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Contact Information Medical – UMR Claims Payer Phone: (800) 826-9781 Website: www.umr.com Important Contact 1 Medical - Surest PPO Information: Phone: (866) 683-6440 Please utilize the website resources for Website: www.surest.com provider information, pharmacy information, and general claims Dental – Delta Dental information. 2 Phone: (800) 524-0149 The Customer Service phone numbers can Website: www.deltadentalin.com assist you with benefits and specific claims Dental Network: Delta Dental PPO questions. 3 Vision - Guardian Phone: (800) 541-7846 Website: www.guardiananytime.com Additional education pieces Human Resources and resources are available. Marcia Maria – 000-000-0000 Talk to your HR team for more 4 [email protected] information. John Doe – 000-000-0000 [email protected] 5 Paycom – COBRA Paycom COBRA: (800) 580-4505 [email protected] Page 12 | ACME | Plan Year 2024 Open Enrollment This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.

2024 Cobra Benefits Guide - Page 12 2024 Cobra Benefits Guide Page 11 Page 13