South State Retirement Plan Services 2430 Mall Drive, Suite 360 Charleston, SC 294061-800-716-3742 (toll free)843-284-4225 (Jon Ahrens local)www.southstate401k.com

Contact for plan providers, correspondence, claims, & questions: BlueCross BlueShield of South Carolina – PPO PO Box 100300 Columbia, SC 29202Customer Service: 1-800-922-1185PPO Network Providers: 1-800-810-2583Essential Advocate: 1-855-638-5839Pre-Certification: Precertification: 1-800-334-7287Mental Health and Substance Abuse Precertification: 1-800-868-1032Your Network Provider must call Precertification: Preauthorization required for some outpatient procedures and all hospital inpatient admissions. Report all emergency admissions within 24 hours. MRI/MRA/PET/CT and radiation oncology therapy will require authorization to ensure benefit payment. Failure to do so may affect benefits. In an Emergency seek care immediately, then call your primary care doctor as soon as possible.

BCBS of SC website: www.SouthCarolinaBlues.com View plan providers View the status of your claim View the status of your deductible and out-of-pocket maximums Order I.D. cards View and electronic version of your summary plan description

BCBSSC Solution for accessing our MRFs: Transparency in Coverage | BlueCross BlueShield of South Carolina (southcarolinablues.com)

Shopping for Care is the Member Solution to access pricing for services: Find a Doctor | BlueCross BlueShield of South Carolina (southcarolinablues.com)

Contact for Prescriptions (correspondence, claims, & questions): Pharmacy Help Desk: 1-855-811-2218 Buy and Bill Drugs-Precertification: 1-877-440-0089 RxBIN: 021684 RxGRP: BXMN

Notice of Privacy Practices

Sun Life Dental benefits and claims: 1-800-442-7742 or www.sunlife.com/us

Submit Claims To:Sun Life DentalGroup ID 949787P.O. Box 311 Milwaukee, WI 53201 70408Electronic Claims: Payor ID 70408

You can generally reduce your out-of-pocket expenses if you use a network provider. To find a PPO Sun Life Dental Network Provider in your area, consult your directory, visit www.sunlife.com/findadentist, or call the toll-free number. See your benefits booklet for description of benefits, terms and conditions, limitations, and exclusions of coverage. 

Sun Life Vision Insurance -VSP network Customer Service 1-800-247-6875 Sun Life website: www.sunlife.com/us Using your VSP Network Benefits: VSP Customer Service 1-800-877-7195 VSP website: www.vsp.com Choose a VSP Choice Network doctor online or by phone Make an appointment and let them know you are a VSP member

Sun Life Short/Long Term Disability & Life Insurance Customer Service 1-800-247-6875 Sun Life website: www.sunlife.com/us