| Service | Carrier/Administrator | Phone Number | Address | Group Number | website / Email Address |
| Questions | Topeka Customer Support Center | 1-800-426-1141 | www.mypayless.com | ||
| Webmaster | MyBenefits@payless.com | ||||
| Medical United 350 Select 350 SafeNet |
United Health Care |
1-800-842-2094 | United HealthCare P.O. Box 30555 Salt Lake City, UT 84130 |
GA-137260 | www.provider.uhc.com/payless |
| Medical Cigna 350 |
Cigna | 1-800-244-6224 | CIGNA HealthCare Service Center P.O. Box 182223 Chattanooga, TN 37422 |
3180304 | www.cigna.com |
| Maternity Information UHC plans |
UHC | 1-800-842-2094 | Not Applicable | ||
| Maternity Information Cigna 350 |
United Resource Network | 1-888-265-0047 | Not Applicable | ||
| Starbridge Medical, Dental and Vision |
Starbridge | 1-800-308-5948 | Star Administrative Services, Inc. P.O. Box 55270 Phoenix, AZ 85078-5270 |
1629 | www.star-bridge.com |
| Vision | EyeMed Vision Care | 1-866-723-0514 | EyeMed Vision Care P.O. Box 8504 Mason, OH 45040-7111 |
www.eyemedvisioncare.com | |
Pharmacy UHC |
Medco | 1-800-711-0917Fax Information phone number for physicians: 1-888-327-9791 |
Mail Order: Medco Health PO Box 30493 Tampa, FL 33630-3493 |
PAYLESS |
www.medco.com |
| Dental | Delta Dental |
1-800-234-3375 | Delta Dental of Kansas P.O. Box 49198 Wichita, KS 67201-9198 |
01000 | www.deltadentalks.com |
| Flexible Spending Account | UnitedHealthcare | 1-877-311-7849 | UnitedHealthcare P.O. Box 981178 El Paso, TX 79998-1178 | 706825 | www.myuhc.com |
| Disability-
Long-term and Short-term Disability |
The Principal |
1-888-363-8208 | Principal Life Insurance Company Des Moines, IA 50392 - 0002 |
Not applicable | |
| Life Insurance | The Principal |
1-800-245-1522 | Principal Life Insurance Company Des Moines, IA 50392-0002 |
P69205 | |
| Employee Assistance Program for Stores Associates | Magellan | 1-800-588-8412 | Not applicable | www.magellanassist.com | |
| Employee Assistance Program for Non-Stores Associates | Magellan | 1-800-424-4158 | Not applicable | www.magellanassist.com | |
| 401(k) Profit Sharing Plan | Wachovia | 1-888-544-7463 | Not applicable | wachovia.com/myretireplan | |
| Employee Stock Purchase Plan | Fidelity Investments | 1-800-544-9354 | Not applicable | www.netbenefits.fidelity.com | |
| Northern California HMO | Kaiser | 1-800-464-4000 | |||
| Southern California HMO | Kaiser | 1-800-464-4000 | |||
| Hawaii Medical / Dental | HMSA | 1-808-948-6111 | |||
| Guam/Saipan Medical and Dental | TakeCare | 1-671-647-3526 | |||
| Puerto Rico/Virgin Islands Medical / Dental | Triple-S | 1-787-749-4777 | www.ssspr.com | ||
| HIPAA - Privacy Officer | Payless ShoeSource | 1-888-231-9426 (toll free) | Payless ShoeSource Worldwide, Inc. Human Resources Dept Privacy Officer 3231 SE 6th Avenue Topeka, KS 66607 |
privacy.officer@payless.com | |
| HIPAA - Benefits Resolution Group | Payless ShoeSource | 1-888-231-9426 (toll free) | Payless ShoeSource Worldwide, Inc. Human Resources Dept Benefits Resolution Group 3231 SE 6th Avenue Topeka, KS 66607 |
HIPAA@payless.com |