<p> Benefit Resources Form</p><p>Subject Contact Name/E-mail Phone number Website/Other info.</p><p> www.tiaa-cref.org TIAA-CREF: Plan Representative: Alternative Retirement (215) 587-8533 Conchita N. Dixon Conchita.Dixon@tiaa- Plan cref.org</p><p> www.VALIC.com VALIC: Alternative Plan Representative: 412-477-3410 Retirement Plan John Hellgren Jr. [email protected]</p><p>FIDELITY: Plan Representative: www.fidelity.com Alternative Retirement (267) 315-2590 Todd Strunk Plan [email protected] </p><p>State Employees Retirement Counselor: 1-800-633-5461, ext. www.sers.state.pa.us Retirement System Ellis Wilner 3505 (SERS)</p><p>Public Schools www.psers.state.pa.us Employees Retirement N/A 1-888-773-7748 System (PSERS)</p><p> www.metlife.com Group Life Insurance METLIFE 1-855-972-5433 Group Policy #149649-1-G</p><p> www.cigna.com Voluntary Group Life & Personal Accident CIGNA 1-800-732-1603 Life Policy # FLX-980054 Insurance AD&D Policy #OK980081</p><p>Long-Term Disability www.cigna.com CIGNA 1-800-732-1603 (LTD) Insurance Policy # LK-980005</p><p>Flexible Spending WageWorks 1-877-924-3967 www.WageWorks.com Accounts (FSA)</p><p>State Employee SEAP Hotline: 1-800- Assistance Program N/A www.liveandworkwell.com 692-7459 (SEAP) AFSCME and SCUPA: The Pennsylvania Employees Benefit Trust Fund (PEBTF)</p><p>Subject Phone Number Website</p><p>PEBTF 1-800-522-7279 www.pebtf.org</p><p>PEBTF Highmark PPO 1-888-301-9273 www.pebtf.org</p><p>PEBTF Geisinger 1-800-504-0443 www.pebtf.org Health Plan HMO</p><p>PEBTF Keystone www.pebtf.org Health Plan Central 1-800-889-3863 HMO</p><p>PEBTF Consumer www.pebtf.org Driven Health Plan 1-866-270-5311 (CDHP)</p><p>Prescription Drug 1-888-321-3261 www.pebtf.org Benefit CVS Caremark</p><p>Vision Benefits National Vision 1-800-627-7723 www.pebtf.org Administrators</p><p>Dental Benefits United 1-888-320-3321 www.pebtf.org Concordia</p><p>Hearing Aid Benefits 1-800-522-7279 www.pebtf.org</p><p>Faculty, Manager, Coaches, Police Officers and Nurses:</p><p>Website – Plans are under: State Subject Phone Number System of Higher Education</p><p>Highmark BlueShield 1-888-745-3212 www.highmarkblueshield.com PPO</p><p>PASSHE Prescription 1-888-745-3212 www.highmarkblueshield.com Drug Card Program</p><p>Geisinger Health Plan 1-800-447-4000 www.thehealthplan.com HMO Keystone Health Plan 1-800-669-7061 www.capbluecross.com Central HMO</p><p>Vision Coverage 1-800-672-7723 or administered by NVA www.e-nva.com Customer Service [email protected]</p><p>Dental Coverage www.unitedconcordia.com/dental- administered by United 1-800-332-0366 insurance/ Concordia</p><p>Ceridian Benefit Services (PASSHE 1-800-877-7994 www.ceridian-benefits.com Administrator for COBRA)</p>