New Plan Year July 1, 2022 – June 30, 2023

Open Enrollment Dates May 5 – 25, 2022

• CDJ-FT-Offering-07012022
• CDJ-PT-Offering-07012022
• CDJ-Priest-Offering-07012022

Reta Trust (RetaEnroll) https://retatrust.org/public

Current Plan Year July 1, 2021 – June 30, 2022

• CDJ FT Offering July 1,2021 – June 30, 2022
  • Summary of Benefits and Coverage – Base Plan 5157
  • Summary of Benefits and Coverage – BUY UP Plan 5119
• CDJ Priest Offering July 1, 2021 – June 30, 2022
  • Summary of Benefits and Coverage – Priest Plan 5103
• CDJ PT Offering July 1, 2021 – June 30, 2022
• DEDUCTIBLES AND OUT-OF-POCKET ARE BASED ON CALENDAR YEAR

Health Insurance Plans: Reta Trust (Blue Shield) 1-888-772-1076

To file a claim or replace card, please call customer service or login to their website: www.blueshieldca.com

• Summary of Benefits – Base Plan 5157
• Summary of Benefits – BUY UP Plan 5119
• Summary of Benefits – Priest Plan 5103

Resources

• ID Cards
• Wellvolution
• Engagement Point
• Member Services

Teladoc – 1.800-Teladoc (835-2362) – July 1, 2021 – June 30, 2022

• Teladoc Flyer – Base Plan 5157
• Teladoc Flyer – BUY UP Plan 5119
• Teladoc Flyer – Priest Plan 5103

Prescription Drug Plan: Reta Trust 

CVS (Caremark) – 1-800-844-0719 – July 1, 2021 – June 30, 2022

• CVS Benefits Plan Summary Plan 5157
• CVS Benefits Plan Summary 5119
• CVS Benefits Plan Summary 5103
• CVS Mobile App Flyer
• CVS Rx Delivery by Mail Flyer

Dental Insurance Plans: Reta Trust (Delta Dental) 1-800-765-6003

To file a claim or replace card, please call customer service or login to their website: https://www.deltadental.com/

• Plan Benefit Highlights
• Plan Summary
• ID Card
• Find a Network Dentist

Vision Insurance Plans: Reta Trust (VSP) 1-800-877-7195

• Benefit Summary
• Laser Vision Care Flyer
• TruHearing Flyer

Non-Reta Plans

FSA Medical and Dependent Care Plans:

 

Prudential Insurance (Life Claim 1-800-524-0542) (Disability Claim 1-800-842-1718)

• Summary of Benefits – FT Basic Term Life and ADD
• Summary of Benefits – Priest Term Life and ADD
• Summary of Benefits – Optional Term Life, Short Term, and Long Term Disability
• Summary of Benefits – Accident Insurance
• STD Disability Brochure
• LTD Disability Brochure

Allstate Cancer (Claims 1-800-348-4489)

• Allstate Wellness Claim Form
• Allstate Cancer Brochure
• MyBenefits – Assistance 24 Hours a Day
• MyBenefits – Claim Filing Flyer

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