EMPLOYEE BENEFITS CONTACT INFORMATION: Medical, Dental, Group Life Insurance, Long-Term Disability and Section 125
This page provides addresses, telephone numbers and links to various benefit sites. The information is subject to change without notice. If you find information that is incorrect, or links which do not work properly, please contact Human Resources.
MEDICAL
www.kern.org/sisc - SISC III
(SBCC's third party administrator)
www.anthem.com/ca/sisc/ - Anthem Blue Cross PPO
www.blueshieldca.com - Blue Shield HMO
www.deltadentalins.com - Delta Dental PPO & Premier
www.goldenwestdental.com - Golden West Dental
(True Advantage)
www.afadvantage.com – American Fidelity
Section 125 Benefits Plan Administrator
www.medbd.ca.gov - Medical Board of California
Research information about physicians in California
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ANTHEM BLUE CROSS OF CALIFORNIA
Prudent Buyer (all PPO plans)
General Information, List of Providers - www.anthem.com/ca/sisc/
Customer Service - (800) 322-5709
Medical group numbers - "Classic" 100% Plan
40452A (Certificated)
40452B (Classified)
40452W (Retiree under 65)
40452R (Retiree over 65 with Medicare A & B)
Medical group numbers - 80% Plan
40452C (Certificated)
40452D (Classified)
40452T (Retiree under 65)
40452S (Retiree over 65 with Medicare A & B)
Medical group number - High Deductible (Medical Only)
40452E (Credit Adjuncts)
Anthem Blue Cross Claims: SISC III
Foundation for Medical Care of Kern County
Customer Service - (800) 322-5709 or (661) 327-7581
P.O. Box 12020
Bakersfield, CA 93389-2020
Claim Forms
Medco (Prescriptions) - Consumer Share Plan
General Information - www.medcohealth.com
Customer Service and Mail Order Service - (800) 987-5241
Medco by Mail
Medco Prescription Reimbursement Form
Behavioral Health Program (BHP2000) claims - (800) 825-5541
Authorization of Services - (800) 999-7222
PRIOR authorization required - BHP group number: 40698A
www.anthemeap.com
Medical Eye Services (MES - Vision)
General Information, List of Providers - www.mesvision.com
Customer Service (800) 877-6372
MES group numbers
10147-001 (Certificated)
10147-002 (Classified)
10147-004 (Retirees)
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BLUE SHIELD OF CALIFORNIA – HMO
General Information, List of Providers, Claim Forms - www.blueshieldca.com
Customer Service - (800) 424-6521
Medical group numbers effective October 1, 2009
HSC214-0002 (Certificated)
HSC214-0003 (Classified)
HSC214-0ER1 (Retiree over 65 with Medicare A & B)
HSC214-0RM1 (Retiree under 65)
PrimeMail (mail-in prescriptions)
General information - www.myprimemail.com
Customer Service - (866) 346-7200
Pharmacy Relations
Customer Service - (800) 535-9481
Behavioral Health Program
Customer Service - (877) 263-8827
PRIOR authorization required
Chiropractic & Acupuncture
(800) 678-9133
www.americanspecialtyhp.com
Medical Eye Services (MES - Vision)
General Information, List of Providers - www.mesvision.com
Customer Service (800) 877-8372
MES group numbers effective October 1, 2009
23773-001 (Certificated)
23773-002 (Classified)
23773-004 (Retirees)
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DENTAL
GOLDEN WEST DENTAL - True Advantage
General Information, List of Providers, Claims Forms - www.goldenwestdental.com
Customer Service (800) 995-4124
P.O. Box 5066
Oxnard, CA 93031-5066
Group number - NP9082
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DELTA DENTAL OF CALIFORNIA
General Information, List of Providers, Claim Forms - www.deltadentalins.com
Customer Service - (866) 499-3001
Group numbers
Delta Dental Premier
7075-4051 (Active Employees)
7075-4251 (Retirees)
Delta Dental PPO
7075-4151 (Active Employees)
7075-4351 (Retirees)
Claims: Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-73
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GROUP LIFE INSURANCE
MUTUAL OF OMAHA
Beneficiary Changes and claims: Please contact Pam Blanchard in Human Resources at extension 2713.
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LONG-TERM DISABILITY
MUTUAL OF OMAHA: Income Protection Plan
Claims: Please contact Pam Blanchard in Human Resources at extension 2713.
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SECTION 125
AMERICAN FIDELITY ASSURANCE COMPANY
Flexible Benefits Plan
General Information, Claim Forms - www.afadvantage.com
Customer Service: (800) 325-0654
Plan Administrator/Claims:
American Fidelity Assurance Company
P.O. Box 25510
Oklahoma City, OK 73125
(800) 662-1106
Flex Account Administration
Customer Service – (800) 325-0654
Local Contact:
Tony Orsini
3200 Inland Empire Blvd. #260
Ontario, CA 91764
(800) 365-9180 ext 320
