Welcome to Insurance Coordinators of Montana, Inc.

Insurance Coordinators Welcomes You!

At Insurance Coordinators, our goal is to provide comprehensive customer service to our clients and agents. Our services are unique in the insurance marketplace because we offer one-stop shopping for all your ancillary benefit needs as well as after-sale customer support. Our Employee Benefit Specialists will work with you and your agent to design an attractive benefit package for your employees, help you and your agent with enrollments, and provide ongoing support for your benefits administrator.

Claims
Enrollments
Forms
Assurity
Delta Dental
Dental Network of America
Employee Benefit Resources
Fort Dearborn Life Insurance
MedAmerica
Mountain Vision
Symetra
The Benefit Group
United Heritage
Unum
USAble Life
VSP

Claims
Where do I send claims?
Send claims to the applicable carrier.
Back to top

Enrollments
Where do I send enrollments for new employees?
Mail or fax add-on enrollments for all products to:
Insurance Coordinators
101 N Last Chance Gulch, Suite A
Helena, MT 59601
406-495-0322 (fax)
Back to top

Forms
How can I get Enrollment and Claim forms?
There are several ways to obtain enrollment forms.
1. Easiest and Quickest: visit the Forms section on this website.
2. Visit the Forms Download section of the Carrier website.
3. Call Insurance Coordinators at 866-449-9777.
4. Email Insurance Coordinators. See our Contacts section.
5. Contact the carrier directly.
Back to top

Assurity Life Insurance Company www.assurityatwork.com
Customer Service	Billing	Claims
Assurity at Work PO Box 80926 Lincoln, NE 68501-0926 866-289-7337	Assurity at Work PO Box 80926 Lincoln, NE 68501-0926 866-289-7337	Assurity at Work PO Box 80926 Lincoln, NE 68501-0926 866-289-7337

Delta Dental Insurance Company www.deltadentalins.com
Customer Service	Billing	Claims/Eligibility
1000 Mansell Exchange West Building 100, Suite 100 Alpharetta, GA 30022 800-521-2651	Membership Services, M/S 12B PO Box 7564 San Francisco, CA 94120-7564 800-632-8555	Claims Department PO Box 1809 Alpharetta, GA 30023-1809 800-510-9915

Dental Network of America (DNOA) www.dnoa.com for company info or www.med-life.com for forms
Customer Service	Billing	Claims
DNOA 2 Transam Plaza Drive, Suite 500 Oakbrook Terrace, IL 60181 800-820-9994	Medical Life c/o DNOA 75 Remittance Drive, Suite 1652 Chicago, IL 60675-1652 800-820-9994	DNOA PO Box 23060 Belleville, IL 62223 800-820-9994 618-222-6333 (fax)

Membership Change Reports
Fax all employee terminations immediately
Data Management Department
2 Transam Plaza Drive, Suite 500
Oakbrook Terrace, IL 60181
630-495-0575 (fax)

Employee Benefit Resources, LLP (EBR) www.ebrworld.com
Customer Service	Billing	Claims
828 Great Northern Blvd PO Box 1193 Helena, MT 59624-1193 800-765-9429 406-442-5089 (fax)	828 Great Northern Blvd. PO Box 1193 Helena, MT 59624-1193 800-765-9429 406-442-5089 (fax)	828 Great Northern Blvd. PO Box 1193 Helena, MT 59624-1193 800-765-9429 406-442-5089 (fax)

MedAmerica www.medamericaltc.com
Customer Service	Billing	Claims
165 Court Street Rochester, NY 14647 800-544-0327 585-238-3642 (fax)	165 Court Street Rochester, NY 14647 800-724-1582 585-238-3642 (fax)	165 Court Street Rochester, NY 14647 800-724-1582 585-238-3642 (fax)

Fort Dearborn Life Insurance Company www.fdl-life.com
Customer Service	Billing/Premiums	Claims
20445 Emerald Parkway Suite 400 Cleveland, OH 44135 800-544-9000	Membership Processing 36788 Eagle Way Chicago, IL 60678-1378 800-348-4512	20445 Emerald Parkway, Ste. 400 Cleveland, OH 44135 800-782-8533 216-898-0685 (fax)

Group Policy Services

Questions regarding policy, amendments, or benefit booklets
Group Policy Services
20445 Emerald Parkway,
Ste. 400
Cleveland, OH 44135
800-782-8533

Mountain Vision (REDS Administration) www.edmondsgroup.com
Customer Service	Billing	Claims/Eligibility
25 North 8th Street, Suite 1 Lewisburg, PA 17837 800-977-0436 570-523-6345 (fax)	25 North 8th Street, Suite 1 Lewisburg, PA 17837 888-515-1573	25 North 8th Street, Suite 1 Lewisburg, PA 17837 888-515-1573

Symetra www.symetra.com
Customer Service	Billing	Claims/Eligibility
Select Benefit Administrators PO Box 440 Ashland, WI 54806 800-497-3699 715-682-5919 (fax)	Select Benefit Administrators PO Box 440 Ashland, WI 54806 800-497-3699 715-682-5919 (fax)	Select Benefit Administrators PO Box 440 Ashland, WI 54806 800-497-3699 715-682-5919 (fax)

The Benefit Group (TBG) www.tbgco.com
Customer Service	Billing	Claims
10675 Bedford Avenue Omaha, NE 68134 402-964-9900 800-333-8602 913-789-4600 (Flex Hotline) 402-492-8082 (fax)	10675 Bedford Avenue Omaha, NE 68134 402-964-9900 800-333-8602 913-789-4600 (Flex Hotline) 402-492-8082 (fax)	10675 Bedford Avenue Omaha, NE 68134 402-964-9900 800-333-8602 913-789-4600 (Flex Hotline) 402-492-8082 (fax)

United Heritage www.unitedheritage.com
Customer Service	Billing	Claims
PO Box 7777 Meridian, ID 83680-7777 208-493-6100 800-657-6351 800-240-9734 (fax)	PO Box 7777 Meridian, ID 83680-7777 208-493-6100 800-657-6351 800-240-9734 (fax)	PO Box 7777 Meridian, ID 83680-7777 208-493-6100 800-657-6351 800-240-9734 (fax)

Unum (Unum) www.Unum.com
Customer Service	Billing	Claims
1111 3rd Avenue, Suite 2300 Seattle, WA 98101 800-421-0344 206-625-8686 (fax)	1111 3rd Avenue, Suite 2300 Seattle, WA 98101 800-421-0344	1111 3rd Avenue, Suite 2300 Seattle, WA 98101 800-874-7481 207-575-7133 (fax)

USAble Life www.usablelife.com
Customer Service	Billing/Premiums	Claims
320 W Capital Avenue, Suite 700 Little Rock, AR 72201 800-370-5856 (Call Center) 800-648-0271	Customer Accounts PO Box 1861 Little Rock, AR 72203-1861 800-648-0271	PO Box 1650 Little Rock, AR 72203-1650 501-375-7200 800-648-0271 501-399-3806 (fax)

Vision Service Plan (VSP) www.vsp.com
Membership Services	Billing	Claims
VSP Membership 3333 Quality Drive Rancho Cordova, CA 95670 800-877-7195	Insurance Coordinators 101 N Last Chance Gulch, Suite A Helena, MT 59601 866-499-9777	VSP Claims PO Box 997105 Sacramento, CA 95899-7105 800-877-7195