Benefit Services Group
142 Arcade St.
P.O. Box 6147
Watertown, NY 13601
1-800-471-4767
315-786-0201
FAX: 315-779-9925
 
 



 


     Text Box: For Employer/Client Use

WELCOME to the new interactive BSG website. For your convenience, you can access employer account information, employer reports, and forms for your Flexible Spending Account(s), Max105 health insurance, HSA(s) and/or COBRA administered by BSG.

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ADDRESS CHANGES: Address changes for the Flexible Spending Accounts, MAX105 health insurance , COBRA or Direct Dental may be E-MAILED to: barb@benefitservicesgroup.net
 

Excellus Blue Cross Blue Shield - Phone Number: 1-877-381-8659 request ID card, update address, update policy, etc.  www.excellusbcbs.com        Group Member Enrollment Form:  Additions, Terminations, Changes, etc. https://www.excellusbcbs.com/wps/wcm/resources/file/ebb310482ae5674/GEF 040u 02_06.pdf    Student Certification Form: https://www.excellusbcbs.com/wps/wcm/resources/file/ebb69609e3d9546/student_certification.pdf Medical Claim Form: https://www.excellusbcbs.com/wps/wcm/resources/file/ebb74f4581cb503/claim.pdf     Prescription Claim Form FLRX: Phone number  - 1-800-724-5033 https://www.excellusbcbs.com/wps/wcm/resources/file/eb985e05da4161e/msa_09_0408.pdf  Mail Order Express Scripts:   Phone number  - 1-877-534-3682  Express Scripts, Pharmacy Benefit Management (PBM), Order Prescriptions, Workers' Compensation 

 

GHI - Group Health Insurance - Phone Number - 1-800-624-2414    claim status, print new cards, update address etc.: www.ghi.com                                                                                                 GHI Member Enrollment Form (groups to 50): http://www.nysbg.com/download/forms/ghi/EmployeeEnrollForm.pdf                           Student Certification Form:  http://www.nysbg.com/download/forms/ghi/ghi30.pdf          GHI Medical Claim Form:  http://ghi.com/pdf/hcfa1500.pdf                                GHI Pharmacy Store Claim Form: http://ghi.com/pdf/pbm_ghi_drug_claim form_2008-06-30.pdf                                                                                                 GHI Pharmacy Mail in Medco Claim Form: http://ghi.com/pdf/medco_mail_order_form.pdf  General Medco Site: http:/www.medco.com Conference Associates - GHI clients - Claims Questions
http://www.nysbg.com

 

SSA - Support Services Alliance - Phone Number - 1-800-252-7911 Health, dental, vision insurance etc. Support Services Alliance, Inc - Leading Small Business Success

 

First Ameritas Dental - Phone Number - 1-800-659-5556 claim status, dental directory, benefits.  www.firstameritasgroup.com                                             Dental Eye Care/ Dental Enrollment/Change  Form:  http://firstameritasgroup.com/apps/assets/content.asp?doc=1074                             Dental High/Low Enrollment/Change Form:  http://firstameritasgroup.com/apps/assets/content.asp?doc=1075                                 First Ameritas Dental Claim Form: http://firstameritasgroup.com/apps/assets/content.asp?doc=1043

 

Guardian - Phone Number - 1-888-278-4542 dental, 401(k) access accounts, change 401(k) elections, provider network, customer services. http://glic.com/home_set.html                                                                          401(k) account summary: http://guardianretirement.com                           Guardian Dental Claim Form: http://www.guardianlife.com/employee_benefits/ada.pdf                                    Guardian Life Claim Form: http://www.guardianlife.com/service_center/gg42.pdf          Short Term Disability Claim Form: http://www.guardianlife.com/service_center/gg011096.pdf                                          Long Term Disability Form: http://www.guardianlife.com/service_center/nro315.pdf  Statutory Disability: 

 

AFLAC - Phone Number - 1-800-992-3522  http://aflac.com                                                                                   Cancer Claim Form: http://www.aflacny.com/us/en/docs/policyholders/claimforms/NY-S-00220.pdf                                                                        I       Injury/Accident Claim Form: http://www.aflacny.com/us/en/docs/policyholders/claimforms/NY-S-00198.pdf                 Short Term Disability due to Accident/Injury: http://www.aflacny.com/us/en/docs/policyholders/claimforms/NY-S-00198.pdf                Short Term Disability due to Illness/Pregnancy:  http://www.aflacny.com/us/en/docs/policyholders/claimforms/NY-S-2029.pdf

 

First Rehab Life Insurance Company of America - Phone Number - 1-800-365-4999  vision, 100% solution :  http://firstrehab.com                       Life/LTD Enrollment/Change Form: http://firstrehab.com/downloaddocument/forms/GDSNYF2.pdf                                  Vision Enrollment/Change Form:  http://firstrehab.com/downloaddocument/forms/GVCNYF1.pdf                                    First Rehab Vision Claim Form: http://firstrehab.com/downloaddocument/forms/GVCNYF2.pdf                                   100% Solution Claim Form: http://firstrehab.com/downloaddocument/forms/GMRNYF2.pdf                             Disability Claim Form:  http://firstrehab.com/downloaddocument/forms/DBLNYF2.pdf

 

UNUM - Phone Number - 1-800-858-6843 For Employees  1-800-421-0344 critical illness policy:  http://unum.com                                                                  Claim Instructions for Disability, Life etc.   disability insurance, life insurance, supplemental insurance, cancer insurance, accident insurance, long term disability, LTD, long term care, short term disability, group disability, benefits administration, income protection, individual coverage, group cove

 

Business Council Of N Y S - Phone Number - 1-800-692-5403      Dental, Vision, Disability, etc: The Business Council                                              Dental General: http://ny.yourdentalsolutions.com/bcnys                                  Dental Enrollment Form: http://www.bcnys.org/pdf/forms/dentalenrollment.pdf       Dental/Eye Care Enrollment/Change  Form:  http://firstameritasgroup.com/apps/assets/content.asp?doc=1074                             Dental High/Low Enrollment/Change Form:  http://firstameritasgroup.com/apps/assets/content.asp?doc=1075                               Claim Forms:  Insurance Forms - The Business Council of New York State, Inc.

 

United Health Care - Phone Number - 1-888-842-4571 Health Insurance  myUHC.com   

 

MVP - Phone Number - 1-800- Health Insurance etc: Welcome to MVP Health       Forms:  MVP Health Care - Members - Forms

 

National Benefit Life - Phone Number - 1-716-652-4604  added when it becomes available

 

MetLife - Phone Number - 1-800-275-4638  Metropolitan Life Insurance                   Online Change Of Address:  Forms Library - MetLife                                  Dental Claim Form: https://eforms.metlife.com/wcm8/cmsclient/eForms_PROD_Deployment/3400/3226.pdf

 

The Hartford : Phone Number - 1-800-547-5000 The Hartford Group                   Life and disability claims: The Hartford Group Benefits - Claim Questions