• Eligible Participants:
• All active, full-time pastors of the E.C. Church must participate in the insurance plan as administered by the Benefits Corporation. [This insurance coverage is also available to others in related ministries and to part-time pastors employed a minimum of 25 hours of the E.C. Church as outlined in the By-Laws of the Benefits Corporation.]
• Spouses of eligible pastors and their dependent children until age 18 (or age 23, if full-time students) may also be covered by the insurance plan administered by the Benefits Corporation.
• Enrollment/application process
• Open enrollment is one month prior to our renewal date
• For new employees or changes in family/dependent status (birth, adoption, marriage, death, child no longer a full-time student) these can be made at any time.
• Contact Benefits Corporation Business Office (1-800-866-7581) for enrollment packet or to notify the Corporation of any change in your family/dependent status.
• The Board of Trustees annually reviews and selects the insurance plan, sets the annual insurance rates and policies regarding the plan.
• Premiums are...
• Paid to the Benefits Corporation
• Due monthly into the E.C. Church Business Office by the 15th of each month (Premiums are due a month in advance).
• Premiums are paid by the employing Church, National Conference or denominational Board, Commission or Agency.
• Contact Benefits Corporation at E.C. Church Center for current rate/premium schedule.

Insurance Provider:
AETNA Insurance Co.
P.O. Box 14586
Lexington, KY  40512
Member Services:  1-888-522-8742

Group #: 001456-20-066

FOR ALL QUESTIONS REGARDING BENEFITS AND CLAIMS
Call Corporate Synergies at our BENEFITS VIP SERVICE HOTLINE
1-877-236-8477 -- Jennifer Hui, VIP Service Representative

Basics of the Plan:  HMO Open Access (for all participants, except a few 'out-of-area' who are on a PPO-OOA)

AETNA HMO Flex Plan -- OPEN ACCESS

No annual Deductible
Open Access - no referral needed from Primary Care Physician for 2nd opinion
No annual Deductible
Out of Pocket Maximum: $1500 (/individual); $3000 (/family)
         (excludes deductibles/co-pays)
Primary Office Visit: $25
Specialist Office Visit: $35
Chiropractic Visits: $30 co-pay (up to 20 visits)
Emergency Room: $100 co-pay
In-patient Hospital: $500 co-pay
Prescription Drugs Retail: $20/$30/$45
Prescription Drugs Mail Order: $40/$60/$90

AETNA PPO-OOA (Out-of-area)

Annual Deductible:  In-Network  $300/individual; $900/family
                           Out-of-Network  $600/individual; $1,800/family
Out-of-Pocket Maxmium:  In-Network  $2,000/individual; $4,000/family
                                    Out-of-Network  $4,000/individual; $6,000/family
Primary Office Visit:  In-Network  $15
                            Out-of-Network  30% after deductible is met
Specialist Office Visit:  In-Network  $25
                               Out-of-Network  30% after deductible is met
Chiropractic Visit:  In-Network  $25 co-pay (up to 20 visits)
                         Out-of-Network  30% after deductible is met
Emergency Room: $75 co-pay + 10% of all other expenses
In-patient Hospital:  In-Network  $250 co-pay + 10% of all other expenses
                            Out-of-Network  $500 co-pay + 10% of all other expenses
Prescription Drugs Retail:  $10/$20/$35
Prescription Drugs Mail Order:  $20/$40/$70

AETNA HMO-HSA: - High Deductible Health Plan - qualifies for Health Savings Account (HSA)

FOR MORE INFORMATION: Contact Benefits-Compensation Administrator
Deductible: In-Network: Individual: $1,500; Family: $2,500
Co-Pay: 90%
Out of Pocket Maximum:  Individual: $3,000; Family: $6,000

For more specific details regarding coverage - call the BENEFITS VIP SERVICE HOTLINE
1-877-236-8477 -- Jennifer Hui, VIP Service Representative

To Receive Pre-Certification prior to a medical procedure, Contact:
AETNA, P.O. Box 14586, Lexington, KY  40512
Member Services:  1-888-522-8742