Health and Life Insurance

  

2018 OPEN ENROLLMENT HEALTH INFORMATION

2018 Group Enrollment Form
2018 Open Enrollment Rates
2018 Open Enrollment Guide
High Deductible Health Care Diocesan Standard
Health Savings Account Funding Canon
2018 Anthem EPO 90 Plan
2018 Anthem PPO 90/70 Plan
2018 Preventative Dental Plan
2018 Dental and Orthodontia Plan
2018 Anthem Consumer-Directed Health Plan-20/Health Savings Account

 

The Diocese offers health and life insurance. All employees working 20 hours or more a week are eligible for these benefits. Enrollment must occur with new employees within the first 30 days of employment. The available plan fact sheets and premium sheet are below. Please contact Patty Jaffke at 414-272-3028 ext. 156 to discuss your needs.

Employees who have had a major life change are also eligible to enroll in one of these plans within the first 30 days of the event. Contact Patty Jaffke immediately for further information.

Forms and document PDF files require Adobe Reader

 

2017 GROUP HEALTH INFORMATION

2017 Anthem PPO Handbook
Anthem PPO 90/70 Plan Summary
2017 EPO 90 Plan Document Handbook
Anthem EPO 90 Plan Summary
Anthem Consumer-Directed Health Plan 20 Handbook
Anthem CDHP 20 Summary
2017 Prescription Drug Benefits
2017 Dental Plan
2017 Dental/Orthodontia Plan Summary
2017 Open Enrollment Rates
Network Access Instructions
2017 Employee Enrollment Form
Healthcare Compliance Notices
2017 IRS HSA Limits

 

LIFE INSURANCE

Beneficiary Form
Longterm Disability Plan
Group Life, Accidental Death Policy
Unum Life and Accidental Death Enrollment


 

PENSION INFORMATION

Clergy New Assignment Notice
Report a Change in a Cleric's Compensation
Guide to Benefits Under the Clergy Pension Plan
RSVP Employee Application
RSVP & Lay Defined Contribution Plan Employee Guide
Lay Participant Change Form
Lay Defined Benefit Retirement Plan Application
Lay Defined Contribution Retirement Plan Application
Guide to Benefits Under the Lay Defined Benefit Plan

 

EMPLOYEE ASSISTANCE PROGRAM

Employee Assistance and Work/Life Support Program for Clergy
Health Advocate 2017
100 Reasons to Call the Employee Assistance Program
Medical and Security Assistance and Evacuation
Employee Assistance and Work/Life Support Program for Lay Employees

  

RETIREE INFORMATION

Medicare Supplement Health Plan: Clergy Plans
Medicare Supplement Health Plan: Handbook
Medicare Supplement Plan Premiums
Medicare Supplement Open Enrollment Subsidy
Medicare Supplement Health Plan: Drug Coverage
Anthem 70 Silver PPO Plan
Anthem 70 Silver PPO Handbook
EPO 90 Plan Document Handbook
EPO 90 Summary
PPO 75/50 Plan Document Handbook
PPO 75/50 Summary