DioCal Employee Benefits

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Employer Information/Planning resources

2019 Overview of Employee Benefits Program
2019 Benefit Rate Sheet
At-A-Glance: Customer Service Contacts for all benefit providers

Forms: New Hire, Benefits Enrollment/Change or Waiver of Coverage, Termination Paperwork

2019 Employee Data & Benefits Eligibility Form
2019 Medical / Dental Enrollment or Change Form
Waiver of Medical/Dental Coverage for ACA Marketplace Coverage  
Waiver of Medical/Dental Coverage for Other Non-ACA Coverage
Salary Continuation (unemployment) Benefits Information and Application
Termination Packet

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/comparaison 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
        — Vision
        — 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).

For details:

  • Download the Health Advocate brochure.
  • Sign in to Health Advocate (password: episcopal).
  • Call (866) 695-8622, 24 hours a day, 7 days a week. Normal business hours are Monday through Friday, 8:00AM to 9:00PM ET.

Disability Benefits (Lay employees)

Liberty Mutual
Website: mylibertyconnection.com (Company Code: CPG-EE)
Phone: 1-877-225-1740
Short-Term Disability Insurance Summary of Benefits
Long-Term Disability Insurance Summary of Benefits
Reporting Your Disability Claim

CPG Liberty Mutual Long-term Disability Certificate of Coverage & Plan Benefits
CPG Liberty Mutual Short-term Disability Certificate of Coverage & Plan Benefits

Clergy Disability with Church Pension Fund

New claims may be submitted directly to Liberty Mutual either by:

·        Visiting www.mylibertyconnection.com using company code “CPG-EE”
·        Calling Liberty Mutual at (877) 225-1740

Generally, the claim MUST be submitted within the first 60 days of disability to receive the full benefit. Click here to view A Guide to Clergy Benefits for more information.

Click on Reporting Your Disability Claim to view this checklist for online or telephonic claims submission, and a fillable medical release form. 

Should you have any questions or concerns about the new Clergy STD intake process, please contact CPG at (855) 215-5990, Monday to Friday, 8:30AM – 8:00PM ET (excluding holidays). Or, email admin-assist@cpg.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.