Welcome to the Health Benefits web page. The benefits team has prepared the information contained within the web page to be of assistance to you in gaining a better understanding of your health benefit plan.
United Healthcare is our health plan administrator. Should an employee have any questions regarding their benefit, they should contact United Healthcare via the toll free customer service number (800-736-1264) or log onto their website www.myuhc.com. Amongst the many tools at the participant’s disposal, they can review benefit coverage, view their current and previous claims, find participating doctors and facilities and research health conditions and treatments.
When adding dependents, proof of eligibility must be submitted to the local administrator as documentation. Such proof of eligibility includes marriage certificate for a spouse, birth certificate, adoption or legal guardianship documents for each dependent child. Employees should contact their employer or administrators regarding requirements for participation in the medical benefit program.
Listed below are the current health summaries of benefit for the eligible participants’ review:
Summaries of Benefit and Coverage (SBC)
Under the Affordable Care Act all health insurance plans must make available to their members a Summary of Benefits and Coverage. The SBC summarizes key features of the United Healthcare plan. This information will assist members to better understand their coverage.
Listed below are the current Summaries of Benefits and Coverage information for the participating members’ review:
Glossary of Health Coverage and Medical Terms
Another feature of the Affordable Care Act is the Glossary of Health Coverage and Medical Terms to help members further understand some common and confusing terms used in health insurance plans. They are required to make available a universal glossary of terms used in the health insurance industry to their members that explains such terms as “deductible” and “co-payment”. The following link will provide access to the mandated “Glossary of Health Coverage and Medical Terms” for the member’s reference:
CVS/Caremark is our prescription drug administrator. The customer care team can be contacted by calling ( 800-565-7091 ) or members may log on to the website www.caremark.com . Members can also access information regarding their benefit coverage, print temporary ID prescription cards, view their prescription history and print forms. Permanent cards may be ordered through the customer care team. The following benefit summary is an overview description of this prescription plan:
Medical Summary Plan Descriptions
The following summary plan description documents provide more detailed information for covered medical benefits offered to eligible Archdiocesan participants:
OTHER BENEFITS
The Archdiocese also offers additional benefits to our Clergy and eligible lay employees, such as Life Insurance, & Long Term Disability (eligible lay employees):
Life Insurance – Clergy & Eligible Lay Employees
The Hartford Life Insurance Company administers the basic and supplemental life insurance benefits. The following booklets will provide detailed information eligible enrolled participants. (Employees must contact their local employer to determine which booklet applies to their life benefit.)
- Booklet #1: Basic Term Life – One times eligible employee’s annual salary up to a maximum of $600,000.
- Booklet #2: Basic Term Life – Flat $10,000
- Booklet #3: Basic Term Life – Flat $15,000 (Clergy only)
- Supplemental Term Life & Supplemental Dependent Life – Voluntary plan for eligible lay employees and their dependent children (up to age 19).
Long Term Disability – Eligible Lay Employees
The Hartford Life Insurance Company also administers the long term disability benefits for qualified employees, who are disabled and unable to perform their assigned duties for a continuous 180 days (elimination period). This benefit ensures that the employees will still receive a portion of their income due to covered disabilities.
All claims are reviewed by Hartford. (Employees must contact their local employer to confirm if they are covered under long term disability). The following link includes the long term disability booklet for more detailed information.
Short Term Disability – Eligible Lay Employees
Mandated New York State temporary disability program that pays eligible employees who are unable to work due to pregnancy or off the job illnesses & injuries. This program provides a maximum weekly payment of $170.00. Employees must secure the claim application from their local employer.
New York Paid Family Leave (NYPFL) – Eligible Lay Employees
In 2017, New York State and the New York State Workers Compensation Board passed a new statute called the New York Paid Family Leave (NYPFL) law, with an effective date of 1/1/2018. Should an employee meet the eligibility requirements for NYPFL, the benefits covered by NYPFL can provide leave for baby bonding, or, for the care of a covered family member who is seriously ill, or, for care related to the active-duty deployment of a spouse, child, or parent.
This program is mandatory for all covered employees (must work 20 or more hours a week) and is entirely paid for by mandatory employee payroll deductions. Effective 2023, the weekly contribution rate is 0.455% of an employee’s gross wages up to a maximum weekly contribution of $7.68 (maximum of $399.43 annually). For all covered staff, mandatory salary deductions for NYPFL at the new rate will take place beginning in the first payroll of 2023.
Members of the clergy, religious, some institutions and some teachers’ groups are specifically excluded from the law’s provisions.
The NYPFL benefit is administered by the Archdiocese of New York’s Short-Term Disability provider, The Hartford, in consultation with the Archdiocese of New York Benefits Department.
NYPFL benefit is also administered in concert with the Archdiocese of New York (ADNY) policies for Short-Term Disability, Maternity Disability Leave, and the Family Medical Leave Act (FMLA). Employers must be enrolled in the Archdiocese’s disability benefit program to be eligible for this program. Eligible employees who are regularly scheduled to work 20 hours per week may participate after working 26 consecutive weeks.
Applications for New York Paid Family Leave Benefits:
CIGNA Dental Voluntary PPO Plan – Eligible Lay Employees
Employees who are eligible for and do not elect the medical program, may enroll in the voluntary dental plan. However, if an employee is participating in the medical program, their dental election need not mirror the same election as the medical election. This plan will be administered through CIGNA Dental.
(Employees working for institutions that provide employer paid dental coverage are not eligible to participate in this program.)
The following benefit summary provides more detailed information of covered expenses:
Davis Vision Voluntary Premier Benefit Plan – Eligible Lay Employees
The Archdiocese will continue to offer a voluntary vision care plan to all lay employees who are eligible to participate in the medical program. An eligible employee will not be required to enroll in the medical benefit. This voluntary vision plan will continue to be administered through Davis Vision.
The following benefit summary provides more detailed information of covered expenses:
Benefit Forms
Benefits Administrators may download the following enrollment and benefit forms for their reference:
The Employee Benefit Connections Department provides in-house administrative coordination of benefit enrollments, changes, terminations, premium billing adjustments. Pastors and local administrators may contact the Employee Benefit Connections team for assistance regarding these issues at 646.794.3060 or via email at ebc@archny.org.
Pastors and Local Administrators: The following Benefits Administration Resource Guide provides guidance for basic administration procedures. The guide includes general contacts lists, brief benefit outlines, and sample benefit forms for your reference. Please contact our office should you require assistance.
The Benefits Department is committed to protecting the privacy of the health benefit information concerning our Clergy, Religious, Seminarians and Lay Employees. Please take time to refer to our Notice of Privacy Practices below, which explains the protection of health information for all of our participants by the Archdiocese. The Annual Rights and Resource Disclosure Guide prepared by United Healthcare is also posted for our participants’ review.
Transparency in Coverage Rule
The Department of Health & Human Services, the Department of Labor & the Department of the Treasury recently finalized the Transparency in Coverage Rule to be effective July 1, 2022. The rule requires insurers and health plans to create online consumer tools, which includes personalized information regarding the member’s cost-sharing responsibility for covered items and services.
UnitedHealthcare will create and publish the Machine-Readable Files on behalf of The Archdiocese of New York. To link to the Machine-Readable Files, please click on the URL provided: https://transparency-in-coverage.uhc.com/
Thank you for visiting our web page. The benefits team is here to make your health care experience as positive as possible. We will be adding informational notices and other tools to aid you in your health care. Please feel free to view this site often for updates.
Mary Collins
Gloria Glover