Filing a Claim

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Following are instructions for filing claims. Once your claim has been processed, you will receive an Explanation of Benefits (EOB). It will show you the breakdown of charges and payments, if any. If you have a question regarding a specific claim, please call the phone number on your EOB.
When you file a claim, always keep copies of what you submit.

2009 Medical & Mental Health

• Deadline: Must be filed within 12 months from the date of service.
• All 2009 mental health services must be pre-certified through CIGNA at 1-800-244-6224.
• Mail to CIGNA, P.O. Box 182223, Chattanooga, TN, 37422-7223
• CIGNA network doctors will file claims for you.
• CIGNA Medical Claim Form (178 KB)

Mental Health - 2008 Claims ONLY

• Deadline: Must be filed within 12 months from the date of service.
• All 2008 services must have been pre-certified through ValueOptions.
• Mail to ValueOptions, P.O. Box 1920, Latham, NY, 12110
• 2008 ValueOptions Claim Form (787 KB)

2009 Non-Medical Alternate Plan

• Deadline: Must be filed within 12 months from the date of service.
• Mail to CIGNA, Attn: Kim Stovall, P.O. Box 9071, Denison, TX, 75020
• CIGNA Alternate Plan Claim Form (117 KB)

2009 Dental Plans

• Deadline: Must be filed within 12 months from the date of service.
• CIGNA network dentists will file claims for you.
• Mail to CIGNA Dental, P.O. Box 188037, Chattanooga, TN, 37422-8037
• CIGNA Dental Claim Form (185 KB)

2009 Flexible Spending Accounts

• Deadline: All 2009 claims must be received by CIGNA no later than April 30, 2010.  If your employment terminates, you have 90 days to file any remaining claims.
• Mail to the address on the appropriate claim form.
• Medical Flex Account Claim Form (162 KB)
• Dependent Care Flex Account Claim Form (186 KB)

Vision Service Plan

• VSP network optometrists will file claims for you.
• If you use a non-VSP optometrist, use your itemized receipt to complete the Out of Network Reimbursement form at www.vsp.com . Print the completed form and mail to Vision Service Plan, Attn: Out-of-Network Provider Claims, P.O. Box 997105, Sacramento, CA, 95899-7105.
• Deadline: Out-of-network claims must be filed within 6 months from the date of service.

Disability Plan

• UNUM Disability Claim Form (512 KB)