Catholic Diocese of Jackson
Assured Benefits Administrators (ABA)
- Welcome to ABA
- ABA Member Portal and App
- CAREVALENT – Facilities Only Coverage (Effective 01/01/2019)
- Mississippi Physicians Care Network
Offering Sheets for 2019
- CDJ – Offering – Jan 2019
- CDJ – Offering for Priests – Jan 2019
- CDJ – Offering PT – Jan 2019
- CDJ – Wellness Benefits
- CDJ – MPCN Labs – Jan 2019
- CDJ – Pre-Authorization Handout
- CDJ – Provider Communication
Health Insurance Plans for 2019
- ABA SPD 70/30 Base Plan – Restated Jan 2019
- ABA SPD 80/20 Buy Up Plan – Restated Jan 2019
- ABA SPD Priest Medical – Restated Jan 2019
- ABA – Claim Form
- Call-A-Doc Brochure
- Call-A-Doc Enrollment Guide
- The Hartford – Medicare Supplemental Plan F
Dental Insurance Plans:
- ABA – Employee Dental Plan
- ABA – Priest Dental Plan
- ABA – Dental Plan Amendment
- ABA – Dental Benefit Summary
- ABA – Claim Form
FSA Medical and Dependent Care Plans through Consumer Choice
- Wex FSA-withrollover fact sheet 10.22.18
- Wex FSA-with rollover FAQ 10.22.18
- Elligible Inelligible Expense FSA Only
- FSA Amendment to Cafeteria Plan
- CCP – FSA Claim Form and Direct Deposit Agmt Signature
- Authorization to Use/Disclose Protected Health Information
Vision Insurance Plans:
Allstate Cancer Plan:
- Allstate Group Cancer Brochure
- Allstate Cancer Claim Form
- Allstate Disability Claim Form
- Allstate Wellness Claim Form
Ameritas Hearing & LASIK Plans:
CIGNA Heart Attack & Stroke Plans:
- CIGNA Heart Attack & Stroke Policy
- CIGNA Heart Attack & Stroke Rates
- CIGNA Heart Attack Stroke Application
- CIGNA Heart Attack Stroke Claim Form
Mutual of Omaha Benefit Plans:
- Mutual of Omaha Group Term Life Policy
- Mutual of Omaha Group Term Life Summary
- Mutual of Omaha Life Claim Form (Proof of Death)
- Mutual of Omaha Accidental Death Claim Form
- Mutual of Omaha PRIESTS Group Term Life Policy
- Mutual of Omaha PRIESTS Group Term Life Summary
- Mutual of Omaha Diocesan Long Term Disability Policy
- Mutual of Omaha Long Term Disability Claim Form
- Mutual of Omaha Employee Assistance Program
Mutual of Omaha Voluntary Plans:
- Mutual of Omaha Group Accident Policy
- Mutual of Omaha Group Accident Claim Form
- Mutual of Omaha Short Term Disability Policy
- Mutual of Omaha Short Term Disability Claim Form
- Mutual of Omaha Voluntary Term Life Policy
- Mutual of Omaha Life Claim Form (Proof of Death)
- Mutual of Omaha Accidental Death Claim Form
- Mutual of Omaha Evidence of Insurability
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