Welcome to the GemStar Plan Customer Service on-line assistance. This page is designed to assist the employer in understanding and managing the GemStar Group Dental
and Vision Plans. The following are instructions on common administrative process and Brochures & Supplies of required administrative documents.
Employers receive a packet containing Welcome Kits for each covered employee 3 to 4 weeks from the date of submission. The Welcome kit contains a certificate of insurance and a identification cards. If you have not received Welcome Packets for your covered employees or if you need additional Insurance Certificates or Identification Cards call our administrative offices:
877-862-8949.
Insurance Certificate ‚ describes benefits, guidelines and exclusions of your dental coverage. The certificate is the basis for the payment of all claims. You should review this certificate to become familiar with your plan and retain for your records.
Identification Card ‚ is proof of insurance coverage. You will need to show this card to your provider upon receiving services. If applicable, the provider will use the information on your card to submit a claim. This card also contains the customer service number for any questions.
Use these forms to notify us of a status change in coverage. A status change can be any change in a participating employee's status such as termination of an employee, change of address, marriage, divorce, death or newly acquired dependent. You may download the GemStar Enrollment/Change packet to make the following changes to your certificate:
- Dependent Termination or Dependent Addition
- Address Change
- Name Change
- Termination of Coverage
Click here to download
the GemStar Group Plan Change Request Packet and follow
the instructions.
** Important: Do not submit changes on your monthly billing statement. Changes on the billing statement are not valid.
To enroll a new employee in the GemStar Plan, download the
enrollment form. Have the employee complete and sign the Change Request Form. Complete and sign the Employee Change Form. Submit both forms to:
Security Life Insurance Company of America
PO Box 1064
Schenectady, NY 12301
For questions concerning changes or the completion and submission of change forms call: (877) 862-8949
Generally, GemStar claims are submitted by the service provider on your behalf. Most providers have a supply of claim forms. If necessary you may download a claim form here for completion and submission. The claim form is submitted after the service is provided.
NOTE: If your provider estimates charges to be in excess of $300, the provider should file a pre-determination of benefits before the service is provided to determine how much is covered by your policy. Your provider will be familiar with this process.
Click here to
download a PDF file of a Dental Claim form.
Click here to download a PDF file of a Vision Claim form.
In an effort to provide better service we are providing you with the following customer service addresses and phone numbers for your reference. The following addresses and customer service numbers are for current insureds only; new applicants who have not yet received a welcome kit should contact 866-847-1120 for further assistance.
Administrative Offices Customer Service:
877-862-8949
Fax 518-348-7728
Submit Dental Claims to:
Security Life Insurance Company of America
PO Box 1065
Schenectady, NY 12301
Dental Claims Customer Service:
800-300-9566
Fax 518-348-7728
Submit Vision Claims to:
EyeMed VisionCare
P.O. Box 8504
Mason, OH
45040-7111
Vision Claims Customer Service:
866-723-0513
Fax 866-293-7373
Submit Payments to:
Security Life Insurance Company of America
PO Box 26118
New York, NY 10087-6118
Billing Correspondence:
Security Life Insurance Company of America
PO Box 1064
Schenectady, NY 12301
Billing/Premium Payment Customer Service:
877-862-8949
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