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.

Open Enrollment

The Diocese continues to offer health, vision and dental insurance coverage with the Episcopal Church Medical Trust (ECMT), a division of the Church Pension Group (CPG) for active clergy and lay employees in the Diocese.  In 2009 we added two additional medical plans and one additional dental plan for you and your parish to choose from.  In 2010 we added the HDHP/HSA plan.

• Click here for the Open Enrollment Guide (2010)

A new employee must be enrolled in the health and dental insurance plans within 30 days of the hire date. 

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 make changes with 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.

click here to download the member education presentation (.pdf)

Eligibility

You are eligible to participate in these plans if you are:

• An active clergy or lay employee who is receiving a W-2, and is a salaried employee or regularly scheduled to work a minimum of 20 hours per week
• An employee who is on leave of absence, short-term disability, or long-term disability

Eligible Dependents include:

• Your spouse or qualifying domestic partner
• Children who are younger than 30 years of age, unmarried, without his or her own dependents, living at home with the parent(s), or enrolled as a full-time student, and not covered under another group health plan or receiving Social Security benefits  
• Your unmarried children, regardless of age, who are physically or mentally disabled and incapable of self-support, provided the disability began before the age of 19 (or 25 for full-time students), when coverage would have otherwise ended

Plans Offered

There are three tiers of coverage for medical and dental:

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

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

2010 plan comparisons

Forms & letters for 2010

Generic Enrollment Form 2010

Open Enrollment Guide (2010)

Denominational Health Plan Resolution

Plan	Link to 2010 Benefit Summaries	Link to Plan Handbook	Link to Participating Providers
Empire Blue Cross Blue Shield PPO 80/60			click here to locate participating providers
Empire Blue Cross Blue Shield EPO 80			click here to locate participating providers
Empire Blue Cross Blue Shield PPO 90/70			click here to locate participating providers
Empire Blue Cross Blue Shield EPO 90			click here to locate participating providers
High Deductible Health Plan         (* new for 2010)
EyeMed Vision Care			click here to locate participating providers or call: (866) 723-0596
CIGNA Dental-Basic			click here to locate participating providers
CIGNA Dental-Dental & Orthodontia			click here to locate participating providers
CIGNA Dental-Preventative			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 Drugs-Standard			click here to view Medco Preferred Prescriptions

  

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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.