Medical Benefits Forms and Documents
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Forms are listed in alphabetical order
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Selecting a doctor and other health care professionals for you and your family is important. For your convenience, Docfind’s online directory is available 24 hours a day, 7 days a week.
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This summary is for the coverage period for July 1, 2021 – June 30, 2022.
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Download application for CEBG employee group enrollment card.
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Effective July 1, 2021
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Effective July 1, 2022. Note: All the drugs marked out in red are not covered by CEBG.
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This notice contains important information about your right to continue your health care coverage in the Catholic Employee Benefit Group.
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This summary is for the coverage period for July 1, 2021 – June 30, 2022
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Download form electing coverage for employee and dependents.
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View says you and your family can take advantage of your Employee Assistance Program benefit.
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View notice addressing the Women’s Health and Cancer Rights Act of 1998.
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Download form used in required annual wellness and dental exam.
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This summary is for the coverage period for July 1, 2021 – June 30, 2022
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Effective July 1, 2021.
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Changes are effective July 1, 2021 – June 30, 2022.
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Dental benefits summary for CEBG for July 1, 2021 – June 30, 2022.
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Please contact the Office of Human Resources in order to request special enrollment or obtain information.
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View information on upgraded website features for members.
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