Benefit Plan Contact Information
Administrative Information
Important administrative information for each Leidos benefit plan is described in this section. For a comprehensive contact list, go to Contact Information.
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Leidos Benefit Plan Healthy Focus Plans
Type of Plan Group health plans Plan Sponsor & Administrator Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Group Number Aetna - 698685 Plan Number 501 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding The plans are self-funded and self-administered by Leidos. Leidos and participants share the cost of coverage. Claims Administrators
Aetna
P.O. Box 14089
Lexington, KY 40512-4089
800-843-9126
Express Scripts
P.O. Box 14711
Lexington, KY 40512
877-223-4721 -
Leidos Benefit Plan Leidos Dental PPO Plans Type of Plan Group dental plans Plan Sponsor & Administrator Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Group Number 700273 Plan Number 501 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding The plans are self-funded and self-administered by Leidos and participants share the cost of coverage. Claims Administrator Delta Dental
4818 Starkey Road
Roanoke, VA 24018
800-237-6060 -
Leidos Benefit Plan Vision Plans Type of Plan Group vision plans Plan Sponsor & Administrator Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Group Number 12180678 Plan Number 514 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Fully insured. Participants pay the full cost of coverage. To be covered by benefits, participants make pre-tax contributions. Claims Administrators Vision Service Plan
3333 Quality Drive
Rancho Cordova, CA 95670
800-852-7600 -
Leidos Benefit Plan - Basic Term Life Insurance,
- Group Universal Life (GUL) Insurance,
- Basic AD&D Insurance, and
- Voluntary AD&D Insurance
Type of Plan - Life Insurance
- Accidental Death & Dismemberment
Plan Sponsor Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Plan & Claim Administrator Life Insurance
Prudential Insurance Company of America
P.O. Box 8517
Philadelphia, PA 19176
AD&D Insurance
New York Life Group Benefit Solutions
P.O. Box 22328
Pittsburgh, PA 15222-0328Policy Number - Prudential Life Insurance - Control 52844
- New York Life Basic AD&D - COA 004005
- New York Life Voluntary AD&D - OK 819515
Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Fully insured. Leidos pays the full cost of Basic Term Life Insurance and Basic AD&D Insurance. Participants pay the full cost of coverage for Group Universal Life (GUL) Insurance and Voluntary AD&D Insurance. Claim Forms Claim forms are available through Employee Services. Completed claim forms, along with supporting documentation, should be submitted directly to Employee Services:
P.O. Box 2502
Oak Ridge, TN 37831 -
Leidos Benefit Plan Business Travel Accident Insurance Type of Plan Group business travel accident insurance plans Plan Sponsor Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Plan & Claim Administrator New York Life Group Benefit Solutions
P.O. Box 22328
Pittsburgh, PA 15222-0328Policy Number ABL-65 86 41 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Fully insured. Leidos pays the full cost of Business Travel Accident Insurance. Claim Forms Claim forms are available through Employee Services. Completed claim forms, along with supporting documentation, should be submitted directly to Employee Services:
P.O. Box 2502
Oak Ridge, TN 37831 -
Leidos Benefit Plan Voluntary Short-Term Disability Insurance (VSDI) Type of Plan Disability plan Plan Sponsor & Administrator Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Plan & Claim Manager Sedgwick
3280 E. Foothill Blvd., Suite 250
Pasadena, CA 91107
877-399-6443Plan Number 515 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Fully insured. Employees pay the full cost of Voluntary Short-Term Disability Insurance (VSDI). -
Leidos Benefit Plan Long-Term Disability Insurance Type of Plan Disability plan Plan Sponsor Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Plan & Claim Administrator New York Life Group Benefit Solutions
P.O. Box 22328
Pittsburgh, PA 15222-0328Plan Number LK-980003 Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Fully insured. Employees pay the full cost of Voluntary Long-Term Disability Insurance on an after-tax basis. -
Leidos Benefit Plan Health Care FSA and Dependent (Day) Care FSA Type of Plan Group health and welfare plans Plan Sponsor Leidos
Attn: Corporate Benefits
1750 Presidents Street
Reston, VA 20190Plan Sponsor Employer Identification Number 95-3630868 Plan & Claim Manager HealthEquity
15 W. Scenic Pointe Drive
Suite 100
Draper, UT 84020
Customer Service: 1-844-373-6981Agent for Service of Legal Process Legal process may be served on the Plan Administrator at the address specified above. Plan Year January 1 – December 31 Funding Self-funded. Benefits are funded with voluntary pre-tax contributions made by enrolled participants.
Plan Contact Information
| Benefit | Contact & Group Number | Phone Number |
|---|---|---|
| U.S. Employees (Except Leidos Biomedical Research, QTC, and Dynetics) |
Employee Services |
For questions, email [email protected] |
| International Subsidiaries | Contact your in-country HR Department | |
| Leidos Self-Insured Medical Plans Administered by Aetna Healthy Focus Plans |
Aetna
|
|
| Leidos Self-Insured Plans Prescription Benefits Healthy Focus Medical Plans |
Prescription benefits provided by Express Scripts
Express Scripts P.O. Box 14711 Lexington, KY 40512 |
|
| All Fully-Insured Plan Inquiries (Kaiser Mid-Atlantic, Kaiser CA, Kaiser HI, HMSA HI, Cigna International, Tricare Supplement, Triple S - Puerto Rico) |
Primary - Plan's Customer Service |
For questions, email [email protected] |
| COBRA | Wageworks / HealthEquity P.O. Box 650407 Dallas, TX 75265-0407 |
|
| DMO Dental Plan Provider | Aetna DMO
|
|
| PPO Dental Plan Provider | Leidos Dental PPO (administered by Delta Dental)
|
|
| Dependent Eligibility Verification (DEV) | Budco Health Solutions P.O. Box 8072 Royal Oak, MI 48068 |
|
| Vision Service Plan (VSP) | VSP
|
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| Flexible Spending Accounts and Health Savings Account | HealthEquity |
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| Backup and In-Home Child/Elder Care | Bright Horizons | |
| Short Term Disability Claims (DSL, VSDI, CA State Disability) |
Sedgwick Employees should contact Sedgwick no earlier than 30 days before anticipated disability |
|
| Long Term Disability Claims | New York Life (Formerly Cigna) |
|
| Stock Information Including Equity Awards and ESPP | Computershare |
|
| Leidos Retirement | Vanguard |
|
| Basic Life Insurance | Prudential |
For questions, email [email protected] For approval for additional life insurance, contact Prudential at 888-257-0412. |
| Group Universal Life (GUL) & Cash Accumulation Fund (CAF) | Mercer |
|
| Accidental Death & Dismemberment Insurance | New York Life |
For questions, email [email protected] |
|
Voluntary Benefits and Leidos Discount Program
|
Beneplace |
|
| Telemedicine (Available to Healthy Focus Plan participants) |
Teladoc |
|
| Commuter Benefits | Wageworks |
|
|
Diabetes Prevention Program Diabetes Management Program |
Omada |
For questions, contact [email protected] |
|
Prudential Supplemental Health Benefits:
|
Prudential |
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| Employee Assistance Program (EAP) | ComPsych
To register on the website, use the Leidos dedicated WebID: Leidos |
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| Well-Being Program | Virgin Pulse |
For questions, contact [email protected] |
| Meditation & Mindfulness | Headspace |
For questions, contact [email protected] |
| Digital Resiliency Tool | meQuilibrium |
For questions, contact [email protected] |