Benefits Handbook (SPD)
Health Care
Participation
Medical
Prescription Drug
Dental
Highlights of the Plan
Eligible Expenses
Expenses That Are Not Eligible
How to Receive Services and File a Claim
Vision
Flexible Spending Accounts
Income Security
Retirement
Special Benefits
Policies

Highlights of the Plan

Providers

You choose any provider you wish.
Annual Deductible

None
Coverage

Preventive services
Basic services
Major services
Orthodontia

100%
80%
50%
50%
Maximum Annual Benefit

$1,500 per person for preventive, basic, and major services combined
Maximum Lifetime Orthodontia Benefit

$1,500 per person
Cost of Coverage

There is no premium charged for this benefit plan. You and your employer share in the total cost of covered services.
How to Reach Member Services

You can reach Member Services by calling (855) 979-5192
Filing Claims

Most providers will file claims for you. Present your Alliance Coal Health Plan ID card to your dentist's office.

If you need to file a claim, send your completed claim form and itemized bills to:

Alliance Coal Health Plan
PO Box 211577
Eagan, MN 55121

Electronic Payor ID: 93658
Member Portal Website

At any time, you can view Explanations of Benefits (EOBs), check how much you have accumulated toward the maximum benefit amounts, and more. Visit www.CoalBenefits.com/portal and log into the Member Portal.