2016 Open Enrollment Materials

Below is a list of Open Enrollment materials mailed to your home.

Active Clergy/Active TAC Fiscal Office Lay Employees

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Active Clergy / TAC Fiscal Office Lay Employee Open Enrollment Letter 2016 group health highlights for active clergy and TAC Fiscal Office lay employees
2016 Open Enrollment Instructions Active clergy and TAC Fiscal Office lay employee open enrollment instructions
2016 Overview What's changing in 2016 for active clergy and TAC Fiscal Office lay employees
TAC Group Health Enrollment Form Submit enrollment form only if making changes in your plan elections or dependent coverages in 2016
2016 Boon-Chapman Annual Additional Insurance Form (required each year for enrolled dependents) Must be submitted each year by January 1 or dependent benefits are limited to $1,000 until form is received, completed in full
$700 Deductible Plan Schedule of Benefits Overview of plan details
High Deductible Plan Schedule of Benefits Overview of plan details
2016 Script Care Prescription Drug Benefits Summary Overview of plan details
Script Care Performance Drug List Guide to generic, branded generics and brand prescriptions drugs
Script Care Specialty Pharmacy Program and Specialty Drug List Overview of plan details
Script Care ACA Preventive Medications and Immunizations Preventive medications, immunizations, contraceptives, and smoking cessation covered under the Affordable Care Act
American United Life Insurance Overview of clergy and lay employee life insurance benefits
Optional Dental/Vision Plan Summary Comparison of plans and enrollment instructions
Optional Dental PPO Summary Overview of plan details
Optional Dental HMO Summary Overview of plan details
Optional Vision Care Plan Summary Overview of plan details
$700 Deductible Plan Summary of Benefits and Coverage Your benefits in health care reform standard format
High Deductible Plan Summary of Benefits and Coverage Your benefits in health care reform standard format
Medicaid and CHIP Premium Assistance Notice Information regarding premium assistance to help pay for your employer group health plan coverage if you or your children are eligible for Medicaid or CHIP
Women’s Health and Cancer Rights Act Notice Women’s health and cancer benefit information
HIPAA Privacy Notice Information about your personal health information

 

Medicare Primary Retirees / Surviving Spouses / Clergy on Medical Leave

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Medicare Primary Open Enrollment Letter 2016 Medicare primary group health options for retirees and surviving spouses 65+ and clergy on Medical Leave
American United Life Insurance Overview of retired employee life insurance benefits.

 

Under 65 Retirees / Under 65 Spouses of Medicare Primary Participants / Under 65 Surviving Spouses

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Open Enrollment Letter 2016 group health highlights for retirees, spouses of Medicare Primary participants and surviving spouses under age 65
Open Enrollment Instructions 2016 enrollment information and instructions for retirees, spouses of Medicare Primary participants and surviving spouses under age 65
Overview of Changes for 2016 What's changing in 2016 for retirees, spouses of Medicare Primary participants and surviving spouses under age 65
Enrollment Form Enrollment form for spouses of Medicare Primary participants and surviving spouses under age 65 if they want to change medical coverage
2016 Boon-Chapman Annual Additional Insurance Form (required each year) Must be submitted each year by January 1 or dependent benefits are limited to $1,000 until form is received, completed in full
American United Life Insurance Overview of retired employee life insurance benefits

 

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