Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Aetna HealthFund 22

Most of the United 

States DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access 2U

Atlanta and Athens 

Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access 2X

Los Angeles and 

San Diego Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access HF

Clark County and 

Las Vegas areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access HY Kansas City area DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access IK

Northern Indiana 

Area DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access IK Chicago Area DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access JC

NYC Area/Upstate 

NY DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access JN

Northern/Central/Ric

hmond Virginia 

Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access JN

Northern/Central/So

uthern Maryland 

Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access JN

Washington, DC 

Area DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access JR

Northern New 

Jersey DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access P1

Austin and San 

Antonio Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Aetna Open Access P3 Southern NJ DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access P3 Philadelphia DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access P3

Kent/New 

Castle/Sussex areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access UB Memphis Area DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access WQ

Phoenix and Tucson 

Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Aetna Open Access YE

Pittsburgh and 

Western PA Areas DANINE FAPKA FapkaD@aetna.com (215)775-6339 (215)775-5246

980 JOLLY ROAD 

U11N BLUE BELL PA 

19422

Altius Health Plans 9K Southern Region JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095

Altius Health Plans 9K Uinta County JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095

Altius Health Plans 9K Wasatch Front JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095

Altius Health Plans DK Southern Region JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095

Altius Health Plans DK Uinta County JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Altius Health Plans DK Wasatch Front JESS CLIFFORD jess.clifford@ahplans.com (801)933-3407 (801)323-6100

10421 SOUTH 

JORDAN GATEWAY 

SUITE 400 SOUTH 

JORDAN UT 84095

AultCare HMO 3A

Stark/Carroll/Holmes

/Tuscarawas/Wayne 

Co. MS SYLVIA MILLS smills@aultcare.com (330)580-6485 (330)454-7845

2600 SIXTH ST 

CANTON OH 44710

Av-Med Health Plan ML

Broward, Dade and 

Palm Beach ROSA DAWSON Rosa.Dawson@avmed.org (305)671-4795 (305)671-4764

9400 SOUTH 

DADELAND BLVD. 

MIAMI FL 33156

Blue Choice MK Rochester area

NICHOLAS 

CARBONE Nicholas.Carbone@excellus.com (585)399-6650 (585)238-4348

165 COURT STREET 

165 COURT STREET 

ROCHESTER NY 

14647

Blue Preferred Plus 

POS 9G

Madison and St. 

Clair counties PAULA MEECE paula.meece@anthem.com (513)872-8219 (513)872-3929

1351 WILLIAM H TAFT 

ROAD MAIL DROP 

OH42A-491 

CINCINNATI OH 

45206

Blue Preferred Plus 

POS 9G

StLouis/Central/SW 

areas PAULA MEECE paula.meece@anthem.com (513)872-8219 (513)872-3929

1351 WILLIAM H TAFT 

ROAD MAIL DROP 

OH42A-491 

CINCINNATI OH 

45206

Blue Shield of CA 

Access+HMO SI Southern Region JASON GORDON jason.gordon@blueshieldca.com (310)744-2835 (310)744-2690

100 N SEPULVEDA 

BLVD 20TH FLOOR 

EL SEGUNDO CA 

91405

Bluecare Network of 

MI H6 Traverse City MICHELLE LIEFER mliefer@bcbsm.com (248)448-6876 (248)448-7297

27000 W ELEVEN 

MILE MC B579 

SOUTHFIELD MI 

48034

Bluecare Network of 

MI J3 Grand Rapids MICHELLE LIEFER mliefer@bcbsm.com (248)448-6876 (248)448-7297

27000 W ELEVEN 

MILE MC B579 

SOUTHFIELD MI 

48034

Bluecare Network of 

MI K5 East Region MICHELLE LIEFER mliefer@bcbsm.com (248)448-6876 (248)448-7297

27000 W ELEVEN 

MILE MC B579 

SOUTHFIELD MI 

48034
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Bluecare Network of 

MI LX Southeast Region MICHELLE LIEFER mliefer@bcbsm.com (248)448-6876 (248)448-7297

27000 W ELEVEN 

MILE MC B579 

SOUTHFIELD MI 

48034

Capital Health Plan EA Tallahassee area DEBORAH SISK DJSisk@chp.org (850)383-3329 (850)523-7334

2140 CENTERVILLE 

PLACE PO BOX 15349 

TALLAHASSEE FL 

32317

CareFirst BlueChoice 2G All of Maryland WILLIAM GRAY bill.gray@carefirst.com (410)998-7477 (410)505-2363

10455 MILL RUN CIR. 

OWINGS MILLS MD 

21117

CareFirst BlueChoice 2G Northern Virginia WILLIAM GRAY bill.gray@carefirst.com (410)998-7477 (410)505-2363

10455 MILL RUN CIR. 

OWINGS MILLS MD 

21117

CareFirst BlueChoice 2G

Washington, D.C. 

Metro Area WILLIAM GRAY bill.gray@carefirst.com (410)998-7477 (410)505-2363

10455 MILL RUN CIR. 

OWINGS MILLS MD 

21117

CDPHP Universal 

Benefits, Inc. SG

Upstate, Hudson 

Valley, Central NY

SHELLY 

MARCANTONIO smarcant@cdphp.com (518)641-5151 (518)641-5005

500 PATROON 

CREEK BLVD 

ALBANY NY 12206

Coventry Health Care IG All of Maryland CAROL BARNA cmbarna@cvty.com (302)995-6100 (866)858-1522

750 PRIDES 

CROSSING SUITE 

300 NEWARK DE 

19713

Coventry Health Care 

HDHP GZ All of Maryland CAROL BARNA cmbarna@cvty.com (302)995-6100 (866)858-1522

750 PRIDES 

CROSSING SUITE 

300 NEWARK DE 

19713

Coventry Health Care 

of Iowa SV

Central/Eastern/Wes

tern Iowa JODI SACKETT jlsackett@cvty.com (800)470-6352 (866)602-1256

4320 NW 114TH 

STREET URBANDALE 

IA 50322

Coventry Health Care 

of Iowa SY

Central/Eastern/Wes

tern Iowa JODI SACKETT jlsackett@cvty.com (800)470-6352 (866)602-1256

4320 NW 114TH 

STREET URBANDALE 

IA 50322

Coventry Health Care 

of Kansas HA

Kansas City Metro 

Area (KS and MO)

CARLEEN D 

STUHLMAN cdstuhlman@cvty.com (816)460-4447 (866)513-8383

8320 WARD 

PARKWAY KANSAS 

CITY MO 64114
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Coventry Health Care 

of Kansas (Kansas 

City)-HDHP 9H

Kansas City Metro 

Area (KS and MO)

CARLEEN D 

STUHLMAN cdstuhlman@cvty.com (816)460-4447 (866)513-8383

8320 WARD 

PARKWAY KANSAS 

CITY MO 64114

Coventry Health Care 

of Louisiana BJ New Orleans Area DENISE BELL dsbell@cvty.com (225)296-8912 (225)296-8920

4000 S SHERWOOD 

FOREST BLVD SUITE 

101 BATON ROUGE 

LA 70816

Coventry Health Plan 

of Florida 5E Southern Florida

RENTHIA 

JACKSON rxjackson@cvty.com (954)375-1577 (877)559-7709

1340 CONCORD 

TERRACE SUNRISE 

FL 33323

Coventry Health Plan 

of Florida J4 Southern Florida

RENTHIA 

JACKSON rxjackson@cvty.com (954)375-1577 (877)559-7709

1340 CONCORD 

TERRACE SUNRISE 

FL 33323

Fallon Community 

Health Plan JG

Central/Eastern 

Massachusetts JASON FORTIN jason.fortin@fchp.org (508)368-9853 (508)831-0912

10 CHESTNUT ST 

WORCESTER MA 

01608

Firstcare CK West Texas

SHARON 

TORRICO storrico@FIRSTCARE.COM (512)257-6175 (512)257-6027

12940 NORTH 

HIGHWAY 183 

AUSTIN TX 78750

Geisinger Health Plan GG

Northeastern/Central

/South Central areas

CHRISTOPHER 

DESANTIS CDEASNTIS@THEHEALTHPLAN.COM (570)271-7950 (570)271-7218

100 N ACADEMY AVE 

DANVILLE PA 17822

GHI Health Plan 80 All of New York ELVIN BOULDEN EBoulden@EmblemHealth.com (212)615-0879 (646)447-5003

441 NINTH AVENUE 

5TH FLOOR NEW 

YORK NY 1001

GHI Health Plan 80

Northern New 

Jersey ELVIN BOULDEN EBoulden@EmblemHealth.com (212)615-0879 (646)447-5003

441 NINTH AVENUE 

5TH FLOOR NEW 

YORK NY 1001

GHI HMO Select 6V

Brnx/Brklyn/Manhat/

Queen/Richmon/We

stche LINDA PINO LPino@ghihmo.com (845)340-2249 (845)334-8950

PO BOX 4181 

KINGSTON NY 12402-

4181

GHI HMO Select X4

Capital/Hudson 

Valley Regions LINDA PINO LPino@ghihmo.com (845)340-2249 (845)334-8950

PO BOX 4181 

KINGSTON NY 12402-

4181

Globalhealth, Inc. IM Oklahoma

ROSALIE 

STAVINOHA rosalie.stavinoha@globalhealth.com (405)280-5637 (999)999-9999

701 N.E. 10TH 

STREET SUITE 300 

OKLAHOMA CITY OK 

73104
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Grand Valley Health 

Plan RL Grand Rapids area MIKE MESSINGER messingerm@gvhp.com (616)949-2410 (616)949-4978

829 FOREST HILL 

AVENUE SE GRAND 

RAPIDS MI 49546

Group Health 

Cooperative 54 Kootenai and Latah ASHLEY POLLEY polley.a@ghc.org (206)448-4153 (206)877-0655

320 WESTLAKE 

AVENUE NORTH 

SUITE 100 SEATTLE 

WA 98109

Group Health 

Cooperative 54

Western WA/Central 

WA/Spokane/Pullma

n ASHLEY POLLEY polley.a@ghc.org (206)448-4153 (206)877-0655

320 WESTLAKE 

AVENUE NORTH 

SUITE 100 SEATTLE 

WA 98109

Group Health 

Cooperative WJ

South Central 

Wisconsin LORI MILLER lmiller@ghcscw.com (608)828-4827 (608)828-9333

1265 JOHN Q 

HAMMONS DRIVE 

MADISON WI 53717

Health Alliance HMO FX Central Iowa NANCY DURBIN Nancy.Durbin@healthalliance.org (800)851-3379 (217)337-8093

301 SOUTH VINE 

STREET URBANA IL 

61801

Health Alliance HMO FX

Central/E.Central/N.

Cent/South/West NANCY DURBIN Nancy.Durbin@healthalliance.org (800)851-3379 (217)337-8093

301 SOUTH VINE 

STREET URBANA IL 

61801

Health Alliance HMO FX Western Indiana NANCY DURBIN Nancy.Durbin@healthalliance.org (800)851-3379 (217)337-8093

301 SOUTH VINE 

STREET URBANA IL 

61801

Health Alliance Plan 52

Southeastern 

Michigan/Flint Area

MARYBETH 

TYSZKIEWICZ mtyszkil@hap.org (248)443-1067 (248)443-8851

2850 WEST GRAND 

BLVD DETROIT MI 

48202

Health Alliance Plan GY

Souteastern 

Michigan/Flint Area

MARYBETH 

TYSZKIEWICZ mtyszki1@hapcorp.org (248)443-1067 (248)443-8851

2850 WEST GRAND 

BLVD DETROIT MI 

48202

Health Net of 

Arizona, Inc. A7

Maricopa/Pima/Othe

r AZ counties KARLA WILSON Karla.M.Wilson@healthnet.com (520)258-6518 (800)211-2601

950 NORTH FINANCE 

CENTER DRIVE 

TUCSON AZ 85710

Health Net of 

California LB Northern Region TAMARA MAXSON Tamara.J.Maxson@healthnet.com (714)934-3372 (714)934-3370

7755 CENTER 

AVENUE 8TH FLOOR 

HUNTINGTON BEACH 

CA 92647

Health Net of 

California LP Southern Region TAMARA MAXSON Tamara.J.Maxson@healthnet.com (714)934-3372 (714)934-3370

7755 CENTER 

AVENUE 8TH FLOOR 

HUNTINGTON BEACH 

CA 92647
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Health Plan of 

Nevada NM Las Vegas area STACEY SHEER Stacey.Sheer@uhc.com (702)304-6952 (702)242-7902

HEALTH PLAN OF 

NEVADA 2720 N 

TENAYA WAY LAS 

VEGAS NV 89128

HealthAmerica 

Pennsylvania 26

Greater Pittsburgh 

Area TODD FINK tmfink@cvty.com (412)553-7365 (866)341-0415

11 STANWIX STREET 

SUITE 2300 

PITTSBURGH PA 

15222

HealthAmerica 

Pennsylvania SW

Central 

Pennsylvania TODD FINK tmfink@cvty.com (412)553-7365 (866)341-0415

11 STANWIX STREET 

SUITE 2300 

PITTSBURGH PA 

15222

HealthAmerica 

Pennsylvania - HDHP Y6

Greater Pittsburgh 

Area TODD FINK tmfink@cvty.com (412)553-7365 (866)341-0415

11 STANWIX STREET 

SUITE 2300 

PITTSBURGH PA 

15222

HealthAmerica 

Pennsylvania-HDHP YW

Central 

Pennsylvania TODD FINK tmfink@cvty.com (412)553-7365 (866)341-0415

11 STANWIX STREET 

SUITE 2300 

PITTSBURGH PA 

15222

HealthPartners Open 

Access Copay/3 for 

Free V3 Western Wisconsin JASON BLONIGEN Jason.J.Blonigen@healthpartners.com (952)883-6268 (952)883-5260

8170 33RD AVENUE 

SOUTH 

BLOOMINGTON MN 

55425-1309

HealthPartners Open 

Access Copay/3 for 

Free V3 Northern Iowa JASON BLONIGEN Jason.J.Blonigen@healthpartners.com (952)883-6268 (952)883-5260

8170 33RD AVENUE 

SOUTH 

BLOOMINGTON MN 

55425-1309

HealthPartners Open 

Access Copay/3 for 

Free V3

Eastern North 

Dakota JASON BLONIGEN Jason.J.Blonigen@healthpartners.com (952)883-6268 (952)883-5260

8170 33RD AVENUE 

SOUTH 

BLOOMINGTON MN 

55425-1309

HealthPartners Open 

Access Copay/3 for 

Free V3

Eastern South 

Dakota JASON BLONIGEN Jason.J.Blonigen@healthpartners.com (952)883-6268 (952)883-5260

8170 33RD AVENUE 

SOUTH 

BLOOMINGTON MN 

55425-1309

HealthPartners Open 

Access Copay/3 for 

Free V3 Minnesota JASON BLONIGEN Jason.J.Blonigen@healthpartners.com (952)883-6268 (952)883-5260

8170 33RD AVENUE 

SOUTH 

BLOOMINGTON MN 

55425-1309
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

HealthPlus MI X5 East Michigan

BRIDGET 

HOLLINGSWORTH bholling@healthplus.com (989)797-4041 (989)797-4044

5454 HAMPTON 

PLACE SAGINAW MI 

48604

Heart of America 

Health Plan RU

Northcentral North 

Dakota

SHARON 

PEDERSON spedersonhoahp@gondtc.com (701)776-5848 x2479 (701)776-5425

810 SOUTH MAIN 

RUGBY ND 58368

HIP of Greater New 

York 51 New York City area RUBEN ORTIZ ROrtiz@HIPUSA.com (646)447-6991 (646)447-3302

55 WATER STREET 

NEW YORK NY 10041

HMO Health Ohio L4 Northeast Ohio LYNN KELBACH Lynn.Kelbach@mmoh.com (216)687-7921 (216)687-7274

2060 E. 9TH STREET 

COST CENTER 2110 

CLEVELAND OH 

44115

HMSA 87 All of Hawaii ELYSE OSHIMO elyse_oshimo@hsma.com (808)948-6070 (808)948-6653

818 KEEAUMOKU ST 

HONOLULU HI 96814

Humana Benefit Plan 

of Illinois, Inc. 9F

Cental/CentralNorthwestern IllinoisRACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Benefit Plan 

of Illinois, Inc. AB

Central/CentralNorthwestern IllinoisRACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Employers 

Health of Georgia, 

Inc. CB Columbus

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Employers 

Health of Georgia, 

Inc. DG Atlanta

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Employers 

Health of Georgia, 

Inc. DN Macon

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan 

Inc. 75

Lake/Porter/LaPorte 

Counties

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan 

Inc. 75 Chicago

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan 

of Texas UC Corpus Christi

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Humana Health Plan 

of Texas UR San Antonio

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan 

of Texas UU Austin

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan, 

Inc. GJ Knoxville

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan, 

Inc. MH Louisville

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan, 

Inc. MH Southern Indiana

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan, 

Inc. MI Lexington

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health Plan, 

Inc. MS Kansas City

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Health 

Plans of Puerto Rico, 

Inc. ZJ Puerto Rico JOSE VIENTOS jvientos@humana.com (787)993-7886 (888)889-9733

383 FD ROOSEVELT 

AVE SUITE 3 SAN 

JUAN PR 00918-2131

Humana Medical 

Plan, Inc. EE South Florida

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Humana Medical 

Plan, Inc. LL Tampa

RACHELLE 

BAUMGART openseason@humana.com (920)337-8068 (920)248-6813

1100 EMPLOYERS 

BLVD GREENBAY WI 

54344

Independent Health 

Assoc QA Western New York

JOEL 

MARINACCIO jmarinac@independenthealth.com (716)635-3843 (716)631-8554

511 FARBER LAKES 

DRIVE BUFFALO NY 

14221

Kaiser Foundation 

Health Plan MidAtlantic States E3Baltimore/Washingto

n, DC areas

BEVERLEE 

DAWKINS beverlee.j.dawkins@kp.org (301)321-5152 (301)321-5197

2101 EAST 

JEFFERSON ST PO 

BOX 6611 ROCKVILLE 

MD 20849
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Kaiser Foundation 

Health Plan MidAtlantic States E3

Northern 

Virginia/Fredericksb

urg area

BEVERLEE 

DAWKINS beverlee.j.dawkins@kp.org (301)321-5152 (301)321-5197

2101 EAST 

JEFFERSON ST PO 

BOX 6611 ROCKVILLE 

MD 20849

Kaiser Foundation 

Health Plan MidAtlantic States E3Washington, DC 

area

BEVERLEE 

DAWKINS beverlee.j.dawkins@kp.org (301)321-5152 (301)321-5197

2101 EAST 

JEFFERSON ST PO 

BOX 6611 ROCKVILLE 

MD 20849

Kaiser Foundation 

Health Plan of 

California 59 Northern California

JOANNE 

HAGGERTY joanne.haggerty@kp.org (925)926-5689 (925)939-6199

501 LENNON LANE 

WALNUT CREEK CA 

94598

Kaiser Foundation 

Health Plan of 

California 62 Southern California

JOANNE 

HAGGERTY joanne.haggerty@kp.org (925)926-5689 (925)939-6199

501 LENNON LANE 

WALNUT CREEK CA 

94598

Kaiser Foundation 

Health Plan of 

Colorado 65

Denver/Boulder/Sout

hern Colorado 

areas LARRY SHAEFFER Larry.R.Shaeffer@kp.org (303)306-2521 (303)306-2520

2530 S. PARKER 

ROAD SUITE 650 

AURORA CO 80012-

1633

Kaiser Foundation 

Health Plan of 

Georgia F8 Atlanta and Athens SHEILA LEUNG sheila.leung@kp.org (404)364-7158 (404)364-4998

3495 PIEDMONT RD 

NE BLDG 9 ATLANTA 

GA 30305

Kaiser Foundation 

Health Plan of Hawaii 63

Hawaii/Kauai/Lanai/

Maui/Molokai/Oahu

GARRIANN 

MONTALBO garrian.bk.montalbo@kp.org (808)432-5344 (808)432-5304

711 KAPIOLANI 

BOULEVARD, 4TH 

FLOOR HONOLULU 

HI 96813

Kaiser Foundation 

Health Plan of 

Northwest 57

Portland/Salem 

areas HILARY GETZ hilary.k.getz@kp.org (503)813-4616 (503)813-4636

500 NE MULTNOMAH 

SUITE 100 

PORTLAND OR 

97232

Kaiser Foundation 

Health Plan of 

Northwest 57 Vancouver/Longview HILARY GETZ hilary.k.getz@kp.org (503)813-4616 (503)813-4636

500 NE MULTNOMAH 

SUITE 100 

PORTLAND OR 

97232

Kaiser Foundation 

Health Plan of Ohio 64

Cleveland/Akron 

areas CLIENT SERVICES csu.oh@kp.org (216)479-5770 (216)479-5403

1001 LAKESIDE AVE 

SUITE1200 

CLEVELAND OH 

44114
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

KPS Health Plans L1 All of Washington CHERI MCCORKLE cmccorkle@kpshealthplans.com (360)478-2623 (360)698-0982

400 WARREN 

AVENUE 

BREMERTON WA 

98337

KPS Health Plans VT All of Washington CHERI MCCORKLE cmccorkle@kpshealthplans.com (360)478-2623 (360)698-0982

400 WARREN 

AVENUE 

BREMERTON WA 

98337

Lovelace Health Plan Q1 All of New Mexico JULIE LEE Julie.lee2@lovelace.com (505)727-5497 (505)727-9393

ALTURA OFFICE 

COMPLEX 4101 

INDIAN SCHOOL RD 

NE ALBUQUERQUE 

NM 87110

M.D. IPA JP All of Maryland NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3448

6095 MARSHALEE 

DRIVE SUITE 200 

ELKRIDGE MD 21075

M.D. IPA JP

N.VA/Cntrl 

VA/Richmond NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3448

6095 MARSHALEE 

DRIVE SUITE 200 

ELKRIDGE MD 21075

M.D. IPA JP

Washington, DC 

area NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3448

6095 MARSHALEE 

DRIVE SUITE 200 

ELKRIDGE MD 21075

MercyCare HMO EY

South Central 

Wisconsin

DUWAYNE 

SEVERSON dseverson@mhsjvl.org (608)741-5626 (608)752-3751

3430 PALMER DRIVE 

JANESVILLE WI 

53547

MVP Health Care GA Eastern Region T. LEWIS STEELE tsteele@mvphealthcare.com (518)386-7863 (518)386-7869

625 STATE ST 

SCHENECTADY NY 

12305

MVP Health Care GV Western Region T. LEWIS STEELE tsteele@mvphealthcare.com (518)386-7863 (518)386-7869

625 STATE ST 

SCHENECTADY NY 

12305

MVP Health Care M9 Central Region T. LEWIS STEELE tsteele@mvphealthcare.com (518)386-7863 (518)386-7869

625 STATE ST 

SCHENECTADY NY 

12305

MVP Health Care MF Northern Region T. LEWIS STEELE tsteele@mvphealthcare.com (518)386-7863 (518)386-7869

625 STATE ST 

SCHENECTADY NY 

12305

MVP Health Care MX Mid-Hudson Region T. LEWIS STEELE tsteele@mvphealthcare.com (518)386-7863 (518)386-7869

625 STATE ST 

SCHENECTADY NY 

12305
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

Optima Health Plan 9R

Hampton Roads and 

Richmond areas GWEN ARNOLD glarnold@sentara.com (757)687-6087 (757)687-6031

4417 CORPORATION 

LANE VIRGINIA 

BEACH VA 23462-

3162

PacifiCare of 

California CY Most of California MIKE WELLS mike.wells@uhc.com (714)226-3504 (714)226-3931

5995 PLAZA DRIVE 

MS CY112-0193 

CYPRESS CA 90630

Pacificare of Texas GF San Antonio MIKE WELLS mike.wells@uhc.com (714)226-3504 (714)226-3931

5995 PLAZA DRIVE 

MS CY112-0193 

CYPRESS CA 90630

Physicians Health 

Plan of Mid-Michigan 9U Mid-Michigan

CONNIE 

SCARPONE connie.scarpone@phpmm.org (517)364-8266 (517)364-8280

1400 E. MICHIGAN 

AVE LANSING MI 

48912

Physicians Health 

Plan of Northern 

Indiana DQ Northeast Indiana TONYA HART thart@phpni.com (260)432-6690 (260)432-0493

8101 W JEFFERSON 

BLVD FORT WAYNE 

IN 46804-4163

Physicians Plus LW Dane County SCOTT RABEHI scott.rabehi@pplisic.com (608)260-7178 (608)258-1904

22 E MIFFLIN ST 

SUITE 200 MADISON 

WI 53703

Piedmont Community 

Healthcare 2C Lynchburg area KEN BUNCH kbunch@pchp.net (434)947-4463 (434)947-3670

PIEDMONT 

COMMUNITY 

HEALTHCARE 1937 

THOMSON DRIVE 

LYNCHBURG VA 

24501

Presbyterian Health 

Plan P2

All counties in New 

Mexico

JACLYN 

FLOWERS jflowers@phs.org (505)923-8234 (505)923-8163

2501 BUENA VISTA 

SE PO BOX 27489 

ALBUQUERQUE NM 

87106

QualChoice DH All of Arkansas ANDRA KAUFMAN andra.kaufman@qualchoice.com (501)707-6711 (501)219-5175

12615 CHENAL 

PARKWAY LITTLE 

ROCK AR 72211

Sanford Health Plan AU

Eastern/Central/Rapi

d City Areas LISA CARLSON Lisa.M.Carlson@sanfordhealth.org (605)328-6859 (605)328-6811

300 CHERAPA PLACE 

SUITE 201 SIOUX 

FALLS SD 57103

Sanford Health Plan AU Northwestern Iowa LISA CARLSON Lisa.M.Carlson@sanfordhealth.org (605)328-6859 (605)328-6811

300 CHERAPA PLACE 

SUITE 201 SIOUX 

FALLS SD 57103
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

SelectHealth SF

Urban and Suburban 

Utah

DAELA TAEOALIIHIGGS daela.taeoali-higg@selecthealth.or (801)442-7729 (801)442-56105381 GREEN STREET 

MURRAY UT 84123

TakeCare JK

Guam/N.MarianaIsla

nds/Belau(Palau)

MARICON 

VENOZA maria.venoza@takecareasia.com (671)646-6956 (671)647-3553

CHALAN SAN 

ANTONIO STE. 308 

P.O. BOX 6578 

TAMUNING GU 96931

TakeCare KX

Guam/N. Mariana 

Islands/Belau 

(Palau)

JOYCE 

QUINTANILLA joyce.quintanilla@takecareasia.com (671)646-6956 (671)647-3548

CHALAN SAN 

ANTONIO STE. 308 

P.O. BOX 6578 

TAMUNING GU 96931

The Health Plan of 

the Upper Ohio 

Valley U4 Eastern Ohio

ROBERT 

TSCHAPPAT btschappat@healthplan.org (740)695-7631 (740)699-6162

52160 NATIONAL 

ROAD E. ST. 

CLAIRSVILLE OH 

43950

The Health Plan of 

the Upper Ohio 

Valley U4

Northern/Central 

West Virginia

ROBERT 

TSCHAPPAT btschappat@healthplan.org (740)695-7631 (740)699-6162

52160 NATIONAL 

ROAD E. ST. 

CLAIRSVILLE OH 

43950

Triple-S Salud, Inc. 85 US Virgin Islands MARLA MENDEZ mamendez@ssspr.com (787)749-4169 (787)706-4010

1441 ROOSEVELT 

AVENUE SAN JUAN 

PR 00920

Triple-S Salud, Inc. 89 All of Puerto Rico MARLA MENDEZ mamendez@ssspr.com (787)749-4169 (787)706-4010

1441 ROOSEVELT 

AVENUE SAN JUAN 

PR 00920

Union Health Service 76 Chicago area JILL M. ROCK jrock@unionhealth.org (312)423-4322 x222 (312)423-4326

1634 WEST POLK 

STREET CHICAGO IL 

60612

United Healthcare of 

the Midwest, Inc. B9 Southwest Illinois NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3448

6095 MARSHALEE 

DRIVE SUITE 200 

ELKRIDGE MD 21075

United Healthcare of 

the Midwest, Inc. B9 St. Louis Area NANCY MAISEL Nancy_J_Maisel@uhc.com (410)796-6282 (410)379-3448

6095 MARSHALEE 

DRIVE SUITE 200 

ELKRIDGE MD 21075

UnitedHealthcare 

Plan of the River 

Valley Inc. YH

Eastern and Central 

Iowa; KATIE MOORE katie_moore@uhc.com (309)736-4652 (800)984-2820

1300 RIVER DR STE 

200 MOLINE IL 61265
Attachment 4: FEHB Plan Contacts for Requesting HMO Brochures

Plan Name

Plan 

Code

Plan Code 

Location Name Email Address Work FAX Address

UnitedHealthcare 

Plan of the River 

Valley Inc. YH West Central Illinois KATIE MOORE katie_moore@uhc.com (309)736-4652 (800)984-2820

1300 RIVER DR STE 

200 MOLINE IL 61265

UPMC Health Plan 8W

Western 

Pennsylvania PENNY DINARDO dinardope@upmc.edu (412)454-5605 (412)454-7711

112 WASHINGTON 

PLACE SUITE 800 

PITTSBURGH PA 

15219

UPMC Health Plan 8W

Western 

Pennsylvania PENNY DINARDO dinardope@upmc.edu (412)454-5605 (412)454-7711

112 WASHINGTON 

PLACE SUITE 800 

PITTSBURGH PA 

15219

UPMC Health Plan UW

Western 

Pennsylvania PENNY DINARDO dinardope@upmc.edu (412)454-5605 (412)454-7711

112 WASHINGTON 

PLACE SUITE 800 

PITTSBURGH PA 

15219