A7 SHERRIE SERVENTI sherrie.l.serventi@healthnet.com (800) 806-4684 (520) 258-7418 5255 EAST WILLIAMS CIRCLE SUITE 4000 TUCSON AZ 85711-

Health Net	of California LB RHODA SALDIVAR Rhoda.Saldivar@Healthnet.com (818) 676-5198 (818) 676-7151 21281 BURBANK BLVD. 2ND FLOOR	WOODLAND HILLS CA 91367

Health Net	of California LP RHODA SALDIVAR Rhoda.Saldivar@Healthnet.com (818) 676-5198 (818) 676-7151 21281 BURBANK BLVD. 2ND FLOOR	WOODLAND HILLS CA 91367

Health Net	of California P6 RHODA SALDIVAR Rhoda.Saldivar@Healthnet.com (818) 676-5198 (818) 676-7151 21281 BURBANK BLVD. 2ND FLOOR	WOODLAND HILLS CA 91367

Health Net	of California T4 RHODA SALDIVAR Rhoda.Saldivar@Healthnet.com (818) 676-5198 (818) 676-7151 21281 BURBANK BLVD. 2ND FLOOR	WOODLAND HILLS CA 91367

Health Plan of Nevada NM STACEY SHEER stacey.sheer@uhc.com (702) 242-7902 (702) 304-6952 2720 N TENAYA WAY ZZ NEW ADDRESS LAS VEGAS NV 89128-

HealthPartners V3 KRISTIN HARRER kristin.e.harrer@healthpartners.com (952) 853-8710 (952) 883-7733 PO BOX	1309 BLOOMINGTON MN 55440-1309

Highmark Choice Company NP ANDREW GARLAND andrew.garland@highmark.com None	Provided (412) 544-5872 120 FIFTH	AVE. PAP P2202 PITTSBURGH	PA 15222

HIP of Greater New York 51 SHARON FISHER sfisher@emblemhealth.com (646) 447-3033 (646) 447-5019 55 WATER	STREET 8TH	FLOOR	NEW YORK NY 10041-

HMSA 87 CHRISTOPHER	LETOTO Christopher_Letoto@hmsa.com (808) 948-6653 (808) 952-7845 818 KEEAUMOKU ST HONOLULU HI	96814

Humana	CoverageFirst/Value Plan 6N DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan AD DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan GB DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan LM DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan MJ DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan MW DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan PH DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan QP DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan R6 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan R9 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan S9 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan T3 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan TC DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344
		 	 	 		 	 	 	

		

		

		

	 	 	 	 	 		 	 	 		 	 	 	

	 	 	 	 	 		

	 	 	 	 	 		

	 	 	 	 	 		

	 	 	 	 	 		

	 	 	 	 	 		

	 	 	 	 		 	 	 		 	 	 	

		

	 	 	 	 		

	 	 	

	 	 	 		

	 	 	 		

	 	 	 		

	 	 	 		

	 	 	

	 	 	

	 	 	

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		

	 	 		 	 	 	 	 	 	 	 	 	 	 	 	

	 	 		 	 	 		 	 	 	

	 	 		

	 	 		

	 	 		

	 	 	 	 	 	

	 	 	 	 	 	 	 	 		 	 	 	

	 	 	 	

	 	 	 	 	 	 	 		 	 	 	 	

	 	 	 	 	

	 	 	 	 	 	 	 	 	

		 	 	

	 	 	 	 	 	

	 	 	 	 	 	 	 	

	 	

	 	 	 	 		 	 	 	

	 	 	 		 	 	 	

	 	 	 	 	 	 	

	 		 	 	

	 	 	 	 	 	 		 	 	 	

	 	

	 	

	 	

	 	

	 		 	 	 	

Humana	CoverageFirst/Value Plan TP DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan TT DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan TU DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	CoverageFirst/Value Plan TV DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc CB DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc DG DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc DN DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc Q7 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc RJ DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Employers Health Plan of Georgia, Inc RM DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Benefit	Plan of Louisiana, Inc. AE DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Benefit	Plan of Louisiana, Inc. BC DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Ohio, Inc. A6 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas EW DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas Q2 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas Q6 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas QX DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas QY DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas UC DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas UR DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan of Texas UU DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. 75 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. 9F DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. AB DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. BF DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. C7 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. GJ DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. MH DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. MI DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. MS DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. NR DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. NT DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. R2 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. RW DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plan, Inc. RZ DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Health Plans of Puerto Rico, Inc. ZJ GEYSSA TERRERO VICTORIA gterrero1@humana.com (888) 298-3360 (787) 993-7954 383 FD ROOSEVELT AVE SUITE 3 SAN JUAN PR	15219-2131

Humana	Medical Plan, Inc. E2 DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Medical Plan, Inc. EE DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Medical Plan, Inc. EX DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Humana	Medical Plan, Inc. LL DIANE RAVET openseason@humana.com None	Provided (920) 337-7064 1100 EMPLOYERS BLVD GREEN BAY WI	54344

Independent	Health Assoc C5 JOEL MARINACCIO Joel.Marinaccio@independenthealth.com (716) 631-8554 None	Provided 511 FARBER	LAKES DRIVE NULL BUFFALO NY 14221-

Independent	Health Assoc QA JOEL MARINACCIO Joel.Marinaccio@independenthealth.com (716) 631-8554 None	Provided 511 FARBER	LAKES DRIVE NULL BUFFALO NY 14221-

Kaiser Foundation Health Plan Mid-Atlantic States E3 GAVIN TONER Gavin.Toner@kp.org (999) 999-9999 (301) 816-6764 2101 E. JEFFERSON ST. 6E ROCKVILLE MD 20852

Kaiser Foundation Health Plan Mid-Atlantic States T7 GAVIN TONER Gavin.Toner@kp.org (999) 999-9999 (301) 816-6764 2101 E. JEFFERSON ST. 6E ROCKVILLE MD 20852

Kaiser Foundation Health Plan of California 59 LORENA LANCE lorena.lance@kp.org (925) 939-6199 (925) 926-5685 501 LENNON LANE WALNUT CREEK CA 94598-

Kaiser Foundation Health Plan of California 62 LORENA LANCE lorena.lance@kp.org (925) 939-6199 (925) 926-5685 501 LENNON LANE WALNUT CREEK CA 94598-

Kaiser Foundation Health Plan of California KC LORENA LANCE lorena.lance@kp.org (925) 939-6199 (925) 926-5685 501 LENNON LANE WALNUT CREEK CA 94598-

Kaiser Foundation Health Plan of California NZ LORENA LANCE lorena.lance@kp.org (925) 939-6199 (925) 926-5685 501 LENNON LANE WALNUT CREEK CA 94598-

Kaiser Foundation Health Plan of Colorado 65 BRAD RADAKOVICH Brad.X.Radakovich@kp.org (999) 999-9999 (303) 306-2521 2530 SOUTH	PARKER	ROAD, 5TH	FLOOR	 AURORA CA 80014

Kaiser Foundation Health Plan of Colorado N4 BRAD RADAKOVICH Brad.X.Radakovich@kp.org (999) 999-9999 (303) 306-2521 2530 SOUTH	PARKER	ROAD, 5TH	FLOOR	 AURORA CA 80014

Kaiser Foundation Health Plan of Georgia F8 LORRI	HARRISON lorrie.m.harrison@kp.org (404) 364-4998 (404) 364-7152 3495 PIEDMONT RD NE BLDG 9 ATLANTA GA 30305-

Kaiser Foundation Health Plan of Hawaii 63 CHELSEA HO Chelsea.K.Ho@kp.org (999) 999-9999 (808) 432-5445 711 KAPIOLANI	BLVD HONOLULU HI	96813

Kaiser Foundation Health Plan of Northwest 57 HILARY GETZ hilary.k.getz@kp.org (503) 813-4636 (503) 813-4616 500 NE MULTNOMAH	SUITE 100 PORTLAND OR	97232-

Kaiser Foundation Health Plan of Washington 54 CAITLYN TERRELL terrell.c@ghc.org (206) 877-0655 (206) 630-4226 1300 SW 27TH	STREET SUITE 100 RENTON WA 98057

Kaiser Foundation Health Plan of Washington PT CAITLYN TERRELL terrell.c@ghc.org (206) 877-0655 (206) 630-4226 1300 SW 27TH	STREET SUITE 100 RENTON WA 98057

Kaiser Permanente Washington Options Federal L1 KAREN BAXTER baxter.k@ghc.org (360) 698-0982 (360) 415-4325 PO BOX	34803 SEATTLE WA 98124

M.D. IPA JP NANCY MAISEL nmaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

Medical Mutual 64 KIM	YOUNG Kimberly.Young@medmutual.com (216) 687-7274 (216) 687-6859 2060 EAST 9TH	STREET MZ 01-9B-2110 CLEVELAND OH	44115

Medical Mutual UX KIM	YOUNG Kimberly.Young@medmutual.com (216) 687-7274 (216) 687-6859 2060 EAST 9TH	STREET MZ 01-9B-2110 CLEVELAND OH	44115

MercyCare HMO EY SHERRIE SARGENT ssargent@mhemail.org (608) 752-3751 (608) 757-3104 580 N.WASHINGTON ST. JANESVILLE WI	53548-

MVP Health Care GA JOAN SPICONARDI jspiconardi@mvphealthcare.com None	Provided (845) 897-6050 1 SUMMIT COURT, SUITE 200 FISHKILL NY 12524

MVP Health Care GV JOAN SPICONARDI jspiconardi@mvphealthcare.com None	Provided (845) 897-6050 1 SUMMIT COURT, SUITE 200 FISHKILL NY 12524

MVP Health Care M9 JOAN SPICONARDI jspiconardi@mvphealthcare.com None	Provided (845) 897-6050 1 SUMMIT COURT, SUITE 200 FISHKILL NY 12524

MVP Health Care MF JOAN SPICONARDI jspiconardi@mvphealthcare.com None	Provided (845) 897-6050 1 SUMMIT COURT, SUITE 200 FISHKILL NY 12524

MVP Health Care MX JOAN SPICONARDI jspiconardi@mvphealthcare.com None	Provided (845) 897-6050 1 SUMMIT COURT, SUITE 200 FISHKILL NY 12524

Optima	Health PG GWEN ARNOLD glarnold@sentara.com (757) 687-6031 (757) 687-6087 4417 CORPORATION LANE VIRGINIA BEACH	VA 23462-3162
	 	 	 	 	 	 	

	 	 	 	 	 	 		 	 	

	 	 	 	 	 	 		 	 	

	 	 	 		 	 	

	 	 		 	 	 	

	 	 	 	 	 	 		 	 	

	 	 	 	 	 		 	 	 	 	

	 	 		 	 	 	

	 	 	 	 	 	 	

	 	 	 		 	 	 	

	 	 	 		 	 	 	

	 	 	 	 	 	 	 	 	

	 	 	 	 	 	 	 	 	 	 	 	 	 	

	 	 	 	 	 	 	 	 	 		 	 	 	

	 	 	 	 	 	 	 	 	 	

	 	 	 	 	 	 	 	 	 		 	 	 	

	 	 	 	 	 	 	 	 	 	

	 	 	 	 	 	 	 	 	 	

Physicians Plus LW RON SEBRANEK ron.sebranek@pplusic.com (608) 327-0325 (608) 417-4544 2650 NOVATION PARKWAY SUITE 400 MADISON WI	53713-

Presbyterian Health Plan P2 LAURI	MICHAEL lmichael2@phs.org None	Provided (505) 923-8220 9521 SAN MATEO BLVD NE ALBUQUERQUE NM	87113

Presbyterian Health Plan PS LAURI	MICHAEL lmichael2@phs.org None	Provided (505) 923-8220 9521 SAN MATEO BLVD NE ALBUQUERQUE NM	87113

Priority Health LE KELLIE STYF kellie.styf@priorityhealth.com (616) 942-5651 (616) 355-3255 1241 EAST BELTLINE NE GRAND RAPIDS MI	49525-4501

QualChoice DH KARYN LANGLEY karyn.langley@qualchoice.com (501) 707-6812 (501) 993-7350 12615 CHENAL PARKWAY LITTLE ROCK AR	72211-

Scott	and White Health Plan A8 JERRY KERBO jerry.kerbo@bswhealth.org (202) 606-0208 (972) 742-4831 1206 WEST CAMPUS DRIVE TEMPLE TX	76502

Scott	and White Health Plan P8 DEBBIE HARVEY Deborah.MannHarvey@BSWHealth.org (999) 999-9999 (512) 796-7498 204 S IH	35 SUITE 100 GEORGETOWN TX	78628

SelectHealth SF PATRIC SHIELDS Patric.Shields@selecthealth.org (801) 442-0384 (801) 442-8230 5381 GREEN STREET MURRAY UT 84123

TakeCare JK GREG KERREBROCK greg.kerrebrock@takecareasia.com (671) 647-3548 (671) 300-7155 PO BOX	6578 SUITE A TAMUNING GU 96931

TakeCare KX GREG KERREBROCK greg.kerrebrock@takecareasia.com (671) 647-3548 (671) 300-7155 PO BOX	6578 SUITE A TAMUNING GU 96931

Triple-S Salud, Inc. 85 WILVETTE CRISTOBAL wilvette@ssspr.com (787) 625-8724 (787) 277-6610 PO BOX	363628 SAN JUAN PR	00936

Triple-S Salud, Inc. 89 PAOLA MERCADO pmercado@ssspr.com (787) 625-8724 (787) 277-6610 PO BOX	363628 SAN JUAN PR	00936

Union Health Service 76 JILL ROCK jrock@unionhealth.org (312) 423-4255 (312) 423-4322 1634 WEST POLK STREET CHICAGO IL 60612-

UnitedHealthcare Insurance Company, Inc. Choice HMO KK NANCY MAISEL nmaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN ROAD SUITE 100 COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice HMO KT NANCY MAISEL nmaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN ROAD SUITE 100 COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice HMO LJ NANCY MAISEL nmaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN ROAD SUITE 100 COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice HMO LR NANCY MAISEL nmaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN ROAD SUITE 100 COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L9 NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced LV NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP LS NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP LU NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP N7 NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP V4 NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UnitedHealthcare of California CY MIKE WELLS mike.wells@uhc.com (844) 329-9961 (714) 252-0457 5701 KATELLA AVE MS CA120-0530 CYPRESS CA 90630-

UnitedHealthcare Plan of the River Valley Inc. YH NANCY MAISEL NMaisel@uhc.com (877) 940-6045 (443) 896-9121 6220 OLD DOBBIN LANE COLUMBIA MD 21045

UPMC Health Plan 8W WHITNEY ILLINGWORTH illingworthwh@upmc.edu (877) 664-4486 (412) 454-8765 US STEEL TOWER, 25TH	FLOOR	600 GRANT STREET PITTSBURGH	PA 15219

UPMC Health Plan UW WHITNEY ILLINGWORTH illingworthwh@upmc.edu (877) 664-4486 (412) 454-8765 US STEEL TOWER, 25TH	FLOOR	600 GRANT STREET PITTSBURGH	PA 15219