UnitedHealthcare Medical Plans Group # 702632
 Navitus Pharmacy
 UnitedHealthcare Flexible Spending Accounts # 707191
 High Deductible Health Plan ( HDHP ) Exclusive Provider Organization ( EPO )
 Customer Care Specialty Rx - Lumicera Mail Order - NoviXus
 Health Expense Limited Scope Dependent Day Care
 Benefit Plan Contact Information
 HDHP : 1.866.314.0335
 EPO : 1.866.633.2446
 1.866.333.2757 1.855.847.3553 1.888.240.2211
 1.800.331.0480 Claims Fax : 1.886.262.6354 www . myuhc . com
 Advocate4Me @ uhc . com
 www . navitus . com www . lumicera . com www . novixus . com
 www . myuhc . com
 Prudential EAP  | 
 Employee Assistance Plan  | 
 1.800.311.4327  | 
 www . Guidanceresources . com  | 
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 | 
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 Web ID : MGR311 , Company Name : ARLIN  | 
 Delta Dental
 Superior Vision
 DHMO – TX15B DeltaCareUSA PPO High & Low Plans – TX16442
 Vision - Superior Vision Network
 1.800.422.4234 1.800.521.2651 www . deltadentalins . com
 1.844.549.2603 www . superiorvision . com
 Optum Bank Individual HSA Account 1.800.791.9361 www . myuhc . com
 Allstate Group V4687
 Prudential
 CareATC
 TMRS – City # 00052
 ICMA – RC Plan # 106061 Plan # 301966
 Mike Mendenhall ICMA-RC Consultant
 Nicholl Aldridge ICMA-RC Consultant
 Paul Phillips ICMA - RC
 Critical Illness Policy Accident Policy
 Short Term Disability Long Term Disability
 Must be enrolled in City ’ s HDHP or EPO Medical Plan
 Texas Municipal Retirement System
 401 ( k ) Thrift Plan 457 Savings Plan
 Enrollment Assistance Retirement Planning
 1.800.521.3535 Claims : 1.800.348.4489 Fax : 1.866.424.8482 www . allstateatwork . com / mybenefits
 1.877.367.7781 www . prudential . com / mybenefits
 Employee Health Centers
 1.800.993.8244 www . careatc . com / patients
 Retirement Plans
 1.800.924.8677 www . tmrs . com
 1.800.669.7400 www . icmarc . org / arlington-tx
 1.800.290.7160 mmendenhall @ icmarc . org
 Enrollment Assistance 1.866.886.8023 naldridge @ icmarc . org
 Certified Financial Planner 1.866.265.5504 pphillips @ icmarc . org
 Family Medical Leave
 Prudential FML Administrator 1.877.367.7781 www . prudential . com / mybenefits
 The information contained in this guide should in no way be construed as a promise or guarantee of employment or benefits . The City reserves the right to modify , suspend or terminate any plan at any time for any reason . If there is a conflict between the information in this guide and the actual plan document or policies , the documents or policies will always govern . Complete details about the benefits offered can be obtained by reviewing current plan descriptions , contracts , certificates , policies , and plan documents available from Human Resources .
 Rev . 11.07.2019 V2