Company Name Group Number Phone Numbers Internet Site Claims Address Plan Year MEDICAL PLAN (7/1/04-Current) UMR 76-070072 800-826-9781 Member Services 877-233-1800 Providers use this number to verify benefits www.umr.com UMR EDI Payer #39026 PO Box 30541 Salt Lake City, UT 84130-0541 Runs January 1 through December 31 Medical Provider Network for COLORADO, NEVADA, & UTAH (9/1/09-Current) Company Name United Healthcare (UHC) Options PPO Phone Numbers 800-826-9781 Certification Phone 866-494-4502 Number IMPORTANT: Failure to obtain PRE-certification on certain services PRIOR to receiving the services may reduce benefits Internet Site www.umr.com Medical Provider Network for WYOMING (7/1/04-Current) Company Name PHCS Healthy Directions Phone Number 800-678-PHCS (7427) Certification Phone 866-494-4502 Number IMPORTANT: Failure to obtain PRE-certification on certain services PRIOR to receiving the services may reduce benefits Internet Site www.phcs.com PRESCRIPTION PLAN (7/1/04-Current) Innoviant RXGRP 01960241 RxBin 610127 RxPCN 01960000 Phone Number 877-559-2955 Internet Site www.innoviant.com Send paper claims to: Innoviant PO Box 8082 Wausau, WI 55402-8082 Plan Year Runs January 1 through December 31 Company Name Group Number(s) Plan Name Group Number Phone Numbers Internet Site Send claims to: Network Name Plan Year DENTAL PLAN (effective 1/1/10) Guardian 453444 888-600-1600 (Weekdays 8am-830pm EST) 800-541-7846 (claims) www.guardianlife.com Guardian Group Dental Claims PO Box 2459 Spokane, WA 99210-2459 DentalGuard Preferred Network (CO, UT, WY) Diversified Dental Services Network (NV) Runs January 1 through December 31 FLEXIBLE SPENDING ACCOUNT (effective 1/1/10) Provider Name Rocky Mountain Reserve (RMR) Phone Number 303-945-3077 Claims Address Rocky Mountain Reserve 1221 W Mineral Ave, Ste 202 Littleton, CO 80120 Fax Number 866-557-0109 Email Address info@rmr.bz claims@rmr.bz Internet Site www.rockymountainreserve.com Plan Year Runs January 1 through December 31 Plan Name Group Number Plan Type Phone Number Internet Site NOTE: Plan Year VISION PLAN (9/1/05-Current) EyeMed 9231499 Access Plan C 866-723-0513 Member Services 800-521-3605 Providers use this number to verify benefits www.eyemedvisioncare.com Participation matches Medical Plan Participation Runs January 1 through December 31 LIFE/AD&D and LONG TERM DISABILITY INSURANCE (1/1/08-current) Plan Name Lincoln Financial Group Life/AD&D Group 000010099698-00000 Number (AD&D = Accidental Death and Dismemberment) $20,000 policy on each employee. LONG pays premium LTD Group Number 000010099782-00000 (LTD = Long Term Disability) LONG pays premium for employee coverage. Voluntary Life 000400001000-07737 Number (extra life insurance on employee, spouse, or dependents) Phone Number 800-423-2765 Member Services Internet Site www.lfg.com Provider Name Group Number Phone Number Fax Number Internet Site Regular Mail Address Overnight Mail Address Internet Log In Info Company Contact #1 Contact #2 Contact #3 Address 401(k) Plan Provider The Hartford Retirement Services 110514308 800-854-0647 800-220-2913 www.thehartford.com/retirementplans/access The Hartford Retirement Plans Group PO Box 55274 Boston, MA 02205-5274 The Hartford Retirement Plans Group 31 St James Ave, Ste 600 Boston, MA 02116-4190 First time users, use SSN as user name and last 4 digits of SSN as password. FREE Financial Advisor The Alley Robinson Wealth Management Group Keith Robinson, CIMA, Vice President-Investments 303-925-9699 keith.r.robinson@smithbarney.com Tom Alley, CIMA, Senior Vice President-Investments 303-925-9705 thomas.j.alley@smithbarney.com Mark Celusniak, Financial Advisor 303-925-9610 mark.j.celusniak@smithbarney.com Smith Barney 10303 E Dry Creek Rd, Ste 400 Englewood, CO 80112 800-965-3028 Fax 303-925-9696