How do I…?

You must contact both Ask HR and Fidelity whenever you need to update your personal information, including your name, address or Social Security number.

• Ask HR: email AskHR@levi.com or call +1-844-474-5384
• Fidelity: +1-800-354-6560

Call your medical plan provider if you need a new ID card.

• UnitedHealthcare: +1-866-204-1923
• Kaiser: +1-800-464-4000
• Aetna: +1-800-628-8793

Complete the beneficiary form. Email Ask HR at AskHR@levi.com or call +1-844-474-5384 to request the form.

Call Ask HR at +1-844-474-5384 anytime to report a life-changing event, including divorce, dependent loss of coverage or death.

There may be other life changes that could affect your retirement benefits. Always contact both Ask HR and Fidelity (+1-800-354-6560).

Suspend your coverage

If you or a covered dependent goes to work for another employer after you retire and are eligible for that employer’s group health benefits, you will need to suspend your LS&Co. retiree health coverage. When you suspend coverage for yourself, coverage for your dependents is also suspended.

You can suspend your coverage one time only and can reenroll within 31 days if your other coverage is terminated.

Terminate your coverage 

You can terminate your or your dependents coverage at any time for any reason. Coverage for your dependents will also be terminated, and you cannot ever reenroll in the LS&Co. retiree health plan. If you need to terminate your dependents coverage only, contact Ask HR.

Contact Ask HR at +1-844-474-5384 for details.

Terminate my supplemental life coverage

You can terminate your coverage at any time for any reason. You cannot ever reenroll in the LS&Co. supplemental life coverage.

There are two ways to pay.

Pension deduction

Your contribution can be deducted from your monthly pension check. You’ll receive a letter about the amount and due date for your premiums prior to your first pension check. Your first premium cannot be deducted from your pension. You’ll receive a one time bill from PayFlex for the amount due. Make your check payable to PayFlex, and send to:

PayFlex Systems USA, Inc.
Benefits Billing Department
P.O. Box 953374
St. Louis, MO 63195-3374

Call PayFlex customer service at +1-888-678-7835 for details.

PayFlex direct bill

If you defer your pension or your pension won’t cover your contribution, you’ll receive a monthly bill from PayFlex for the amount due. Make your check payable to PayFlex, and send to:

PayFlex Systems USA, Inc.
Benefits Billing Department
P.O. Box 953374
St. Louis, MO 63195-3374

Call PayFlex customer service at +1-888-678-7835 for details.

Call Fidelity at +1-800-354-6560 to set up your direct deposit for your pension.

You should also contact them to:

• Report a change of address, tax withholding status, forgery or death
• Request a duplicate 1099-R (IRS form)
• Verify your pension

Call Fidelity at +1-800-354-6560 to request a replacement of lost pension checks.

You should also contact them to:

• Report a change of address, tax withholding status, forgery or death
• Request a duplicate 1099-R (IRS form)
• Verify your pension

Call Fidelity at +1-800-354-6560 to obtain pension verification.

Call Fidelity at +1-800-354-6560.

Call Fidelity at +1-800-354-6560, and ask for a 1099-R.

Your 1095-C will be mailed to the address we have on file for you. If you don’t receive your 1095-C, contact Ask HR at +1-844-474-5384.

Call Fidelity at +1-800-354-6560 to set up your direct deposit for your pension.

You should also contact them to:

• Report a change of address, tax withholding status, forgery or death
• Request a duplicate 1099-R (IRS form)
• Verify your pension

Call Fidelity at +1-800-354-6560 to change the amount of your tax withholdings.