Retiree Information

Non-Medicare and Medicare Supplemental Retirees
Customer service: 800-843-4876
Carrier microsite: www.bcbsm.com/som

• 2025 (January 1, 2025 - December 31, 2025): Plan Summary
• 2024 (January 1, 2024 - December 31, 2024): Plan Summary

Medicare Supplemental Retirees
Customer service: 800-843-4876
Carrier microsite: www.bcbsm.com/som

Medicare Advantage Retirees
Customer service: 800-843-4876
Carrier microsite: www.bcbsm.com/som

• 2025 (January 1, 2025 - December 31, 2025): Evidence of Coverage
• 2024 (January 1, 2024 - December 31, 2024): Evidence of Coverage

Non-Medicare Retirees
Customer service: 866-633-6433.
Carrier microsite: www.optumrx.com/som

• CY25 Active Employee & Non-Medicare Retiree Formulary
• CY24 Active Employee & Non-Medicare Retiree Formulary

Medicare-Eligible Retirees
Customer service: 866-635-5941
Carrier microsite: www.optumrx.com/som

• CY25 Medicare-Eligible Retiree Formulary
• CY24 Medicare-Eligible Retiree Formulary
• CY24 Medicare-Eligible Wrap Coverage Drug List

Non-Medicare Retirees
Customer service (benefit inquiries, claims, ID cards): 800-843-4876
Customer service (authorizations and referrals): 866-503-3158
Carrier microsite: www.bcbsm.com/som

• 2025 (January 1, 2025 - December 31, 2025): Plan Summary
• 2024 (January 1, 2024 - December 31, 2024): Plan Summary

Medicare Advantage Retirees
Customer service: 888-803-4960
Carrier microsite: www.bcbsm.com/statemedicare

• 2025 (January 1, 2025 - December 31, 2025): Evidence of Coverage
• 2024 (January 1, 2024 - December 31, 2024): Evidence of Coverage

Non-Medicare Retirees
Customer service: 800-662-6667
Carrier microsite: www.bcbsm.com/som

• 2025 (January 1, 2025 - December 31, 2025): Plan Summary
• 2024 (January 1, 2024 - December 31, 2024): Plan Summary

Medicare Advantage Retirees
Customer service: 800-450-3680
Carrier microsite - medical: www.bcbsm.com/som

• 2025 (January 1, 2025 - December 31, 2025): Evidence of Coverage
• 2024 (January 1, 2024 - December 31, 2024): Evidence of Coverage

Non-Medicare Retirees:
Customer service: 800-422-4641
Carrier microsite: https://www.hap.org/som/early-retirees

• 2025 (January 1, 2025 - December 31, 2025): Plan Summary
• 2024 (January 1, 2024 - December 31, 2024): Plan Summary

Medicare Advantage Retirees
Customer service: 800-801-1770
Carrier microsite: https://www.hap.org/som/medicare-advantage

• 2025 (January 1, 2025 - December 31, 2025): Evidence of Coverage
• 2024 (January 1, 2024 - December 31, 2024): Evidence of Coverage 
  
  

Retirees
Customer service: 800-524-0150
Carrier microsite: www.deltadentalmi.com/som

• 2025 (January 1, 2025 - December 31, 2025): Retiree Dental Booklet
• 2025 (January 1, 2025 - December 31, 2025):  Retiree State Dental Plan Benefit Features

• 2024 (January 1, 2024 - December 31, 2024): Retiree Dental Booklet
• 2024 (January 1, 2024 - December 31, 2024):  Retiree State Dental Plan Benefit Features
  
  

EyeMed
Retirees
Customer service: 833-279-4355
Carrier microsite: www.eyemedvisioncare.com/som

• 2025 (January 1, 2025 - December 31, 2025): Vision Retiree Booklet
• 2025 (January 1, 2025 - December 31, 2025): Vision Retiree Benefit Summary

• 2024 (January 1, 2024 - December 31, 2024): Vision Retiree Booklet
• 2024 (January 1, 2024 - December 31, 2024): Vision Retiree Benefit Summary

Securian Life Insurance

Non-Medicare and Medicare Retirees
Customer service: 877-867-5781

• Group Employee & Dependent Life Insurance Certificate
• Life Insurance Beneficiary Designation (R0782GHB)