of Benefits (SBC) is available to Insureds or their covered
Dependents, in paper form, without charge, upon request to the Plan
Administrator: Commercial Travelers Life Insurance Company, 70 Genesee
Street, Utica, NY 13502. Phone 1-800-756-3702.
Please note: If you are eligible for Medicare, the open enrollment period for
the Medicare Prescription Drug program (Medicare Part D) begins October 15,
2019 and ends December 7, 2019. If you are currently eligible for Medicare or
will become eligible after this enrollment period, please contact Commercial
Travelers, the Plan Administrator for information on your current prescription
drug coverage and review your options under Medicare’s prescription drug
coverage at http://www.medicare.gov/part-d/ .
This information can help you decide whether or not you want to join a Medicare
It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or
attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the department of regulatory agencies.