Insurance Plan Administrators

Feel free to review the website or contact the plan administrator regarding questions about claims, ID cards, providers, and eligible services.

Plan Name and Website Claims Address Customer Service
UT SELECT Medical 
Blue Cross and Blue Shield of Texas 
Group: 71778
P.O. Box 660044 
Dallas, TX 75266-0044
(866) 882-2034 
M-F 8 AM - 6 PM CT
UT SELECT Prescription 
Express Scripts 
Group: UTSYSRX
P.O. Box 14711 
Lexington, KY 40512
(800) 818-0155 
24 hrs. a day, 7 days a week
Living Well Health Platform 
Provant Health Solutions
n/a (888) 703-2296 
M-F 6 AM - 5 PM CT 
Send an email
UT SELECT Dental and UT SELECT Dental Plus 
Delta Dental 
Group: 5968
P.O. Box 1809 
Alpharetta, GA 30023

(800) 893-3582 
M-F 6:15 AM - 6:30 PM CT

DeltaCare Dental HMO 
Delta Dental 
Group: 6690
P.O. Box 1810 
Alpharetta, GA 30023
(800) 893-3582 
M-F 7 AM - 8 PM CT
Superior Vision 
Group: 26856
P.O. Box 967 
Rancho Cordova, CA 95741-0949
(800) 507-3800 
M-F 7 AM - 8 PM CT 
Sat 10 AM - 3:30 PM CT
Group Term Life 
Dearborn National 
Group: GFZ71778
1020 31st Street 
Downers Grove, IL 60515-5591
(866) 628-2606 
M-F 7 AM - 7 PM CT
Accidental Death & Dismemberment 
Dearborn National 
Group: GFZ71778
1020 31st Street 
Downers Grove, IL 60515-5591
(866) 628-2606 
M-F 7 AM - 7 PM CT
Short-Term Disability and Long-Term Disability 
Dearborn National 
Group: GFZ71778
1020 31st Street 
Downers Grove, IL 60515-5591

(866) 628-2606 
M-F 7 AM - 7 PM CT

Long Term Care 
CNA 
Group: 0010025IS
Continental Casualty 
Attn: LTC Claims 
P.O. Box 946760 
Maitland, FL 32794-6760
(888) 825-0353 
M-F 7 AM - 5 PM CT
UT FLEX 
Payflex Systems
P.O. Box 3039 
Omaha, NE 68103-3039
P: (866) 887-3539 
F: (877) 230-4283 
M-F 7 AM - 7 PM CT 
Sat 9 AM - 2 PM CT

In the interest of time and convenience the Forty Acres Pharmacy accepts the UT Select prescription drug insurance. All employees covered by the UT Select drug plan, excluding dependents; may fill prescriptions at the pharmacy.  

 

If your prescription are highly specialized or newer to the market it may require that you place an advance order with the UHS pharmacy at (512)-471-1824 to confirm availability.