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.
It’s that time of the year again. The annual open enrollment period for the 2020 plan year will run from November 14, 2019 to December 10, 2019. Eligible Employees, who do not wish to make changes to their health benefit coverage, are not required to complete new enrollment forms. The benefits will automatically rollover to the next benefit plan year effective January 1, 2020.
Eligible employees, who wish to make changes to their current Health Benefit Coverage for 2020, must complete the 2020 Medical Benefit Plan Enrollment Form. The form must be submitted their benefits administrators or human resources representative. A copy is listed below:
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.
The following links contain the 2020 health summaries of benefits for eligible participants’ review
- 2020 UHC Choice Plan – Non Bargaining Lay Employees, Religious & Seminarians
- 2020 UHC Choice Plan – Bargaining Lay Faculty Members
- 2020 UHC Choice Plus Plan – Clergy & 4th Year Seminarians
- 2020 UHC Medicare Primary Plans – Religious (MSYRX)
Listed below are the current health summaries of benefit for the eligible participants’ review:
- 2019 UHC Choice Plan – Non Bargaining Lay Employees & Religious
- 2019 UHC Choice Plan – Bargaining Lay Faculty Members
- 2019 UHC Choice Plus Plan – Clergy & Seminarians
- 2019 UHC Medicare Primary Plans – Religious
Another important feature offered through the United Healthcare medical plan, is the availability of the Nurseline Service. Members may call and chat with a registered nurse concerning their medical issues at 1.800.563.0689, which is available 24/7. This service is also accessible anytime by logging on to www.myuhc.com and clicking the link “ CHAT online now” in the “ Ask a Nurse” section.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.
Summary Plan Descriptions
The following summary plan description documents provide more detailed information for covered medical benefits offered to eligible Archdiocesan participants:
- UHC Choice Plan – Non Bargaining Lay Employees & Religious Members
- UHC Choice Plan – Bargaining Lay Employees
- UHC Choice Plus Plan – Clergy and Seminarians
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). All claims are reviewed by Hartford. (Employees must contact their local employer to confirm if they are covered under long term disability). The following list 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. 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 of1/1/2018. 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. The 2019 weekly contribution rate was .153% of an employee’s weekly wage up to a maximum weekly contribution of $2.08 (maximum of $107.97 annually). Effective 2020, the weekly contribution rate increased to .270% of anemployee’s weekly wage up to a maximum weekly contribution of $3.78 (maximum of $196.72 annually).For all covered staff, mandatory salary deductions for NYPFL at the new rate will take place beginning in the first payroll of 2020.
Please note that some teachers, members of the clergy, and religious are specifically excluded from the law’s provisions.
The NYPFL benefit will be administered by the Archdiocese of New York’s Short-Term Disability provider, The Hartford, in consultation with the Archdiocese of New York Benefits Department.
Please also note that the NYPFL benefit, as applicable, will be administered in concert with current Archdiocese of New York (ADNY) policies on Short-Term Disability, Maternity Disability Leave, and the Family Medical Leave Act (FMLA).
- Application for NY Paid Family Leave Benefit
- 2020 Statement of Rights for Paid Family Leave
- 2020 NYPFL Exhibit and Frequently Asked Questions
Should you have any questions related to the NYPFL, please contact Diana Carrasquillo, Director of Benefits at 646-794-3059.
CIGNA Dental Voluntary PPO Plan – Eligible Lay Employees
The Archdiocese offers a voluntary dental plan to eligible lay employees, who currently participate in the Archdiocesan medical plan. The employee’s election must mirror their medical election. For example, if an employee is enrolled for two-person medical coverage, the employee must make the exact same election (two person) coverage for the voluntary dental benefit. This plan will be administered through CIGNA Dental.
Effective January 1, 2020, 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 must mirror the same election as the medical election. (Example, if family coverage is elected for medical, then family coverage must be elected for the voluntary 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
Effective January 1, 2020 the Archdiocese will offer a voluntary vision care plan to employees who are eligible to participate in the medical program. An eligible employee will not be required to enroll in medical benefit.
The following benefit summary provides more detailed information of covered expenses:
Benefit FormsBenefits Administrators may download the following enrollment and benefit forms for their reference:
- Basic Life Enrollment Form
- Clergy/Religious Dental Enrollment Form
- Cigna Dental Claim Form
- Cigna Dental Enrollment Form (Voluntary Plan for Lay Employees)
- Davis Vision Claim Form (Voluntary Plan for Lay Employees)
- Davis Vision Claim Form (Priest & Religious)
- Health Benefit Enrollment/Change Form
- Information Form For Temporary Employees Work Less Than 30 Hours
- Life Conversion & Portability Form
- New York Paid Family Leave Form
- New York Paid Family Leave – Employee Opt-Out Form
- P&A Group Flexible Spending Account Claim Form
- STD Claim Form
- Separation From Employment Form
- Supplemental Life Enrollment Form
- Termination/Transfer Form
- UHC Health Claim Form
The Employee Benefit Connections Department provides in-house administrative functions regarding 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 fax 212.644.0690.
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.
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.