Benefit Plans for 2020 - 2021

To review the upcoming Open Enrollment Benefits for 2020-2021, click on the Plan below:

                Health Insurance Plan with Medical and RX with UnitedHealthcare

                Dental Plan with Delta Dental

                Vision Plan with DeltaVision 

                Flexible Spending Accounts with Tristar

 

United Healthcare Medical Plan

UHC Customer Service Information: 1.888.332.8885

 

A benefit eligible employee must waive or enroll in the health insurance plan.

All eligible employees of the Archdiocese of St. Louis are eligible for a choice of two medical programs. The available programs are the UnitedHealthcare - Standard Plan and the UnitedHealthcare - Premier Plan. They are both Point of Service (POS) Plans. POS is a network of physicians and hospitals that has a contract with the plan to provide medical benefits. Members can choose any provider for care. However, if you choose an in-network provider (i.e. “go in network”), you will receive a higher level of benefits. 

Active eligible employees can choose the medical, prescription, dental and vision insurance within the Archdiocesan health insurance plan. An employee may not select just the dental plan nor just the vision plan. 

 

Coverage is available at three different levels – employee, employee + one eligible dependent, or employee + family. Employee contributions will be automatically deducted from your paycheck on a pre-tax basis. 

                                                  

Health Insurance Premium Rates -  July 1, 2020 through June 30, 2021:

If you are a full-time employee of an Archdiocesan parish, school or agency, your monthly payroll-deducted contributions for medical, prescription, dental, and vision insurance benefits are shown in this table below.

 

Plan - 7/1/2020 -6/30/2021 
Full Time Employee Employee Employee + 1* SS Employee + Family SS
UHC - Standard Plan      
Employee Contributions $ 80.10 (15%) $   295.00 (25%) $  398.50 (25%)
Employer Contributions $453.90 (85%) $   885.00 (75%) $1,195.50 (75%)
Total Monthly Premium $534.00 $1,180.00 $1,594.00
UHC - Premier Plan      
Employee Contributions $117.30 (15%) $   392.00 (25%) $  494.50 (25%)
Employer Contributions $664.70 (85%) $1,176.00 (75%) $1,483.50 (75%)
Total Monthly Premium $782.00 $1,568.00 $1,978.00

 

SS - The $125 monthly surcharge is an additional employee health insurance contribution payroll deduction, if he/she covers a spouse who is eligible for employer-subsidized medical coverage. 

           Spousal Surcharge Frequently Asked Questions

If you are a part-time employee or less than full-time educator (half-time teacher but less than full-time), your monthly payroll deducted premiums for medical, prescription, dental and vision insurance benefits are shown in this table below.

Plan - 7/1/2020- 6/30/2021
Part- Time Employee Employee Employee + 1* SS Employee + Family  SS
UHC - Standard Plan      
Employee Contributions $213.60 (40%) $  590.00 (50%) $ 797.00 (50%)
Employer Contributions $320.40 (60%) $  590.00 (50%) $ 797.00 (50%)
Total Monthly Premium $534.00 $1,180.00 $1,594.00
UHC - Premier Plan      
Employee Contributions $312.80 (40%) $  784.00 (50%) $  989.00 (50%)
Employer Contributions $469.20 (60%) $  784.00 (50%) $  989.00 (50%)
Total Monthly Premium $782.00 $1,568.00 $1,978.00

* "1" means spouse or dependent child.


SS - The $125 monthly surcharge is an additional employee health insurance contribution payroll deduction, if he/she covers a spouse who is eligible for employer-subsidized medical coverage.

Spousal Surcharge Policy

 

Health Insurance Plan Summary of Benefits, Drug Formulary, and other information

Health Insurance Plan's -  Major Provisions and a Comparison Document for the plan year 2020 - 2021

 

UnitedHealthcare (UHC) Choice Plus - Standard Plan  

UnitedHealthcare (UHC) Choice Plus - Premier Plan

UnitedHealthcare Plan information links below apply to both the Standard Plan and the Premier Plan

  • A preventative wellness update on the Shingles vaccine. Shingrix, a shingles vaccine, is available for approved UHC adult participants over or equal to the age of 50 years old. National convenience care clnics can administer the vaccine some of which are the following: Walmart Care Clinic, Walgreens Healthcare Clinci, MinuteClinic at CVS and Target.
  • Real Appeal weight loss program is available to all UHC participants, spouses and dependents 18+ with a body mass index of 23 or higher. Go to http://RealAppeal.com/success or call 1.888.332.8885. 
  • UnitedHealthcare provides participants a  Virtual Doctor Visit. You can access more information and register to receive care by logging into UnitedHealthcare's website at http://myuhc.com. Click on the "Physicians & Facilites" tab at the top of the page. You can access direct links to provider site where you can register and receive care.

Annual Rights and Resources Disclosure

Mail-Order Prescription Form

HIPAA Privacy Notice

 


 


Delta Dental Plan

Customer Service Information: 1.800.335.8266

All Archdiocesan employees enrolled into one of the two available UHC medical plans are automatically enrolled into the Delta Dental Plan of Missouri. Like the medical plans, you may see any dentist you wish. However, if your dentist participates with Delta Dental your costs may be reduced. If you enroll for the first time Delta Dental of Missouri will mail your new ID card to your home address or if you need to replace your ID card, you can contact Delta Dental directly.

The Archdiocese has an enhanced the dental program by providing two networks, the Delta Dental Premier network and the Delta Dental PPO network.  If you choose to see a Delta Dental PPO dentist, you will save money and stretch your benefits.  The Delta Dental PPO network gives you 10% more benefits for Basic and Major services. Delta Dental PPO dentists provide greater discounts, saving you even more money. There is no change to your benefits, if you continue to see a Delta Dental Premier dentist or a non-participating dentist.

      You and your eligible dependents have the freedom to choose any dentist. Benefits will be based upon your provider and services. You do not enroll in the PPO Network or Premier Network. For example, you may be a patient of a PPO network provider and your dependent may be a patient of a Premier network provider. You are able to change a dentist at any time.

 Please read the full summary of benefits below to understand the full benefit.     

 


DeltaVision Plan

Effective 7/1/2020 the Archdiocese is including a vision plan as part of your health insurance plan coverage if you are enrolled in the UHC Standard or Premier Plan. The Vision plan only coverage, without the medical plan, is not an available option.

DeltaVision is a smart, affordable way for you to keep an eye on your vision - and your overall health. With Superior VisionTM National network, you have access to one of the largest and most diverse provider networks in the nation: 100,000 access points with an exceptional combination of independent providers and retail locations. 

               Vision Plan through DeltaVision with the Superior Vision national network.

               DeltaVision Summary of Benefits

               DeltaVision Value Discounts with Superiors Network

               How to find a DeltaVision Provider

               Contact Lens Fitting

               ContactsDirect Online Ordering  

 

Tristar Benefit Administrators

Customer Service Information: 1.800.456.4584

IMPORTANT: The Flexible Spending Accounts (FSA) are only applicable to eligible employees of parishes/offices/agencies/schools of the Archdiocese of St. Louis and Catholic Charities.

 

Participants on the Continuation of Coverage Plan or the Early Retiree Plan for health benefits are not eligible.      

The FSA Medical Reimbursement Plan

 The Flexible Spending Account (FSA) lets you pay for eligible medical and dental expenses with contributions taken from your pay on a pre-tax basis. Eligible expenses include copays, coinsurance amounts, deductibles and other approved out-of-pocket expenses as outlined in the Summary Plan Description. You may elect up to $2,700 per plan year. Employee communications, customer service and reimbursement are all performed directly by Tristar. Enrollment must be made within 31 days of initial eligibility or during Open Enrollment.

FSA Medical Reimbursement Claim Form or submit Medical claims for reimbursement at Tristar's webiste at www.myrsc.com. If you do not have a user name and password, please contact Tristar directly at 1.800.456.4584. The user name and password is not the same one as your Employee Self Service password.

The FSA Dependent Care Plan

 The Dependent Care Plan allows you to pay for eligible child and dependent care expenses on a pre-tax basis. This plan is separate from the medical reimbursement plan. Contributions must be set aside specifically for the purpose of paying for eligible out-of-pocket dependent care expenses. You may elect any amount up to the legal limit of $5,000 per year (married persons filing separately are limited to $2,500). Enrollment must be made within 31 days of initial eligibility or during Open Enrollment.

Flexible Spending Dependent Care Claim Form or submit Dependent Care claims for reimbursement at www.myrsc.com. If you do not have a user name and password, please contact Tristar directly at 1.800.456.4584. The user name and password is not the same one as your Employee Self Service password.

Please refer to the following materials for detailed information on the Flexible Spending Account.   

 

All enrollments for the Flexible Spending Account is handled online during Open Enrollment with Employee Self-Service effective July 1, 2020, unless enrolling as a new hire or due to a special event.

 

If you have any questions, please contact the Office of Human Resources at [email protected].