ÑÇÖÞÎÞÂë

Most providers submit claims to us on the employee’s behalf. We encourage this as it ensures the best and most accurate submission of the claim.

If employees need to submit their own claim, no claim form is needed. The employee can send us:

1. Provider's itemized statement, including:

• ADA codes and billed amounts for services performed
• Providers name, tax identification number (TIN) and address
• Date(s) of service

2. Copy of the front and back of the ID card.

Send the information to:

• Mail: ÑÇÖÞÎÞÂëLife Insurance Company
       PO Box 10357
       Des Moines, IA 50306–0357
• Fax: 866-301-1502

If additional information is needed, we’ll contact the employee.

Employees can get dental claim information on their smartphones or mobile devices with the ÑÇÖÞÎÞÂëmobile app or by using their .

Managed Care Vision (VSP^® Vision Care)

• In-network: Employees visiting a VSP provider don’t need to submit a vision claim. The VSP provider submits claims on the employee’s behalf. 
• Non-network:  Employees visiting a non-network vision provider who doesn't submit claims on their behalf can  or download and mail the . . If employees need assistance, they can call 800-877-7195.

Managed Care Vision (VSP^® Vision Care)

Employees can visit vsp.com. They need to create an account using the member ID found on their ID card (don't use a Social Security number).

In addition to the insurance benefits received, employees with vision insurance from ÑÇÖÞÎÞÂëreceive reduced prices and discounts through VSP on:

• Eye exams
• Lenses
• Frames
• Contact lenses
• Laser vision correction
• And more

To learn more about vision discounts, visit VSP.com.