2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 86
DENTAL AND VISION PLAN
ESTABLISHMENT OF THE DENTAL AND VISION PLAN
The Roman Catholic Archdiocese of Atlanta originally established The Roman Catholic Archdiocese of Atlanta
Group Dental and Vision Plan (hereinafter referred to as the “Dental/Vision Plan”), as set forth herein for the
exclusive benefit of the Employees of the Employer and their eligible Dependents. The Dental/Vision 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
Dental/Vision Plan was amended and restated to reflect the change in Plan Sponsor, effective as of February 1,
2019.
The Dental/Vision Plan is hereby amended and restated, effective as of January 1, 2023.
Purpose of the Dental/Vision Plan
This Dental/Vision 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 Dental/Vision
Plan agrees to provide the benefits set forth in the Dental and Vision Schedule of Benefits to all Covered Persons
in accordance with the provisions and conditions of the Dental/Vision Plan. The Dental/Vision Plan is subject to all
conditions and provisions set forth in this document and subsequent amendments, which are made a part of this
Dental/Vision Plan. The Dental/Vision Plan is a non-electing church plan in accordance with section 4(b)(2) of the
Employee Retirement Income Security Act (ERISA).
This Dental and Vision Plan is a stand-alone Dental and Vision Plan.
NOTE: The dental and vision benefits provided under this Dental/Vision Plan are considered “limitedscope” benefits under the Affordable Care Act, are subject to Dental/Vision Plan maximums, and are
provided separately from the medical coverage offered under The Roman Catholic Archdiocese of Atlanta
Group Medical Plan. These benefits are provided at no cost to Eligible Employees and their Eligible
Dependents.
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