UnitedHealthcare

    National Plan — GA-23000
    Managed Medical Care Programs (MMCP) &
    Comprehensive Health Care Benefit (CHCB)
    1-800-842-9905
    www.myuhc.com
    www.myuhc.com/groups/railroadinfo

    Retiree Claims — GA-46000
    UnitedHealthcare
    P.O. Box 30985
    Salt Lake City, UT 84130-0985
    1-800-842-5252

    Retiree Supplemental — GA-23111
    UnitedHealthcare    
    P.O. Box 30304
    Salt Lake City, UT 84130-0404
    1-800-842-5252

The Hartford
(Effective 8/1/2020, SSB Plans transitioned from Aetna to The Hartford for administration of current claims and new claim applications)
NEW ADMINISTRATOR AND ONLINE ACCESS FOR SSB PLANS

   The Hartford
   1-800-205-7651
   https://abilityadvantage.thehartford.com

Life Insurance

    MetLife
    P.O. Box 6122
    Utica, NY 13504-6122
    1-800-310-7770
    www.metlife.com

    American Income Life
     AIL is offering $3,000 Accidental Death and Dismemberment benefit to
     Brotherhood of Railroad Signalmen (BRS) members and retirees at no cost.
     Please know, you are entitled to the coverage simply by being a
     BRS Member, active or retired. We encourage you to click the above link,
     and fill out the form. American Income Life Insurance Company,
     a 100% union company serving working families just like yours.

Vision Service Plan

    EyeMed
    Member Support
    1-855-212-6003
    www.eyemedvisioncare.com/railroad

Union Plus

Mortgage • AT&T Discount
Scholarships and much more.
www.unionplus.org

Mental Health and
Substance Abuse Benefits

    For treatment, claims or inquiries call:
    United Behavioral Health
    1-866-850-6212
    www.liveandworkwell.com
    Access code: Railroad

Supplemental Sickness Benefits
Under Group Policy No. R-5000

    Aetna
    P.O. Box 189145
    Plantation, FL 33318-9145
    1-800-205-7651 • Fax: 954-452-4124
    You may file online at: www.wkabsystem.com
    Company identifier: RR

Dental Benefits under Group Policy
No. GP-12000

    Aetna
    P.O. Box 14094
    Lexington, KY 40512-4094
    1-877-277-3368
    www.aetna.com

Managed Pharmacy Benefit
Express Scripts

    Retail pharmacy network provides medication for acute,
    short-term care.
    Mail-order prescription service provides medication
    for chronic, long-term care.
    UnitedHealthcare Plans GA-23000 and GA-46000
    1-800-842-0070
    www.express-scripts.com

Railroad Retirement Board

    1-877-772-5772 — Automated Help Line
    www.rrb.gov

Railroad Information — Your Track to Health

    www.yourtracktohealth.com
    (Note: Information on this site does not apply to Amtrak employees)

FORMS (Effective June 1, 2009)

MetLife^® Beneficiary Designation Form

Notice of Disability Form (Supplemental Sickness Benefit Plan)

Proof of Disability Form