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1 For more information By Phone Call the via ConnectOne: > From outside the United States, Puerto Rico, Canada and Guam: Call HR Shared Services (HRSS) at > If you are hearing impaired and use a TDD in the United States: Call the Telecommunications Relay Service at 711. Then call ConnectOne as instructed above. > If you are hearing impaired and use a TDD in Puerto Rico: Call and then call ConnectOne as instructed above. Online Access Your Benefits Resources TM (YBR TM ) through the TotalComp@Citi website at available from the Citi intranet and the Internet. For information about these topics, plans, or programs Contact Telephone number/website Beneficiary designations for: > Basic Life insurance, Basic AD&D insurance, Citigroup 401(k) Plan, Citibuilder 401(k) Plan for Puerto Rico, and Citigroup Pension Plan main menu, choose the pension, retiree health and welfare, and survivor benefits option. > Group Universal Life (GUL) and Supplemental AD&D insurance MetLife Call MetLife at at Benefits (health and insurance) COBRA coverage (Consolidated Omnibus Budget Reconciliation Act) main menu choose the health and welfare benefits option. Dental Plans Cigna Dental HMO (participants only) (pre-enrollment information) MetLife Preferred Dentist Program (PDP) at January 1, 2014 For more information 307
2 For information about these topics, plans, or programs Contact Telephone number/website Dependent Day Care Spending Account (DCSA) main menu choose the health and welfare benefits option. Visit YBR TM through Total at On YBR TM, click Dependent Care Spending Account under Health and Insurance. Disability To report a disability or apply for a Family Medical Leave MetLife main menu choose the disability option, or; Contact MetLife directly at at Employee Assistance Program (EAP) Harris, Rothenberg International (HRI) (TDD) Outside the United States, call collect to User ID: resources Password: for_you General information Eligibility, enrollment, general information about health and welfare benefits, qualified changes in status, and continuing coverage after a termination of employment or while on a leave of absence Visit YBR through TotalComp@Citi at Group Universal Life (GUL) MetLife at Health and insurance coverage verification for: > Child support > Medicaid or other premium assistance > Medicare > Social Security Administration > Etc. 308 For more information January 1, 2014
3 For information about these topics, plans, or programs Contact Telephone number/website Health Care Spending Account (HCSA) main menu choose the health and welfare benefits option. On YBR TM, click Health Care Spending Account under Health and Insurance. Health Savings Account (HSA) ConnectYourCare HIPAA Certificate of Creditable Coverage main menu choose the health and welfare benefits option. Insurance > Basic Life > Basic Accidental Death and Dismemberment (AD&D) > Business Travel Accident/Medical Visit YBR through at Limited Purpose Health Care Spending Account (LPSA) On YBR TM, click Limited Purpose Health Care Spending Account under Health and Insurance. Live Well at Citi Program Health Advocate, RedBrick Health and medical carriers (RedBrick) Visit the Live Well at Citi section. Long-Term Care (LTC) insurance John Hancock Life Insurance Company (U.S.A.) Medical (HMOs) Various sources Refer to the list at 1d1-health-medical-eds-web-ac.html. Medical (non-hmo plans) Aetna (ChoicePlan 500, High Deductible Health Plan) (TDD) Anthem BlueCross BlueShield (ChoicePlan 500, High Deductible Health Plan) Oxford Health Plan (PPO plans in CT, NJ, and NY tri-state area only) January 1, 2014 For more information 309
4 For information about these topics, plans, or programs Contact Telephone number/website Prescription drug program (ChoicePlan 500, High Deductible Health Plan, and Oxford PPO) To refill an Express Scripts Home Delivery prescription using the automated system, for instructions on how your physician can fax your prescription to the Express Scripts Pharmacy, and to arrange credit card payment for all your Express Scripts Home Delivery pharmacy service orders Express Scripts (TDD) (public site for Citi employees or prospective members) (participants only) For prior authorization Supplemental AD&D insurance MetLife at Transportation Reimbursement Incentive Program (TRIP) On YBR TM, click Transportation Reimbursement Incentive Program (TRIP) under Health and Insurance. Vision Plan For Plan information and laser vision correction providers/arrangements Aetna Non-Members: Members: Workers Compensation Constitution State Services Co Work/Life Program Health Advocate , select option #2 (no password required) 310 For more information January 1, 2014
5 CITI ON-SITE MEDICAL CLINICS Jacksonville, FL Citicards Way Medical emergency number Tampa, FL Citibank Center, Bldg. C Medical emergency number 611 Jersey City, NJ 480 Washington Blvd., 8 th Floor Medical emergency number Warren, NJ 283 King George Road, Bldg. C Medical emergency number New York City 399 Park Ave., Level A/Zone 11, New York City Medical emergency number (5-HELP) 111 Wall St., 23 rd Floor, Zone 12, New York City Medical emergency number (6-HELP) 388 Greenwich St., 5 th Floor, New York City Medical emergency number One Court Square, 9 th Floor, Zone 7, Long Island City Medical emergency number (4-HELP) San Antonio, TX 100 Citibank Drive, Bldg January 1, 2014 For more information 311
6 CITI HEALTH AND FITNESS CENTERS Florida Citicards Way, Bldg. A, Jacksonville Citibank Center, Tampa Warren, NJ 283 King George Road New York City 388 Greenwich St., 5 th Floor, New York City One Court Square, 5 th Floor, Long Island City Getzville, NY 580 CrossPoint Pkwy Texas 100 Citibank Drive, San Antonio Las Colinas Blvd, Irving Blue Ash, OH 9997 Carver Road Meridian, ID 2200 South Cobalt Way Elk Grove Village, IL 50 Northwest Point Blvd For more information January 1, 2014
7 CITI HEALTH AND FITNESS CENTERS Florence, KY 4600 Houston Road McLeansville, NC 5450 Millstream Road Hagerstown, MD Citicorp Drive Las Vegas, NV 8725 W. Sahara Blvd Sioux Falls, SD 701 East 60 th St. N January 1, 2014 For more information 313
8 314 For more information January 1, 2014
Telephone number/website
For more information By Phone Call the via ConnectOne: 1-800-881-3938. When prompted, enter your user ID and PIN. If you don t have a ConnectOne PIN, follow the prompts to designate a PIN. Once you designate
> From outside the United States, Puerto Rico, Canada and Guam: Call HR Shared Services (HRSS) at
For more information By Phone Call the via ConnectOne: 1-800-881-3938. When prompted, enter your ConnectOne ID and PIN. If you don't have a ConnectOne PIN, follow the prompts to designate a PIN. Once you
For More Information
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