Benefit Plan Contacts

Prescription Drug Coverage

BeneCard PBF 5040 Ritter Road Mechanicsburg, PA 17055 Member Services: 1-888-907-0070 www.benecardpbf.com

Vision Insurance Coverage

National Vision Administrators (NVA) PO Box 2187 Clifton, New Jersey 07015 Customer Service: 1-800-672-7723 www.e-nva.com

Employee Assistance Program (EAP)

Revive & Thrive Phone: 1-800-327-2251 Enrollment Code: PACOURTS EAP - Member Portal

Flexible Spending Account

Lively (FSA) 1-888-576-4837 support@livelyme.com Flexible Employee Benefits and HSA for Brokers and Businesses | Lively

Supplemental Life/Disability Insurance

The Hartford PO Box 2999 Hartford, CT 06104-2999 717-231-3309 Human.Resources@pacourts.us

Medical Insurance Coverage

Highmark Blue Shield PO Box 890062 Camp Hill, PA 17089-0062 Customer Service: 1-866-727-4936 www.highmarkblueshield.com

United Healthcare PO Box 740809 Atlanta, GA 30374-0809 Customer Care Group: 1-800-741-8786 myuhc - Member Login | UnitedHealthcare

Dental Insurance Coverage

United Concordia Dental PO Box 69421 Harrisburg, PA 17106 1-866-851-7568 PA Judiciary Client Corner Dental Benefits | United Concordia

Commonwealth Group Life Insurance

Metropolitan Life Insurance Company Life Services PO Box 14401 Lexington, KY 40512-4401 Phone 1-855-972-5433 TDD 1-800-984-8652 www.metlife.com/mybenefits

Retirement and Deferred Compensation

State Employees’ Retirement System 30 North Third Street Harrisburg, PA 17101 1-800-633-5461 www.sers.pa.gov