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     Cumberland County School Employees      Olde Fayetteville News
 
 
Quick Information for Cumberland County School Employees
For the convenience of our policyholders, below is a list of forms and other information you may access or download as needed. You may need to download the Adobe Acrobat Reader before you can view some of the forms.
 


Fall Enrollment Benefit Overview

The 411 on Flexible Spending Accounts

Benefit Election Statement


Allstate Workplace Division
(cancer, heart/stroke, accident and universal life)
Claims Service Number 1-800-348-4489
Policyholder Service Form Download Form Download Form
Policyholder Service Number 1-800-521-3535
Change of Beneficiary Form Download Form Download Form

403(b) Retirement Planning  
10 Reasons You Should Plan Your Retirement Now Download Form Download Form
How Much Can I Contribute? Download Form Download Form
For an Application or to speak with a Representative Toll Free: 1-800-868-1058
Local: 1-910-483-6210

Humana

Cancer Plus Download Form Download Form
Cash Cancer Plus Download Form Download Form
Health Care Plus Download Form Download Form
Filing Claims Fax Number: 803-283-5634
Policyholder Service Number 1-800-635-4252 or 1-910-483-6210

 

Filing made easy - NO FORMS. When filing a wellness claim for Cancer Plus or Health Care Plus with Humana there are no forms to fill out. Simply write your policy number on the physician's bill (This bill must include procedure/diagnosis codes, where the procedure was done, and cost of services). For filing a cancer claim on your Cash Cancer or Cancer Plus: You must provide a pathology report with your policy number written at the top. Mail the bill and/or pathology report to Humana or fax to 803-283-5634.

Humana mailing address is:
P.O. Box 2000
Lancaster, SC 29721


Protective Life Insurance Company (universal life)
Voluntary Life Insurance Program Download Form Download Form
Policyholder Service Form Download Form Download Form
For Forms and Customer Service Toll Free: 1-800-868-1058
Local: 1-910-483-6210
 
Wells Fargo Third Party Administrators
(dental, vision & short-term disability)
Dental Benefits Summary Sheet Download Form Download Form
Vision Benefits Summary Sheet Download Form Download Form
Customer Service Number 1-910-480-3100
Fax Number to fax claims
1-910-480-3103

Wells Fargo Third Party Administrators
(Flexible Spending Accounts:  (medical & dependent care reimbursement)

Medical/Dependent Care Reimbursement Claim Filing Instructions Download Form Download Form
Medical/Dependent Care Reimbursement Claim Form Download Form Download Form
Customer Service Number 888-295-4864
Fax Number to fax claims 770-683-1067 or 770-683-1068

Wells Fargo Third Party Administrators
(Short-term disability)

Short-term Disability Program Download Form Download Form
Claim Form Download Form Download Form
Customer Service Number 888-295-4864


 

To set-up online access to your account go to:  www.benefitspaymentsystem.com

 

 

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