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INSURANCE SERVICE PROVIDERS



Insurance at The University of Montana features medical, dental, and life insurance coverage for eligible employees. Visit the Montana University System Choices web site, or the HRS FAQ for more information on how to file claims, order prescriptions, and use your flexible spending account.




MEDICAL PLANS

Allegiance: Traditional Plan & Managed Care Plan
Group #:  Traditional Plan is #95000-05 & Managed Care is #95008-05

2806 S. Garfield St.
PO Box 4786
Missoula MT 59806-3018
1-877-778-8600
Telephone Service 7 am- 6 pm MST
Walk-in Customer Service 8am-5pm MST
Allegiance Change of Address Form


Blue Cross Blue Shield of Montana
Group#:  X58005 131-2

PO BOX 5004
Great Falls, MT 59403
1.800.820.1674


Pacific Source Managed Care
Group #:  GSO 01302

PO Box 7068
Springfield, OR 97475
Toll Free: 866.999.5583, Ext. 2203
Fax: 541.225.3673
Started 07.01.12


DENTAL PLANS
Delta Dental Insurance
Group #:  7500-0000

PO Box 1809
Alpharetta GA 30023-1809
Automated Information Line: 1-866-579-5717




PHARMACY
URx
Customer Service : 1-877-501-1064 
Ask-a-Pharmacist : 1-888-527-5879 or 1-888-ASK-URX

Group#: 36430, Bin# 003585, PCN# 36430


MedVantx Pharmacy Services (MedVantx)
PO Box 5736
Sioux Falls, SD 57117
1-877-870-6668

Ridgeway Pharmacy
2824 US Highway 93 N
Victor, MT 59875
1.800.630.3214
FAX: 1.406.652.6050




MEDICAL & DEPENDENT CARE REIMBURSEMENT ACCOUNTS

Allegiance  2806 Garfield Street, P.O. Box 4346, Missoula, MT  59806
1-877-778-8600
Fax 1-877-424-3539
Claim Forms




VISION PLAN
EyeMed Vision Care
Group #:  9690835

EyeMed Vision Care
4000 Luxottica Place
Mason OH 45040
Customer Service: 1-866-723-0513




ACCIDENTAL DEATH & DISMEMBERMENT
The Hartford
PO Box 946790
Maitland FL 32794-6790
1-800-303-9744




LIFE & LONG-TERM DISABILITY
Standard Life Insurance Company
Group #:  643129

PO Box 2800
Portland, OR 97208-2800
1.800.628.8600
See Also: Life Insurance Booklet | Long Term Disability

Human Resource Services

Emma B. Lommasson Center
Room 252

The University of Montana

Missoula, MT 59812

Phone: 406-243-6766

Fax: 406-243-6095