National Roofers Union & Employers Joint Health & Welfare Fund Website

WILSON-MCSHANE CORPORATION, FUND OFFICE

3001 Metro Drive, Suite 500
Bloomington, MN 55425
(800) 622-8780 or (952) 854-0795
Fax (952) 854-1632 Claims Fax: (952) 851-3521
Business hours are Monday-Friday, 8:00-5:00pm central time

Claim Administrator
- Claims Forms, Claim Filing and Level 1 Claim Appeals for Dental Plan, Vision Plan, Life, AD&D, and Disability Income Benefits
- Claim Forms and Level 1 Claim Appeals for Medical Plan Benefits
- Eligibility and Plan Benefit Information
- Pre-treatment Estimates for Dental Benefits
- HRA Account Administrator
- COBRA Administrator
- Medicare Part D Notice of Creditable Coverage
- Summary of Benefits and Coverage (SBC)
COBRA Administrator
- COBRA Information
- Cost of COBRA and COBRA Self-Pay Premium Payments
HRA Account Administrator
Plan Adrministrator
- Level 2 Claim Appeals
HIPAA Privacy & Security Officers
- HIPAA Privacy Notice

CIGNA

Cigna
Cigna Healthcare
P.O. Box 188004
Chattanooga, TN 37422
Electronic Payer ID: 62308
(800) 768-4695

PPO Network for the Medical Plan

Network Provider Directory
Additions/Deletions of Providers
Claim Filing for PPO Network Providers and Claim Filing for Non-PPO Providers
Send claims to the address listed above
To access the online directory for the Open Access Plan (OAP) Network, visit
Cigna Online Directory , enter your search location, select medical plans then OAP

Employee Assistance Program (EAP)

24/7/365 available support
To get started, call (888) 324-6612 or visit mycigna.com, when registering for the first time, enter nationalroofers in the Employer ID field
For more information, view the EAP Brochure

Disease Management, Health Advocates

For confidential information and assistance managing these health conditions: asthma, chronic obstructive pulmonary disease (COPD), Type 1 and 2 diabetes, osteoarthritis, peripheral arterial disease, cardiac concerns like health disease, angina, coronary artery disease, congestive heart failure, acute myocardial infarction, low back pain, and behavioral concerns like depression, anxiety and bipolar disorder, please call this program’s health professionals.
Cigna’s Health Advocates will identify and then contact members with these conditions. Health Advocates provide one on one coaching and online tools to help members best manage their condition.

Utilization Management Company (UM Company)

Precertification Review
Case Management
Appeals of Level 1 UM Review Decisions
For precertification of services other than CT, MRI and PET scans, call Cigna at (800) 768-4695
For precertification of CT, MRI and PET scans, call MedSolutions at (866) 249-3808

Prescription Drug Program
Mail Order and Reimbursement for Non-Network Retail Pharmacy Use:
Cigna Pharmacy Service Center
P.O. Box 188053
Chattanooga, TN 37422
(800) 244-6224

Retail Network Pharmacies
Mail Order (Home Delivery) Service
Reimbursement for Non-Network Retail Pharmacy use
Formulary
Precertification of certain outpatient drugs
Mobile app for pharmacy benefits
Narcotic Management Program
Specialty Drugs

SERVICE PROVIDERS

WILSON-MCSHANE CORPORATION, FUND OFFICE

CIGNA

CONTACT US

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