2022 Archdiocese of Atlanta / Lay Employee Quick Guide - Flipbook - Page 6
Your benefits plan
Convenient co-pays for physician office visits.
Reasonably priced prescription co-pays.
Online access to tools and services through Meritain.com.
Annual physicals, preventative care and well-child care
Quest Diagnostics Lab Card program.
24 x 7 Nurse Line.
Vision benefits and Vision discount program.
Have you registered at
Meritain.com? Be sure to
register, so you can access
tools and services! See pages
16 and 17 for more
These benefits are available to you and your eligible dependents once you have completed a 60day waiting period from the date your full-time employment began.
Eligible Dependents May Include:
Your spouse (as defined in the Plan).
Step children living in your household.
Children placed in your home for adoption.
Children for whom you are legal guardian.
Do you have children aged 25 years and younger?
Dependent children are eligible to remain covered on the plan until the end of the month in which they reach
Which plan is primary for your dependent children?
The birthday rule answers this question. Under the birthday rule, the parent who has the first birthday in the
year carries the primary coverage for all dependent children. The parent whose birthday falls later in the year
carries the secondary coverage. If both parents have the same birth date, the plan that has covered a dependent
child for the longer period of time is primary.
Can you decline these benefits?
An Eligible Lay Employee must participate in the plan and is required to complete, sign and return the
enrollment form to the Archdiocese of Atlanta at time of eligibility. If an eligible employee fails to return their
enrollment form within 31 days of their initial eligibility, they will be automatically enrolled in the Value
Plan, with employee only coverage.
You may decline coverage for your spouse and dependent children if they have other coverage. Consider your
decision carefully, because if you decline dependent coverage now, you may only enroll them later if a special
enrollment situation/qualifying family status change occurs, or during next annual enrollment period.
Special enrollment situations/Qualifying family status changes
These situations generally include: Birth or Adoption of a child; Marriage or Divorce; Legal Separation; Death; Spouse’s change
in insurance eligibility due to gain or loss of employment; Dependent involuntarily loses or gains insurance eligibility.
Annual enrollment period
A period of time, occurring annually during which an employee may waive or add coverage for their dependents, or change their
medical plan option – i.e. Value to Premier or Premier to Value.