Notice: Effective May 14, 2010, all written correspondence, appeals, COBRA/Retiree premiums, etc. etc. should be sent to the Phoenix Service Center at 2400 W. Dunlap #250, Phoenix, AZ 85021. You can continue to call Southwest Service Administrators using the existing Albuquerque phone numbers of (505) 265-8422 (in Albuquerque) or toll free at (800) 432-6636; the fax number is also the same at (505) 266-9358.

Benefit Schedules ACTIVE PLAN RETIREE PLAN

Forms Disability Claim Form Enrollment Form Full-Time Student Eligibility Form HIPAA Authorization Form Retiree Enrollment Form

Summary Plan Description

• Active Summary Plan Description
• Amendment 1
• Amendment 2
• Amendment 3
• Amendment 4
• Amendment 5
• Amendment 6
• Amendment 7
• Amendment 8
• Amendment 9
• Amendment 10

Mailings Section

• 2010

  • 08-27-10 Notice of Privacy Practices
  • 07-09-10 Presbyterian Retiree Enrollment Ltr
  • 03-01-10 SAR 2008-09

• 2009

  • 11-02-09 Medicare Mandatory Reporting Notice 2
  • 10-25-09 SMWIA Medicare Mandatory Reporting ESRD Notice
  • 06-22-09 Prescription Drug Benefit Out-Of-Network Reimbursement
  • 03-01-09 SAR 2007-08
  • 03-01-09 Enrollment Notice 2009
  • 02-01-09 Enrollment Form
  • 02-01-09 Vision Increase 0409
  • 02-01-09 RX Options St 0409

• 2008

  • 01-01-08 Summary Annual Report 2006-07

• 2007

  • 06-01-07 SMWIA Flyer
  • 04-16-07 HIPAA Reminder of Privacy Practices
  • 02-23-07 Prescription Benefit Change
  • 01-19-07 Summary Annual Report 2005-06

• 2006

  • 11-03-06 Medicare Part D Creditable Coverage Notice
  • 10-27-06 News Memo
  • 09-13-06 News Memo
  • 06-23-06 News Memo

Pharmacy List

• Envision Rx - Full Pharmacy Listing

Health Provider Links

	Visit Beechstreet's website.
	Click here to locate a dental provider, then click on "Find a Dentist"
	Visit Envision's web site.
Envision's Pharmacy Locator	Visit Envision's Pharmacy Locator.
	Visit Alliance