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Please note:  If you or one of your dependents is Medicare-eligible, be aware of phone scams in connection with the new Medicare Prescription Drug Program.  For more information, please review the Medicare Consumer Alert from the Centers for Medicare & Medicaid Services (CMS).

Medical:
Custom PPO Health Plan
   (888) 233-7915 or (858) 292-3542
   Group Number JPAK052 - A (Active)
                       JPAK052 - B (Retirees, Group II)
                       JPAK052 - BB (Retirees, Group I)
                       JPAK052 - C (COBRA)

       PPO Plan Outline
       PPO Provider Directory      How to Use the Online Directory
       PPO Summary Plan Document
       PPO Plan Document
       HIPAA Privacy Notice - Fringe Benefits Consortium

    PacifiCare Behavioral Health
      (800) 999-9585
      Group Number 10000922
       Schedule of Benefits
       PacifiCare Provider Network
       PacifiCare Behavioral Health Plan Description
      PacifiCare Behavioral Health Claim Form

   Express Scripts (for prescriptions covering a 90-day supply)
      (800) 206-4005
      Register online to order refills:  www.express-scripts.com

Kaiser HMO Plan
   (800) 464-4000
   Group Number 104317-0100 (Active)
                      104317-0101 (Retirees)
                      104317-7101 (COBRA)
                      104317-5200 (Part Time Faculty)
   Kaiser 2009 Active Employee EOC
   Kaiser 2009 EOC - Chiropractic - Active Employees  
   How to obtain Kaiser's chiropractic services - Active Employees and Retirees
   Kaiser 2009 EOC - Senior Advantage (Retirees)
   Kaiser 2009 EOC - Chiropractic - Retirees
   Kaiser 2008 EOC - Part Time Faculty

Dental:
Delta Dental                      How to Use the Delta Dental Website
   (866) 499-3001
   Delta Preferred Option is for employees hired on or after January 1, 1996
   Group Number 7028-2905 (Active)
                      7028-2906 (COBRA)
                      7028-2907 (Retiree)
        Delta Preferred Option Plan Outline
        2008 DPO EOC

   Delta Premier is for employees hired before January 1, 1996
   Group Number 7128-2901 (Active)
                      7128-2903 (Retiree)
                      7128-2904 (COBRA)
        Delta Premier Plan Outline
        2008 Premier EOC

   Dental Claim Form (for out of network claims in either plan)
    HIPAA Privacy Notice - Delta Dental
    Find a dentist when traveling outside the United States

Vision:
Vision Service Plan (VSP)
   (800) 877-7195
   Group Number 712201-0019
   Out of network claim form can be found in the above website
   VSP Fact Sheet
   HIPAA Privacy Notice - Vision

EASE (Employee Assistance Service for Educators):
  (800) 722-EASE (3273)
    Palomar College provides the EASE service, free of charge, to all employees and
    their family members.  EASE is a professional, confidential service to help you
    resolve your personal or job-related problems.  EASE specialists are licensed,
    trained therapists who will assess the nature of your problem(s) during one or
    several meetings with you, and assist with brief problem solving if appropriate.  If
    ongoing assistance is necessary, referral options will be discussed with you.  Any
    referral may involve charges which will be your responsibility.  A brochure with
    more detailed information is available in Human Resources.

For more information about benefits, please contact Lucy Nelson, Benefits Specialist, at ext. 2889 or lnelson@palomar.edu.

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