Group Administrator Resources

Important Contacts

ENROLLMENT
Contact Lawyers Insurance
Heather Slinkard
800-662-8843
Fax: 919-657-0316
HealthService@lawyersmutualnc.com

IMPORTANT!
Send ALL Enrollment information (new hires, terminations, changes, etc.) to Lawyers Insurance –
DO NOT SEND CHANGES WITH YOUR BLUE CROSS BILL.

BILLING – Call Blue Cross Blue Shield of NC at 877-237-6275

Mailing Address for Premiums
BCBSNC
P.O. Box 580017
Charlotte, NC 28258

Express Address for Premiums
BCBSNC
Attn: Retail Lock Box 580017
5130 Parkway Plaza Blvd.
Charlotte, NC 28217

IMPORTANT! Please pay invoice as billed. Any credits or debits will be reflected on your next bill.

CLAIMS – Call Blue Cross Blue Shield of NC at 877-258-3334
A Blue Cross representative will answer questions about coverage under your plan or the status of pending claims.

COBRA SERVICES – Call the TASC Group Administrator Line at 800-422-4661
A TASC representative will answer questions about Cobra regulations and your firm's account.

You may refer former employees to the TASC Cobra Beneficiaries Line at 888-869-2518

Forms

Service Frequently Asked Questions
A quick reference for most service needs

Enrollment and Change Application
Use this form to enroll new employees for health and life coverage, as well as to make changes to an existing employee’s coverage (add dependents, including newborns, change life beneficiary, change address or telephone number)

Plan 1, 2, 3 or 4 Medicare Prescription Drug Notice
Give to all employees enrolling in Plan 1, 2, 3 or 4 to notify them that the prescription drug coverage constitutes ‘creditable coverage’ as defined by Medicare Part D
Effective 10/1/2009, Plan 10 coverage is no longer 'creditable' for Medicare Part D

Plan 10 & 20 Medicare Prescription Drug Notice
Give to all employees enrolling in Plan 10 or 20 to notify them that the prescription drug coverage does not constitute ‘creditable coverage’ as defined by Medicare Part D
Effective 10/1/2009, Plan 10 is no longer 'creditable' for Medicare Part D

Declination of Coverage
Completed by all new eligible employees who are rejecting health coverage (a valid reason to reject coverage is having other group coverage, most often through a spouse – having no coverage or individual coverage may cause the firm to not meet the participation requirements of the plan)

Request/Reject Continuation of Group Health Coverage
Please have terminating employees on the health plan complete upon leaving employment to indicate whether they will exercise their right to continue coverage. (Cobra firms use CobraServ)

State Continuation Brochure
Information for Employers and Employees from the North Carolina Dept. of Insurance regarding continuation of group health benefits

Cancellation of Coverage Form
Completed by currently enrolled employees to cancel coverage for their dependents or themselves (usually when going onto a spouse’s coverage – remember that 75% of eligible employees must be enrolled to maintain the firm’s coverage)