Palmdale School District

Launching a Lifetime of Learning

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Plan Description Co-Pay Prescriptions Group Number Telephone Website
BLUE SHIELD OF CA 1-855-256-9404
BSC 100B $20 $7-25 SC1331 http://www.blueshieldca.com
BSC 100C $20 $9-35 SC1208 http://www.blueshieldca.com
BSC 100D $20 $200/10-35 SC1209 http://www.blueshieldca.com
BSC 90C $30 $9-35 SC1233 http://www.blueshieldca.com
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KAISER PERMANENTE
Kaiser w/ Chiro $0 $5 225543-0866 1-800-464-4000 http://www.kp.org
PRESCRIPTION PROVIDER
NAVITUS 1-866-333-2757 http://www.navitus.com
DENTAL PROVIDER Call or use website to find a Dentist
Delta Dental PPO w/$1,500 Annual Max Incentive Plan 7079 1500 1-866-499-3001 http://www.deltadentalins.com
VISION PROVIDER Call or use website to find a VSP Provider
Vision Service Plan (VSP)- Plan C $20 2312055A 1-800-877-7195 http://www.vsp.com
LINCOLN LIFE INSURANCE CO. 800.423.2765 http://www.lfg.com
Long-Term Disability Coverage MAX $7,000 MONTHLY http://www.lfg.com
UNUM LIFE INSURANCE CO. OF AMERICA 877.225.2712 http://www.unum.com
$135,000 Group Term Life Policy 420663 1-800-421-0344 http://www.unum.com
Long-Term Care BASIC 1-800-227-4165 http://www.unuminfo.com/palmdalesd001
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