Payroll and Employee Benifits

Key Benefit Administrators (KBA) Information & Forms

General Information

Effective April 1, 2014, Anthem BlueCross BlueShield (Medical) and Delta Dental (Dental), will take over as the University's Third Party Administrators (TPA) for healthcare claims.  Our contract with KBA (Key Benefits Administrators) ends on March 31, 2014.

If you have questions about which TPA is responsible for processing/paying your claims, please contact our office at 765-285-8461 and we will be happy to assist you.

KBA Customer Service Contacts and Member Portals

Medical/Dental Claims (KBA Solution Member Portal) - View Claims & EOBs (Explanation of Benefits) for claims incurred prior to April 1, 2014.

  • Customer Service Phone Number (800) 331-4757

Flexible Spending Claims (FSA Member Portal) - View claims for dates of service prior to March 17, 2014.  Claims can no longer be submitted to KBA/FlexCorp, but should instead be submitted to Anthem.

  • Customer Service Phone Number (800) 558-5553

Forms

Medical Claim Form - Use this form if you need to file a manual medical claim for services incurred prior to April 1, 2014.

Dental Claim Form - Use this form if you need to file a manual dental claim for services incurred prior to April 1, 2014.

The Anthem Flexible Spending Account (FSA) Claim Form is available on the Forms tab.  DO NOT submit any FSA claims to KBA/FlexCorp after March 16, 2014.