Employee Benefits Contact Information

http://sisc.kern.org/hw/ - SISC III
(SBCC's third party administrator)

www.anthem.com - Anthem Blue Cross PPO

www.deltadentalins.com - Delta Dental PPO & Premier

www.americanfidelity.com – American Fidelity
Section 125 Benefits Plan Administrator

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ANTHEM BLUE CROSS OF CALIFORNIA
Prudent Buyer (All PPO plans)
General Information, List of Providers - www.anthem.com
Customer Service - (800) 322-5709

      Medical group numbers - 100% Plan
      40452A (Certificated)
      40452B (Classified)
     40452W (Retiree under 65)
      40452R (Retiree over 65 with Medicare A & B)

  Medical group numbers- 90% Plan
40452F (Certificated)
      40452G (Classified)
      40452L (Retiree under 65)
      40452V (Retiree over 65 with Medicare A & B)

Medical group numbers - 80% Plan
      40452C (Certificated)
      40452D (Classified)
      40452T (Retiree under 65)
      40452S (Retiree over 65 with Medicare A & B)

      Medical group number - High Deductible (Medical Only)
      40452E (Credit Adjuncts)

Anthem Blue Cross Claims: SISC III
Foundation for Medical Care of Kern County
Customer Service - (800) 322-5709 or (661) 327-7581
P.O. Box 12020
Bakersfield, CA 93389-2020
Claim Forms

Navitus Health Solutions (Prescriptions)
General Information - www.navitus.com
Customer Service- (866) 333-2757

Rx Bin: 610602; Rx PCN: NVT; Rx Group: SISC

Navitus contact{{Customer information}}

EyeMed vision coverage
General Information, List of Providers - www.eyemed.com
Customer Service (866)800-5457

EyeMed group numbers:

1036704-1001ACN (Certificated)

1036704-1001ALN (Classified)

1036704-1001RBN (Retirees)

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Chiropractic & Acupuncture
(800) 678-9133
www.americanspecialtyhp.com

DENTAL

Anthem Dental PPO
General Information, List of Providers, Claims Forms - www.anthem.com/ca
Customer Service (844) 729-1565

Anthem Dental PPO Group number:
L085870001 (All employees)

DELTA DENTAL OF CALIFORNIA
General Information, List of Providers, Claim Forms - www.deltadentalins.com
Customer Service - (866) 499-3001

Group numbers
     Delta Dental Premier
7075-4051 (Active Employees)
7075-4251 (Retirees)

     Delta Dental PPO
7075-4151 (Active Employees)
7075-4351 (Retirees)

Claims: Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-73

LINCOLN FINANCIAL GROUP

Beneficiary Changes and claims: Please contact Sharon Remacle in Human Resources at extension 5113.

MUTUAL OF OMAHA: Income Protection Plan

Claims: Please contact Sharon Remacle in Human Resources at extension 2713.

AMERICAN FIDELITY ASSURANCE COMPANY
Flexible Benefits Plan
General Information, Claim Forms - www.americanfidelity.com
Customer Service: (800) 325-0654

Plan Administrator/Claims:
American Fidelity Assurance Company
P.O. Box 25510
Oklahoma City, OK 73125
(800) 662-1106

Flex Account Administration
Customer Service – (800) 325-0654

Local Contact:
Ms. Phyllis Scotton
3200 Inland Empire Blvd. #260
Ontario, CA 91764
(800) 365-9180 or phyllis.scotton@americanfidelity.com

Medical, Dental, Group Life Insurance, Long-Term Disability and Section 125