Benefit Enrollment

Please complete the following form and send it to priestpersonnel@archny.org to enroll in the health, dental, and/or vision plans described below.

Benefit Enrollment Form

Health Plan (SUREST)

Religious Brothers and Sisters have health insurance through SUREST. Prescription drug coverage is provided by CVS Caremark.

Please see below for claim forms and information on what the plan has to offer.

• Ways to access SUREST provider Network
• 2026 SUREST Informational Webinar
• SUREST Summary of Benefits & Coverage
• Notice of Privacy Practices
• CVS Prescription Benefit Plan Copay Overview
• CVS Claim Form

SUREST Informational Videos

• Say hello to Surest
• Surest is…
• Introduction to SUREST
• Searching in the Surest app
• How to Search for Care
• The Surest Cost and Quality Connection
• SUREST Variable Copays
• Common Surest Q&A
• Testimonial – “Home Run” For Busy Mom

Helpful Links

• Virtual Visit
• Flu Shots Participating Pharmacies
• Real Appeal Flyer
• Calm Health
• CVS Caremark Website

Dental Plan (Cigna)

Dental coverage is available through Cigna for Religious Brothers and Sisters. Below are the forms and summary documents associated with the dental plan.

• Cigna Dental Plan Summary – Religious Brothers & Sisters (High)
• Cigna Dental Plan Summary – Religious Brothers & Sisters (Low)
• Cigna Dental Plan Summary – Religious Brothers & Sisters (New Hampshire)
• Cigna Dental Claim Form

Helpful Links

• My Cigna – Member Login
• How to Access Your Digital ID Card

Vision Plan (Davis Vision)

Vision coverage is available through Davis for Religious Brothers and Sisters.

Please see below for the enrollment forms and information on what the plan has to offer.

• Davis Vision Plan Benefit Summary
• Davis Vision Claim Form
• Davis Vision – Member Login

Hearing Aid Assistance (Davis Vision)

Eligible employees can receive discounts on hearing aids through Davis Vision.

Please see the following documents for more information.

• Davis Vision Hearing Tests
• Davis Vision Hearing Pricing Sheet

Thank you for visiting our webpage. 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. If you have any questions not addressed by these webpages, please reach out to us via the contact form here.