Site Administrator's Guide...In the past, the PPO Plan was offered to them since it was the only...
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2020-21 Benefits Site Administrator's Guide
Transcript of Site Administrator's Guide...In the past, the PPO Plan was offered to them since it was the only...
2020-21 Benefits
Site Administrator's Guide
2020 – 2021 Site Administrators Guide 1 Achdiocese of New Olreans Benefits Plans
What’s NEW for July 2020?
1. New Critical Illness and Accident Policies through Guardian: We are excited to announce two new
voluntary products: a Critical Illness and Accident plan. The Critical Illness plan provides a lump sum payment to you should you be diagnosed with a critical illness such as cancer, stroke or heart attack. The accident plan will also pay you a cash benefit for accidents and can help you pay for emergency room fees, x-rays and follow-up care.
2. Retiree Health Plan Change for Staff who are newly retiring: – On January 1, 2020, when the Archdiocese’s Plan moved to UMR, each covered Staff member became covered by the United Health Care Choice Plus National Network. As a result of having access to that national network, Staff who retire from this point forward should remain on the Plan they are enrolled in at the time of retirement. In the past, the PPO Plan was offered to them since it was the only option with a national network under BCBS. Those new retirees will have the ability to change plans during future Open Enrollments just like active Staff.
3. Update Pharmacy Drug List: United Healthcare’s Pharmacy Benefit Manager (PBM), Optum RX, reviews their prescription drug formulary list, or PDL, two times a year, once in January and once in July. The changes can mean a copay change for current medications someone is taking due to a Co-pay Tier change or possibly something not being covered any longer with an option for an alternative. The updated PDL can be found at https://nolacatholic.org/ano-staff-benefits-information Look for the section: ADDITIONAL BENEFITS INFORMATION> Prescription Info > Optum Rx Formulary; Optum Rx Exclusions.
4. Staff are being asked to make Open Enrollment changes DIRECTLY into the benefitsCONNECT System or through the BAC:
How does a Staff Member login to benefitsCONNECT? In your web browser, go to: https://enroll.benefitsconnect.net/archofno
All Users- USERNAME: is the first six letters of your last name (or your last name if it six letters or less), the first letter of your first name and the last 4 digits of your SSN. Example –Peyton Manning would be: manninp1234 PASSWORD: is your full SSN without any dashes. You will be prompted to change your password once your SSN is entered. Example –990001234
NOTE: If you had a previous login, your USERNAME and PASSWORD will be reset and you should follow the instructions above for All Users.
5. How does a NEW HIRE get entered into the benefitsCONNECT System? That depends on if you have the Payroll System and if there is an electronic connection set up between the payroll system and benefitsCONNECT. NO CONNECTION BETWEEN PAYROLL SYSTEM AND benefitsCONNECT: Site Administrator should manually enter new hire into both the payroll lsystem and the benefitsCONNECT system. Those locations that use a different payroll vendor other than Prime Pay will continue to add new hires into the payroll system and benefitsCONNECT or send a report to Duncan ([email protected] ) with new hires, terms and transfers to benefitsCONNECT to be uploaded into the system. CONNECTION BETWEEN Prime Pay System AND benefitsCONNECT: those Sites utilizing Prime Pay on an electronic feed from Prime Pay directly to benefitsCONNECT will only have to enter the new hire into Prime Pay and that information will electronically feed over to benefitsCONNECT where the Site Admin or Staff Member can start the enrollment into their benefits.
2020 – 2021 Site Administrators Guide 2 Achdiocese of New Olreans Benefits Plans
UMR (United Healthcare) – Billing General Information:
• Always include the Group ID (you will use the NEW UMR GROUP NUMBER FOR 1/1/2020) and your site’s alpha-numeric department code (subgroup ID) on all documentation.
o Invoices – The SUBGROUP ID identifies your location within the Archdiocese. Your subgroup is your two letter alpha code followed by ONE “0” (NOT TWO “0’s” as was previously required with BCBS).
Billing Information:
• Invoices – You will only have one invoice per location. Your Staff will be listed on the invoice. If you have retirees in your location, they will be on the billing in a retiree class. There is one total and you will submit one check. Do not take credits on the invoice for termination. The system will provide the appropriate credits once the paperwork is processed.
• New Hires – Please wait for your Staff to appear on the billing; do not add them to the invoice as the system will bill any back charges. In order for the changes and termination to be on the invoice, the Enrollment/Change must be recorded in the benefitsCONNECT System before the 15th of each month.
• Terminations – you may terminate coverage by logging into benefitsCONNECT. You may also seek assistance by calling the Benefit Advocate Center: 1-833-857-0755 or [email protected].
• Checks - Make checks payable to: Gallagher Benefit Services. Mail your check to Gallagher Benefit Services, PO Box 190, Selma, AL 36702-0190. Always put your group ID number and location ID on your check when you submit your payment.
IMPORTANT REMINDERS
• Your premium is due on the 1st day of the month. • Your premium is considered late if it is received after the 1st day of the month. • If your premium is paid late, claims will pend (not process) in the UMR system on the 1st day of the
month for dates of service on or after the 1st of the month. • A courtesy delinquency notice will be mailed on or around the 15th of the month to all delinquent
locations, and a copy will be sent to The Archdiocese Human Resources Department. • If payments are not made by the 15th of the month, claims will not be processed or paid because the
group account is not up to date. • The Archdiocese Benefits Advocacy (BAC) number is 1-833-857-0755. Staff members can contact this
number to check the status of enrollments, changes, request ID card, address changes and discuss claim issues.
2020 – 2021 Site Administrators Guide 3 Achdiocese of New Olreans Benefits Plans
Guardian – Billing (no changes to billing)
General Information: Always include the Policy # 538205 and your site’s division number on all documentation. This number will include your site name.
• Invoices – the division number identifies your location. Your division number will appear on your invoice. Please make sure you include the number/name of your site on all checks.
• New Hire Enrollment/Changes –All new hire enrollment and existing Staff changes can be entered into the benefitsCONNECT system.
Billing Information:
• Invoices – You will receive one invoice for dental, vision and voluntary life insurance. o All Staff will be listed for dental, vision and voluntary life coverage. For voluntary life coverage,
deductions and volumes for each Staff member will also be listed. o Each month, you will receive both a paper invoice and an email from Guardian telling you that
your bill is ready to view. Depending on your preference, you may mail your check each month or simply set up your location for an ACH draft.
o Do not add new Staff members to the invoice or take credits on the invoice for terminations. The system will provide the appropriate credits once any changes are processed. Please remember that there may be a lag time between adding/terminating Staff and when they will be added to /removed from your bill.
• Checks – please make checks payable to: Guardian. Mail your check to: Guardian – Appleton, P.O. Box
677458, Dallas, TX 75267-7458. Always put your site name and number on your check and include a copy of your invoice when you submit payment.
• Transfers – transfer records should be moved in the benefitsCONNECT system to the new location and the electronic data feed will send the information to Guardian.
IMPORTANT REMINDERS
1. Your premium is due on the 1st of the month. 2. Your premium is considered late if it is received after the 1st day of the month. 3. The Guardian Customer Service numbers are listed on your Carrier Contact Sheet. Staff can contact
Customer Service or go online to www.GuardianAnytime.com to view claims status, request Certificates of Coverage, and request or print ID Cards or they can contact the Archdiocese Benefits Advocacy Center at 1-833-857-0755 ([email protected]).
4. Dental and vision will be printed on the same ID Card. Staff members will continue to use their same card as last year.
2020 – 2021 Site Administrators Guide 4 Achdiocese of New Olreans Benefits Plans
Process Guide for all Transferring Staff
Within the Archdiocese of New Orleans
If you have a staff member who is transferring to another location within the Archdiocese of New Orleans, follow these guidelines for a smooth transition of their personal and benefit data.
o The data transfer process is critical for the transferring staff member as it provides continuity of insurance coverage as well as the continuation of contributions to retirement.
Releasing Entity Receiving Entity Payroll RELEASE the Staff from your Payroll records (they
are no longer active or inactive, they are “terminated”) and Designate as Transferred to another Arch location; DO NOT terminate their benefits record. **Make sure to communicate to the receiving location when this is completed. **
Create new Payroll record.
Health Insurance Enter transfer record in the benefitsCONNECT System. Or contact Duncan Hope to assist you.
Be sure there is no gap in dates of health insurance coverage. Check benefitsCONNECT record.
Dental/Vision/Company Paid Life/ Company Paid Disability/Accident / Critical Illness / Voluntary Life (VOL)
Enter transfer record in the benefitsCONNECT System.
Check benefitsCONNECT record.
401(k) Communicate to the receiving location the contribution percentage that the transfer Staff has for 401(k)
Have Staff Member call Voya to restart deferral.
Vacation Time The releasing location should pay out the accrued vacation time. (Remember: final paycheck is due 15 days after separation).
The receiving entity may consider allowing the transfer staff to continue accruing vacation at the same rate, if applicable. REMEMBER, do for all what you do for one.
If you have any questions about how to transfer your staff members, please call the Benefit Advocate Center or Office of Human Resources for the Archdiocese of New Orleans.
Benefits Advocacy Center Karen Heil Pam Power Jenny Bravo, HR Director Benefits Manager Gallagher Benefits
1-833-857-0755 504.310.8792 504.310.8793 NOLA Office 504.378.4680
[email protected] [email protected] [email protected] [email protected]
2020 – 2021 Site Administrators Guide 5 Achdiocese of New Olreans Benefits Plans
Frequently Asked Questions
1) What is the Benefit Advocate Center (BAC)? Gallagher, the Archdiocese’s new insurance consultants, offers benefits management and claims advocacy services through its Benefits Advocate Center (BAC). Most Staff service issues are initially handled by our dedicated Benefits Advocacy Center, our Staff member advocacy call center. The Advocate will work directly with Staff, family members and Site Administrators to fully research each issue with the carrier and provider until resolved. The BAC has an escalation process with carriers prior to initiating a member appeal. For issues of a clinical nature, we partner with the Carrier’s Nurses, registered nurses experienced in navigating the carrier’s claim system and interceding with providers to furnish the right information. The Advocate will escalate complicated, pervasive, sensitive or difficult-to-resolve issues to your core Gallagher account team for further action. Action could include escalation to senior management at the carrier, leveraging our book of business, researching into how other carriers handle the clinical protocols for that particular claim or procedure or how Reasonable & Customary (R&C) is determined, etc. While the issue is ongoing, the Advocate keeps the Staff member informed of the current status, as well as the provider if this is a billing issue, to prevent a collections issue.
2) How do we contact our Advocate at the Benefit Advocate Center? The Archdiocese has a dedicated toll free telephone number that dials directly into your Advocates. You or your Staff and their dependents can either call 1-833-857-0755 or email the BAC at [email protected].
3) When will my new hires become effective with UMR (a United Healthcare Company) and Guardian? They are effective the 1st of the month following Date of Hire. Benefit Elections must be completed, through the benefitsCONNECT system (see Page 11 for a benefitsCONNECT Q&A) or by calling the BAC. UMR Dos and Do nots DO use the Staff member’s benefits eligible date of hire, not the original date of hire if Staff
member was previously benefits ineligible. DO have Staff complete all the blanks for dependents they are covering DO keep a copy for your records. DO advise the Staff member that if they do not receive their ID cards from UMR within three
weeks to call the BAC or let you know. DO NOT send a copy of the form to UMR or Guardian; just keep for your records only
4) When do medical, dental and vision coverage end?
For Staff, coverage ends at the end of the month of termination. For dependent children, coverage ends at the end of the month of attainment of the limiting age or the date the staff member’s coverage ends.
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5) What are the UMR guidelines for “Special Enrollees” also known as Qualifying Life Events?
Anyone experiencing a QLE can call the BAC to make the appropriate changes to their benefit elections. Changes must be made within 30 days from the date of the event. If changes are requested after 30 days, the staff member will have to wait until the next open enrollment period.
6) Are health insurance waivers required and where are they to be filed? It is critical to obtain waivers so that both Site Administrators and Staff members agree on what benefits were elected/waived. Waivers provide documentation in claims disputes if a Staff member or their dependents question benefits offered. In addition, having the proper waiver on file for the medical plan will avoid any future penalties from the IRS for not offering coverage to your full time Staff. If a Staff member chooses to waive coverage, they need to decline coverage through the benefitsCONNECT system (see Page 11 for a benefitsCONNECT Q&A) or by calling the BAC.
7) Does UMR have a website to look up network providers and check the drug formulary? Yes, the website for Provider Network info is: www.umr.com. A separate instruction sheet can be found on the Archdiocese website. They can also call UMR and Optum Rx member services at the phone numbers indicated on their ID card or call the BAC for assistance.
8) What types of illnesses or injuries are covered under disability? Any non-occupational illness or injury for which a Staff member is absent or thinks they will be absent for 30 calendar days must be filed under short term disability.
9) How do I file a disability claim with Guardian? Guardian has a telephonic claims process, and claimants just need to dial 800-268-2525 for short term disability, then follow the prompts to provide details on when and how you can file a claim. They will need to provide their personal information, the nature of the claim, and contact information for the Site Administrator.
10) How do I file a critical illness or accident claim? You can reach out to Guardian via the worksite telephone number: 800-268-2525. You can also reach out through the email address as well. The Critical Illness product has its own contact email address: [email protected]. For Accident, you can reach out to [email protected]. A representative will walk you through all of the information they will need in order to help you file the claim.
11) What is HIPAA? The Health Insurance Portability and Accountability Act, better known as HIPAA, was signed into law on August 21, 1996. UMR and Guardian will not speak to anyone over the age of 18 except the patient
2020 – 2021 Site Administrators Guide 7 Achdiocese of New Olreans Benefits Plans
about their protected health information without a PHI Authorized Delegate Form. If you need help on any issues, you can call the Benefits Advocacy Center and they will guide you on what is needed.
12) How do Staff members access their vision benefits? Staff members get the most from their vision benefits when they visit a doctor in the VSP network. VSP’s provider network offers a wide choice of private practice optometrists, ophthalmologists and opticians. A VSP provider can be located by visiting www.vsp.com or calling VSP’s Member Services department at 800-877-7195. If a Staff Member cannot find his/her vision card, they only need to identify themselves as VSP members when scheduling appointments. If a Staff member visits an in-network provider for services and materials, they do not need an ID card or have forms to complete. If they visit and out-of-network provider for services and materials, they will be required to pay the full amount to the provider at that time. They can then submit a claim for reimbursement, which is a lesser benefit when compared to visit a VSP doctor.
13) What coverage does continuation apply? Under the Continuation Policy, Staff may elect to continue medical coverage only for up to one year.
14) How are Staff members enrolled in the 401(k)? How do they make changes? New Staff will receive a letter form Voya that alerts them when a minimum contribution will automatically be deducted. They will also receive a PIN in a separate letter. The Staff member may call or go to the Voya website to either opt-out or elect an amount greater than the minimum election. If the Staff member takes no action, they will automatically be enrolled at 4%. Beneficiary information should be captured on the form and maintained by the Site Administrator.
15) Is the Archdiocese paid Life Insurance benefit taxable?
Life insurance is a tax-free benefit in amounts up to $50,000. The Internal Revenue Service requires you to pay income tax on the value of any amount exceeding $50,000. The amount is typically small and goes unnoticed by most Staff members.
2020 – 2021 Site Administrators Guide 8 Achdiocese of New Olreans Benefits Plans
benefitsCONNECT Questions & Answers
1) How does a new Site Administrator login to benefitsCONNECT? Copy and paste the below web address and follow the instructions to create a login: https://benefitsconnect.net/archofno Please contact HR for your Username and Password if you are a new Site Administrator.
2) How does a Staff Member login to benefitsCONNECT https://enroll.benefitsconnect.net/archofno
First time users- Your username is the first six letters of your last name (or your last name if it six letters or less), first letter of your first name and the last4ofyourSSN Example –Peyton Manning would be: manninp1234 Your password is your full SSN without any dashes Example –990001234
Returning users- Your username is as above, and your password will be what you set it to when you logged in originally. If you entered your email address you will be able to reset your password if you have forgotten it.
3) How does a new hire get entered into the benefitsCONNECT System?
Depending on which payroll system you use, sites may or may not need to manually enter any new hires into both the payroll system and the benefitsCONNECT system until further notice.
Refer to your User Guide that was sent out by the Office of Human Resources for assistance in adding a new hire to the system.
If an error message pops up saying, “This SSN is already in the system.” (paraphrasing) this is because the staff member is already in the system, most likely in a different division. Please reach out to the previous site admin and request that they move the staff member’s division. You may have to re-elect their benefits if there is a change in the payroll frequency or deduction.
4) How are transfers processed in benefitsCONNECT from one site to another site?
Please refer to the answer to Question 3 for the proper process.
5) How are terminations entered into the benefitsCONNECT System?
Please refer to the answer to Question 3 for the proper process.
6) What if someone elects Continuation Coverage?
When someone terminates from the Archdiocese health plan, his/her date of termination should be entered into the benefitsCONNECT System by the Site Administrator. From there, benefitsCONNECT will send the terminated person a Continuation Notice and Election Form. Once the election form and payment has been returned to benefitsCONNECT, the person’s coverage will be reinstated for up to 12 months and their reenrollment will be communicated to the carrier electronically. Once the person’s continuation coverage is over, he/she will be notified by benefitsCONNECT and the coverage will terminate automatically through the System and with the health insurance carrier.
2020 – 2021 Site Administrators Guide 9 Achdiocese of New Olreans Benefits Plans
7) What information can the Benefits Advocacy Center (BAC) help me with as it relates to entering things into the benefitsCONNECT system? Staff members can call the BAC to make their benefit elections in benefitsCONNECT but only after they have been entered into the System. The BAC can also handle QLE’s and QMSCO’s for the Site Admins.
8) How are Qualifying Life Events processed? Anyone experiencing a QLE can call the BAC to make the appropriate changes to their benefit elections. Site Admins will be receiving a weekly report showing all of the changes made the prior week so they can update deductions accordingly.
9) How can I receive more training on the benefitsCONNECT system? There are several instructional videos and User Guides available on the Archdiocese website if you need additional training on the benefitsCONNECT system.
10) What is the process for those sites without Prime Pay for new hires, terminations, transfers and handle qualifying life event in the benefitsCONNECT system? Send a report to Duncan ([email protected]) with new hires, terms and transfers to benefitsCONNECT to be uploaded into the system. If they do not have a report then Site Admins will have to add them manually into the benefitsCONNECT system.
11) Where can I access Enrollment/Change Forms and New Hire Guides? All New Enrollment/Change Forms and Active and Retiree Benefit Guides can be found on the HR website.
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Archdiocese of New Orleans – Retiree Policy Effective 7/1/2004 Eligibility Requirements – in order to qualify for the retiree benefits a Staff member must have fifteen (15) continuous years of service with the Archdiocese and be between the ages of 55 and 65. The benefits are for the retiree and their qualified dependents. The retiree and his/her dependents must be enrolled on the Archdiocese’ health plan at the date of retirement. Eligibility in this plan will cease upon Medicare eligibility of the retiree. Upon Medicare eligibility of the retiree, the dependents only (if not eligible for Medicare) will be offered continuation of coverage. If a dependent becomes eligible for Medicare before the retiree does, the benefits will cease upon eligibility for the dependent, but will still be available for the retiree if not yet eligible. Only dependents at the time of the retirement are allowed to participate. No future dependents can be added no matter the circumstances. If a Staff member meets those requirements, he or she may participate in the retiree plan. Any pre-existing condition restrictions (if applicable) by the health carrier would apply. Effective Date of Benefits – if the retiree meets the basic requirements, the effective date of retiree benefits will be the first day of the month following date of retirement. Eligibility Notification – it is the retiree’s responsibility to communicate to the Site Administrator, their intent to apply for retiree benefits. The retiree will be required to submit to the Site Administrator (last employed) in writing the retirees intent to elect retiree benefits. The retiree will also be required to fill out the proper paperwork required to submit to the health carrier in order for the health carrier to receive the required forms within 30 days of the retiree date. Any forms submitted after this time will cause the retiree to forfeit their rights to benefits.
Duration of Eligibility – eligibility for retiree health benefits lasts until Medicare eligibility for the retiree. If the retiree has dependents, continuation will be available under the requirements of continuation (See Continuation of Coverage Policy). The Archdiocese reserves the right to alter or amend the retiree benefits. The benefits could also be terminated at the discretion of the Archdiocese if retiree benefits significantly impact benefits for the active Staff members. Work after Retirement – should a retiree re-qualify for eligibility in the Archdiocese’s active health plan on the basis of hours worked after the date of retirement, the retiree will be transferred to the active health plan for full benefits on the first date of the subsequent eligibility period. When the retiree is considered no longer an active Staff member, the retiree will be immediately returned to the retiree health plan until Medicare eligibility. Surviving Dependents of Retirees – any surviving dependents of retirees will be offered continuation of coverage for a maximum duration of 12 months as specified under the provisions of continuation of coverage.
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Archdiocese of New Orleans – Continuation Policy Effective 7/1/2004 Continuation shall only be available to a Staff member or dependent that has been continuously insured under the group policy or had similar benefits under any other group policy that it replaced, during the period of three consecutive months immediately prior to the date of termination. Continuation shall not be available for any person who is or could be covered by any other arrangement of hospital, surgical, medical coverage for individuals in a group, or eligible for Medicare within 30 days immediately following the date of termination, or whose insurance terminated because of fraud or because he failed to pay any required contribution for the insurance, or who is eligible for continuation. Continuation rights apply to medical coverage only. They will not apply to dental, vision, or any other benefits provided under the Archdiocese. A Staff member or dependent electing continuation shall pay to the Archdiocese, in advance, the amount of contribution required, but not more than the full group rate for the insurance applicable to the active Staff member or dependent under the group policy on the due date of each payment. The Staff member or dependent shall not be required to pay the amount of the contribution less often than monthly. In order to be eligible for continuation of coverage, the Staff member or dependent shall make a written election of continuation, on a form furnished by the Archdiocese and pay the first contribution, in advance, to the Archdiocese on or before the date on which the Staff member’s or dependent’s insurance would otherwise terminate. Such form shall be as prescribed in this Section. Continuation of insurance under the group policy of any person shall terminate on the earliest of the following dates:
The date 12 months after the date of the Staff member’s or dependent’s insurance under the policy would otherwise have terminated because of termination of employment or membership.
The date ending the period for which the Staff member or dependent last makes his required contribution, if he discontinues his contributions.
The date the Staff member or dependent becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a group.
The date on which the group policy it terminated. The qualifying events for Staff are:
Voluntary or involuntary termination of employment; or Reduction in the number of hours of employment, resulting in a loss of coverage under the policy.
The qualifying events for spouses are:
Voluntary or involuntary termination of the covered Staff’s employment; Reduction in the hours worked by the covered Staff, resulting in a loss of coverage under the policy; Covered Staff member’s becoming entitled to Medicare; Divorce from the covered Staff member; or Death of the covered Staff member
The qualifying events for the dependent children are:
Loss of “dependent child” status under the plan rules; or Death of the covered Staff member
Duration of benefit, regardless of the circumstances, is a maximum of 12 months.
©2018 Arthur J. Gallagher & Co. All rights reserved.
Welcome to Gallagher! Site Administrators: for issues or questions regarding your employee benefits,
please reach out to your team below. We look forward to assisting you.
Primary Contact:
Jenny Bravo Account Manager
Direct: 504.378.4680 | Fax: 504.872.3570 [email protected]
www.ajg.com
Secondary Contact:
Bianca Lombardino Account Coordinator Direct: 504.378.4613
[email protected] www.ajg.com
Revised 5/2019
7/1/2020 Carrier Contacts
Archdiocese Benefits Advocacy Center: For both Site Administrators and Staff for all Benefit Inquiries
Toll Free: 1-833-857-0755 or Email to [email protected]
7:00 AM to 6:00 PM CST Monday-Friday
Medical / Pharmacy Benefit Management: UMR (a UnitedHealthcare Company)/ OptumRx: Toll Free Member #: 1-800-826-9781 Toll Free Member Teladoc #: 1-800-835-2362 Group Policy #: - 76-413717
For Site Administrators ONLY: Billing Questions Claims Questions Billing Address Amy Jones: 334-605-1507 Contact the Archdiocese P O Box 190 [email protected] Benefits Advocacy Center Selma, AL 36702-0190 P.O. Box 190 1-833-857-0755 * Include copy of invoice,Selma, AL 36702-0190 [email protected] site name and number
Blair Barnes: 334-605-1012 [email protected]
Dental: Guardian (Group Policy # 538205)
For Members: For Site Administration ONLY: Billing Address Member Services (claims and eligibility) Membership/Eligibility/Billing Claims Guardian - Bethlehem 1-800-541-7846 Molly Bruch: 920-749-6169 P.O. Box 824404
[email protected] Philadelphia, PA 19182-4404 * Include copy of invoice, sitename and number
Vision: Guardian (Group Policy # 538205)
For Members: For Site Administrators ONLY: Billing Address Member Services (claims and eligibility) Membership/Eligibility/Billing Claims Guardian - Bethlehem 1-800-877-7195 Molly Bruch: 920-749-6169 P.O. Box 824404
[email protected] Philadelphia, PA 19182-4404 * Include copy of invoice, sitename and number
Voluntary Life/AD&D: Guardian (Group Policy # 538205)
For Members: Member Services (claims and eligibility) 1-800-525-4542
Life, STD, LTD (Archdiocese Paid): Guardian (Group Policy # 538205)
Life Member Services: 1-800-525-4542 For Site Administrators ONLY: STD Member Services: 1-800-268-2525 Membership/Eligibility/Billing Claims LTD Member Services: 1-800-538-4583 Molly Bruch: 920-749-6169
401(k): Voya For Staff: Information Line: 1-877-659-6995
For Site Administrators Only: Primary: Tina DeThomaso: 781-796-9899 Secondary: Tina Rice: 612-224-7031 [email protected] [email protected] Fax: 504-586-9000
Cancer Insurance: Pan American Life (not offered to new hires effective October 1, 2005) For Staff/Members (claims and eligibility): 1-877-569-3075
Site Administrators ONLY: Billing Address: Membership/Eligibility/Billing: Pan American Worksite Courtney Hatty: 504-566-3286 Department 1248 [email protected] P.O. Box 62640
New Orleans, LA 70162-2600 *Include a copy of your invoice and site name and number
Universal Life Insurance: Voya/Reliastar/Horizon Global (not offered to new hires effective July 1, 2006) For Staff/Members (claims and eligibility): 1-800-537-5024
For Site Administrators ONLY: Billing Questions: Account Manager: Billing Address: Dennis Berdera: 612-224-8619 Lindsay Swan: 781-796-9680 ReliaStar Life Insurance Co. Fax: 612-372-5301 [email protected] 3702 Paysphere Circle [email protected] Chicago, IL 60674-0037
*Include a copy of your invoiceand site name and number
VOYA Financial Employee Benefits P.O. Box 20 Minneapolis, MN 55440 Route 8964
Voluntary Life/AD&D: Guardian (Group Policy # 538205)
For Members: Member Services (claims and eligibility) 1-800-525-4542
Critical Illness and Accident: Guardian (Group Policy # 538205)
For Members: Member Services (claims and eligibility) 800-268-2525
Gallagher is our 3rd party insurance broker.
They act on behalf the Archdiocese for
medical, dental, vision, life and disability
coverage. Benefits Advocacy Center
1-833-857-0755
[email protected] Third party call center for all staff to answer
questions, enroll new hires, process Qualifying
Life Events, etc.
Continuation of Coverage
Blair Barnes, 334-605-1012
Contact information in red is for Site Admin use ONLY.
Do not share the information in red with your staff.
Billing Questions
Amy Jones, 334-605-1507
Gallagher or benefitsCONNECT Questions or
Benefits Advocacy Center issues
Jenny Bravo, 504-378-4680, [email protected]
Bianca Lombardino, 504-378-4613,
[email protected] Hope, 334-410-7078, [email protected]
Eligibility/Billing Claims
Molly Bruch, 920-749-6169, [email protected]
Dental, Vision, Worksite, Life and Disability Group Policy # 538205
Customer service for staff: 800-541-7846
https://www.guardiananytime.com
Customer Service for Staff:
800-835-2362
https://www.teladoc.com/
Medical
Group # 76-413717
Customer service for staff: 800-826-9781
https://member.umr.com
UMR Questions
Contact your Gallagher representatives
Health Coach Tawnya Ridi, DTR CDN
612-383-3849, [email protected]
Customer Service for staff: 877-659-6995
https://archdioceseno.voya.com
Tina DeThomaso, 781-796-9899,
Tina Rice, 612-224-7031,
Employee Assistance
Program (EAP)
Customer Service for staff:
1-800-386-7055
(Available 24 hours a day,
7 days a week*)
ibhworklife.com
User name: Matters
Password: wlm70101
Updated: 2/2020
504-301-3318
888-697-0021
Help is just a phone call or email away!
The Archdiocese of New Orleans Benefits Advocacy Center will offer one-
on-one assistance with your employee benefits.
• Explaining your Benefits
• Finding Providers
• Enrollment Questions
• Ordering ID Cards
• Provider Networks
• Billing Issues and Bill Bundling
• Qualifying Life Events
• Claims Resolution
• Appeal Letter writing assistance
• Continuation questions
• Enrollments: Annual, New
Hire, Qualifying Events
• Maintain eligibil ity: Age
Limit Reports, Dependent
Verification, Pending
Enrollments, and
EOI monitoring
• QMSCOs/ QDROs
• Carrier Discrepancy Reports
• Terminations
• Password Resets
BENEFITS ADVOCACY CENTER
1-833-857-0755
bac. anobenefits@ ajg. com
MONDAY - FRIDAY
7:00 am – 6:00 pm
Central Time
