2016 FEHB Plan Name

Carrier 

Code

HMO Brochure Order 

Contact Email Address FAX Work Address

Aetna Direct N6 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Health of Utah, Inc. dba Altius Health Plans 9K TERESA LAMKIN tllamkin@cvty.com (801)323-6100 (801)933-3612 10421 SOUTH JORDAN GATEWAY SUITE 400 SOUTH JORDAN UT 84095

Aetna Health of Utah, Inc. dba Altius Health Plans DK TERESA LAMKIN tllamkin@cvty.com (801)323-6100 (801)933-3612 10421 SOUTH JORDAN GATEWAY SUITE 400 SOUTH JORDAN UT 84095

Aetna HealthFund CDHP and Value Plan EP DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna HealthFund CDHP and Value Plan F5 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna HealthFund CDHP and Value Plan G5 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna HealthFund CDHP and Value Plan H4 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna HealthFund CDHP and Value Plan JS DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY RD MS U11N BLUE BELL PA 19422-0770

Aetna HealthFund HDHP 22 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access 2U DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access 2X DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access C3 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access HA KRISTIE SEIBERT kkseibert@aetna.com (866)513-8382 (913)202-5183 9401 INDIAN CREEK PARKWAY SUITE 1300 OVERLAND PARK KS 66210

Aetna Open Access JC DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access JN DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access JR DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access P3 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access UB DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access WQ DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Open Access YE DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Whole Health D9 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Whole Health ES DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Whole Health F7 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Aetna Whole Health J9 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY ROAD U11N BLUE BELL PA 19422

Anthem Blue Cross Select HMO B3 PAULA MEECE paula.meece@anthem.com (513)872-3929 (513)872-8219 1351 WILLIAM H TAFT ROAD MAIL DROP OH42A-491 CINCINNATI OH 45206

AultCare HMO 3A MS SYLVIA MILLS smills@aultcare.com (330)454-7845 (330)363-7485 2600 SIXTH STREET SW CANTON OH 44710

AvMed Health Plans 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 22 FLOOR CHICAGO IL 60601

Blue Preferred Plus POS 9G PAULA MEECE paula.meece@anthem.com (513)872-3929 (513)872-8219 1351 WILLIAM H TAFT ROAD MAIL DROP OH42A-491 CINCINNATI OH 45206

Blue Shield of CA Access+HMO SI CAMILLE CERRADO camille.cerrado@blueshieldca (415)229-6720 (415)229-6255 50 BEALE STREET SAN FRANCISCO CA 94105

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

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

Calvos Selectcare B4 GINA RAMOS gramos@calvos.com (671)477-4141 (671)479-7922 115 CHALAN SANTO PAPA HAGATNA GU 96910

Capital Health Plan EA DEBORAH SISK djsisk@chp.org (850)523-7334 (850)383-3329 2140 CENTERVILLE PLACE 2140 CENTERVILLE PLACE TALLAHASSEE FL 32317

CareFirst BlueChoice 2G DOROTHY CONLEY dorothy.conley@carefirst.com (301)470-5359 (202)680-7059 840 FIRST ST, 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 ALBANY NY 12206

Dean Health Plan WD PENNY BOUND penny.bound@deancare.com (608)252-0834 (608)827-4122 1277 DEMING WAY MADISON WI 53717

Firstcare CK TOM SNOW TSnow@firstcare.com (512)257-6028 (512)257-6138 12940 NORTH HIGHWAY 183 AUSTIN TX 78750

Geisinger Health Plan GG CHRISTOPHER DESANTIS cdesantis1@thehealthplan.com (570)271-7218 (570)271-7950 100 N ACADEMY AVE DANVILLE PA 17822

GHI Health Plan 80 SHARON FISHER sfisher@emblemhealth.com (212)476-7814 (646)447-5019 55 WATER STREET 8TH FLOOR NEW YORK NY 10041

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

Grand Valley Health Plan RL MIKE MESSINGER messingerm@gvhp.com (616)949-4978 (616)949-2410 829 FOREST HILL AVENUE SE GRAND RAPIDS MI 49546

Group Health Cooperative 54 COOPER BIDDISCOMBE biddiscombe.c@ghc.org (206)877-0655 (206)448-4153 320 WESTLAKE AVENUE NORTH SUITE 100 SEATTLE WA 98109

Group Health Cooperative PT COOPER BIDDISCOMBE biddiscombe.c@ghc.org (206)877-0655 (206)448-4153 320 WESTLAKE AVENUE NORTH SUITE 100 SEATTLE WA 98109

Group Health Cooperative WJ TINA THOMAS tthomas2@ghcscw.com (608)662-4980 (608)828-4827 1265 JOHN Q HAMMONS DRIVE MADISON WI 53717
Health Alliance HMO FX KEVIN SMITH kevin.smith@healthalliance.org (217)383-8321 (217)337-8083 301 SOUTH VINE STREET URBANA IL 61801

Health Alliance HMO K8 CHERYL CAIN cheryl.cain@healthalliance.org (217)365-7496 (217)337-8083 301 SOUTH VINE STREET URBANA IL 61801

Health Alliance Plan 52 JAIMIE SMITH jsmith3@hap.org (248)443-0094 (248)443-0090 2850 WEST GRAND BLVD DETROIT MI 48202

Health Alliance Plan GY JAIMIE SMITH jsmith3@hap.org (248)443-0094 (248)443-0090 2850 WEST GRAND BLVD DETROIT MI 48202

Health Net of Arizona, Inc. A7 DENA MODUGNO Dena.M.Modugno@healthnet.com (818)676-7411 (800)909-6362 x3555 P.O. BOX 9103 VAN NUYS CA 91409

Health Net of California LB TAMARA MAXSON Tamara.J.Maxson@healthnet.com (714)934-3370 (714)934-3372 7755 CENTER AVENUE 8TH FLOOR HUNTINGTON BEACH CA 92647

Health Net of California LP TAMARA MAXSON Tamara.J.Maxson@healthnet.com (714)934-3370 (714)934-3372 7755 CENTER AVENUE 8TH FLOOR HUNTINGTON BEACH CA 92647

Health Net of California P6 TAMARA MAXSON Tamara.J.Maxson@healthnet.com (714)934-3370 (714)934-3372 7755 CENTER AVENUE 8TH FLOOR HUNTINGTON BEACH CA 92647

Health Plan of Nevada NM STACEY SHEER stacey.sheer@uhc.com (702)242-7902 (702)304-6952 2724 N TENAYA WAY LAS VEGAS NV 89128

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

HealthPlus of MI X5 SCOTT FELDPAUSCH sfeldpau@healthplus.org (810)230-2208 (810)733-8968 2050 S LINDEN RD FLINT MI 48532

HealthSpan Integrated Care 64 SANDEE WEBB swebb0@healthspan.org (216)479-5403 (216)479-5064 1001 LAKE SIDE DRIVE E SUITE 1200 CLEVELAND OH 44114

HIP Health of Greater New York 51 SHARON FISHER sfisher@emblemhealth.com (212)476-7814 (646)447-5019 55 WATER STREET 8TH FLOOR NEW YORK NY 10041

HIP Health 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 CHRISTIAN FERN christian_fern@hmsa.com (808)948-6653 (808)952-7845 818 KEEAUMOKU ST HONOLULU HI 96814

Humana CoverageFirst and Value Plan 6N PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan AD PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan GB PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan LM PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan MJ PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan MW PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan PH PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan QP PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan TP PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan TU PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana CoverageFirst and Value Plan TV PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Employers Health of Georgia, Inc. CB PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Employers Health of Georgia, Inc. DG PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Employers Health of Georgia, Inc. DN PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Benefit Plan of Louisiana, Inc. AE PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Benefit Plan of Louisiana, Inc. BC PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan of Ohio A6 PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan of Texas EW PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan of Texas UC PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan of Texas UR PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan of Texas UU PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. 75 PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. 9F PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. AB PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. BF PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. C7 PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. GJ PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. MH PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. MI PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. MS PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plan, Inc. NR PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Health Plans of Puerto Rico, Inc. ZJ GEYSSA TERRERO VICTORIAgterrero1@humana.com (888)298-3360 (787)993-7954 383 FD ROOSEVELT AVE SUITE 3 SAN JUAN PR 15219-2131

Humana Medical Plan, Inc. E2 PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Medical Plan, Inc. EE PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344
Humana Medical Plan, Inc. EX PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Humana Medical Plan, Inc. LL PAULA WEYERS openseason@humana.com (920)339-7661 (920)337-7291 1100 EMPLOYERS BLVD GREENBAY WI 54344

Independent Health Assoc QA JOEL MARINACCIO Joel.Marinaccio@independenthealth.com (716)631-8554 (716)635-3843 511 FARBER LAKES DRIVE BUFFALO NY 14221

Independent Health Association C5 JOEL MARINACCIO Joel.Marinaccio@independenthealth.com (716)631-8554 (716)635-3843 511 FARBER LAKES DRIVE BUFFALO NY 14221

Innovation Health Plan LQ DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215)775-6339 980 JOLLY RD MS U11N BLUE BELL PA 19422-0770

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

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

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

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

Kaiser Foundation Health Plan Mid-Atlantic States E3 BEVERLEE DAWKINS beverlee.j.dawkins@kp.org (301)321-5197 (301)321-5152 2101 EAST JEFFERSON ST PO BOX 6611 ROCKVILLE MD 20849

Kaiser Foundation Health Plan of Colorado 65 CHAD DONAHUE chad.x.donahue@kp.org (303)306-2520 (303)306-2521 2530 S. PARKER ROAD SUITE 650 AURORA CO 80014-1633

Kaiser Foundation Health Plan of Colorado N4 CHAD DONAHUE chad.x.donahue@kp.org (303)306-2520 (303)306-2521 2530 S. PARKER ROAD SUITE 650 AURORA CO 80014-1633

Kaiser Foundation Health Plan of Georgia F8 LORRIE 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 DAVE SHIROMA dave.y.shiroma@kp.org (808)432-5304 (808)432-5257 711 KAPIOLANI BOULEVARD, 4TH FLOOR 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

Keystone Health Plan West NP EDWARD CLEARY ed.cleary@himark.com (999)999-9999 (412)544-2229 120 5TH AVENUE PITTSBURGH PA 15222

KPS Health Plans L1 KAREN BAXTER karenb@kpshealthplans.com (360)698-0982 (360)415-4325 PO BOX 339 BREMERTON WA 98337

KPS Health Plans VT KAREN BAXTER karenb@kpshealthplans.com (360)698-0982 (360)415-4325 PO BOX 339 BREMERTON WA 98337

M.D. IPA JP NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6095 MARSHALEE DRIVE SUITE 200 ELKRIDGE MD 21075

MercyCare HMO EY TRACY CRAKER tcraker@mhsjvl.org (608)752-3751 (608)741-5627 580 N.WASHINGTON ST. JANESVILLE WI 53548

MVP Health Care GA RACHEL TREMBLEY rtrembley@mvphealthcare.com (518)386-7869 (518)388-2263 625 STATE ST SCHENECTADY NY 12305

MVP Health Care GV RACHEL TREMBLEY rtrembley@mvphealthcare.com (518)386-7869 (518)388-2263 625 STATE ST SCHENECTADY NY 12305

MVP Health Care M9 RACHEL TREMBLEY rtrembley@mvphealthcare.com (518)386-7869 (518)388-2263 625 STATE ST SCHENECTADY NY 12305

MVP Health Care MF RACHEL TREMBLEY rtrembley@mvphealthcare.com (518)386-7869 (518)388-2263 625 STATE ST SCHENECTADY NY 12305

MVP Health Care MX RACHEL TREMBLEY rtrembley@mvphealthcare.com (518)386-7869 (518)388-2263 625 STATE ST SCHENECTADY NY 12305

New Mexico BlueHMO Preferred Q1 JULIE LEE julie_lee@bcbsnm.com (505)816-3600 (505)816-4284 5701 BALLOON FIESTA PARKWAY ALBUQUERQUE NM 87113

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

Paramount Health Care N8 LAUREN SCHULZE lauren.schulze@ProMedica.org (419)887-2017 (419)887-2898 1901 INDIAN WOOD CIR MAUMEE OH 43537

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

Presbyterian Health Plan P2 MARLENE ALDERETE malderete2@phs.org (505)923-8163 (505)923-5392 9521 SAN MATEO NE ALBUQUERQUE NM 87113

Presbyterian Health Plan PS MARLENE ALDERETE malderete2@phs.org (505)923-8163 (505)923-5392 9521 SAN MATEO NE ALBUQUERQUE NM 87113

Priority Health LE KELLIE STYF kellie.styf@priorityhealth.com (616)942-5651 (616)355-3255 1231 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

Sanford Health Plan AU LISA CARLSON Lisa.M.Carlson@sanfordhealth.org (605)328-6811 (605)328-6859 300 CHERAPA PLACE SUITE 201 SIOUX FALLS SD 57103

Sanford Health Plan C9 LISA CARLSON Lisa.M.Carlson@sanfordhealth.org (605)328-6811 (605)328-6859 300 CHERAPA PLACE SUITE 201 SIOUX FALLS SD 57103

Scott & White Health Plan A8 LIZ OBERG LOBERG@SW.ORG (512)930-6055 (512)930-6044 204 S IH35, SUITE 100 GEORGETOWN TX 78628

SelectHealth SF BRYCE FADDIS Bryce.Faddis@selecthealth.org (801)442-5610 (801)442-8161 5381 GREEN STREET MURRAY UT 84123

TakeCare JK GREG KERREBROCK greg.kerrebrock@takecareasia.com (671)647-3548 (671)300-7155 177 CHALAN PASAHERU SUITE A TAMUNING GU 96911

TakeCare KX JOYCE QUINTANILLA joyce.quintanilla@takecareasia.com (671)647-3548 (671)646-6956 CHALAN SAN ANTONIO STE. 308 P.O. BOX 6578 TAMUNING GU 96931

Triple-S Salud, Inc. 85 PAOLA MERCADO pmercado@ssspr.com (787)281-2312 (787)273-1110 1441 ROOSEVELT AVENUE SAN JUAN PR 00920

Triple-S Salud, Inc. 89 PAOLA MERCADO pmercado@ssspr.com (787)281-2312 (787)273-1110 1441 ROOSEVELT AVENUE SAN JUAN PR 00920

Union Health Service 76 JILL M. ROCK jrock@unionhealth.org (312)423-4255 (312)423-4322 x222 1634 WEST POLK STREET ZZ NEW ADDRESS CHICAGO IL 60612

United Healthcare Insurance Company, Inc. KK NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. KT NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. LJ NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. LR NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. (HDHP) LS NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. (HDHP) LU NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

United Healthcare Insurance Company, Inc. (HDHP) N7 NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045
UnitedHealthcare Benefits of Texas, Inc. GF MIKE WELLS mike.wells@uhc.com (714)226-5367 (714)252-0457 5701 KATELLA AVENUE MAIL STOP CA120-0530 CYPRESS CA 90630

UnitedHealthcare Insurance Company L9 NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

UnitedHealthcare Insurance Company LV NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 (443)896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045

UnitedHealthcare of California CY MIKE WELLS mike.wells@uhc.com (714)226-5367 (714)252-0457 5701 KATELLA AVENUE MAIL STOP CA120-0530 CYPRESS CA 90630

UnitedHealthcare Plan of the River Valley Inc. YH KATIE MOORE katie_moore@uhc.com (800)984-2820 (309)736-4652 1300 RIVER DR STE 200 MOLINE IL 61265

UPMC Health Plan 8W KAYLEEN GARLICKI garlickikr@upmc.edu (412)454-7711 (412)454-8878 600 GRANT STREET PITTSBURGH PA 15219

UPMC Health Plan 8W KAYLEEN GARLICKI garlickikr@upmc.edu (412)454-7711 (412)454-8878 600 GRANT STREET PITTSBURGH PA 15219

UPMC Health Plan UW KAYLEEN GARLICKI garlickikr@upmc.edu (412)454-7711 (412)454-8878 600 GRANT STREET PITTSBURGH PA 15219