Health, Vision and Dental Insurance

for

Active Employees

in the

Episcopal Diocese of Western Michigan

INSURANCE NOTES: 

• If you have questions regarding active member benefits, please contact Tammy Mazure, or call the Medical Trust at (800) 480-9967
• If you have questions regarding retired member benefits, please contact Tammy Mazure, or call the Medical Trust at (866) 273-4545. 
• If you are not currently on the Diocesan plan, please be in contact with Tammy Mazure.

Change of Insurance

Click here for the letter mailed September 2007 (.doc)

Due to BlueCross BlueShield of Michigan cancelling our contract, the Insurance Committee has chosen the new coverage. 

As of December 1, 2007 the Diocese will begin health and vision insurance coverage with the Episcopal Church Medical Trust (ECMT), a division of the Church Pension Group (CPG).

As of January 1, 2008 the Diocese will begin dental insurance coverage with the ECMT. 

See Plans Offered below for more information.

Open enrollment has now ended for 2008.  Please contact Tammy Mazure   if you have any changes that you need made to your plan during the year.

Eligibility

An employee must be salaried (receive a W-2) and work 20 hours per week or 1,000 per year.  A new employee must be enrolled in the medical, vision and dental insurance plans within 30 days of hire date.  There are three tiers of coverage for medical and dental:

• Single
  • employee only
• Employee Plus One
  • employee plus spouse or child
• Family
  • employee plus eligible dependents

Dependents are defined as spouse, domestic partner, or children who are under the age 19, or 30 maintaining legal residence with parent and does not have other coverage available.  

Plans Offered

Vestries will need to decide which medical and dental plans will be available to the employees in their parish.  Both plans include vision, behavioral health, mental health and prescription coverage.  The insurance offered is considered part of the total compensation package and should be evaluated as such. 

Plan	Link to Benefit Summaries	Link to Plan Handbook	Link to Participating Providers
Empire BlueCross BlueShield PPO 80/60			click here to locate participating providers
Empire BlueCross BlueShield EPO 80			click here to locate participating providers
EyeMed Vision Care			click here to locate participating providers or call: (866) 723-0596
CIGNA Dental (both plans included)			click here to locate participating providers
CIGNA Behavioral Health, Mental Health, Substance Abuse			click here to locate participating providers
Employee Assistance Program (EAP)			click here to locate participating providers
Health Advocate			http://www.healthadvocate.com/
MEDCO Prescription Drug Benefits			click here to view Medco Preferred Presciptions

Open Enrollment

People who are currently enrolled in the Diocesan Plan "BlueCross BlueShield of Michigan" will be receiving an enrollment packet from CPG (the Church Pension Group). The initial enrollment period will be approximately October 21, 2007 - November 4, 2007.  The CPG refers to this as "Open Enrollment". 

If you are not currently enrolled in the Diocesan Plan, please remember that according to Diocesan Canon 8, Section 3(c) of the Diocese of Western Michigan, "each congregation that provides employee health insurance shall provide that coverage through the organization providing coverage to Diocesan employees."  If you are not enrolled in the Diocesan Plan, please contact Tammy Mazure at the Diocesan Center to receive information. 

Each year there will be an Open Enrollment time period during which you can make changes to your coverage.

You may change your coverage during the year if you have a significant life change (ie, birth, marriage, divorce, loss of other coverage, etc.).  To make changes after the Open Enrollment time period, please contact the Diocesan Benefit Administrator, Tammy Mazure.

Changes and Termination

Please notify the diocesan benefits administrator Tammy Mazure within 30 days following termination of coverage.  If the termination is due to loss of employment, please indicate whether an extension of benefits is needed. The Medical Trust will bill the terminated employee directly for the extension of benefits.

Please notify the diocesan benefits administrator of address changes as soon as possible to assure carriers have correct information.