Client Resources

USW Local 10-00086

L86 Unpaid Leave Requirements

Enrollment / Change Form

Fitness Reimbursement Program Description

Fitness Program Reimbursement Form

Fitness Reimbursement Logbook

Horizon Summary of Benefits

Horizon Claim Form

ESI / Medco Rx Co-payments

ESI / Medco Rx Reimbursement Form

ESI / Medco Mail Order Form

UCCI Dental Summary of Benefits

UCCI Dental Treatment in Progress Procedure

UCCI Dental Claim Form

Summary of Benefits and Coverage

VBA Vision Plan Summary of Benefits

Uniform Glossary

Horizon BCBS of NJ
Dedicated Customer Service Line:  1-888-444-8014

Express Scripts (ESI formerly Medco)
Customer Service Telephone No.:  1-800-711-0917

United Concordia Dental (UCCI) (then click Clients’ Corner at the bottom left of the screen under Member’s, then type USW)
Customer Service Telephone No.:  1-800-332-0366

Vision Benefits of America (VBA)
Customer Service Telephone No.:  1-800-432-4966





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