Attachment 3 - BAL 07-403

Plan Contacts for Enrollment Forms

Carrier Code Plan Name 2008 Enrollment Forms Contact Email Address FAX Work 

10 Blue Cross and Blue Shield Service Benefit Plan ENROLLMENT SERVICES UNIT enrollment.service@fepoc.carefirst.com (202)479-5511 (202)488-4200 OPERATIONS CENTER 8411 Blue Cross and Blue Shield Service Benefit Plan ENROLLMENT SERVICES UNIT enrollment.service@fepoc.carefirst.com (202)479-5511 (202)488-4200 OPERATIONS CENTER 8417 Unicare HMO ALMA TELFORD alma.telford@wellpoint.com (312)234-8009 (312)234-7464 233 S WACKER DRIVE SU22 Aetna HealthFund JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

26 HealthAmerica Pennsylvania WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

2C Piedmont Community Healthcare CHERYL F MIDKIFF cmidkiff@pchp.net (804)947-4465 (804)947-4463 x216

PIEDMONT COMMUNITY HLYNCHBURG VA 24501

2G CareFirst BlueChoice DIR DIXIE ANDERSON dixie.adams@carefirst.com (410)505-6779 (443)738-7824 10455 MILL RUN CIR. OWI

2J Coventry Health Care SUSAN MINSKER saminsker@cvty.com (866)287-6591 (302)283-6834 211 LAKE DRIVE NEWARK 

2L Health Plan of Nevada MS MARY KOKER enr109@sierrahealth.com (702)242-9186 (702)242-7384 TEXAS HEALTH CHOICE L

2N PacifiCare of Oklahoma BARBARA SCHEIB barbara.scheib@phs.com (210)474-5378 (210)478-4403 6200 NORTHWEST PARKW2U Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

2X Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

31 GEHA Benefit Plan SHERYLL THOMAS sheryll.thomas@geha.com (816)257-3302 (816)257-5500 17306 E 24 HWY INDEPEN32 NALC PATTI SCOTT nalchbpadmin@msn.com (703)729-8131 (703)729-4677 20547 WAVERLY COURT A34 GEHA High Deductible Health Plan SHERYLL THOMAS sheryll.thomas@geha.com (816)257-3302 (816)257-5500 17306 E 24 HWY INDEPEN38 Rural Carrier Benefit Plan BARBARA BRUCE bbruce@nrlca.org (703)684-9627 (703)684-5552 1630 DUKE ST, 2ND FLOO

3A AultCare HMO KEVIN HARVEY kharvey@aultman.com (330)363-7658 (330)363-4878 2600 SIXTH ST CANTON O

40 Foreign Service Benefit Plan KATHY YELDELL kathy.yeldell@afspa.org (202)833-4918 (202)833-4910 1716 N STREET, NW WAS41 Mail Handlers Benefit Plan Value Option LINDA WELCH lswelch@cvty.com (801)954-6156 (801)954-3093 15400 CALHOUN PLACE R

42 Association Benefit Plan GILES TOLLISON NewAddress@NewAddress.Com (703)734-7013 (703)613-7779 ATTN: GILES TOLLISON 443 Panama Canal Area Benefit Plan MARTHA MAZA martha.maza@axa-assistance.com (305)523-1360 (800)424-8196

AXA ASSISTANCE FLORID

33131

44 SAMBA DARLENE CAMPBELL dcampbell@sambaplans.com (301)816-0191 (301)984-4140 11301 OLD GEORGETOW45 Mail Handlers Benefit Plan LINDA WELCH lswelch@cvty.com (801)954-6156 (801)954-3093

2650 SOUTH DECKER LAKUT 84119

47 APWU Health Plan KEVIN MACKLEY kmackley@apwuhp.com (410)424-1512 (410)424-1522 799 CROMWELL PARK DR48 Mail Handlers Benefit Plan Consumer Option LINDA WELCH lswelch@cvty.com (801)954-6156 (801)954-3093

2650 SOUTH DECKER LAKUT 84119

4N HealthAmerica Pennsylvania WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

51 HIP of Greater New York HAROLD MILLER dcmille@bluemail.com (646)447-3089 (646)447-5966 55 WATER STREET ZZ NE52 Health Alliance Plan DORETHEA JENKINS djenkins@hap.org (248)443-8175 (248)443-1165 2850 WEST GRAND BLVD 53 HealthPartners Classic/Open Access Deductible MARGARET J SCHMOLLER margaret.j.schmoller@healthpartners.com (952)883-7666 (952)883-7943 8170 33RD AVENUE SOUT54 Group Health Cooperative MARIANNA TOKAREFF tokareff.m@ghc.org (206)988-7001 (206)988-7043 12401 E. MARGINAL WAY 57 Kaiser Foundation Health Plan of Northwest FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU59 Kaiser Foundation Health Plan of California TEAM FEDERAL scal.csc-federalteam@kp.org (858)614-3344 (858)614-3386 3840 MURPHY CANYON R

5E Vista Healthplan of South Florida TOM MONTGOMERY Tom.montgomery@vistahealthplan.com (954)965-3175 (954)965-3074 1340 CONCORD TERRAC

5M SuperMed HMO PEGGY SIMS Peggy.Sims@mmoh.com (216)687-6362 (216)687-7179 2060 E 9TH STREET COST 

5W SummaCare Health Plan TRACIE KINAITIS kinaitist@summacare.com (330)996-8454 (330)996-8410 10 NORTH MAIN ST AKRO

62 Kaiser Foundation Health Plan of California TEAM FEDERAL scal.csc-federalteam@kp.org (858)614-3344 (858)614-3386 3840 MURPHY CANYON R63 Kaiser Foundation Health Plan of Hawaii FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU64 Kaiser Foundation Health Plan of Ohio FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU65 Kaiser Foundation Health Plan of Colorado FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU

6J Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

6N Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 6U Firstcare SHARON MATTHEWS smatthews@firstcare.com (512)257-6027 (512)257-6176 12940 NORTH HWY 183 A

6V GHI HMO Select LINDA PINO LPino@ghihmo.com (845)334-8950 (845)340-2249 PO BOX 4181 KINGSTON 6Y Advantage Health Solutions, Inc. MS LEATHA MILLER lmiller@advantageplan.com (317)536-3827 (317)573-7933 9490 PRIORITY WAY, WES

72 Unicare HMO ALMA TELFORD alma.telford@wellpoint.com (312)234-8009 (312)234-7464 233 S WACKER DRIVE SU75 Humana Health Plan Inc. ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 76 Union Health Service MARILYN ALMODOVAR jrock@unionhealth.org (312)829-0184 (312)829-4224 x306 1634 WEST POLK STREET 

7D Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

7T Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

80 GHI Health Plan CARYN HACKNEY CHackney@ghi.com (212)563-8679 (212)615-0767 441 NINTH AVENUE 7TH F85 Triple-S VIVIAN LOEW vloew@ssspr.com (787)277-6611 (787)277-6610 1441 ROOSEVELT AVENU

87 HMSA ELIZABETH O''BRIEN elizabeth_o''brien@hmsa.com (808)948-6285 (808)948-6454 818 KEEAUMOKU ST HON89 Triple-S VIVIAN LOEW vloew@ssspr.com (787)277-6611 (787)277-6610 1441 ROOSEVELT AVENU

8G Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

8J Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

8W UPMC Health Plan ALYSON STRAIGHT straightac@msx.upmc.edu (412)454-7800 (412)454-7694 112 WASHINGTON PLACE 

9E Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

9F OSF Health Plans, Inc. KELLEY WAGNER kelley.wagner@osfhealthcare.org (309)677-8259 (309)677-8287 7915 N HALE AVENUE ST

9G BlueCHOICE SUSAN MILLER susan.miller@bcbsmo.com (818)234-6062 (573)986-3763 1831 CHESTNUT ST ST LO

9H Coventry Health Care of Kansas (Kansas City)-HDHP TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

9J Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

9K Altius Health Plans JANET WENTZ jmwentz@cvty.com (801)323-6310 (701)250-5459 1720 SOUTH SYKES DR B

9L Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

9N Health America Pennsylvania-HDHP WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA9R Optima Health Plan DIANA KIMBRO dlkimbro@sentara.com (757)552-7199 (757)552-7159 4417 CORPORATION LAN

9U Physicians Health Plan of Mid-Michigan CUSTOMER SERVICE lansing.customerservice@phpmm.org (517)364-8411 (517)364-8500 1400 E. MICHIGAN AVE LA
Attachment 3 - BAL 07-403

Plan Contacts for Enrollment Forms

A3 PacifiCare of Arizona DINA CANALES dina.canales@phs.com (210)474-5378 (210)474-5490 6200 NW PARKWAY TX70A7 Health Net of Arizona, Inc. NANCY JANKOVSKY nancy.jankovsky@healthnet.com (818)676-8822 (203)225-8992 ONE FAR MILL CROSSING 

AD Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

AK United Healthcare of Ohio, Inc. NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

AU Sioux Valley Health Plan TONI MCENTEE McenteeT@sanfordhealth.org (605)328-6811 (605)328-6832 500 BROADBAND LANE S

B9 United Healthcare of the Midwest NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

BJ Coventry Health Care of Louisiana TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

BP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

BT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

BW Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

CA United Healthcare of Ohio, Inc. NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

CK Firstcare SHARON MATTHEWS smatthews@firstcare.com (512)257-6027 (512)257-6176 12940 NORTH HWY 183 ACY PacifiCare of California ELIZABETH LEONARD elizabeth.leonard@phs.com (210)474-5398 (210)474-5294 6200 NORTHWEST PARKW

D6 PacifiCare of Colorado DINA CANALES dina.canales@phs.com (210)474-5378 (210)474-5490 6200 NW PARKWAY TX70

DA Blue CHiP Coordinated Health Plan - BCBS of RI FRED COLARDO colardo.a@bcbsri.org (401)459-5585 (401)459-5706 444 WESTMINSTER ST PRDB Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE DK Altius Health Plans JANET WENTZ jmwentz@cvty.com (801)323-6310 (701)250-5459 1720 SOUTH SYKES DR B

DL Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

DQ Physicians Health Plan of Northern Indiana SANDY WINANS swinans@phpni.com (219)432-0493 (219)432-6690 x357 8101 W JEFFERSON BLVD 

DV Fallon Community Health Plan HDHP AMY STUCZYNSKI amy.stuczynski@fchp.org (508)831-1136 (508)368-9287 10 CHESTNUT ST ATTN: A

E3 Kaiser Foundation Health Plan Mid-Atlantic States JANICE HORMAN janice.horman@kp.org (301)388-1614 (301)816-6714 2101 EAST JEFFERSON S

E9 UnitedHealthcare Insurance Company, Inc. BRIAN HARGEST brian.s.hargest@uhc.com (410)379-3449 (410)540-5980 6095 MARSHALEE DRIVE 

EA Capital Health Plan NANCY CARTER NCCarter@chp.org (805)383-3590 (805)383-3402 2140 CENTERVILLE PLAC

ED Keystone Health Plan East REGINA GRIER regina.grier@ibx.com (215)241-2218 (215)241-2641 1901 MARKET ST PHILAD

EE Humana Medical Plan, Inc. ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 500 WEST MAIN STREET 

F8 Kaiser Foundation Health Plan of Georgia, Inc. FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU

FB Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

FC Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

FK AmeriHealth HMO JOANNE RATEREE JoAnne.RAratteree@ibx.com (999)999-9999 (215)241-0573 1901 MARKET ST PHILAD

FM Health Alliance HMO PATRICIA COLLINS patricia.collins@healthalliance.org (217)337-8055 (800)851-3379 301 SOUTH VINE STREET 

FT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

FX Health Alliance HMO PATRICIA COLLINS patricia.collins@healthalliance.org (217)337-8055 (800)851-3379 301 SOUTH VINE STREET 

GA MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-3880 (518)386-7884 625 STATE ST SCHENECTGE PersonalCares HMO BRENDA WEBBER BJWEBBER@CVTY.COM (701)250-5394 (877)775-5657 1720 SOUTH SYKES DR B

GG Geisinger Health Plan LORRAINE UNGER launger@thehealthplan.com (570)271-5871 (570)271-8760 100 N ACADEMY AVE DAN

GN United Healthcare of Georgia NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

GT Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

GV Preferred Care MORGAN HOWE mhowe@preferredcare.org. (999)999-9999 (999)999-9999 259 MONROE AVENUE RO

GW Kaiser Foundation Health Plan of Georgia Inc. HDHP FEDERAL TEAM CSC-FTW.Feds.Notice@kp.org (817)735-4301 (866)291-4008 x6300 300 BURNETT STREET SU

GX United Healthcare of the Midwest NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

GZ Coventry Health Care HDHP SUSAN MINSKER saminsker@cvty.com (866)287-6591 (302)283-6834 211 LAKE DRIVE NEWARK 

HA Coventry Health Care of Kansas-Kansas City TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

HB Coventry Health Care of Louisiana HDHP TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

HQ HealthPartners Primary Clinic Plan MARGARET J SCHMOLLER margaret.j.schmoller@healthpartners.com (952)883-7666 (952)883-7943 8170 33RD AVENUE SOUT

HZ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

IE Coventry Health Care of Nebraska TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

IG Coventry Health Care SUSAN MINSKER saminsker@cvty.com (866)287-6591 (302)283-6834 211 LAKE DRIVE NEWARK 

IK Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

IM Globalhealth, Inc. DEBRA HYNEK debra.hynek@globalhealth.cc (999)999-9999 (405)280-5616 701 N.E. 10TH STREET SU

IN M*Plan TALORA TIPTON TTIPTON@thcg.org (317)705-3300 (317)705-3283 8802 N MERIDIAN ST STE 

J8 JMH Health Plan DAMOND HENNES, M.D. dhennes@kpshealthplans.com (999)999-9999 (360)478-2615 1801 NW 9TH AVENUE SU

JA Coventry Health Care of Louisiana TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HA

JC Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

JK TakeCare JOYCE QUINTANILLA joyce.quintanilla@phs.com (671)647-3548 (671)646-6956

155 E T CALVO MEMORIA96931

JN Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

JP M.D. IPA KIMBERLY HOLMAN kimberly_j_holman@uhc.com (301)360-8918 (240)379-1854 800 OAK STREET P.O. BO

JR Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

JV Fallon Community Health Plan AMY STUCZYNSKI amy.stuczynski@fchp.org (508)831-1136 (508)368-9287 10 CHESTNUT ST ATTN: A

K5 Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)799-6327 (248)223-5147 20500 CIVIC CENTER DR 

K9 PacifiCare of Nevada DINA CANALES dina.canales@phs.com (210)474-5378 (210)474-5490 6200 NORTHWEST PARKW

KQ Univera Healthcare ESINASH MANGENA esinash.mangena@univerahealthcare.com (716)504-5573 (716)843-7897 205 PARK CLUB LANE BU

KS Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

KV Bluegrass Family Health, Inc. GARY RICE gary.rice@bgfh.com (859)335-3721 (800)787-2680 651 PERIMETER DRIVE SUKX TakeCare JOYCE QUINTANILLA joyce.quintanilla@phs.com (671)647-3548 (671)646-6956

155 E T CALVO MEMORIA96931

L1 KPS Health Plans LIL KERLEE LKerlee@kpshealthplans.com (360)698-0982 (800)552-7114 x6712 400 WARREN AVENUE BRL4 HMO Health Ohio PEGGY SIMS Peggy.Sims@mmoh.com (216)687-6362 (216)687-7179 2060 E 9TH STREET COST 

L6 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE L8 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

LB Health Net of California DEMA MODUGNA NewAddress@NewAddress.Com (818)676-5949 (999)999-9999 7755 CENTER AVENUE 8T

LK Coventry Health Care HDHP SUSAN MINSKER saminsker@cvty.com (866)287-6591 (302)283-6834 211 LAKE DRIVE NEWARK 

LL Humana Medical Plan, Inc. NONE NO DATA NO DATA NO DATA NONE NoData@NoData.Com (999)999-9999 (999)999-9999

NO DATA DO NOT EDIT TH20415
Attachment 3 - BAL 07-403

Plan Contacts for Enrollment Forms

LM Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

LN Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)799-6327 (248)223-5147 20500 CIVIC CENTER DR 

LP Health Net of California DEMA MODUGNA NewAddress@NewAddress.Com (818)676-5949 (999)999-9999 7755 CENTER AVENUE 8T

LT Coventry Health Care of Louisiana HDHP TRUDY GARMAN tgarman@cvty.com (717)671-2429 (717)671-5273 3721 TECPORT DRIVE HALX Bluecare Network of MI MS LONITA LOVE llove@bcbsm.com (248)799-6327 (248)223-5147 20500 CIVIC CENTER DR 

M2 Medica Health Plan JANA JOHNSON jana.johnson@medica.com (952)992-3227 (952)992-8027 401 CARLSON PARKWAY M5 Blue Cross- HMO MARILYN FERNANDO marilyn.fernando@wellpoint.com (818)234-3028 (818)234-4915 21555 OXNARD STREET WM9 MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-3880 (518)386-7884 625 STATE ST SCHENECT

MJ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

MK Blue Choice BONNIE TROTTO NoAddress@NoAddress.Com (716)238-4557 (716)327-6558 165 COURT STREET ROC

ML Av-Med Health Plan ROSA DAWSON Rosa.Dawson@avmed.org (305)671-4764 (305)671-4795 9400 SOUTH DADELAND B

MM Group Health Plan, Inc. KERRY FINK kfink@cvty.com (800)471-2252 (717)541-5724 3721 TECPORT DRIVE HA

MP Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

MQ Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

MS Humana Health Plan, Inc. ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 500 WEST MAIN STREET 

MU Group Health Plan, Inc. KERRY FINK kfink@cvty.com (800)471-2252 (717)541-5724 3721 TECPORT DRIVE HA

MV Vantage Health Plan, Inc. GLORIA TURNER gturner@vhpla.com (318)361-2168 (318)361-0900 x103 130 DESIARD STREET SU

MW Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

MX MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-3880 (518)386-7884 625 STATE ST SCHENECT

ND Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

NM Health Plan of Nevada MS MARY KOKER enr109@sierrahealth.com (702)242-9186 (702)242-7384 TEXAS HEALTH CHOICE L

NV New West Health Services KELLY TOREN ktoren@nwhp.com (406)751-3346 (406)751-3343 1203 US HIGHWAY 2 WES

P1 Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

P2 Presbyterian Health Plan FRANCISCA DE LA CRUZ fdelacruz@phs.org (505)923-8252 (505)923-5843 2501 BUENA VISTA SE PO P3 Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

PH Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE PN HealthAmerica Pennsylvania WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HAPU Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

Q1 Lovelace Health Plan GAIL LOVE glove@harringtonbenefits.com (614)212-7060 (614)212-7015

HARRINGTON BENEFITS WESTERVILLE OH 43081

Q8 Univera Healthcare ESINASH MANGENA esinash.mangena@univerahealthcare.com (716)504-5573 (716)843-7897 205 PARK CLUB LANE BU

QA Independent Health Assoc MARGO FRAASS mfraass@independenthealth.com (716)631-4059 (716)635-4952 511 FARBER LAKES DRIVQP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

R3 United Healthcare of Florida NANCY MAISEL Nancy_J_Maisel@uhc.com (410)379-3449 (410)796-6282 6095 MARSHALEE DRIVE 

RD Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

RL Grand Valley Health Plan SHERYL LINTON lintons@gvhp.com (616)949-4978 (616)949-2410 829 FOREST HILL AVENU

RU Heart of America Health Plan SHARON PEDERSON hoahp@gondtc.com (701)776-5425 (701)776-5848 810 SOUTH MAIN RUGBY 

S4 Keystone Health Plan Central KATHY MILLER kathy.miller@khpc.com (717)541-6667 (717)302-0405 2500 ELMERTON AVENUE 

SA Pacificare of Washington BARBARA SCHEIB barbara.scheib@phs.com (210)474-5378 (210)478-4403 6200 NORTHWEST PARKW

SG CDPHP Universal Benefits KIM MARINUCCI kmarinuc@cdphp.com (518)641-4998 (518)641-4172 500 PATROON CREEK BLV

SJ Blue Shield of CA Access+HMO BEV COPPESS bev.coppess@blueshieldca.com (209)367-6650 (209)367-6347 121 N. GUILD AVE., BLDG

SL Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

SV Coventry Health Care of Iowa JOYCE MCGUGAN jxmcgugan@cvty.com (866)287-6592 (302)283-6643 211 LAKE DRIVE NEWARK 

SW HealthAmerica Pennsylvania WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

SX CDPHP Universal Benefits - HDHP KIM MARINUCCI kmarinuc@cdphp.com (518)641-4998 (518)641-4172 500 PATROON CREEK BLV

T2 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE T8 Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

TE ConnectiCare GINGER MALLARD GMallard@Connecticare.com (860)678-5255 (860)409-8935 175 SCOTT SWAMP ROAD TP Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

TU Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

TV Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE U2 Paramount Health Care JOAN JAEGER joan.jaeger@ProMedica.org (419)887-2016 (419)887-2928 1901 INDIAN WOOD CIR MU4 The Health Plan of the Upper Ohio Valley JODY MCADAMS jodym@healthplan.org (740)699-6162 (740)695-7621 52160 NATIONAL ROAD E

UB Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

UR Humana Health Plan of Texas ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

UW UPMC Health Plan ALYSON STRAIGHT straightac@msx.upmc.edu (412)454-7800 (412)454-7694 112 WASHINGTON PLACE 

VR Group Health Cooperative MARIANNA TOKAREFF tokareff.m@ghc.org (206)988-7001 (206)988-7043 12401 E. MARGINAL WAY 

VT KPS Health Plans LIL KERLEE LKerlee@kpshealthplans.com (360)698-0982 (800)552-7114 x6712 400 WARREN AVENUE BR

VW MVP Health Care JENNY GREGG Jgregg@mvphealthcare.com (518)386-3880 (518)386-7884 625 STATE ST SCHENECT

WD Dean Health Plan HEATHER HEILIGER heiliger_heather_c@ssmhc.com (608)836-9620 (608)827-4037 1277 DEMING WAY MADISWD Dean Health Plan HEATHER HEILIGER heiliger_heather_c@ssmhc.com (608)836-9620 (999)999-9999 1277 DEMING WAY MADIS

WJ Group Health Cooperative LORI MILLER lm_miller@ghc-hmo.com (608)828-9333 (608)828-4827 1265 JOHN Q HAMMONS D

WQ Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

X4 GHI HMO Select LINDA PINO LPino@ghihmo.com (845)334-8950 (845)340-2249 PO BOX 4181 KINGSTON X5 HealthPlus MI BECKY TROBAUGH hpenroll@healthplus.org (810)733-1925 (810)230-2190 2050 S LINDEN RD FLINT 

Y1 Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

Y6 Health America Pennsylvania-HDHP WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

YE Aetna Open Access JOANNE MCCABE McCabeJD@aetna.com (215)775-5870 (215)775-4340 1425 UNION MEETING RD 

YG Humana CoverageFirst ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE 

YH UnitedHealthcare Plan of the River Valley Inc. PATRICIA RUMLER patricia_m_rumler@uhc.com (888)205-1526 (309)757-5690 1300 RIVER DR STE 200 M

YM HMO Blue Texas MARY HANDY mary_handy@bcbstx.com (325)793-4280 (325)793-2907 4002 LOOP 322 FEP ABILE

YN Health America Pennsylvania-HDHP WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

YW Health America Pennsylvania-HDHP WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA
Attachment 3 - BAL 07-403

Plan Contacts for Enrollment Forms

YW Health America Pennsylvania-HDHP WANDA NEARHOOD Wknearhood@cvty.com (717)541-59 (717)526-2948 3721 TECPORT DRIVE HA

ZJ Humana Health Plans of Puerto Rico, Inc. ROBIN ANDERSON randerson@humana.com (502)508-4613 (502)580-7484 101 E MAIN ST 9TH FL SE