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Please click here to view the
Employee Insurance Guide booklet. If additional assistance or guidance is necessary for eligibility or claim issues, please contact LCCIT Member Services at (800) 763-4868.
Plan Administered By:
Hunt Insurance Group,
LLC
P. O. Box 12909
Tallahassee, FL
32317-2909
Script Care - Pharmacy Benefit Manager
Script
Care - 2010 Detailed Formulary
Mail Order Company, DrugSource Inc.
P.O. Box 13866 Elk Grove Village, IL 6009-1366 (800) 854-8764 (847) 258-1913 Fax
Access Care PPO - List of Doctors in PPO Plus Plan
Healthcare
Claims -
If a member has a question about a healthcare claim they may contact:
BMS/Blue Cross Blue Shield of Louisiana Customer Service (800) 603-2299 Group #LCCIT707
www.bmshealth.com www.bcbsla.com
BMS Prescription Drug Claim Form
The member may
also call the Insurance Trust office and speak with
Debbie Hudnall,
Executive Director, any time the member feel the problem is not being answered appropriately or in a timely manner.
Health
Rates Only - All Rates Effective 1/1/10 - 12/31/10
Option 1 - High Deductible Health Plan
| Employee Only |
$ 432.90 |
| Employee & Spouse |
$ 867.60 |
| Employee & Child(ren) |
$ 786.21 |
| Family |
$ 1,003.21 |
Option 2- Modified Health Plan
| Employee Only |
$ 575.80 |
| Employee & Spouse |
$ 1,153.97 |
| Employee & Child(ren) |
$ 1,045.73 |
| Family |
$ 1,334.34 |
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