| | | CUSTOMER CARE: 24 Hours a Day 7 Days a Week 1.844.268.9789 711 (TTY) | | MAIL ORDER: Postal Prescription Services 1.800.552.6694 www.ppsrx.com | SPECIALTY PHARMACY: Lumicera Health Services 1.855.847.3553 CLAIMS: Navitus Health Solutions ATTN: Claims Department P.O. Box 999 Appleton, WI 54912-0999 TOLL-FREE FAX : 1.855.668.8550 WEBSITE: navitus.com/members You can get easy access to your prescription benefits through our convenient member portal at: https://members.navitus.com Hover your phone’s camera over this code to go to the portal. ▶ For a copy of your member rights and responsibilities, please visit the member portal or call Customer Care. If you need this printed material translated or in an alternative format, or need assistance using any of our services, please contact Customer Care.

Goshen Community Schools Plan B - Page 4 Goshen Community Schools Plan B Page 3