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PPO/DRP Medical Plan - Advocate Benefits - Advocate Health Care

PPO/DRP Medical Plan - Advocate Benefits - Advocate Health Care

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<strong>Plan</strong> Administration<br />

<strong>Advocate</strong> <strong>Health</strong> <strong>Care</strong> Network is the Sponsor of<br />

the <strong>Plan</strong>.<br />

The <strong>Plan</strong> Administrator of the <strong>Plan</strong> is:<br />

<strong>Advocate</strong> <strong>Health</strong> <strong>Care</strong> Network<br />

2025 Windsor Drive<br />

Oak Brook, IL 60523<br />

630.572.9393<br />

Claims Administration<br />

<strong>Advocate</strong> has engaged the services of a<br />

third-party administrator to assist with the<br />

administration of the <strong>Plan</strong>.<br />

The <strong>PPO</strong>/<strong>DRP</strong> Administrator is responsible<br />

for processing claims and rendering the final<br />

decision in all appeals for the <strong>PPO</strong>/<strong>DRP</strong>.<br />

•The Continuation Coverage Administrator is<br />

responsible for managing coverage for those<br />

associates (and/or their dependents) who elect<br />

continuation coverage under the <strong>PPO</strong>/<strong>DRP</strong>.<br />

The <strong>PPO</strong>/<strong>DRP</strong> Administrators are:<br />

Humana Ins. Co.<br />

PO Box 14601<br />

Lexington, KY 40512<br />

Phone: 866.636.2371<br />

Blue Cross Blue Shield of Illinois<br />

PO Box 805107<br />

Chicago, IL 60680-4112<br />

Phone: 800.327.8497<br />

Fax: 217.442.0884<br />

Tri-Star Systems is the Continuation<br />

Coverage Administrator:<br />

Tri-Star Systems<br />

Attn: Continuation ER128<br />

14323 South Outer 40 Rd.<br />

Suite 200 South<br />

Chesterfield, MO<br />

63017-5734<br />

800.727.0182<br />

314.985.0276 (fax)<br />

(Monday through Friday, 7 am – 5 pm)<br />

Who administers my <strong>PPO</strong>/<strong>DRP</strong> benefits?<br />

The <strong>PPO</strong>/<strong>DRP</strong> administrator is shown on your<br />

coverage ID card.<br />

It is the <strong>PPO</strong>/<strong>DRP</strong> Administrator’s duty to<br />

control and manage the operation and<br />

administration of the <strong>PPO</strong>/<strong>DRP</strong>.<br />

The agent for service of legal process is:<br />

<strong>Advocate</strong> <strong>Health</strong> <strong>Care</strong> Network<br />

2025 Windsor Drive<br />

Oak Brook, IL 60523<br />

630.572.9393<br />

Prudent Actions by <strong>Plan</strong> Fiduciaries<br />

The <strong>PPO</strong>/<strong>DRP</strong> adminstrator is the fiduciary of<br />

the <strong>Plan</strong> and has a duty to fulfill its fiduciary<br />

responsibilities prudently and in the best interest<br />

of you and other participants and beneficiaries of<br />

the <strong>PPO</strong>/<strong>DRP</strong>.<br />

46 © <strong>Advocate</strong> <strong>Health</strong> <strong>Care</strong> 1/12

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