July 23, 2009 Gorgeous Grandma Day
FROM: Marcia Picanzo
TO: (vendor distribution list)
Aetna COBRA Compliance MetLife Dental PPO
Altius CompDent DHMO New Directions
Anthem ConSern Loans Pancoast & Associates
BCBS – FL CorePlus Benefits Planned Benefit Systems
BlueChoice - SC Delta Dental DHMO Prudential
Caremark Eye Care Plan of America Rollover Systems
CBCA Hewitt Associates Thomson-Reuters
CIGNA Humana ValueOptions
Facility Name/Address Unit # / Benefits Acquisition Copy Benefits From Pay
# Emps Effec Date Close Date (for Hewitt purposes only) Cycle
Primary Care Center of Live Oak 25812 5 7/1/09 n/a 25566 odd
1500 Ohio Avenue North
Live Oak, FL 32060
Group Division Market Line of Business FEIN
Eastern North Florida North Central Florida Physician services n/a
Medical TPA / Network Behavioral Health TPA / EAP HR Contact Phone #
PPO – CIGNA ValueOptions Domaris Herndone 727-773-3101
HMO – BCBS-FL
This facility is:
an acquisition Purchased from
a merger; facility merging into Unit #
x a new facility
transferring employees from Unit #
a divestiture effective on Purchased by
closed, effective on:
inactivated, effective on
x Shared Services entity?
x Part of Oklahoma, Methodist, Rapides, St. David’s or Tulane partnership? If yes, which one?
x Recognize current year deductible?
x Waive major dental 12-month waiting period?
x Prior service credit for retirement?
x Will Hewitt receive prior yrs of service?
x Union? If yes, what is union ID?
x Does HCA have responsibility for COBRA members?