The eligibility and enrollment rules for the U

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Retiree Health Care SPD Effective January 1, 2012 IMPORTANT RESOURCES If, after reviewing this SPD, you have a question or need assistance, call the U.S. Bank Employee Service Center. If you have specific questions about what an option covers, contact the applicable claims administrator. U.S. Bank contracts with these carriers to provide administrative services. U.S. Bank Employee Service Center General number: 1-800-806-7009 Representatives are available Monday through Friday (except holidays), 8 a.m. to 8 p.m. CT. The Web site is available 24 www.yourbenefitsresources.com/usbank hours a day Monday – Saturday and after 12 p.m. CST on Sunday. U.S. Bank Employee Service Center P.O. Box 785080 Orlando, FL 32878-5080 Blue Cross and Blue Shield of Minnesota Group Number: Check your BCBS ID card. Twin Cities Metro Area 651 662-5550 Outside Twin Cities Metro Area 1-800-729-3039 TDD* Twin Cities Metro Area 651-662-8700 TDD* Outside Twin Cities Area 1-888-878-0137 BlueCard Access (for assistance locating network providers after business hours, available 24 hours a day, seven days a week) Kaiser Colorado Medco Prescription drug provider for medical options administered by Blue Cross and Blue Shield of Minnesota, UnitedHealthcare and Medica Group Number: USBANK1 Medica-Center for Healthy Aging Customer Service TTY Group Nos.: Plan 1 – 70833 Plan 2 – 70835 152 www.bluecrossmn.com/usb BCBS of Minnesota U.S. Bank Dedicated Service Center 3535 Blue Cross Road, Rte. P1-2 St. Paul, MN 55122 800-810-BLUE (800-810-2583) 303-338-3800 or 1-800-632-9700 www.kaiserpermanente.org http://my.kaiserpermanente.org/usbank General number: 1-800-864-1404 TDD:* 1-800-759-1089 www.medco.com 952-992-2345 or 1-800-906-5432 952-992-3650 or 1-800-234-8819 8 a.m. to 8 p.m., central time Monday through Sunday Medica Insurance Company P.O. Box 9310 Minneapolis, MN 55440-9745
Retiree Health Care SPD Effective January 1, 2012 UnitedHealthcare® Group Medicare Advantage PPO Pre enrollment number Customer Service Department Group Nos. Plan 1 UnitedHealthcare PPO 68089 Plan 2 UnitedHealthcarePPO 68090 * Telecommunications Device for the Deaf 153 1-877-714-0178 TTY 711 8 a.m. to 8 p.m. local time, 7 days a week 1-800-457-8506 TTY 711 8 a.m. to 8 p.m., local time, 7 days a week UnitedHealthcare P.O. Box 29650 Hot Springs, AR 71903-9973
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The eligibility and enrollment rules for the U

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