2014 Employee Benefits
SOMI - Third Party Administrator
Phone: 800-486-7664
www.somi.com

Mullen Pension & Benefits Group
12758 Cimarron Path, Suite 118
San Antonio, Texas 78249
Phone: 210-949-0002
Benefits@mullenpbg.com
Jesse Trevino Insurance Agency
5835 Callaghan Road, Suite 320
San Antonio, Texas 78228
Phone: 210-521-8803
Fax: 210-521-8854   

 
Medical Health Care Information
Summary of Benefits & Coverage - Low Plan (SBC)              Seguro medico de cobertura - baja
       Summary of Benefits & Coverage - High Plan (SBC)      Seguro medico de cobertura - alta
 
 
 
Contact Information

Claims Adminisration -- Group & Pension Administrators (GPA): 800-827-7223
 
Submit medical claims to: GPA, POBox 749075, Dallas, TX 75374-9075 (Electronic submission ID#48143)
 
Claim Questions or Benefit Inquiries: GPA 800-827-7223 or 972-238-7900 or email gpacustomerservice@gpatpa.com
 
Physician Network -- PHCS/Multiplan Network: 888-611-7427 or www.multiplan.com www.phcs.com
 
Pharmacy -- Envision/Rx: 800-361-4542
 
Mail Order Pharmacy -- Orchard: 866-909-5170 or www.orchardrx.com / fax: 866-909-5171
 
Specialty Drugs -- Orchard: 877-437-9012 or www.orchardrx.com/specialty
 
Hospital Admissions/Outpatient Surgery -- 866-206-3224
 
Providers call 866-206-332 or 972-744-2486
 
One Call Care -- 888-458-8746 www.onecallcm.com
 
ELAP Services -- 800-977-7381 or email balancebills@elapservices.com 
 
Teladoc -- Access to a doctor 24/7/365 days - 800-835-2362 -- www.Teledoc.com/idcards 
 

Voluntary Products
Group Basic Life - $15,000 Paid by District; Employee MUST enroll for this product - 5Star (877-378-1505)

Disability Income Protection - Aetna (866-834-3668)

Option A
Option B
LTD Certificate
Employee Assistance Program

Vision - EyeMed (866-299-1358)
Voluntary Life Insurance - 5Star (866-863-9753)
Dental - MetLife (PPO Plan: 800-942-0854) (DHMO MET290 Plan: 800-880-1800)
Critical Illness - 5Star (866-863-9753)
H-E-B Rx Advantage