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Health Plan 

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Medical Resources

DocFind (click to find a participating physician/provider use Aetna PPO List)





Claims Reimbursement Request

Claims Management - Web TPA 

  • Provider PPO Network for Medical, Dental, and Vision

  • Contracted rates and pre-determined discounting for provider services

All eligibility verification must be done through WebTPA, not the local Aetna group.

WebTPA 888.276.4732
 

2021 Health Plan Monthly Contributions  ACCESS

Employee $40

Spouse $40

Per Child $20


2021 Health Plan Monthly Contributions  ACCELERATE

Employee $80

Spouse $80

Per Child $40

Prescription


Express Scripts
 

800.841.5396

Member Services 888.276.4732 or email benefits@adventistrisk.org

  • Prescription Benefit Manager

  • Member Services (for prescription benefits only)

  • Pre-certification functions (prescription related only)

  • On-line member portal to review and track prescription claims, setup mail-order payment, shipping address . . . 

  • Retail (30-day supply) – $10/$20/$40

  • Mail (90-day supply) – $20/$40/$80

  • Plan year Maximums out-of-pocket – $750/$1,500

Vision Benefits
No CAPS network required. Review paid claims history or request new card call Member Services 888.276.4732 or email benefits@adventistrisk.org
Alternative Benefits
Chiropractic, Acupuncture, Massage, Refractive Eye Surgery, Hearing Aids, etc. No PPO Network required. Review paid claims history or request new card call Member Services 888.276.4732 or email benefits@adventistrisk.org
Request replacement medical/dental/vision card

To replace your card, please call 888.276.4732
Please verify what address they have on file. If it is different than your current address, you will need to log into BSwift to change your address or call your HR department. 

To make any changes to your medical enrollment (address, phone number, name, adding or subtracting dependents), please log into BSwift or email  Human Resources at cbrown@azconference.org or fax to 480.991.4833 attention HR.
 

 Flexible Spending Account 

All regular full time and part-time benefited employees are eligible to set aside pre-tax dollars, through payroll deductions, to spend on un-reimbursed medical and dependent care expenses. This pre-tax benefit is available through a Section 125 Cafeteria Plan program. The term Section 125 refers to a section of the Internal Revenue Code. Section 125 programs allow employees to save taxes on money they pay toward their group sponsored health plans.

Available upon hire and at annual open enrollment. Contact Human Resources for more information.

Common examples of health FSA eligible expenses can be found here.

Summary Plan Description

International Insurance

Our current Medical plan covers emergencies only. Additional coverage options are available.

 

Affordable Care Act Notice

New health insurance marketplace coverage options and your health coverage 

Family and Medical Leave Act (FMLA)

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Arizona Conference requires use of paid leave accruals prior to non-paid leave commencing. Eligible employees are entitled to:

  • Twelve workweeks of leave in a rolling 12-month period for: 

    • the birth of a child and to care for and bond with the newborn child within one year of birth;

    • the placement with the employee of a child for adoption or foster care and to care for and bond with the newly placed child within one year of placement;

    • to care for the employee’s spouse, child, or parent who has a serious health condition;

    • the employee’s own serious health condition that makes him/her unable to perform the essential functions of his/her job;

    • any “qualifying exigency” arising out of the deployment to a foreign country of the employee’s spouse, son, daughter, or parent who is in the Regular Armed Forces or National Guard or Reserves; 

  • Twenty-six workweeks of leave in a single, rolling 12-month period to care for a covered service member or veteran with a qualifying serious injury or illness incurred or aggravated in the line of duty on active duty. The eligible employee must be the spouse, son, daughter, parent, or next of kin of the service member or veteran. (Military Caregiver Leave)

FMLA Request – Employee’s Serious Health Condition 

FMLA Request – Family Member’s Serious Health Condition

Certification of Qualifying Exigency for Military Family Leave 

Certification for Serious Injury or Illness of Covered Service member 

Certification for Serious Injury or Illness of Veteran 

FMLA Employee Rights and Responsibilities 

FMLA Fitness For Duty Certificate

Employee’s Guide to FMLA 

 

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