Catholic Diocese of Jackson
Assured Benefits Administrators (ABA)
Effective October 1, 2018
Offering Sheets for 2019
- CDJ – Offering – Jan 2019
- CDJ – Offering for Priests – Jan 2019
- CDJ – Offering PT – Jan 2019
- CDJ – Wellness Benefits
- CDJ – Par Labs
- CDJ – Pre-Authorization Handout
- CDJ – Provider Communication
Health Insurance Plans for 2019
- ABA – BASE 70/30 Plan Document Effective Oct 2018
- ABA – BUY UP 80/20 Plan Document Effective Oct 2018
- ABA – PRIEST Plan Document Effective Oct 2018aba
- Call-A-Doc Brochure (free to employees and dependents enrolled in medical)
- Call-A-Doc Enrollment Guide
Dental Insurance Plans:
- ABA – Employee Dental Plan
- ABA – Priest Dental Plan
- ABA – Dental Plan Amendment
- ABA – Dental Benefit Summary
FSA Medical and Dependant Care Plans:
- ABA – FSA CLAIM Form
- ABA – FSA Claims Reminder
- ABA – FSA Medical & Dependent Care
- ABA – FSA Amendment to Cafeteria Plan
- ABA – FSA List of Approved Expenses
Vision Insurance Plans:
- ABA – Vision CLAIM Form
- ABA – Employee Vision Plan
- ABA – Priest Vision Plan
- ABA – Vision Benefit Summary
Other Insurance Plans:
- Allstate Group Cancer Brochure
- Allstate Claims Process
- Ameritas Hearing & Lasik Summary
- CIGNA Heart Attack & Stroke Policy
- CIGNA Heart Attack & Stroke Rates
- CIGNA Heart Attack Stroke Application
- CIGNA Heart Attack Stroke Claim Form
- Mutual of Omaha Accident Policy
- Mutual of Omaha Diocesan Paid Term Life & AD&D (full time employees only)
- Mutual of Omaha Voluntary Term Life and AD&D
- Mutual of Omaha Diocesan Paid Long Term Disability (full time employees only)
- Mutual of Omaha Short Term Disability
- Mutual of Omaha Evidence of Insurability
- SunLife Benefit Booklet
- Sun Life Accident Policy
- Sun Life STD Policy
- Sun Life Life and LTD Policy
- Sun Life Critical Illness Policy
Prescription Drug Plans:
- ProAct High Plan Brochure
- ProAct Low Plan Brochure
- ProAct Pharmacy Services Informational Tri-Fold
- ProAct Pharmacy Services Order Form
CDJ Scripts Drug Plan:
Required Notices:
- Medicare Part D Creditable Coverage Letter
- Marketkplace Notification – English
- Marketplace Notification – Spanish
- Annual Notification – English
- Annual Notification – Spanish
- SPECIAL ENROLLMENT NOTICE INSURANCE
- Premium Assistance Under Medicaid and the Chips Insurance
- HIPAA Privacy Rule and Security Standards
- Women’s Health Cancer Rights Act Notice Insurance
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