General Information by Provider for Current Employees
This information is applicable to positions with full benefits.

Self-Insured Medical PPO:
UMR
Claims are mailed to: Claims Administration, PO Box 30533, Salt Lake City, UT 84130-0533
Customer Service: (800) 533-6654
Website: www.umr.com

Plan Highlights:
* $300 in-network deductible per person/year - $900 in-network deductible per family/year
* $500 out-of-network deductible per person/year - $1500 out-of-network deductible per family/year

*Co-Insurance employee responsibility -10% for in-network services/30% out-of-network after deductible

* $2200 maximum out of pocket, after deductible
Prescriptions: $5 generic/$20 non-formulary/$30 formulary
For a complete plan summary, click here.

Network for Self-Insured PPO Medical Plan:
United HealthCare
Website: www.uhc.com

Vision Benefits for Self-Insured Medical Participants:
Vision Service Plan
Website: www.vsp.com
Customer service: (800) 877-7195


HMO Illinois and BlueAdvantage
Website: www.bcbsil.com
Customer Service: (800) 892-2803

Plan Highlights:
* $15/co-pay, $50 ER co-pay
* Prescriptions: $5 generic / $20 non-formulary / $30 formulary

Vision benefits through Davis Vision. Contact them at their customer service number at 1-877-393-8844 or go their website at www.davisvision.com or contact bcbsil HMO Member Services at 800-892-2803.

For a complete BlueAdvantage plan summary, click here.
For a complete HMO Illinois plan summary, click here.
For a general summary of the HMO plans, click here.


Dental Plan
UMR
Claims are mailed to: Claims Administration, PO Box 30533, Salt Lake City, UT 84130-0533
Customer Service: (800) 533-6654
Website: www.umr.com

Plan Highlights:
* Six-month cleanings covered 100%
* $50 deductible
* Routing and Customary Work Covered 80%
* Major Work Covered 50%
* $1,500 Annual Max/Per Person
For a complete plan summary, click here.

Flexible Spending Section 125
UMR
Claims are mailed to: Claims Administration, PO Box 2708 - Dayton, OH 45401-2708
Customer Service: (877) 310-3539
Website: www.umr.com


State Universities Retirement System (SURS)
Website: www.surs.org