Employee Health Information:
https://www.meritain.com

Customer Service: 866-303-2689

NurseLine: 888-229-9301 PIN# 736

Consolidated Appropriations Act of 2021 Transparency Rule
“Machine Readable Files” (maintained by Meritain)

The Roman Catholic Archdiocese of Atlanta Group Health Care Plan is for the exclusive benefit of eligible Employees and their eligible Dependents.

2026 Annual Enrollment

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2026 Annual Enrollment 1 Post Card mailed Oct 15 2025

620.29 KB | Updated: October 15, 2025

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2026 Annual Enrollment 2 Letter to Lay Employees

401.52 KB | Updated: October 15, 2025

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2026 Annual Enrollment 3 Instruction Sheet

163.29 KB | Updated: October 15, 2025

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2026 Lay Quick Guide

6.21 MB | Updated: October 13, 2025

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2026 Meritain Enrollment Change Form

311.40 KB | Updated: October 13, 2025

Health Insurance (Full Time)

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2023 QuestSelect Lab Program

1.41 MB | Updated: October 25, 2022

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2025 Meritain Plan Document

0.00 KB | Updated: November 22, 2022

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2025 Quick Guide

0.00 KB | Updated: October 28, 2024

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2025 Summary of Benefits Coverage – Premier

287.18 KB | Updated: December 12, 2024

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2025 Summary of Benefits Coverage – Value

291.66 KB | Updated: December 12, 2024

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2026 Lay Quick Guide

6.21 MB | Updated: October 13, 2025

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2026 Meritain Enrollment Change Form

311.40 KB | Updated: October 13, 2025

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Children’s Health Insurance Program (CHIP) Notice 2020 July 31

50.32 KB | Updated: July 31, 2020

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Meritain DocFind Online Directory

676.39 KB | Updated: January 2, 2016

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Meritain Enrollment/Change Form

298.75 KB | Updated: August 16, 2021

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Meritain Health Claim Form - Dental

120.55 KB | Updated: November 11, 2016

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Meritain Health Claim Form - Medical

76.42 KB | Updated: November 5, 2021

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Meritain Health Claim Form - Vision Material

55.41 KB | Updated: June 24, 2020

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Meritain Health Intro Mobile Capabilities for Members

352.77 KB | Updated: November 11, 2016

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OptumRx Prescription Claim Form

249.43 KB | Updated: January 18, 2022

Life Insurance (Full Time)

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1 Hartford Life Insurance Beneficiary Designation Form

1.14 MB | Updated: September 7, 2022

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2014 Making Changes in Supplemental Insurance and Change Form

877.28 KB | Updated: March 28, 2018

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2025 Hartford Life and LTD Plan Document

667.35 KB | Updated: August 4, 2025

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Ability Assist Counseling Services (for Employees on Disability)

517.08 KB | Updated: October 1, 2021

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Beneficiary Assist Counseling Services (Dealing with Loss or Terminal Illness)

909.06 KB | Updated: October 1, 2021

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Estate Guidance Will Services

681.17 KB | Updated: October 1, 2021

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Funeral Planning and Concierge Services

762.15 KB | Updated: October 1, 2021

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Health Champion Flyer for Employees on Disability

329.86 KB | Updated: October 1, 2021

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Travel Assistance and ID Theft Protection Services

733.57 KB | Updated: July 28, 2022

403b (All Employees)

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2025 July 1 - 403(b) Church Plan Qualified Default Investment Alternative Notice (QDIA)

145.58 KB | Updated: June 18, 2025

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2025 Secure Act 2.0 Participant Notice 403(b)

368.00 KB | Updated: December 18, 2024

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EMPOWER 403b Memo

3.46 MB | Updated: May 23, 2025

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EMPOWER Beneficiary Designation Form

2.13 MB | Updated: May 28, 2025

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EMPOWER Enrollment Guide - English

2.18 MB | Updated: July 8, 2022

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EMPOWER Enrollment Guide - Spanish

2.13 MB | Updated: July 8, 2022

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EMPOWER Participation Enrollment Form

2.13 MB | Updated: May 28, 2025

    Additional Information (All Employees)

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    2024 EAP ComPsych 1

    286.41 KB | Updated: April 25, 2024

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    2024 EAP ComPsych 2

    145.80 KB | Updated: April 25, 2024

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    2024 EAP ComPsych FAQ

    282.79 KB | Updated: April 25, 2024

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