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Religious Brothers and Sisters

Benefit Enrollment

Please complete the following form and send it to [email protected] to enroll in the health, dental, and/or vision plans described below.

Benefit Enrollment Form

Health Plan (United Healthcare & CVS Caremark)

Religious Brothers and Sisters have health insurance through United Healthcare. Prescription drug coverage is provided by CVS Caremark. Please see below for claim forms and information on what the plan has to offer.

2024 UHC Summary Plan Description – Non-Bargaining Lay & Religious

United Healthcare Choice Plan – Summary of Benefits & Coverage

CVS Prescription Benefit Plan Copay Overview

Helpful Links

MyUHC – Member Login | United Healthcare

MyUHC Account Registration

CVS Caremark

UHC Flu Shots – Participating Pharmacies

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 Benefit Summary (No Stipend)

Cigna Dental Benefit Summary (Stipend)

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 Out-of-Network Claim Form

Helpful Links

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.