Plan Group No. Phone No. Web Site Address. H pge

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1 This section provides addresses, group numbers, phone numbers, and website addresses so you can contact the organizations that manage or administer the benefit plans. If You Have Questions If you have any questions about your benefit options, dependent eligibility or any other benefits, you can send an to the HR Service Center at or you can contact the HR Service Center at Company extension , externally at HELP ( ) or toll-free at Blue Shield HMO Blue Shield Medicare COB HMO ( Medicare Only) Health Net HMO Health Net Seniority Plus ( Medicare Only) Utility: H11873 H11474 Utility: H11876 H Blue Shield of California P.O. Box Chico, CA H pge Utility: 68989A 68988A Utility: 68989E 68988E Utility: 6898SN 68998SP Blue Shield of California P.O. Box Chico, CA Claims Department P.O. Box Lexington, KY Appeals and Grievance Dept. P.O. Box 9103 Van Nuys, CA Current members: Prospective members: Claims Department P.O. Box Lexington, KY Appeals and Grievance Dept. P.O. Box 9103 Van Nuys, CA Benefits January 1,

2 Kaiser Permanente North and South HMO 1/1/2012 (for all active employees not on ): Kaiser Permanente North and South EPO Kaiser Permanente Senior Advantage North and South ( Medicare Only) PG&E Self-Funded Plans Anthem Blue Cross Network Access Plan (NAP) Comprehensive Access Plan (CAP) Basic Plan North Utility: Utility: South Utility: Utility: /1/2012 (for all active employees not on ) North and South: North Utility: South Utility: /1/2012 (for all active employees not on ), call: North South Claims Administration Department P. O. Box Oakland, CA Member Service Call Center P. O. Box Stockton, CA Claims Administration Department P. O. Box Oakland, CA Member Service Call Center P. O. Box Stockton, CA PZG Anthem Blue Cross P.O Box Los Angeles, CA Benefits January 1, 2011

3 Health Savings Account Medical Plan (HSA Medical Plan) American Specialty Health Network (ASHN) Network Chiropractic Care for Anthem Blue Cross-Administered Plans Tax-Advantaged Accounts ConnectYourCare: Health Care Reimbursement Account (HCRA) Dependent Care Reimbursement Account (DCRA) Health Savings Account (HSA) Wellness Account Prescription Drug Plan Administered by Medco Health For NAP, CAP, Basic Plan and HSA Medical Plan Mental Health and Substance Abuse Program ValueOptions For NAP, CAP, Basic Plan and all HMOs Smokeless - Tobacco Cessation Program Offered in conjunction with the American Institute for Preventive Medicine PZG Anthem Blue Cross P.O Box Los Angeles, CA PZG American Specialty Health 777 Front Street San Diego, CA None (general information) pge (personalized portal) ConnectYourCare 307 International Circle Suite 200 Hunt Valley, MD PGE Medco P. O. Box Lexington, KY None ValueOptions, Inc. P.O. Box 1290 Latham, NY None , ext. 233 Benefits January 1,

4 Dental Plan Delta Dental Vision Plan Vision Service Plan Retirement Savings Plan 401(k) Fidelity Utility Utility /1/2012: Utility Utility MA&T: Div 44, Class 8 MA&T: Div 52, Class 10 Plan No.: Financial Engines Plan No.: /PG&E Marketing Department P. O. Box 7736 San Francisco, CA Customer Service P. O. Box Sacramento, CA (ask for Financial Engines) (click the Financial Engines link) 608 Benefits January 1, 2011

5 Retirement Plan Pension PG&E COBRA ( Ceridian) Plan No.: or (ask for Retirement) hrbenefitsquestions@exch ange.pge.com None Ceridian (COBRASERV) P.O. Box St. Petersburg, FL GlobalFit None Employee Assistance Program PG&E Leave Management PG&E Long-Term Disability PG&E Disability Plan Life Insurance Metlife Will Preparation Services Hyatt Legal Plans None www/hr/planspolicies/he althwelfarebenefits.shtml or pge ValueOptions, Inc. P.O. Box 1290 Latham, NY None Aon Hewitt P.O. Box 1548 Farmington, CT Plan No.: 503 Utility Plan No.: Policy No.: Matrix Absence Management, Inc. P.O. Box San Jose, CA Standard Insurance Company P.O. Box 2800 Portland, OR or com Benefits January 1,

6 610 Benefits January 1, 2011