Church Pension Group | Forms & Publications

Forms & Publications

Don't see what you need on this page?

Visit our Forms and Publications Library for all CPG documents.

 

You can ask for a paper copy of your Summary of Benefits and Coverage (SBC) at any time, free of charge. Go to Forms and Publications. Check the box next to the Summary you want and then click on Mail It to Me. You can also call Client Services at (800) 480-9967 Monday - Friday 8:30AM to 8:00PM ET (excluding holidays) to request a copy.

 

The Medical Trust can also provide an SBC in a Spanish, Chinese, Tagalog, and Navaho.

Active Clergy & Lay Employee Health Plan Information - 2023
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Active Clergy & Lay Employee Health Plan Information - 2022
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Handbook of plan details
115
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Handbook of plan details
110
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Handbook of plan details
188
To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement
5
N/A
Information for members on Consumer Directed Health Plans (CDHP) and Health Savings Account (HSA)
N/A
N/A
Retired Clergy & Lay Employee Health Plan Information - 2023
Title
What is this for?
Pages
A guide to the 2023 UnitedHealthcare® Group Medicare Advantage (PPO) plan
84
Group Medicare Advantage Annual Enrollment information for retirees/post-65 former employees
4
N/A
Kaiser Annual Enrollment information for retirees
4
N/A
To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement
5
N/A
Retired Clergy Health Plan Information - 2022
Title
What is this for?
Pages
A guide to the 2022 UnitedHealthcare® Group Medicare Advantage (PPO) plan
100
An introduction to plan benefits and how to manage your account
33
Annual Enrollment information for retirees who receive a post-retirement health subsidy
4
To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement
5
Retired Lay Employee Health Plan Information - 2022
Title
What is this for?
Pages
A guide to the 2022 UnitedHealthcare® Group Medicare Advantage (PPO) plan
100
An introduction to plan benefits and how to manage your account
33
Annual Enrollment information for retirees who do not receive a post-retirement health subsidy
4
To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement
5
Seminarian Health Plan Information - 2023
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Seminarians Health Plan Information - 2022
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Handbook of plan details
115
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Summary of Benefits and Coverage (SBC)
6
Handbook of plan details
110
Medicare Secondary Payer (SEE) Forms
Title
What is this for?
Contact Information
Eligibility for the Episcopal Health Plan for Qualified Small Employer Exception Members (the SEE Plan)
The Episcopal Church Medical Trust 19 East 34th Street, New York, NY, 10016 or fax to (212) 251-8891
Medicare Secondary Payer (SEE) Publications
Title
What is this for?
Pages
Medicare Secondary Payer - Small Employer Exception
5
Letter sent to members explaining Medicare Secondary Payer See program
2
Dental Plan Information - 2023
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
3
Summary of Benefits and Coverage (SBC)
2
Summary of Benefits and Coverage (SBC)
3
Dental Plan Information - 2022
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
3
N/A
Summary of Benefits and Coverage (SBC)
3
N/A
Summary of Benefits and Coverage (SBC)
3
N/A
Handbook of plan details
70
Denominational Health Plan
Title
What is this for?
Pages
2021 Annual Report on the Denominational Health Plan
6
N/A
2021 Annual Report on the Denominational Health Plan
6
N/A
2020 Annual Report on the Denominational Health Plan
3
N/A
2020 Annual Report on the Denominational Health Plan
3
N/A
2020 Annual Report on the Denominational Health Plan
3
N/A
2020 Annual Report on the Denominational Health Plan
3
N/A
2019 Annual Report on the Denominational Health Plan
3
N/A
2019 Annual Report on the Denominational Health Plan
3
N/A
2018 Annual Report on the Denominational Health Plan
3
N/A
2018 Annual Report on the Denominational Health Plan
4
N/A
2017 Annual Report on the Denominational Health Plan
4
N/A
2017 Annual Report on the Denominational Health Plan
4
N/A
2016 Annual Report on the Denominational Health Plan
3
N/A
2016 Annual Report on the Denominational Health Plan (Español)
3
N/A
2015 DHP Annual Report (English)
3
N/A
2015 DHP Annual Report (Español)
4
N/A
2014 DHP Annual Report (English)
8
N/A
2014 DHP Annual Report (Español)
7
N/A
Additional Benefits
Title
What is this for?
Pages
Get 24/7 help with behavioral health, family, and personal issues
2
N/A
For clergy to get 24/7 help with behavioral health, family, and personal issues
2
N/A
Emergency assistance available when traveling
6
A personal health advocate service to help you with healthcare and insurance issues
2
N/A
EyeMed Insight Network benefits for The Episcopal Church Medical Trust
2
Understand common healthcare terms
6
Regulatory Notices
Title
What is this for?
Pages
HIPAA Notice of Special Enrollment Rights
1
HIPAA Notice of Privacy Practices
5
Women’s Health and Cancer Rights Act Notice
1
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