Carrier Contacts

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Benefits
New Mexico Public Schools Insurance Authority
nmpsia logo Customer Service for Administrative issues
Issues | Claim Issues | Appeals
1.800.548.3724 nmpsia.com
NMPSIA Eligibility Administrative Office
erisa logo Erisa Administrative Services, Inc.
Eligibility | Enrollment | Premium Billing | COBRA Administrator
1.800.233.3164 nmpsiaonline.nmpsia.com
MEDICAL
Carrier Group Number Customer Service Website Address
blue cross logo N05501 – High
N05502 – Low
213895 – EPO
1.888.966.7742 www.bcbsnm.com/nmpsia
Video Visits: mdlive.com!NMPSIA (or visit bcbsnm.com; log in as a member to locate the link)
cigna logo 3343552 1.800.244.6224 connections.cigna.com/newmexico/
Video Visits: visit myCigna.com for appointment via MDLIVE
cigna logo A0000035 1.888.275.7737 www.phs.org/health-plans/employer-plans/Pages/new-mexico-public-schools-insurance-authority.aspx
Video Visits: visit phs.org and click on "Login to MyPres" to locate link
PRESCRIPTION DRUGS
cvs logo RxBIN 004336
RxPCN ADV
RxGRP RX22AS
1.877.787.0652 www.caremark.com
DENTAL
delta dental logo 8564 – Low
8565 – High
1.877.395.9420 www.deltadentalnm.com/
UNITED CONCORDIA dental logo 812022 (refer to ID card or subgroup #) 1.888.898.0370 www.unitedconcordia.com/benefits/clients-corner/New-Mexico-Public-School-Client-Corner-Dental-Benefits
VISION
Davis vision logo 7129 1.800.999.5431 www.davisvision.com/member
LIFE AND DISABILITY
The Standard logo 645549 1.888.609.9763
Ext. 0957
nmpsia.com/TheStandard.html

Applying for Life and LTD Coverage

For Additional Life or Long Term Disability that is declined or if the employee chooses to enroll AFTER the 31 day enrollment deadline, to add these coverages the emlpoyee needs:

  • 1. A Change Card
  • 2. Evidence of Insurability (Medical History Statement)
  • 3. Approval by The Standard

What is evidence of insurability?

EOI is a statement or proof of a person's physical condition that is required to obtain certain types of insurance.

This applies to requests for LTD coverage or Additional Life for the employee and Dependent Life coverage for spouse.

Step 1
Complete the attached NMPSIA Employee Change Card

Step 2
Complete the attached Standard Medical History Statement

Step 3
Submit both forms to your employer's Benefits Office. They will send to the NMPSIA administrator who will expedite to The Standard for review.

If you do not want to send the Medical History Statement to your employer's Benefits Office, you may mail it to the address on the form. You MUST submit the NMPSIA Employee Change Card to your employer's Benefits Office before you mail the Medical History Statement to The Standard.

Note: The late enrollment process is available anytime, but for faster decision turnaround, apply between January and August. The annual Fall Open/Switch Enrollment is not the ideal time to apply.

Find a Provider by Carrier

If you need assistance, contact the carrier HERE.

CVS Caremark Rx Benefit Manager