DIOCESAN POLICY for Employee Health Insurance
Policy on Healthcare Benefits (effective January 1, 2016)
ENROLLMENT FOR EMPLOYEE HEALTH INSURANCE
Enrollment for newly hired employees
Employees newly hired have a 30-day open enrollment period in which to enroll in health coverage. Contact awagner@iowaepiscopal.org for enrollment information.
Annual Enrollment for all eligible employees in the Diocese of Iowa
2025 Annual Enrollment runs from October 16 to November 15, 2024.
Introducing Quantum Health! The Medical Trust is enhancing its plans with healthcare coordination services from Quantum Health (Quantum) by providing a simplified single healthcare navigation platform for accessing member services, provider services and clinical/care coordination. Beginning January 1, 2025, Quantum’s care coordinators—nurses, benefits experts, and claims specialists familiar with our membership and our plans—will guide members enrolled in those plans as they navigate today’s complex healthcare system.
During Annual Enrollment, Quantum will be available at 866-871-0629 to Anthem members (and potential members) who want help reviewing existing benefits, understanding plan options, and choosing the right plan for themselves and their families. .
During annual enrollment:
Eligible employees not currently enrolled in an Episcopal health or dental plan have the option to join a plan. Complete the Enrollment Form and return to Anne Wagner BEFORE November 15.
Eligible non-participating dependents may be added to a member’s plan, and participating dependents may be removed from a member’s plan, without the need to demonstrate a qualifying event.
Contact Anne Wagner at awagner@iowaepiscopal.org for more information
HEALTH PLANS & COSTS:
In 2024 and 2025, the approved plans will be based on 2-tiers of either Single or Family coverage. There are three plan options for active employees; one PPO and two high deductible plans.
For active employees 65 and enrolled in Medicare Part A there is a Medicare Secondary Payer plan (MSP PPO 80). If you are approved and enrolled, Medicare is the primary payer of your claims covered under Medicare Part A. The Anthem PPO 80 MSP/SEE Plan will act as secondary payer of claims. The Plan will coordinate benefit payments with Medicare so that any claims not paid by Medicare will be processed under the MSP/SEE Plan. If you are enrolled in Medicare Part B, the Plan will coordinate with Medicare. Otherwise, for all Benefits covered by Medicare Part B, such as doctor visits, outpatient procedures, and some prescription drugs, your Anthem plan will remain the primary payer of your Benefits.
2024 Health Plan Summaries
2025 Summaries coming soon!
Contact Anne Wagner for more information.
ELIGIBILITY
Employees:
Employees that are normally scheduled to work 1,000 or more compensated hours per year in the Diocese of Iowa are elligible to participate in diocesan-sponsored health plans.
Employees that work 1,500 or more hours per year (~30 hours/week) must be enrolled in an approved Episcopal Health Plan unless they have coverage from an approved source. Approved sources may include coverage through a spouse or partner's employment, benefits through a government-sponsored program such as Medicaid or TRICARE, or coverage from a previous employer.
Dependents:
A Spouse
A Child who is 30 years of age or younger on December 31st of the current year
A Disabled Child, 30 years of age or older on December 31st of the current year, provided
the disability began before the age of 25
INSURANCE FORMS
ENROLLMENT FORM for Health and Dental Coverage
CHANGE FORM for Health and Dental Coverage
For questions or enrollment information please contact Anne Wagner at the Diocesan office.
