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MEDICAL/DENTAL CHANGE FORM
The City of Norwich Health Benefits Plan Summary
For additional tools and resources to manage your healthcare benefits register at Anthem.com/register. Also available online:
Access a medical claim form or log in to Anthem.com to view more options. Anthem offers a 24/7 Nurse line for member questions and Away from Home Care for members out of state for extended periods of time.
Access a dental claim form or log in to Anthem.com to view more options. Summary of the Dental Benefit
Express Scripts is the prescription benefit manager for the City of Norwich. Print an Rx claim form, Web Prescription order form or log in to Anthem.com for more options.
The City of Norwich Life Insurance benefit is underwritten by The Hartford Life Insurance Company. Print a change of beneficiary form or to obtain a certificate of coverage contact Patricia Osten at 860-823-3726.
The City of Norwich EAP program is sponsored by Behavioral Health Consultants, LLC.
Contact Patricia Osten at firstname.lastname@example.org or call 860-823-3726 for additional assistance.