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News Release -- February 23, 1999
Update on insurance plans
- Claims Processing Deadlines
- Deadline for Updates
- If Medical Card Does Not Arrive
- New Monthly Billing Cycle
- Delinquency Policy
- Salary Updates Due
- Good News for SOME Active Members
- Reduced Rates for Two Years - Ministers Group (Medicare Primary Retirees)
- Income Tax Filing
- Life and Long Term Disability Rates
Claims Processing Deadlines
Brethren Medical Plan members will have a six-month period of time beyond 1998 for claims to be processed under the current self-insured arrangement.
- For dates of service through December 31, 1998 - Submit your claims to
the appropriate place listed below so that they are received by
June 30, 1999. Claims received after June 30, 1999, will not be
considered eligible for benefits.
Members who are in the Capp Care Network should submit their claims to Capp Care, P.O. Box 6240, Newport Beach, CA 92658.
Members who are in the Valley Health Plan Network or the Standard Indemnity Plan should submit their claims to Brethren Medical Plan, 1505 Dundee Avenue, Elgin, IL 60120.
- For dates of service on or after January 1, 1999 - Submit these claims
directly to your new insurance company.
Deadline for Updates
The Brethren Medical Plan must notify your new insurance company
of changes in your eligibility or dependent coverage within 31
days of their occurrence. Some changes that require notification
are:
- marriage
- birth or adoption of a child
- graduation of a child
- death of a spouse or a child
Please send changes promptly. Coverage for new dependents
will not be available until the first of the following year unless
your new insurer is notified by the Brethren Medical Plan within
31 days from the date of the change.
If Medical ID Card Does Not Arrive
If you require medical care on or after January 1, 1999, but
do not have your new ID card, use a copy of your enrollment form
for identification when seeking medical care.
New Monthly Billing Cycle
In January the Brethren Medical Plan changes to a monthly biling
cycle. Effective January 1, 1999, look for your insurance bill
to arrive monthly, not quarterly.
Delinquency Policy
Our delinquency policy is under review. Look for the revised
policy with your next insurance billing.
Salary Updates Due
Please complete the update form on the reverse of your INVOICE
and return to Church of the Brethren Benefit Trust, Inc., P.O.
Box 12048, Newark, New Jersey 07101-5048 with your January payment.
This information is necessary for calculating your long term
disability contribution and benefit. Be sure to include your
1999:
- Base Cash Salary and
- Housing Information
Good News for SOME Active Members
If you are enrolled with MAMSI in their Standard Indemnity Plan,
you received incorrect deductible information in your packet.
Please note the correct information below.
| INCORRECT:
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You pay $300 deductible per member but no more than $600 deductible
per family per calendar year.
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| CORRECT:
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You pay $100 deductible per member but no more than $200 deductible per family per calendar year.
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Please note: If you are in the PPO or POS plan, the out-of-network
benefits are $300 per member, not to exceed $600 per family.
Reduced Rates for Two Years Ministers Group (Medicare Primary Retirees)
A two-year premium subsidy has been approved for Medicare Primary
members of the Ministers group. What does this mean for you?
If you are Medicare Primary, this means reduced premium payments
OR, if you have not yet enrolled, an opportunity to reconsider
renewing your insurance coverage.
If you have already renewed your medical insurance for 1999,
your monthly premium has changed.
| Optimum Choice HMO
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Original Rate
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Revised 1999 Rate
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Savings per Month
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Single
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$143.46
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$112.43
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$31.03
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Two People
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$276.88
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$226.62
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$50.26
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Family
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$444.70
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$444.70
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0
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| Optimum Choice POS
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|
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Single
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$162.21
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$131.18
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$31.03
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Two People
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$313.07
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$262.81
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$50.26
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Family
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$502.84
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$502.84
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0
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| MAMSI PPO and Standard
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Single
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$168.69
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$137.66
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$31.03
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Two People
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$325.57
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$275.31
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$50.26
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Family
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$522.92
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$522.92
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0
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If you have not renewed your medical
insurance, this is your opportunity to reconsider. From the materials
previously sent to you, simply complete the enrollment form that
applies to the coverage you are choosing. Send the form to the
Brethren Medical Plan Office by December 21. Your insurance will
go into effect on January 1, 1999.
Very Important: Be sure to
keep your copy of the renewal form. You will need to show it
to your provider for identification if you seek medical care
before your new ID card arrives.
The two-year subsidy is intended to help you through this transitional
time and give you the opportunity to review all your insurance
options. Please contact the Brethren Medical Plan Office if you
have any questions.
Note This for Income Tax Filing
If you itemize medical expenses when completing your 1998 tax
return, you may wish to include the amount you contributed toward
your Brethren Medical Plan premium. The amounts below are correct
IF you meet the following conditions:
- You were an active participant all
of 1998 and did not change coverage (i.e., from single to family
or from family to single).
- You were an active participant for
all of 1998 (working 20 hours per week or more).
- You paid 1/3 of your premium and
your employer paid 2/3.
1998 Premium Calculations
| Coverage
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Standard
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Capp Care/ VHP
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>Keystone Central
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Keystone West
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HealthGuard
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| Employee
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$825.24
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$714.84
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$685.24
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$713.56
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$708.92
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| Employee + spouse
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-------.---
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-------.---
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$1461.24
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$1594.76
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$1457.40
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| Employee + child(ren)
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-------.---
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-------.---
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$1068.76
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$1314.96
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$1154.40
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| Family
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$2946.00
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$2551.80
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$1720.40
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$1972.36
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$2031.24
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If you do not meet the preceding
conditions and wish to know your total premiums paid, please
call Lori Rotundo or Nancy Miner at the Brethren Medical Plan
Office (800-746-1505 or 847-695-0200).
Life and Long Term Disability Rates
The rates for Life and LTD Insurance will remain the same for
1999. If you have medical insurance, any increases or decreases
in your total premium are the result of that coverage. Changes
in salary will affect LTD contributions.
Life Rates
| Active (under age 65)
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$20.00/mo.
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$50,000 coverage
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| Active (age 65 and over)
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$10.40/mo.
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$26,000 coverage
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| Retired
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$2.78/mo.
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$7,500 coverage
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Long Term Disability Rates
LTD rates are calculated using the
following formula: 51 cents per $100 of insured wages. See the
enclosed worksheet for details.
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