2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 5
GROUP HEALTH CARE PLAN
ESTABLISHMENT OF THE GROUP HEALTH CARE PLAN
The Roman Catholic Archdiocese of Atlanta previously established The Roman Catholic Archdiocese of Atlanta
Group Health Care Plan (hereinafter referred to as the “Health Care Plan”), as set forth herein for the exclusive
benefit of its Employees and their eligible Dependents. This Health Care Plan Document combines two separate
plans, the Group Medical Plan, and the Group Dental and Vision Plan. The following sections apply to both the
Group Medical, and the Group Dental and Vision Plans. The Health Care Plan was originally adopted by the
Employer effective as of January 1, 2005. Effective January 29, 2019, the Archdiocese transferred sponsorship of
the Plan to RCAA Administrative Services, Inc. (the “Plan Sponsor”), and the Health Care Plan was amended and
restated to reflect the change in Plan Sponsor, effective as of February 1, 2019.
The Health Care Plan is hereby amended and restated, effective as of January 1, 2023.
Grandfathered Plan Status
The Roman Catholic Archdiocese of Atlanta and the Plan Sponsor believe this Health Care Plan, and the underlying
Medical Plan, is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the “Affordable
Care Act”). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health
coverage that was already in effect when the law was enacted. Being a grandfathered health plan means your
Group Health Care Plan may not include certain consumer protections of the Affordable Care Act that apply to other
plans; for example, the requirement for the provision of preventive health services without any cost sharing.
However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care
Act; for example, the elimination of lifetime dollar limits on Essential Health Benefits.
Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and
what might cause a plan to change from grandfathered health plan status, can be directed to the Plan Administrator
at, 2401 Lake Park Drive S.E, Smyrna, GA 30080-8862 or at (404) 920-7486.
Purpose of the Plan
This Group Health Care Plan is written, adopted and operative for the sole and exclusive purpose of providing to
the eligible Employees and their eligible Dependents employee welfare benefits as described herein. The Health
Care Plan agrees to provide the benefits set forth in The Roman Catholic Archdiocese of Atlanta Group Medical
Plan and The Roman Catholic Archdiocese of Atlanta Group Dental and Vision Care Plan to all Covered Persons
in accordance with the provisions and conditions of the Health Care Plan. The Health Care Plan is subject to all
conditions and provisions set forth in this document and subsequent amendments, which are made a part of this
Health Care Plan. The Health Care Plan is a non-electing church plan in accordance with section 4(b)(2) of the
Employee Retirement Income Security Act (ERISA). The Group Medical Plan and the Group Dental and Vision
Plan are separate plans. The information provided in this section is for the convenience of the participants in these
plans.
Adoption of this Group Health Care Plan Document
The Health Care Plan Sponsor, as the settlor of the Health Care Plan, hereby adopts this amended and restated
Health Care Plan Document as the written description of the Health Care Plan. This Health Care Plan Document
amends and replaces any prior statement of the health care coverage contained in the Health Care Plan or any
predecessor to the Health Care Plan.
RCAA Administrative Services, Inc. has caused this RESTATED Health Care Plan to take effect as of 12:01 a.m.,
local time on January 1, 2023 at Smyrna, Georgia.
Authorized Signature
Date
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Witness
Date
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1