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