Employee Benefits- California

Employee Benefits- California www.ibpis.com Member Contact List

Carrier Name & Address Group Number Toll-Free Phone Number Plan Type Website (Active Choice/H.S.A.) HMO# H11683 (800) 424-6521 HMO Blue Shield of California Life & PPO #931516 (800) 334-9849 PPO Health AC 750# C70073 (888) 852-5345 (AC 750/H.S.A.) P.O. Box 272610 H.S.A. # 932011 www.blueshieldca.com Chico, CA 95927-2610 (All other Plans) Blue Shield of CA P.O. Box 272540 Chico, CA 95927-2540 Kaiser Permanente #44979 (800) 464-4000 393 E. Walnut Street, 4th Floor HMO $20, $30 Copay www.kp.org Pasadena, CA 91188 and H.S.A. Plans Delta Dental Dental #81998 (888) 335-8227 P.O. Box 997330 www.deltadentalins.com Sacramento, CA 95899-7330 The Prudential Insurance Company of America Group Life Claim Division Life/ad&d/LTD# P.O. Box 8517 06691 Philadelphia, PA 19176 The Prudential Insurance Life (800) 524-0542 Company of America Disability Management Services P.O. Box 13480 LTD (800) 842-1718 Philadelphia, PA 19176 www.prudential.com Vision Service Plan #00113939 (800) 877-7195 3333 Quality Drive Vision Plan B www.vsp.com Rancho Cordova, CA IBP Insurance Services Broker on all Plans (408) 363-6016 6920 Santa Teresa Blvd. (408) 363-6010 Suite 108 [email protected] or San Jose, CA 95119 [email protected]

This summary of benefits is for information purposes only and is not intended to replace the insurance carrier contract. Please review the insurance carrier contract for a detailed statement of benefits, limitations, requirements and exclusion provisions. IBP Insurance Services Website Username Log on at www.ibpis.com, skip Employee Online Resource Page (case sensitive): intro and click the Client Login in Forms, Benefits, Carrier Links and Harding the upper left-hand side. Call VP- lots of information. Operations, Gina Jarin (formerly Password: 95128 Tuccori) if you have any questions.