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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 dental and a $10,000 Term Life Insurance and AD&D Plan
MEDICAL INSURANCE PLANS, EFFECTIVE JULY 1, 2012 THRU JUNE 30, 2013
MEDICAL AND PRESCRIPTION DRUG BENEFITS
All eligible employees of Private Catholic Groups that participate in the Archdiocese of St. Louis health insurance are eligible for a choice of two medical programs, provided enrollment occurs within 31 days of eligibility. The available programs are UnitedHealthCare POS (Archdiocese Self-Funded Medical Program) Standard Plan or the UnitedHealthcare POS Premier Plan.
A POS (Point of Service) Plan 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 provider (i.e. “go in network”), you will receive a higher level of benefits.
Both UHC medical plans provide a dental plan through Delta Dental of Missouri plus a $10,000 term life insurance policy through Unum Life Insurance. See information below.
Health Insurance Major Provisions and Comparisons
Coverage is available at three different levels – employee, employee + one eligible dependent, or employee + family.
If you are an employee of a Private Catholic Group or Order, please see your employer for your health insurance premium contribution information. Below is the Premium cost to your employer.
| Plan – July 1, 2012 | Employee | Employee +1* | Employee + Family |
| UnitedHealthcare Standard | |||
| Total Monthly Premium | $436.00 | $874.00 | $1,218.00 |
| United Healthcare Premier | |||
| Total Monthly Premium | $542.00 | $1,082.00 | $1,512.00 |
| Continuation of Coverage:** | |||
| UHC Standard | $444.00 | $891.00 | $1,242.00 |
| UHC Premier | $553.00 | $1,104.00 | $1,542.00 |
| Part Time: See Bookkeeper **Continuation of Coverage does not include dental or life insurance benefits
* "1" means spouse or dependent child. |
|||
United Healthcare Choice Plus Self-Funded Plan
Customer Service Information: 1.888.332.8885
UnitedHealthcare Premier Plan:
UnitedHealthcare Standard Plan:
Information below is for both the Premier and Standard UHC Plans:
- Employee Health Insurance Form
- UHC Prescription Drug List 2012 - 2013
- UHC website information for www.myuhc.com
- United Healthcare Rights and Resource Disclosure
- www.unitedhealthcare.com to access provider directory and more
- United Healthcare Medical Claim form 123.78 Kb
- United Healthcare Prescription Claim form 87.38 Kb
- United Healthcare Mail-Order Prescription form 131.69 Kb
- Employee Benefits Information Form for Health Insurance Plans
- United Healthcare Appeal, Complaint, and Grievance Procedure 80.83 Kb
- Laboratory Network Changes in 2007 151.21 Kb
- National Lab Program FAQs 110.76 Kb
United Healthcare has a Health Pregnancy Program. Please click here for your Pregnancy Manual.
Would you like a health coach or would you like to assess your health risk? United Healthcare has a Wellness Program, too. UHC Wellness Prgram 220.55 Kb
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.
- Delta Dental Summary of Benefits
- www.deltadentalmo.com to access provider directory and claims information
- Delta Dental Claim form 544.08 Kb
- How to Order Delta Dental ID cards
Unum Life Insurance and Accidental Death & Dismemberment
Customer Service Information: 314.792.7540
Each eligible Archdiocesan employee enrolled in the medical plan is automatically provided $10,000 of group term life insurance through Unum Life Insurance Company. Each eligible Archdiocesan employee is also automatically provided $10,000 of accidental death and dismemberment insurance through Unum. At age 70, the benefit reduces to $5,000.
- Survivor Financial Counseling 72.53 Kb
- Unum Life Insurance Summary Plan document 124.47 Kb
- Amendment #1 to Unum Life Insurance Summary Plan document 41.07 Kb
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.
Forms (Enrollment, Change, Termination, and Claim forms)
- Employee Health Insurance Form -
- Medical Claim Form 124 kb
- United Healthcare Prescription Claim form 87.38 Kb
- United Healthcare Mail-Order Prescription form 131.69 Kb
- Delta Dental Claim form 544.08 Kb
- Application for Continuation of Life Insurance-Portability form 76.26 Kb
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.
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
Click on the Medicare Made Clear 2008 7.07 Mb 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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