Eligibility

To purchase a Group Medicare Advantage Health Plan (effective beginning January 1, 2022) or a Medicare Supplement Health Plan medical plan (prior to December 31, 2021), you must be enrolled in Medicare Part A and Part B1 and satisfy the eligibility requirements listed below.

If you are a member of the clergy, you must:

  • Be a former employee of an Episcopal employer
  • Be age 65 or older
  • Have a vested benefit under the Clergy Pension Plan

If you were a lay employee or member of a religious order, you must:

  • Be a former employee of an Episcopal employer
  • At the time of your separation from your employment:
    • Have been an exempt employee OR
    • Have been a non-exempt employee scheduled to work, and compensated for, 1,000 or more hours per year for a minimum of five years
  • Be age 65 or older
  • And either:
    • Have participated in a pension plan sponsored by CPF for a minimum of five years OR
    • Be a former employee of a group that participated in a health plan offered through the Medical Trust

If you are a pre-65 retired employee who is disabled, you must:

  • Be certified as "disabled" based on the guidelines established by the Church Pension Fund 2
  • Be a former employee of a group that participated in a health plan offered through the Medical Trust and, at the time your employment ended, you were:
  • Participating in a Medical Trust plan, or were eligible to participate in a plan
  • At least age 55
  • If you are a cleric, you have a vested benefit under the Clergy Pension Plan
  • If you were a lay employee, have five or more continuous years of service with The Episcopal Church

If you are in Early Retirement, please call us at (800) 480-9967 Monday – Friday, 8:30AM – 8:00PM ET (excluding holidays) about your eligibility for Medical Trust health plans.

Your Dependents

Dependents must also be enrolled in Medicare Part A and Part B. Eligible dependents include your:

  • Spouse
    • If your spouse is over age 65 and you are an active employee, your spouse will be covered by your active medical benefits
  • Surviving spouse
  • Former spouse, provided the eligibility requirements are met
  • Domestic partner
  • Surviving domestic partner
  • Disabled dependent child, if the disability began before age 25
  • Surviving disabled dependent child, if the disability began before age 25

If you have questions, please call us at (800) 480-9967 Monday – Friday, 8:30AM – 8:00PM ET (excluding holidays).

 

1 Enrollment in Medicare Parts A and B is required for participation in the Group Medicare Advantage and Medicare Supplement Health Plan medical plans, but is not required for the dental plans.

2 You are considered disabled if you have a medically determinable physical or mental condition which prevents you from engaging in substantial gainful activity and which can be of long-continued or indefinite duration.

 

The Episcopal Church Medical Trust Disclaimer