2022 Open Enrollment (OE) Materials

Below is the complete list of 2022 Open Enrollment materials.

Active Clergy/Active TAC Fiscal Office Lay Employees

 

Document

What it's for...

 

 1.

2022 Active Employee OE Letter

2022 group health highlights for active clergy and TAC Fiscal Office lay employees

 

 2.

2022 OE Instructions

Active clergy and TAC Fiscal Office lay employee open enrollment instructions

 

 3.

2022 Overview of Changes

What's changing in 2022 for active clergy and TAC Fiscal Office lay employees

 

 4.

2022 Group Health Enrollment Form

Submit enrollment form only if making changes in your plan elections or dependent coverages in 2022

 

 5.

 

2022 Boon-Chapman Annual Additional Insurance Form (required each year for enrolled dependents)

Must be submitted by January 1 each year or dependent benefits are limited to $1,000 until completed form is received.

6.

2022 Humana Dental/Vision Plan Benefits

Description of plans, premiums and enrollment instructions

 7.

2022 Humana Dental PPO Plan Summary

Overview of plan details

 8.

2022 Humana Vision 130 Plan Summary

Overview of plan details

9.

RxBenefits~Express Scripts Prescription Benefit Coverage Summary

Overview of prescription drug plan

10.

2022 High Deductible Health Plans (HDHP) and Health Savings Accounts (HSA)

Understanding HDHP plans and setting up a tax-advantaged HSA

11.

Teladoc®

Overview of plan details

12.

Live Well, Work Well:  ER or Urgent Care?

Guidelines for treatment at the ER or Urgent Care Center

13.

2022 Standard PPO Plan Summary of Benefits and Coverage

Your Standard PPO Plan benefits in health care reform standard format

 

14.

2022 High Deductible Health Plan Summary of Benefits and Coverage

Your HDHP benefits in health care reform standard format

15.

2022 Required Annual Notices

Government required legal notices for GHB plan participants

 

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

 

Document

What it's for...

 

1.

 

2022 Open Enrollment Letter

2022 group health highlights for under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses

 

 

 2.

2022 OE Instructions

2022 enrollment information and instructions for under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses

 

 

 3.

2022 Overview of Changes

What's changing in 2022 for under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses

 

 

 4.

2022 Group Health Enrollment Form

Enrollment form for under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses who want to change plan elections

5.

2022 Boon-Chapman Annual Additional Insurance Form

Must be submitted by January 1 each year or dependent benefits are limited to $1,000 until completed form is received

 

All documents numbered 6 – 15 above pertain to under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses

Additional 2022 OE documents

 

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