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. Please see our Notice of Nondiscrimination policy page or call Client Services for more information.

Active Clergy & Lay Employee Health Plan Information - 2021
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)
2
Summary of Benefits and Coverage (SBC)
6
Information for members on Consumer Directed Health Plans (CDHP) and Health Savings Account (HSA)
6
Active Clergy & Lay Employee Health Plan Information - 2020
Title
What is this for?
Pages
Handbook of plan details
107
Summaries of benefits
6
Summaries of benefits
6
Summaries of benefits
6
Plan handbook
106
Summaries of benefits
6
Summaries of benefits
6
Summaries of benefits
6
Handbook of plan details
106
Summaries of benefits
6
Summaries of benefits
6
Summaries of benefits
6
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) for 2019-2020
6
Retired Clergy Health Plan Information - 2020
Title
What is this for?
Pages
Medicare costs and Medicare Supplement plan comparisons
2
Annual Enrollment information for retirees who receive a Medicare Supplement Health Plan subsidy
8
N/A
Annual Enrollment information for retirees who do not receive a Medicare Supplement Health Plan subsidy
8
N/A
The official US Government Medicare Handbook for 2020
120
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 Lay Employee Health Plan Information - 2020
Title
What is this for?
Pages
Medicare costs and Medicare Supplement plan comparisons
2
Annual Enrollment information for retirees who do not receive a Medicare Supplement Health Plan subsidy
8
N/A
The official US Government Medicare Handbook for 2020
120
N/A
Seminarians Health Plan Information - 2021
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
Information for members on Consumer Directed Health Plans (CDHP) and Health Savings Account (HSA)
6
Seminarians Health Plan Information - 2020
Title
What is this for?
Pages
Handbook of plan details
107
Summaries of benefits
6
Summaries of benefits
6
Plan handbook
106
Summaries of benefits
6
Summaries of benefits
6
Information for members on Consumer Directed Health Plans (CDHP) and Health Savings Account (HSA) for 2019-2020
6
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 - 2021
Title
What is this for?
Pages
Summary of Benefits and Coverage (SBC)
3
Summary of Benefits and Coverage (SBC)
3
Summary of Benefits and Coverage (SBC)
3
Dental Plan Information - 2020
Title
What is this for?
Pages
Summaries of benefits
2
Denominational Health Plan
Title
What is this for?
Pages
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
Notice of Nondiscrimination
2
Women’s Health and Cancer Rights Act Notice
1
Health News
Title
What is this for?
Pages
Exploring strength in community
1
Inspiration to meet your goals
1
Fall colors: The changing seasons of life. Preparing for the times ahead.
1
Summer wellness: what to do when the heat is on!
1
Planting the Seeds for Your Tomorrow
1
Being SMART about the New Year
1
* Our online documents are available for immediate download and viewing using Adobe's FREE Acrobat Reader.

Health benefits are offered through plans maintained by Church Pension Group Services Corporation (doing business as The Episcopal Church Medical Trust), 19 East 34th Street, New York, NY 10016.

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