Employer Information/Planning resources
Forms: New Hire, Benefits Enrollment/Change or Waiver of Coverage, Termination Paperwork
2023 Employee Data & Benefits Eligibility Form
2023 Medical / Dental Enrollment Form
Waiver of Medical/Dental Coverage for ACA Marketplace Coverage (for those enrolled in “ObamaCare” plans)
Waiver of Medical/Dental Coverage for Other Non-ACA Coverage (for those with spousal coverage, COBRA or other group plan)
Termination Packet (contains a Notice to Diocese, Extension of Benefits and Salary Continuation information and claim forms)
Health Insurance Plan Information/Customer Service
The following benefits are administered by the Episcopal Church Medical Trust. For more detailed information on plan design and policy information visit: www.cpg.org. For enrollment confirmations or general benefit questions the ECMT Client Engagement Center can be reached at 800.480.9967 (8 a.m. to 5 p.m. Pacific time).
Please review the plan summary/comparison document to determine which plan best meets your needs. For more details, visit www.cpg.org or call 1-800-480-9967.
Additional benefits for medical plan participants:
— Prescription drugs
— Mental health
— Hearing aids
— Travel assistance
— Your Health Advocate*
*Health Advocate: once enrolled in a medical plan, if you have questions about your medical care — from finding a doctor, to understanding your benefits, or resolving a claim — consult with your Health Advocate for assistance.
This complimentary, confidential service can help you navigate the healthcare system and make the most of your benefits. It is available to ECMT medical plan participating employees, their dependents, their parents and parents-in-law (even if they do not live with you).
Disability Benefits (Lay employees)
Short & Long-Term Disability benefits provided by Zurich* American Life Insurance Company through Church Pension Group. To verify your current coverage and benefits call CPG’s Client Services (866) 802-6333 or Zurich (800) 206-8826
*Aflac Acquires Zurich
On March 19, 2020, Aflac announced the agreement to acquire Zurich North America’s U.S. group benefits business, which includes their group disability products.
See New Brand, Same Experience for more information on the transition, and what it may mean for you.
Clergy Disability with Church Pension Fund
Clergy receive short and long-term disability benefits as part of their active participation in the Clergy Pension Plan. Click here to view A Guide to Clergy Benefits for more information.
Should you have any questions or concerns about the clergy disability benefit or claims process please visit www.cpg.org or call CPG at (855) 215-5990, Monday to Friday, 8:30AM – 8:00PM ET (excluding holidays). Or, email firstname.lastname@example.org.
Life Insurance $50K Group Term
(no enrollment form required — coverage automatic to employees working 30 or more hours per week)
Change of Elected Beneficiary Designation form (call 1.800.480.9967 for personal policy ID and return form directly to Church Life Insurance)
Summary of Group Life and Supplemental Group Life Insurance
Retiree Benefits with Church Pension Group
Customer Service: cpg.org
Healthcare Compliance Notices
Long Term Care Insurance provided by UNUM
LTC is offered to full-time employees but is not employer paid. Enrolled employees are responsible for the monthly premiums. For information packet and enrollment materials please click this link.