Full-time permanent employees, permanent part-time employees (those regularly scheduled to work twenty (20) hours or more per week and seasonal employees scheduled to work more than six (6) months in any twelve (12) month period) and temporary employees scheduled to work twenty (20) hours or more per week for six (6) months or more are eligible for coverage under the Montana University System Group Benefits Plan.
All eligible employees are required to complete a “Choices” benefits enrollment form and return it with their elected coverage within 30 days of hire or date of eligibility even if coverage is waived.
Note - Student employees who occupy positions designated as student positions by a campus are not eligible to join the Plan.
If you are eligible, you may also enroll your family for certain benefits under Choices, including medical, dental, vision, life insurance and AD&D coverage. Eligible family members include:
Legal spouse, as defined under Montana law, or one other unrelated adult dependent as defined in the Summary Plan Description. To enroll an adult dependent other than a spouse, you will need to obtain criteria from your campus Human Resources Office and complete a Declaration of Adult Dependent form, also available there.
Dependent children under age 26 which include your natural children, stepchildren, and children placed in your home for adoption before age 18 or for whom you have court-ordered custody or you are the legal guardian.
Allegiance Managed Care
2806 S. Garfield St.
PO Box 4786
Missoula MT 59806-3018
Customer Service: 1-877-778-8600
Telephone Service 7am-6pm MST
Walk-in Service 8am-5pm MST
Allegiance Change of Address
Blue Cross Blue Shield of Montana
Group#: X58005 131-2
PO BOX 7982
Helena, MT 59604
Customer Service: 1.800.820.1674
Pacific Source Managed Care
Group #: G0037085
PO Box 7068
Springfield, OR 97475
Toll Free: 866.999.5583, Ext. 2203
Delta Dental Insurance
Group #: 7500-0000
PO Box 1809
Alpharetta GA 30023-1809
Automated Information Line: 1-866-579-5717
Customer Care: 1-866-333-2757
Group#: MTU, Bin# 610602 PCN# NVT
Customer Care: 1-855-847-3553COSTCO (Mail Order) Customer Service: 1-800-607-6861 Ridgeway Pharmacy (Mail Order)
2824 US Highway 93 N
Victor, MT 59875
Customer Service: 1-800-630-3214
miRx (Mail Order)
Customer Service: 1-866-894-1496
FLEXIBLE SPENDING, DEPENDENT CARE AND TAX ADVANTAGE ACCOUNT REIMBURSEMENT ACCOUNTS
Group #: V58005
Customer Service: 1-800-820-1674
Direct Line: 406-447-8747
ACCIDENTAL DEATH & DISMEMBERMENT, LIFE INSURANCE & LONG-TERM DISABILITY
Standard Life Insurance Company
Group #: 643129
PO Box 2800
Portland, OR 97208-2800
Customer Service: 1-800-628-8600