Blue Cross Blue Shield Customer Service
Summary Benefits Coverage of the Standard Conference Employee Medical Benefits Plan
Certificate of Coverage of the Standard Conference Employee Medical Benefits Plan
Summary Benefits Coverage of the High Deductible Conference Employee Medical Benefits Plan
Certificate of Coverage of the High Deductible Conference Employee Medical Benefits Plan
Notice to Retirees About Medicare Part D
Healthy You Reward
Conference health benefit participants: Download this form and take it with you to your physician's office this year during your annual physical exam. You then submit the form by mail, fax or email to be processed for the reward. Click here to view and print the form>>
Web site
Click here to visit the Amazing Pace Web site>>
| Basic Plan | 2013 Rate paid by Check | 2013 Rate paid by Draft |
| PREMIUM CATEGORY | ||
| Salary Paying Unit | $ 682 | $ 682 |
| Employee Rate | $ 125 | $ 123 |
| Spouse under 65 | $ 593 | $ 582 |
| Dependents | $ 513 | $ 503 |
| Full Family | $ 784 | $ 769 |
| *Participant on Medicare A & B | $ 342 | $ 335 |
| Spouse on Medicare A & B | $ 342 | $ 335 |
| *Retiree credit is based on $7 per service year per month as recorded by the General Board of Pension at retirement of clergy. We round down to the full year and the maximum is 35 years | ||
| High Deductible Plan | 2013 Rate paid by Check | 2013 Rate paid by Draft |
| PREMIUM CATEGORY | ||
| Salary Paying Unit | $ 682 | $ 682 |
| Employee Rate | $ 105 | $ 103 |
| Spouse under 65 | $ 511 | $ 501 |
| Dependents | $ 437 | $ 429 |
| Full Family | $ 667 | $ 654 |
| NOTE APPLIES TO ALL PLANS: | ||
| 1. 5% Late charge if not paid by the 25th of the month | ||
| 2. At the death of the clergy, surviving spouses who are on the plan may continue at the lower of the 2 rates prior to the clergy death. | ||
| ANCILLARY COVERAGES | ||
| Dental Rates | check | draft |
| Employee | $ 35 | $ 34 |
| Employee + 1 | $ 77 | $ 75 |
| Family | $ 109 | $ 106 |
| Vision Rates | check | draft |
| Employee | $ 8 | $ 7 |
| Employee/Spouse | $ 13 | $ 12 |
| Employee/Child | $ 14 | $ 13 |
| Family | $ 20 | $ 19 |
All participants in the conference health insurance plan may participate in the Amazing Pace wellness program at no charge. Get moving and earn rewards! Click here to learn more>>
Disease management is a service available to all participants in the conference health insurance plan. Those who choose to use disease management will receive coaching from an Optimal Health Guide. For more information, call 1-800-367-9938 ext. 238, Monday through Friday from 7:30 a.m. to 5:30 p.m., or e-mail optimal@medicalcost.com.
The following are the enrollment and Clergy forms for our medical plan - Blue Cross and for our ancillary products - EyeMed and Delta Dental. The foms must be completed and faxed to 601-948-5980. You will be notified before the commencement date of the policy.
Blue Cross Blue Shield - New Enrollee
Blue Cross Blue Shield - Change Form
Delta Dental - Enrollment/Change Form
Delta Dental - Benefit Summary
EyeMed - Enrollment/Change Form
Contact Larry Davis, larry@mississippi-umc.org or 601-345-8222 in the conference office for more information about the conference's insurance plan.