the archdiocese of new york benefits administration resource guide

VI. Administration of Life & AD&D Page
- Basic Life Insurance Outline 29
- How to File A Claim for Basic Group Life Insurance (Instructions) 30
- Premium Waiver – Basic Group Life Insurance Coverage (Instructions) 31
- Group Life Insurance Benefits For Employees Separating From Service 32
- Portability of Group Life Insurance & Supplemental Term Life Insurance Outline 33
- Group Life Insurance Benefits For Employees Separating From Service –
Conversion of Basic Group Life & Supplemental Term Life Insurance 34
VII.
Administration of Short Term Disability (New York State Short Term Disability Benefits)
- AONY Short Term Disability Outline 35
- How to File a Claim for New York State Disability Benefits (Instructions) 36
- “Sample Letter” - Notice to Disabled Employee 37
VIII.
Administration of Long Term Disability
- Long Term Disability Outline 38
- How to File a Claim for Long Term Disability Benefits (Instructions) 39
IX.
Administration of Dental Coverage
- Group Dental Insurance Outline 40
- CIGNA Dental for Clergy and Religious Plan Description 41
- AONY CIGNA Dental PPO for Clergy Enrolled in High Option Plan II 42
- AONY CIGNA Dental PPO for Religious Brothers and Sisters on Stipend and
Institutions Electing High Option Plan for Religious Plan II 43
- AONY CIGNA Dental PPO for Religious Brothers and Sisters Plan I 44
- How to File a Dental Claim (Instructions) 45
X. Administration of Vision Coverage
- Davis Vision Care for Clergy and Religious Cover Page 46
- AONY Davis Vision PPO Plan for Clergy and Religious Brothers and Sisters 47
- AONY Benefit Plan Highlights - Group Vision Care Outline 48
- Davis Vision Care for Clergy and Religious Summary 49
- How To File a Vision Care Claim (Clergy and Religious only) 50
XI.
Administration of Voluntary Plans
- Description of Voluntary Plans 51
- AONY Supplemental Life Insurance 52
- Northeast Dental Plan of America 53
- Important Notice 54
Revised July 2009 2