Benefits and Forms

Employee Benefits 2019

The Archdiocese provides eligible employees with quality benefits to assist with their wellbeing. As a benefit eligible employee, you are offered a quality health insurance plan which consists of medical, prescription, and dental benefits. You are also offered a retirement plan, flexible spending accounts, long term disability, an employee assistance program, an adoption assistance program, employer-paid life insurance, and voluntary life insurance.

Please see your benefits administrator at your parish/school/office/agency regarding eligibility and any benefit changes. If you are eligible to enroll, make a change, or cancel an elective benefit, all completed forms need to be submitted to your benefits administrator.


To skip forward to the benefit plan of your choice, click on one of the links below:

Employee Handbooks

Employee Benefits Booklets

United Health Care Medical Plan

Delta Dental

Flexible Spending Account Plans

403b Retirement Plan

Life Insurance Plans

Long Term Disability

Employee Assistance Program

Employee Wellness Programs



Employee Handbooks

Employee Handbook (Parishes)

Employee Handbook (Offices & Agencies)


Employee Benefit Booklets 2019

Archdiocesan Lay Employee Benefits Booklet 2019 - 2020 for July 1, 2019 through June 30, 2020

Archdiocesan Educators Benefits Booklet 2019 - 2020 for July 1, 2019 through June 30, 2020


Health Insurance for Medical, RX and Dental Plan


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, and dental insurance within the Archdiocesan health insurance plan. Coverage is available at three different levels – employee, employee + one eligible dependent, or employee + family. Employee contributions will be deducted from your paycheck on a pre-tax basis. . 


Health Insurance Premium Rates -  July 1, 2019 through June 30, 2020:

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


Plan - 7/1/2019 -6/30/2020 
Full Time Employee Employee Employee + 1* SS Employee + Family SS
UHC - Standard Plan      
Employee Contributions $ 78.60 (15%) $   289.00 (25%) $  390.50 (25%)
Employer Contributions $445.40 (85%) $   867.00 (75%) $1,171.50 (75%)
Total Monthly Premium $524.00 $1,156.00 $1,562.00
UHC - Premier Plan      
Employee Contributions $114.90 (15%) $   384.50 (25%) $  485.00 (25%)
Employer Contributions $651.10 (85%) $1,153.50 (75%) $1,455.00 (75%)
Total Monthly Premium $766.00 $1,538.00 $1,940.00


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, and dental insurance benefits are shown in this table below.

Plan - 7/1/2019- 6/30/2020
Part- Time Employee Employee Employee + 1* SS Employee + Family  SS
UHC - Standard Plan      
Employee Contributions $209.60 (40%) $  578.00 (50%) $ 781.00 (50%)
Employer Contributions $314.40 (60%) $  578.00 (50%) $ 781.00 (50%)
Total Monthly Premium $524.00 $1,156.00 $1,562.00
UHC - Premier Plan      
Employee Contributions $306.40 (40%) $  769.00 (50%) $  970.00 (50%)
Employer Contributions $459.60 (60%) $  769.00 (50%) $  970.00 (50%)
Total Monthly Premium $766.00 $1,538.00 $1,940.00

* "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 2019 - 2020


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 clinics can administer the vaccine some of which are the following: Walmart Care Clinic, Walgreens Healthcare Clinic, MinuteClinic at CVS and Target.
  • Real Appeal weight loss program is available to all UHC participants, spouses and depdnents 18+ with a body mass index of 23 or highter.
  • UnitedHealthcare provides participants a  Virtual Doctor Visit. You can access more information and register to receive care by logging into UnitedHealthcare's website at 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.



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.     



Flexible Spending Account Plans

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.

Private Catholic organizations, which are not owned by the Archdiocese, do not participate with this FSA. 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 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 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, 2019, unless enrolling as a new hire or due to a special event whereby the employee uses the FSA Election Form.


403b Retirement Plan

To access your retirement plan information and/or change your Beneficiary, you may access the Retirement plans website at the following website link:

Employee Lay Retirement Plan Highlights - Prudential

Employee Lay Retirement Summary Plan Provision - Prudential


Life Insurance Plans

Hartford Basic 1x Salary Life Insurance – Summary of Benefits

Hartford Voluntary Life – Summary of Benefits

Hartford Voluntary Life Enrollment/Change Form

Hartford Personal Health Application Form

Hartford Life Beneficiary Designation Form


Long Term Disability

Unum Long Term Disability Highlights

Long Term Disability Education Information

LTD Claim Form 


Employee Assistance Program

Employee Assistance Plan Brochure 


Employee Wellness Programs and Wellness Incentive

The Archdiocese provides many preventative health services to eligible Archdiocesan employees. The Archdiocese provides preventative services to employees such as mammogram screenings, H&H Health Associates wellness screenings, and annual flu vaccines.


Archdiocesan-paid H&H Health Associates Wellness screenings are held each year in March and September for all benefit eligible employees. To participate, please click on this link: to make an appointment for a health screening at a location close by your home or work. For additional information please refer to the following documents: 

Employee Wellness Incentive FAQ


Employee Wellness Form for wellness plan year 5/1/2019 - 4/30/2020

Archdiocesan paid flu vaccinations are provided in October each year to all active Archdiocesan employees, spouses, and their dependent children.  We offer the flu vaccine to your dependent children 9-25 years old, however, ages 9-17 need to have their parent/guardian attend with them.  Additional information regarding the 2019 flu vaccination event will be posted in September 2019. 



Archdiocese Benefits Administrators Manual 2019 A revised 7/1/2019 manual will be coming soon.

Marketplace Coverage Notice

Medicare D Notice 

Handout for Benefit Terminations 2019 - 2020 for any employee leaving on or after July 1, 2019

Prudential Retirement Parish Experience Guide for administrators

Prudential Retirement Internet Contribution Center (ICC) Reference Guide for administrators


For any employee benefit questions, please email or call 314.792.7546