2017 FEHB Plan Name

Carrier 

Code

Brochure Order 

Contact Email Address Fax Work Address

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

Aetna HealthFund CDHP and 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 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 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 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 22 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 C3 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- 

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

Aetna Whole Health F7 DANINE FAPKA FapkaD@aetna.com (860)907-3643 (215) 775-6339 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422- 

Aetna Whole Health J9 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 B3 PAULA MEECE paula.meece@anthem.com (513)872-3929 (513)872-8219

1351 WILLIAM HOWARD TAFT ROAD MAIL DROP OH0402-

B014 CINCINNATI OH 45206- 

AultCare HMO 3A JANET COON jcoon@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 ROSA DAWSON DEANM@BCBSIL.com (312)228-7814 Not Available 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 HOWARD TAFT ROAD MAIL DROP OH0402-

B014 CINCINNATI OH 45206- 

Blue Shield of CA Access+HMO SI Anne Marie English annemarie.english@blueshieldca.com (415)229-6768 (415) 229-6720 50 Beale Street, San Francisco, CA 84105 

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 

Calvos Selectcare B4 GINA RAMOS gramos@calvos.com (671)477-4141 (671)479-7922

CHALAN SAN ANTONIO STE. 308 P.O. BOX 6578 TAMUNING 

GA 96931- 

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

2140 CENTERVILLE PLACE PO BOX 15349 TALLAHASSEE FL 

32308- 

CareFirst BlueChoice 2G DOROTHY CONLEY dorothy.conley@carefirst.com (301)470-5359 (202)680-7059 840 FIRST ST, NE WASHINGTON DC 20065- 

CareFirst BlueChoice 2G

JHAHBRIEL MOORETERRELL jhahbriel.mooreterrell@carefirst.com Not Available 202-680-5011 840 FIRST 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 ALBANY NY 12206-1057 

Dean Health Plan WD MARTHA martha.henderson@deancare.com 608.252.0834 608-828-7550 1277 DEMING WAY MADISON WI 53717 

Dean Health Plan WD PENNY BOUND penny.bound@deancare.com 608.252.0834 (608) 827-4122 1277 DEMING WAY MADISON WI 53717- 

Geisinger Health Plan GG KIMBERLEE RUSCZYK krrusczyk@thehealthplan.com Not Available (570) 214-2673 DANVILLE PA 17821 

GHI Health Plan 80 SHARON FISHER sfisher@emblemhealth.com (646)447-3033 Not Available 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 54 CAITLYN TERRELL terrell.c@ghc.org Not Available 206-448-4153 320 WESTLAKE AVENUE N SUITE 100 SEATTLE WA 98109 

Group Health Cooperative PT CAITLYN TERRELL terrell.c@ghc.org Not Available 206-448-4153 320 WESTLAKE AVENUE N SUITE 100 SEATTLE WA 98109 

Group Health Cooperative WJ MICHAEL POLK mpolk@ghcscw.com (608)662-4980 (608) 828-4829 4417 CORPORATION LANE MADISON WI 53705 

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

Group Health Options VT KAREN BAXTER baxter.k@ghc.org (360)698-0982 360-415-4325 PO BOX 34803 SEATTLE WA 98124 

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 DENA MODUGNO Dena.M.Modugno@healthnet.com (818)676-7411 (800)909-6362 x3555P.O. BOX 9103 VAN NUYS CA 91409- 

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 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 Not Available 2724 N TENAYA WAY ZZ NEW ADDRESS LAS VEGAS NV 89128- 

HealthPartners High and Standard Option V3 KRISTIN HARRER Kristin.e.harrer@healthpartners.com (952)853-8710 Not Available PO BOX 1309 BLOOMINGTON MN 55440-1309 

HealthSpan Integrated Care 64 Not Available Not Available Not Available Not Available Not Available 

Highmark Choice Company NP Not Available Not Available Not Available Not Available Not Available 

HIP Health of Greater New York 51 JAMES HOLMES James.Holmes@opm.gov (202)606-0767 (202)606-0737 1900 E ST NW RM 3459 WASHINGTON DC 20415- 

HIP Health of Greater New York 51 SHARON FISHER sfisher@emblemhealth.com (646)447-3033 Not Available 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 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 Plan, Inc. NT 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 

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 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 1425 UNION MEETING ROAD U22S BLUE BELL PA 19422- 

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 Fresno 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 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 ASHLEY FU ashley.s.fu@kp.org (808) 432-5304 (808) 432-5222, x109711 KAPIOLANI BOULEVARD, 4TH FLOOR HONOLULU HI 

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- 

M.D. IPA JP NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 443-896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045 

MercyCare HMO EY SHERRIE SARGENT ssargent@mhsjvl.org (608)752-3751 608 757-3104 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 (555) 555-5555 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 (555) 555-5555 1901 INDIAN WOOD CIR MAUMEE OH 43537- 

Physicians Plus LW LINDSEY KEOUGH lindsey.keough@pplusic.com Not Available (608) 417-4682 2650 NOVATION PARKWAY, SUITE 400 MADISON WI 53713 

Presbyterian Health Plan P2 MARLENE ALDERETE malderete2@phs.org 505-923-8225 Not Available 9521 SAN MATEO BLVD NE ALBUQUERQUE NM 87113 

Presbyterian Health Plan PS MARLENE ALDERETE malderete2@phs.org 505-923-8225 Not Available 9521 SAN MATEO BLVD 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- 

Scott and White Health Plan A8 Not Available Not Available Not Available Not Available Not Available 

Scott and White Health Plan P8 Not Available Not Available Not Available Not Available Not Available 

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 PO BOX 6578 SUITE A TAMUNING GA 96931 

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

Triple-S Salud, Inc. 85 JOANET MAYSONET joanetm@ssspr.com (787) 625-8724 (787) 277-6610 SAN JUAN PR 00920 

Triple-S Salud, Inc. 89 PAOLA MERCADO pmercado@ssspr.com (787) 625-8724 (787) 277-6610 1441 ROOSEVELT AVENUE SAN JUAN PR 00920 

Union Health Service 76 JILL 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 (844) 329-9961 (714)252-0457 5995 PLAZA DRIVE MS CY112-0193 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 (844) 329-9961 (714)252-0457 5995 PLAZA DRIVE MS CY112-0193 CYPRESS CA 90630- 

UnitedHealthcare Plan of the River Valley Inc. YH NANCY MAISEL Nancy_J_Maisel@uhc.com (877)940-6045 443-896-9121 6220 OLD DOBBIN LANE SUITE 100 COLUMBIA MD 21045 

UPMC Health Plan 8W

WHITNEY 

ILLINGWORTH illingworthwh@upmc.edu Not Available 412-454-8765

US STEEL TOWER, 25TH FLOOR 600 GRANT STREET 

PITTSBURGH PA 15219 

UPMC Health Plan UW

WHITNEY 

ILLINGWORTH illingworthwh@upmc.edu Not Available 412-454-8765

US STEEL TOWER, 25TH FLOOR 600 GRANT STREET 

PITTSBURGH PA 15219