• Drug Quantity Management                        Life Insurance Teachers

    PPO Summary of Benefits                           Life Insurance Act 93

     
     
     
     

    General Information

    Medical and Prescription Drug Insurance – You should receive your Capital BlueCross ID card within 10-14 days of your effective date.  You may also register on their website www.CapBlueCross.com to obtain participating providers or specific explanation of benefits for your services.  Address changes will update automatically with BlueCross only if you change your address with the Post Office.   All changes should still be reported to the Human Resources office.   

     Medical Group Number:  BYS361

    Customer Service:  1-866-802-4711

    Capital BlueCross                                

    P.O. Box 779503

    Harrisburg, PA  17177-9504

    Prescription Group: RXCAP

    Customer Service:  1-800-585-5794

    CVS/Caremark 

    Mail Pharmacy Service (mailing envelopes available in HR office)

    P.O. Box 2110, Pittsburgh, PA  15230-2110

    Delta Dental Insurance– Delta does not provide ID cards.  Obtain a claim form on the Wilson intranet or in the HR Office and use Group Number 131.  

     Customer Service:  1-800-932-0783                            www.MidAtlanticDeltaDental.com

     Claims address:   

     Delta Dental                                         

     One Delta Drive

     Mechanicsburg, PA  17055

     

     Life Insurance                  North American Benefits Company

                                            530 E. Swedesford Road, Suite 100

                                            Wayne, PA  19087

     Long Term Disability         PSBA Insurance Trust   (effective November 1, 2007) 

                                             PO Box 2042

                                             Mechanicsburg, PA 17055
                                         
                                             800-932-0588
     

     All life insurance and long term disability claims must be filed through the Human Resources Office. 

    If you have any questions or wish to enroll in the insurance plans, please contact Pat Deisher extension 1168 in the Human Resources office