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.
Unmarried 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.
Blue Cross Blue Shield of Montana
Group#: X58005 131-2
PO BOX 7982
Helena, MT 59604
Pacific Source Managed Care
Group #: GSO 01302
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 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
2824 US Highway 93 N
Victor, MT 59875
Group #: V58005
ACCIDENTAL DEATH & DISMEMBERMENT
PO Box 946790
Maitland FL 32794-6790
LIFE & LONG-TERM DISABILITY
Standard Life Insurance Company
Group #: 643129
PO Box 2800
Portland, OR 97208-2800