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SENEGENCE INTERNATIONAL POLICY # 370689 LIFE, DISABILITY, AND SUPPLEMENTAL HEALTH PLANS RESOURCE CONTACT/ADDRESS PHONE/FAX/EMAIL Premium Administration • Premiums payments made by check, make payable to: UnitedHealthcare Specialty Benefits Premium Remittance: UnitedHealthcare Specialty Benefits P.O. Box 860511 Minneapolis, MN 55486-0511 Overnight Payment: UHC Specialty Benefits Lockbox 860511 1200 Energy Park Drive St. Paul, MN 55108 1-866-322-1210 life_billing@uhc.com View, Download and Pay invoices via Portal www.uhcfinancialprotection.com Eligibility- Enrollments, Terminations, Reinstatements, Updates life_eligibility@uhc.com Life, Disability, and Supplemental Health Claims Customer Service Center 1-888-299 2070 Evidence of Insurability (EOI) 1-855-290-5224 – Fax Email: EOI_underwriting@uhc.com Employer Portal- Invoices, Forms, Claims, and Reporting www.uhcfinancialprotection.com Helpful Resources or Forms Library Life Beneficiary Services Legal, Financial, Will and Trust, Travel and Grief Resources www.liveandworkwell.com Access Code: LIFEBENSVS 1-866-302-4480 Member Assistance Program Counseling, Legal and Financial Consultation. www.liveandworkwell.com Access Code: EAP 1-877-660-3806 Member Claims Portal www.myuhcfp.com 1-800-444-5854 ACCOUNT MANAGEMENT TEAM RESOURCE NAME/ADDRESS PHONE/FAX/EMAIL Strategic Account Executive – Financial Protection • Strategic planning • Financial reporting • Renewal responsibility Field Account Manager – Financial Protection • Manage overall service for financial protection products • Assistance with escalated issues and policy questions Sr. Billing Analyst, Financial Protections • Assistance with Billing questions Rocio De La Cruz Prem Singh Leanna Villanueva 1-714-226-4243 Rocio.Delacruz@uhc.com 1-714-226-4257 pjsingh@uhc.com 1-702-797-2339 leanna.villanueva@optum.com

UNITEDHEALTHCARE KEY CONTACTS Senegence International Master Policy #930098 Medical/Dental Life 370689 ACCOUNT MANAGEMENT TEAM RESOURCE NAME/ADDRESS PHONE/FAX/EMAIL Strategic Account Executive (SAE) • Strategic planning • Financial reporting • Identifying clinical, financial and administrative solutions • Renewal responsibility Account Manager (AM) • Manage overall service experience • Education and communications on service and programs • Service reporting and trend analysis Dedicated Client Service Manager (DCSM) • Day-to-day service inquiries: billing, eligibility and claims • Systematically tracks all service inquiries Michele McCurdy Natalie Correa-Alvarez Lewis Harris 1-714-226-4115 Email: m.mccurdy@uhc.com 1-818-484-9070 Email natalie.correa@uhc.com 1 -763-283-4486 Email : lewis_harris@uhc.com MEMBER RESOURCES Authorizations, Eligibility, Claims, Coverage information RESOURCE NAME/ADDRESS PHONE/FAX/EMAIL Member Services Member’s primary contact for questions, inquires and information related to: ▪ Eligibility ▪ Coverage (Medical and Pharmacy) UnitedHealthcare Company Service Center P.O. Box 30555 Salt Lake City, Utah 84130-0555 PPO.: 1-866-314-0335 HMO: 1-800-624-8822 8:00 a.m. - 8:00 p.m. – all time zones www.myUHC.com

▪ Claims ▪ Case Management ▪ ID Cards Claims UnitedHealthcare Company Attn: Claims PO Box 30555 Salt Lake City, Utah 84130 1-800-357-0978 - Pharmacy Optum Rx BIN #610279 PCN #9999 Group#UNHEALTH HMO: BIN #610494 PCN#9999 Group#PCCA Prior Authorization Fax 1-800-853-3844 Patient Care Coordination 1-888-739-5820 Optum Rx P.O. Box 29044 Hot Springs, AR 71903 OptumRx P.O. Box 509075 San Diego, California 92150-9075 Specialty Pharmacy Prior Authorization Patient Care Coordination 1-800-797-9791 Mail Order Rx 1-800-562-6223 Specialty Pharmacy 1-888-702-8423 Mental Health United Behavioral Health 425 Market Street, 27th Floor San Francisco, California 94105 1-800-357-0978 www.LiveandWorkWell.com Care 24 • Registered nurses • Master’s-level counselors • Legal and financial professional 1-888-887-4114 24 hours, 7 days a week myuhc.com® Customer Support • Technical support line 1-877-844-4999 EMPLOYER RESOURCES RESOURCE NAME/ADDRESS PHONE/FAX/EMAIL Group Service - Employer/Broker Hotline Primary contact for Broker/Employer questions, inquiries and information related to: ▪ Billing ▪ Eligibility: Enrollment/Termination/Changes ▪ Claims Eligibility Service Center Attn: Eligibility P.O. Box 30963 Salt Lake City, Utah 84130-0964 1-888-842-4571 1-248-733-6061 – Fax www.EmployereServices.com

▪ Coverage Billing Analyst-Medical/Dental Jet Vang Billing Address: UNITED HEALTHCARE OF CALIFORNIA ACIS PO BOX 846940 LOS ANGELES, CA 90084-6940 1-952-202-4810 jet_vang@uhc.com Employer eServicessm Customer Support • Assistance with online questions • Technical support line Service Center 1-800-651-5465 Health Care Reform Information UnitedHealthcare Websites www.unitedforhealthreform.com www.uhc.com/united_for_reform_resource_center.htm UnitedHealthcare Specialty Benefits • UnitedHealthcare Specialty Benefits eBill • Online Forms • Evidence of Insurability Processing Status • Claims Utilization reports Online Employer Portal *Access is only available using a UnitedHealthcare Specialty Benefits assigned Log-On ID and your secure password Website: www.myUHCspecialtybenefits.com then employers>Life and Disability Technical Support: 1-866-322-1210 UNITEDHEALTHCARE SPECIALITY BENEFITS DENTAL/VISION RESOURCE CONTACT/ADDRESS PHONE/FAX/EMAIL Member Service Member’s primary contact for questions, inquires and information related to: • Eligibility • Coverage • Claims • Provider changes • ID Cards UnitedHealthcare Dental – PPO UnitedHealthcare Dental – HMO (UHC) UnitedHealthcare Vision Member Service Member’s primary contact for questions, inquires and information related to: • Eligibility • Coverage • Claims 1-877-816-3596 5:00 a.m. – 8:00 p.m. PST www.myUHC.com Provider Locator: MAC Plan: National Options PPO 20 UCR Plan: National Options PPO 30 1-877-813-4259 6:00 a.m. – 8:00 p.m. PST www.myUHC.com Provider Locator: CA Select Managed Care DHMO Plan

• Provider changes • ID Cards www.myUHC.com Provider Locator: CA DHMO Legacy PacifiCare 1-800-638-3120 5:00 a.m. – 8:00 p.m. PST www.myuhcvision.com Group Service - Employer/Broker Hotline Primary contact for Broker/Employer questions, inquiries and information related to: ▪ General Administration ▪ Billing ▪ Eligibility ▪ Claims ▪ Request for Schedule A ▪ Copy of Policy/Certificate ▪ Facilitate request for online training ▪ Broker commission questions 1-888-866-3192 1-855-262-0490 – Fax specialty_client_services@uhc.com Claims UnitedHealthcare Dental – PPO Attn: Claims Department P.O. Box 30567 Salt Lake City, Utah 84130-0567 UnitedHealthcare Dental – HMO Attn: HMO Claims P.O. Box 30567 Salt Lake City, Utah 84130-0776 UnitedHealthcare Vision Attn: Claims Department P.O. Box 84130 Salt Lake City, Utah 84130-0978 PPO Dental 1-877-816-3596 HMO Dental 1-800-622-6389 Vision 1-800-638-3120 1-248-733-6060 – Fax Appeals UnitedHealthcare Attn: Appeals and Grievances P.O. Box 30569 Salt Lake City, Utah 84130