Private Catholic Group Employee Benefits

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Private Catholic Health Group Employee Benefits

The Employee Benefits web information below provides comprehensive information regarding medical, dental, prescription, and life insurance benefits. Your employer administers these benefits. Please work with your employer for rules of eligibility, enrollment, changes, termination or questions.

Medical and Prescription Drug Benefits with a Dental Plan

United Healthcare Customer Service Information: 1.888.332.8885

All eligible employees of the Archdiocese of St. Louis are eligible for a choice of two medical programs. The available programs are the UnitedHealthcare - Standard Plan and the UnitedHealthcare - Premier Plan. They are both Point of Service (POS) Plans. POS is a network of physicians and hospitals that has a contract with the plan to provide medical benefits. Members can choose any provider for care. However, if you choose an in-network UnitedHealthcare Choice Plus provider (i.e. “go in network”), you will receive a higher level of benefits.

Major Provisions and Comparison of the Health Insurance Plan

Active eligible employees receive medical, prescription, and dental benefits within the Archdiocesan health insurance plan. Coverage is available at three different levels – employee, employee + one eligible dependent, or employee + family. Employee contributions will be deducted from your paycheck on a pre-tax basis. You may waive this process and instead elect coverage on an after-tax basis if you wish. 

Employee Health Insurance Form 2016  to enroll, change, or cancel your health insurance plan.

HEALTH INSURANCE PREMIUM RATES 2016 -2017:

Please contact your benefits administrator for your employer/employee monthly payroll-deducted contributions for medical, prescription, dental, and life insurance benefits. The monthly premium rates billed to your employer are shown in this table below:

Plan – July 1, 2016 - 2017

Employee Employee + 1*
Employee + Family
       
 UHC - STANDARD PLAN      
Please see your employer for your employee/employer for your premium deductions   
Total Monthly Premium $478.00 $1,052.00 $1,424.00
       
 UHC- PREMIER PLAN      
Please see your employer for your employee/employer for your premium deductions   
Total Monthly Premium $698.00 $1,402.00 $1,768.00
 Continuation of Coverage Plan      
UHC - Standard Plan $488.00 $1,073.00 $1,452.00
UHC - Premier Plan $712.00 $1,430.00 $1,803.00

HEALTH INSURANCE PLAN DOCUMENTS, DRUG FORMULARY AND OTHER INFORMATION

UnitedHealthcare (UHC) Choice Plus - Standard Plan  

UnitedHealthcare (UHC) Choice Plus - Premier Plan

 

UnitedHealthcare Plan information links below are for both the Standard Plan and the Premier Plan

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Delta Dental logo

Delta Dental of Missouri

Customer Service Information: 1.800.335.8266

All Archdiocesan employees enrolled into one of the two available medical plans are automatically enrolled into the Delta Dental Plan of Missouri. Like the medical plans, you may see any dentist you wish. However, if your dentist participates with Delta Dental your costs may be reduced. Employees are not able to enroll in just the dental plan only.

The Archdiocese has an enhanced dental program by offering a second network (Delta Dental PPO network) with enhanced Basic and Major benefits.  If you choose to see a Delta Dental PPO dentist, you will save money and stretch your benefits.  The Delta Dental PPO network gives you 10% more benefits for Basic and Major services. Delta Dental PPO dentists provide greater discounts, saving you even more money. There is no change to your benefits, if you continue to see a Delta Dental Premier dentist or a non-participating dentist.

      You and your eligible dependents have the freedom to choose any dentist. Benefits will be based upon your provider and services. You do not enroll in the PPO Network or Premier Network. For example, you may be a patient of a PPO network provider and your dependent may be a patient of a Premier network provider. You are able to change a dentist at any time.

Other Information

New Employee Benefit Packet

To receive a New Employee Benefit Packet, you may contact your parish/agency/school benefits administrator. Your local agency/school employer administers these benefits. You need to work with your employer for rules of eligibility, enrollment, changes, termination or questions.

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Forms (Enrollment, Change, Termination, and Claim forms)

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Health Insurance Portability and Accountability Act (HIPAA) Privacy Notice

 

The use and disclosure of your Protected Health Information ("PHI") by the Plans is regulated by a federal law known as HIPAA (the Health Insurance Portability and Accountability Act). This Notice of Privacy Practices is intended to summarize the HIPAA regulations. PHI includes all individually identifiable health information created, received, sent to other people or companies, or maintained by the Plans. The Plans are required by law to maintain the privacy of PHI. This Notice is effective beginning April 14, 2003, and the Plans are required to comply with the terms of this Notice.

The Notice of Privacy Practices for the Archdiocese of St. Louis health plan and dental plan 27.91 Kb 

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Medicare D Prescription Drugs

Medicare prescription drug coverage is insurance that covers both brand name and generic prescription drugs at participating pharmacies. Medicare Part D plans are open to everyone who is eligible for Medicare in the U.S. Generally, that means people who are 65 years old or older, and some younger people with certain disabilities. Participation is voluntary. You get to decide if you want to enroll or not. Below is a letter from the Archdiocese of St. Louis Employee Benefit Health Plan that explains about your current prescription plan with Mercy Health Plan or United Healthcare Choice Plus Plan and the enrollment into Medicare D. For further comprehensive information, please see the Medicare website at http://www.medicare.gov 

Go to the Medicare.gov website and search for the MEDICARE AND YOU booklet for a Show Me Guide that is an easy to use reference for understanding Medicare and its coverage options, provided by United Healthcare.

DISCLAIMER: In the event of a discrepancy between information on the website and the Plan Document, the Plan Document will be the official governance information.

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