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Benefit Plan Administrators

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Section 14 - STATE SPONSORED GROUP INSURANCE PLAN

BENEFIT  PLAN  ADMINISTRATORS 
STATE HEALTH PLAN 
BCBSM State of Michigan
Service Center
800-843-4876
www.bcbsm.com/som 
STATE CATASTROPHIC
HEALTH PLAN
 
BCBSM State of Michigan
Service Center
800-843-4876
www.bcbsm.com/som 
PHARMACY DRUG PROGRAM
MedImpact
877-403-6034
www.mp.medimpact.com/som
MAIL SERVICE PRESCRIPTION DRUG PROGRAM
NoviXus
877-269-9002
www.noviXus.com/som
SPECIALTY PRESCRIPTION DRUG PROGRAM
Diplomat
877-319-6337
www.diplomatpharmacy.com
STATE VISION PLAN
BCBSM State of Michigan
Service Center
800-843-4876
www.bcbsm.com/som 
STATE DENTAL PLAN and
PREVENTIVE DENTAL PLAN
Delta Dental Plan of Michigan
800-524-0150
www.deltadentalmi.com 
DENTAL MAINTENANCE ORG. (DMO)
Midwestern Dental Plans, Inc.
800-544-6374
www.midwesterndental.com 
MENTAL HEALTH /
SUBSTANCE ABUSE SERVICES
 
Magellan Behavioral of Michigan
866-503-3158
www.magellanassist.com 
STATE LONG TERM DISABILITY
(LTD) PLAN
Citizens Management, Inc.
800-324-9901
 
AUTHORIZED HMO PLANS
Refer to Section 4. 
 
If you have questions about a claim or plan benefits, please contact the Plan administrator at their toll free number above. To ensure prompt assistance, please provide the following information: employee's Social Security number, group number, and union name or bargaining unit designation.

If you want to learn more about the company who administers one of the insurance plans, you may visit them at their website address listed above or contact them at their toll free number. 

This information is available in alternative accessible formats upon request for individuals with disabilities. For further information call (517) 373-7977 (VOICE). 

Detailed benefit description materials are also available in alternative accessible formats by calling the plan administrator listed above. Hearing- and/or speech-impaired employees may contact the Michigan Relay Center for assistance by calling 1-800-649-3777. A communications assistant will translate information from Telecommunication Devices (TDD) and personal computers into voice and vice versa.

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