Board of Medical Benefits

Important Announcements

Open Enrollment is during the month of October.  All enrollment and change forms must be received in our office by October 31.

2016 Rates

The rates for the active plan remain unchanged for 2016.

1

For Clergy appointed to local church

  Basic Plan 2016 Rate paid by Check    2016 Rate   paid by    Draft 
  Employee Rate  $            132    $            129
  Spouse under 65 Includes Employee  $            607    $            594
  Dependents Includes Employee  $            527    $            515
  Full Family Includes Employee  $            805    $            787
  High Deductible Plan      
  Single Rate  $             86    $             84
  Spouse under 65 Includes Employee  $            498    $            488
  Dependents Includes Employee  $            426    $            416
  Full Family Includes Employee  $            662    $            647
         

2

For eligible Clergy and laypersons employed by other non-mission share apportioned salary paying entities or clergy on leave status

  Basic Plan 2016 Rate paid by Check    2016 Rate paid by Draft 
  Employee Rate  $            814    $            811
  Spouse under 65 Includes Employee  $         1,289    $         1,276
  Dependents Includes Employee  $         1,209    $         1,197
  Full Family Includes Employee  $         1,487    $         1,469
  High Deductible Plan      
  Single Rate  $            768    $            766
  Spouse under 65 Includes Employee  $         1,180    $         1,170
  Dependents Includes Employee  $         1,108    $         1,098
  Full Family Includes Employee  $         1,344    $         1,329
         

3

ANCILLARY COVERAGES

  (Must be enrolled in Conference health plan to be eligible for dental and vision coverage)
  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
         
  NOTE APPLIES TO ALL PLANS:      
  1.  5% Late charge if payment is not received 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.
 

Enrollment Information

The following are the enrollment and Clergy forms for our medical plan - Blue Cross and for our ancillary products - EyeMed and Delta Dental. The forms must be completed and faxed to 601-326-0568. You will be notified before the commencement date of the policy.

Blue Cross Blue Shield

Summary Benefits Coverage of the Standard Conference Employee Medical Benefits Plan

Summary Benefits Coverage of the High Deductible Conference Employee Medical Benefits Plan

Blue Cross Blue Shield - New Enrollee

Blue Cross Blue Shield - Change Form

Blue Cross Blue Shield Customer Service

Delta Dental

Delta Dental - Enrollment/Change Form

Delta Dental - Benefit Summary

Delta Dental Website

EyeMed

EyeMed - Enrollment/Change Form

EyeMed - Benefit Summary

EyeMed Website

Amazing Pace

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>>

Wellness Program

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>>

Web site
Click here to visit the Amazing Pace Web site>>

Other Important Information

Draft Authorization Form

HIPAA Notice of Privacy Practices

Notice to Retirees About Medicare Part D

Contact Sheila Owens, sowens@mississippi-umc.org or 769-243-7022 in the conference office for more information about the conference's insurance plan.