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Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddress10BlueCrossandBlueShieldServiceBenefitPlanBEVERLYBURGESSbeverly.
burgess@fepoc.
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com(202)203-2395(202)479-5511840FIRSTST,NEWASHINGTONDC2006522AetnaHealthFundJOANNEMCCABEMcCabeJD@aetna.
com(215)775-4340(215)775-58701425UNIONMEETINGRDMSU21NBLUEBELLPA1942226HealthAmericaPennsylvaniaCAROLEALBRIGHTcaalbright@cvty.
com(717)541-2596(717)541-59153721TECPORTDRIVEHARRISBURGPA171112CPiedmontCommunityHealthcarePEGGYBUTTpbutt@pchp.
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com(443)738-7824(410)505-677910455MILLRUNCIR.
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com(215)775-4340(215)775-58701425UNIONMEETINGRDMSU21NBLUEBELLPA194222XAetnaOpenAccessJOANNEMCCABEMcCabeJD@aetna.
com(215)775-4340(215)775-58701425UNIONMEETINGRDMSU21NBLUEBELLPA1942231GEHABenefitPlanSHERYLLTHOMASsheryll.
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BOX23758SANDIEGOCA92193Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddress59KaiserFoundationHealthPlanofCaliforniaTEAMFEDERALCSC-SD-FederalTeam@kp.
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BOX23758SANDIEGOCA921935ECoventryHealthCareofFloridaRENTHIAJACKSONrxjackson@cvty.
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BOX23758SANDIEGOCA9219365KaiserFoundationHealthPlanofColoradoFEDERALACCOUNTCSC-SD-ROC-Federal@kp.
org(858)614-7974(866)551-9593P.
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com(502)580-6102(502)508-6102500WESTMAINSTREET5THFLOORLOUISVILLEKY402029NHealthAmericaPennsylvania-HDHPCAROLEALBRIGHTcaalbright@cvty.
com(717)541-2596(717)541-59153721TECPORTDRIVEHARRISBURGPA171119ROptimaHealthPlanELLYNCHAPELeschapel@sentara.
com(757)552-7222(757)552-75744417CORPORATIONLANEVIRGINIABEACHVA23462-31629UPhysiciansHealthPlanofMid-MichiganCUSTOMERSERVICElansing.
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org(517)364-8500(517)364-84111400E.
MICHIGANAVELANSINGMI48912Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddressA7HealthNetofArizona,Inc.
MICHAELBARDONMichael.
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com(203)225-8728(866)425-7217ONEFARMILLCROSSINGSHELTONCT6484ABHumanaBenefitPlanofIllinois,Inc.
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com(502)580-7402(502)508-7402500WESTMAINSTREET5THFLOORLOUISVILLEKY40202ADHumanaCoverageFirstGEORGIAHINESghines@humana.
com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202AUSanfordHealthPlanLISACARLSONcarlsoli@sanfordhealth.
org(605)328-6859(605)328-6811300CHERAPAPLACESUITE201SIOUXFALLSSD57103B9UnitedHealthcareoftheMidwest,Inc.
NANCYMAISELNancy_J_Maisel@uhc.
com(410)796-6282(410)379-34486095MARSHALEEDRIVESUITE200ELKRIDGEMD21075BJCoventryHealthCareofLouisianaVICKIEBARTHvjbarth@cvty.
com(877)775-5657(866)415-28421720SOUTHSYKESDRBISMARCKND58504BSCommunityBlueHORNDAVIDhorn.
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com(716)887-8580(716)887-7912257W.
GENESEESTREETBUFFALONY14202BTHumanaCoverageFirstTRICIABLANKENSHIPtblankenship@humana.
com(502)580-6102(502)508-6102500WESTMAINSTREET5THFLOORLOUISVILLEKY40202BXCommunityBlueHORNDAVIDhorn.
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com(716)887-8580(716)887-7912257W.
GENESEESTREETBUFFALONY14202CBHumanaEmployersHealthofGeorgia,Inc.
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com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202CKFirstcareSHARONMATTHEWSsmatthews@firstcare.
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com(210)478-4544(210)474-53786200NORTHWESTPARKWAYTX70-100SANANTONIOTX78249DABlueCHiPCoordinatedHealthPlan-BCBSofRIFREDCOLARDOcolardo.
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com(502)580-6102(502)508-6102500WESTMAINSTREET5THFLOORLOUISVILLEKY40202DGHumanaEmployersHealthofGeorgia,Inc.
GEORGIAHINESghines@humana.
com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202DHQualChoiceMELISACHESNEYmelisa.
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com(501)228-7111(501)219-518212615CHENALPARKWAYLITTLEROCKAR72211DKAltiusHealthPlansJANETWENTZjmwentz@cvty.
com(701)250-5459(801)323-63101720SOUTHSYKESDRBISMARCKND58504DNHumanaEmployersHealthofGeorgia,Inc.
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com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202DQPhysiciansHealthPlanofNorthernIndianaMATTMCCARTERmmccarter@phpni.
com(800)982-6257x483(260)969-24208101WJEFFERSONBLVDFORTWAYNEIN46804-4163E3KaiserFoundationHealthPlanMid-AtlanticStatesJANICEHORMANjanice.
horman@kp.
org(301)816-6714(301)388-16142101EASTJEFFERSONSTPOBOX6611ROCKVILLEMD20849E9UnitedHealthcareInsuranceCompany,Inc.
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s.
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com(410)540-5980(410)379-34486095MARSHALEEDRIVESUITE200ELKRIDGEMD21075EACapitalHealthPlanLATOYAPAULlspaul@chp.
org(850)523-7404(850)383-35902140CENTERVILLEPLACEPOBOX15349TALLAHASSEEFL32317EEHumana,Inc.
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com(502)580-4563(502)508-4563500WESTMAINSTREET5THFLOORLOUISVILLEKY40202EYMercyCareHMOVICKIBOVELLOvaarstad@mhsjvl.
org(608)758-7722(608)752-37513430PALMERDRIVEJANESVILLEWI53547Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddressF8KaiserFoundationHealthPlanofGeorgia,Inc.
FEDERALACCOUNTCSC-SD-ROC-Federal@kp.
org(858)614-7974(866)551-9593P.
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BOX23758SANDIEGOCA92193FKAmeriHealthHMOREGINAEADDYregina.
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org(800)851-3379(217)337-8055301SOUTHVINESTREETURBANAIL61801GAMVPHealthCareHEIDISCHMELZLENHSchmelslen@mvphealthcare.
com(518)395-1308(518)386-7869625STATESTSCHENECTADYNY123056200NORTHWESTPARKWAYTX70-100SANGFPacificareofTexasCECILIACONTRERAScecilia.
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com(210)478-4544(210)474-5378ANTONIOTX78249GGGeisingerHealthPlanJILLHEITZMANJHeitzman@TheHealthPlan.
com(570)271-5555(570)271-5516100NACADEMYAVEDANVILLEPA17822GVMVPHealthCareHEIDISCHMELZLENHSchmelslen@mvphealthcare.
com(518)395-1308(518)386-7869625STATESTSCHENECTADYNY12305KaiserFoundationHealthGWPlanofGeorgiaInc.
HDHPFEDERALACCOUNTCSC-SD-ROC-Federal@kp.
org(858)614-7974(866)551-9593P.
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BOX23758SANDIEGOCA92193CoventryHealthCare750PRIDESCROSSINGSUITE300NEWARKDEGZHDHPMARYANNJOYCEmjoyce@cvty.
com(302)283-6719(866)415-28361971320500CIVICCENTERDRMCC411SOUTHFIELDH6BluecareNetworkofMIMSLONITALOVEllove@bcbsm.
com(248)223-5147(248)799-6327MI48076CoventryHealthCareofHAKansasTIMSCHAEFFERtsschaeffer@cvty.
com(877)775-5657(866)287-65941720SOUTHSYKESDRBISMARCKND58504CoventryHealthCareofHBLouisianaHDHPVICKIEBARTHvjbarth@cvty.
com(877)775-5657(866)415-28421720SOUTHSYKESDRBISMARCKND58504500WESTMAINSTREET5THFLOORIAHumanaCoverageFirstTRICIABLANKENSHIPtblankenship@humana.
com(502)580-6102(502)508-6102LOUISVILLEKY40202750PRIDESCROSSINGSUITE300NEWARKDEIGCoventryHealthCareMARYANNJOYCEmjoyce@cvty.
com(302)283-6719(866)415-2836197131425UNIONMEETINGRDMSU21NBLUEBELLIKAetnaOpenAccessJOANNEMCCABEMcCabeJD@aetna.
com(215)775-4340(215)775-5870PA19422701N.
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10THSTREETSUITE300OKLAHOMAIMGlobalhealth,Inc.
MICHELLEDIAZmichelle.
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cc(405)280-5528(405)280-5894CITYOK7310420500CIVICCENTERDRMCC411SOUTHFIELDJ3BluecareNetworkofMIMSLONITALOVEllove@bcbsm.
com(248)223-5147(248)799-6327MI480761425UNIONMEETINGRDMSU21NBLUEBELLJCAetnaOpenAccessJOANNEMCCABEMcCabeJD@aetna.
com(215)775-4340(215)775-5870PA19422FallonCommunityHealthJGPlanTAINAGONZALEZtaina.
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com(215)775-4340(215)775-5870PA19422FallonCommunityHealthJVPlanTAINAGONZALEZtaina.
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org(508)368-9079(508)831-113610CHESTNUTSTWORCESTERMA0160820500CIVICCENTERDRMCC411SOUTHFIELDK5BluecareNetworkofMIMSLONITALOVEllove@bcbsm.
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com(210)478-4544(210)474-5378ANTONIOTX78249Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddressKQUniveraHealthcareGLENDAJENKINSglenda.
jenkins@excellus.
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com(671)646-6956(671)647-3548CHALANSANANTONIOSTE.
308P.
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com(216)687-7179(216)687-63522060E9THSTREETCOSTCENTER6200CLEVELANDOH44115L6HumanaCoverageFirstTRICIABLANKENSHIPtblankenship@humana.
com(502)580-6102(502)508-6102500WESTMAINSTREET5THFLOORLOUISVILLEKY40202LBHealthNetofCaliforniaDENAMODUNGODena.
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com(502)580-4563(502)508-4563500WESTMAINSTREET5THFLOORLOUISVILLEKY40202LMHumanaCoverageFirstGEORGIAHINESghines@humana.
com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202LPHealthNetofCaliforniaDENAMODUNGODena.
M.
Modugno@healthnet.
com(800)909-6362x3555(818)676-5949P.
O.
BOX9103VANNUYSCA91409LWPhysiciansPlusLEKISHAGLAZElekisha.
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net(800)916-916222EMIFFLINSTSUITE200MADISONWI53703LXBluecareNetworkofMIMSLONITALOVEllove@bcbsm.
com(248)223-5147(248)799-632720500CIVICCENTERDRMCC411SOUTHFIELDMI48076M2MedicaHealthPlanMARKREMMEmark.
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com(952)992-3778(952)992-3700401CARLSONPARKWAYCP286MINNETONKAMN55305-5387M5AnthemBlueCross-HMOPAULAMEECEpaula.
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com(513)872-8219(513)872-39291351WILLIAMHTAFTROADMAILDROPOH42A-491CINCINNATIOH45206M9MVPHealthCareHEIDISCHMELZLENHSchmelslen@mvphealthcare.
com(518)395-1308(518)386-7869625STATESTSCHENECTADYNY12305MFMVPHealthCareHEIDISCHMELZLENHSchmelslen@mvphealthcare.
com(518)395-1308(518)386-7869625STATESTSCHENECTADYNY12305MHHumanaHealthPlan,Inc.
CINDYJOHNSONcmjohnson@humana.
com(502)580-4563(502)508-4563500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MIHumanaHealthPlan,Inc.
CINDYJOHNSONcmjohnson@humana.
com(502)580-4563(502)508-4563500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MJHumanaCoverageFirstCINDYJOHNSONcmjohnson@humana.
com(502)580-4563(502)508-4563500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MKBlueChoiceSTEPHANIEDINKENSstephanie.
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com(502)580-6102(502)508-6102500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MSHumanaHealthPlan,Inc.
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com(502)580-4807(502)508-4807500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MVVantageHealthPlan,Inc.
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com(318)361-0900x151(318)361-2178130DESIARDSTREETSUITE300MONROELA71201-7363MWHumanaCoverageFirstPAULGRAYpgray1@humana.
com(502)580-7402(502)508-7402500WESTMAINSTREET5THFLOORLOUISVILLEKY40202MXMVPHealthCareHEIDISCHMELZLENHSchmelslen@mvphealthcare.
com(518)395-1308(518)386-7869625STATESTSCHENECTADYNY12305Attachment4:FederalEmployeesHealthBenefits(FEHB)PlanContactsRegardingEnrollmentCarrierCodePlanNameNameEmailAddressWorkFaxAddressNMHealthPlanofNevadaMSMARYKOKERenr109@sierrahealth.
com(702)242-7384(702)242-9186TEXASHEALTHCHOICEL.
C.
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com(215)775-4340(215)775-5870PA194222501BUENAVISTASEPOBOX27489P2PresbyterianHealthPlanGINABELLUSOgbelluso@phs.
org(505)923-5246(505)923-8252ALBUQUERQUENM871061425UNIONMEETINGRDMSU21NBLUEBELLP3AetnaOpenAccessJOANNEMCCABEMcCabeJD@aetna.
com(215)775-4340(215)775-5870PA19422500WESTMAINSTREET5THFLOORPHHumanaCoverageFirstGEORGIAHINESghines@humana.
com(502)580-4807(502)508-4807LOUISVILLEKY40202HealthAmericaPNPennsylvaniaCAROLEALBRIGHTcaalbright@cvty.
com(717)541-2596(717)541-59153721TECPORTDRIVEHARRISBURGPA17111ALTURAOFFICECOMPLEX4101INDIANQ1LovelaceHealthPlanJULIELEEJulie.
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com(585)454-1700(585)238-3694NY14647QAIndependentHealthAssocMARGOFRAASSmfraass@independenthealth.
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