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Employee and Retiree Health Benefits

OFFICE OF RISK MANAGEMENT

Phone: 702.455.4544

Fax: 702.455.3084

500 S. GRAND CENTRAL PKWY 1ST FLOOR LAS VEGAS, NV 89106

Health Benefit Forms

Clark County Self-Funded PPO

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting UMR at (800) 395-7069. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.

Clark County EPO

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting UMR at (800) 395-7069. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.

RETIREE PHARMACY BENEFITS INFORMATION EGWP (Medicare Retirees Only) Clark County Self-Funded PPO & Clark County EPO

Out-of-Area (OOA)

***ATTENTION***Clark County Self-Funded PPO allows eligible dependent(s) and retirees residing outside the Sierra Healthcare Options PPO Network access to the United Healthcare Choice Plus Network with approval and required documentation. Clark County EPO allows eligible dependent(s) ages 17-26 attending an accredited university, college, or trade school (full-time) outside of the Sierra Health Care Options PPO Network to obtain access to the United Healthcare Choice Plus Network with approval and required documentation. In the event of urgent/emergent services both Clark County PPO and EPO plans allows plan participants access to the United Healthcare Choice Plus Network when traveling outside of the State of Nevada.