Key Contacts

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CarrierPlansPhone NumberWebsite
Medical ProviderMedical
Group Number: 123456
Rx Bin #000000		800-555-5555www.example.com
Concierge Service
Voluntary Benefits800-555-5555www.example.com
Employee Assistance Program800-555-5555www.example.com
User ID: Sample Password: EAP
Dental ProviderDental
Group Number: 123456		800-555-5555www.example.com
401(k) Provider401(k) Savings Plan
Plan # 123456-7		800-555-5555www.example.com
Vision ProviderVision
Group ID: 1234567		800-555-5555www.example.com
Mental Health ProviderMental Health800-555-5555www.example.com
Legal ServicesLegal Services800-555-5555www.example.com
Pet Insurance ProviderPet Insurance
Group Code: 0000		800-555-5555www.example.com
Identity Theft ProtectionIdentity Theft Protection800-555-5555www.example.com
HSA, FSA and Commuter ProviderHealth Savings Account
Flexible Spending Accounts
Commuter Accounts		800-555-5555www.example.com
Fertility ServicesFertility Services800-555-5555www.example.com
TeladocTelemedicine800-555-5555www.example.com
Life and AD&DBasic Life and AD&D
Group Number: 12345		800-555-5555www.example.com
Voluntary Life and AD&D
Group Number: 12345		800-555-5555
Long-Term Disability
Group Number: 123456		800-555-5555
Leave Management Center800-555-5555
Travel Assistance Program
Reference Number:
00-00-123456		Within U.S.: 800-555-5555
Outside U.S.: 800-555-5555		www.example.com
Wellness ProgramWellness Program800-555-5555www.example.com

Use the company name ‘Sample Company’ for all vendors