Lay Employee Benefits – 2019-2020


Open Enrollment Information & Employee Memo – 2019-2020

Anthem Medical and Vision Summary of Benefits – 2019-2020

PPACA Summary of Benefits and Coverage Required Disclosure

US Government Annual Health Plan Notices

Diocesan EAP Program

Medical Insurance Rates – 2019-2020

Anthem Application Form

Anthem Live Health Online Program

Delete Form – Medical

Anthem Certificate Request Form

Pension Plan (Defined Benefit)

Pension Plan Booklet

Pension Plan – Web Portal User Guide

Retirement Benefit Example

Pension Plan Participation Waiver Form

OPEN ENROLLMENT FORMS – The following three forms are ONLY applicable during the open enrollment period (month of October) for employees that have previously opted out of participation and wish to re-join the plan.  All new hires are automatically enrolled in the Pension Plan and complete all applicable forms during the hiring process.

Pension Plan Enrollment Form

Pension Plan Beneficiary Designation

Pension Plan Employment Record Form

Tax sheltered Retirement Plan (403b Account)

403b Memo 2019