2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 30
GENERAL HEALTH CARE PLAN INFORMATION
Name of Plan(s):
The Roman Catholic Archdiocese of Atlanta Group Health Care Plan
The Roman Catholic Archdiocese of Atlanta Group Medical Plan
The Roman Catholic Archdiocese of Atlanta Group Dental and Vision Plan
Health Care Plan Administrator:
Health Care Plan Sponsor:
RCAA Administrative Services, Inc.
2401 Lake Park Drive S.E
Smyrna, GA 30080-8862
(404) 920-7485
Plan Administrator/Sponsor EIN:
83-3544215
Plan Trust
The Roman Catholic Archdiocese of Atlanta Group Health Care Plan Trust
Plan Trust EIN
83-6418299
Plan Year:
January 1 - December 31
Meritain Health, Inc. Group
Number:
10974 – Group Health Care
Plan 10974-M – Group
Medical Plan
Claims Administrator:
Medical Management
Administrator:
Meritain Health, Inc.
P.O. Box 27267
Minneapolis, MN 55427-0267
(800) 925-2272
Program
Prescription Drug Card Program
Administrator:
Meritain Health Medical
Management 7400 West Campus
Road, F-510 New Albany, OH
43054-8725
(800) 242-1199
OptumRx
P.O. Box 9472
Minneapolis, MN 55440-9472
(855) 896-9779
www.optumrx.com
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