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Forms & Publications

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.

 

To request a copy by mail, check the box next to the title and click 

Retired Clergy Health Plan Information - 2020

  Title What is This For? Pgs
Medicare Supplement Handbook 2020 Plan handbook

155

Medicare Comparison Chart 2020 Medicare costs and Medicare Supplement plan comparisons

2

N/A Retiree Annual Enrollment with Subsidy Letter-Sept 2019 Annual Enrollment information for retirees who receive a Medicare Supplement Health Plan subsidy

8

N/A Retiree Annual Enrollment Non-Subsidy Letter-Sept 2019 Annual Enrollment information for retirees who do not receive a Medicare Supplement Health Plan subsidy

8

N/A Medicare and You 2020 The official US Government Medicare Handbook for 2020

120

N/A Understanding Health Plan Options for Employees Age 65+ To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement

5

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To request a copy by mail, check the box next to the title and click 

Retired Clergy Health Plan Information - 2019

  Title What is This For? Pgs
Medicare Supplement Handbook - 2019 Plan Handbook

128

N/A 2019 Annual Enrollment-Retiree Subsidy Letter Announcing Annual Enrollment dates and medicare supplement information for retirees

8

N/A 2019 Annual Enrollment-Retiree Non-Subsidy Letter Announcing Annual Enrollment dates and medicare supplement information for retirees not eligible for Subsidy

8

N/A Medicare & You 2019 The official US Government Medicare Handbook

120

N/A Medicare Comparison Chart 2019 Medicare costs and Medicare Supplement plan comparisons

2

N/A Understanding Health Plan Options for Employees Age 65+ To help employers and employees understand health plan coverage options for active clergy or lay employees, or those returning to work after retirement

5

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To request a copy by mail, check the box next to the title and click 

Dental Plan Information - 2019

  Title What is This For? Pgs
Cigna Dental Handbook - 2019 Handbook of plan details

76

Cigna Preventive Dental PPO - 2019 Summary of benefits

6

Cigna Basic Dental PPO - 2019 Summary of benefits

6

Cigna Dental & Orthodontia PPO - 2019 Summary of benefits

6

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To request a copy by mail, check the box next to the title and click 

Popular Forms

Title What is This For? Pgs
Retiree Group Medical and Dental Enrollment Form - 2019 To enroll in Medicare Supplement and dental plans if you are retired and enrolled in Medicare Part A and B.

2

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To request a copy by mail, check the box next to the title and click 

Your Health Records

Title What is This For? Contact Information
Charting a Healthy Course Personal Health Record

Personal Health Record To maintain and organize personal health records and information

Personal Medical Record Personal Medical Record

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To request a copy by mail, check the box next to the title and click 

Health News

  Title What is This For? Pgs
Health News, Spring 2018 Exploring strength in community

1

Health News, Winter 2018 Inspiration to meet your goals

1

Health News, Fall 2017 Fall colors: The changing seasons of life. Preparing for the times ahead.

1

Health News, Summer 2017 Summer wellness: what to do when the heat is on!

1

Health News, Spring 2017 Planting the Seeds for Your Tomorrow

1

Health News, Winter 2017 Being SMART about the New Year

1

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* 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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