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Open Enrollment for your Voluntary Benefits will be held from October 28 - November 8, 2024.
This year you will enroll in voluntary benefits with the guidance of a professional benefit counselor. Appointments are personalized, confidential, and will take place over the phone.
During your individual appointment:
or call 850-905-6792, Monday - Friday, 7 a.m. - 8 p.m. Eastern.
Administered by Chubb
Permanent Life Insurance with Long Term Care through Chubb provides permanent, flexible protection. The policy’s living benefits provide financial support to cover the cost of long-term care you might need as a result of an accident, illness, or aging. As life insurance, LifeTime Benefit Term protects your family with money that can be used any way they choose like your mortgage or rent, education for children, retirement, and final expenses.
Call 855 241-9891 to file a claim.
Claims mailed, emailed, or faxed.
FAX 603-352-1179
Email CLAIMS@gotoservice.chubb.com
Mail to One Integrity Parkway Cleveland, OH 44143
Administered by Chubb
No one plans on losing their paycheck . . . but just in case, we’ve got you covered.
With Chubb Disability Income insurance, you can receive a monthly benefit check to help replace your income if you have a sickness, injury or pregnancy that causes you to miss work. For each day you are out of work and disabled, Chubb will pay you benefits to replace your income. With Chubb Disability Income insurance, you can receive a disability benefit amount of up to 20% of your income, up to $5,000 per month without
providing medical history. Chubb Disability Income insurance goes to work when you can’t.
1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.
2. Review the Fraud Notification for your state located on the fifth or sixth page.
3. Sign and date the claim form on the signature line provided at the end of the Fraud Notification page of the claim form. If you do not sign the Fraud Notification page, we cannot accept your claim submission.
4. Elect to receive documents electronically and, if your claim is payable, opt-in to receive your benefit payment sent electronically via bank transfer into a checking account, transfer into a PayPal account, or transfer to a debit card (as available). To authorize this, please complete and sign the Consent to Electronic Transactions, Payments and Signature document
5. Sign and date the Authorization to Obtain and Disclose Health Information.
6. Send your signed, completed claim form with the Attending Physician’s Statement, Employer Statement, if applicable, and any medical bills or documentation that you may have related to your accident or illness to:
Chubb Workplace Benefits
Claim Department
PO Box 6803
Scranton, PA 18505-6803
Administered by Reliance Standard
Enroll without answering medical questions!
No one likes to think about the possibility of an accident, but the very likelihood is inescapable. Think about it: Have you or anyone in your family ever had an automobile accident? Slip and fall? How about a bicycle or skiing accident? When was the last time you saw the inside of an Emergency Room? If you’re like most Americans, it wasn’t too long ago!
Medical insurance offsets most of the treatment costs for injuries resulting from an accident. But what about the out of pocket costs you don’t consider? There’s time off from work while you or a loved one convalesces, doctor visit and hospital co-pays, medical insurance deductibles, maybe child care expenses — even stocking up on ibuprofen and bandages! It’s inconvenient, expensive, and can make a serious dent in a family’s savings. Accident insurance provides a hedge against this possibility, paying a fixed, lump-sum benefit for injuries resulting from a covered accident — up to and including death if your employer’s plan includes that provision.
These benefits are paid directly to you or your designee, to use however you wish. The benefit schedule specifies payment amounts for events like hospitalizations, Emergency Room treatments, surgery, coma, paralysis, major diagnostic tests, physical therapy, fractures, burns, dislocations, etc.
Administered by Reliance Standard
Health insurance can provide coverage for many of the costs associated with treating a critical illness like cancer or heart attack. But what about the other out-of-pocket costs that you incur when you or a loved one is battling a major illness and is unable to work? There’s lost income — even if you have disability coverage, which only pays a portion of your regular earnings — along with co-pays, deductibles, family and living expenses, and even transportation costs to and from treatment. Many of these additional costs can contribute to the pressure you are already under at the worst possible time. Critical Illness Insurance can help to cover some of those gaps in your financial plan that you may not have even known existed.
Administered by Reliance Standard
Even with health insurance, a stay in the hospital can become costly quickly as out-of-pocket charges begin to add up. Hospital Indemnity Insurance can reduce the financial and emotional stress of a hospital stay by providing a lump sum cash benefit directly to you that can be used however you need, whether that’s for coinsurance or childcare.
Basic Group Life
Holy Name provides 100% employer-paid Group Term Life Insurance and Accidental Death and Dismemberment (AD&D) to benefit-eligible employees. The amount of insurance is your annual earnings, up to a maximum of $1,000,000. As a new hire, any amounts in excess of the employee guarantee issue maximum amount of $600,000 are subject to Evidence of Insurability (EOI). Evidence of Insurability is documentation of good health.
Contributory Term Life
We also offer the option to purchase Contributory Term Life Insurance through Reliance Standard. Employees have the option to purchase additional employee Life and AD&D coverage from 1 to 3 times your annual salary, up to a combined Group and Contributory maximum of $1,000,000. New employees may enroll in guaranteed coverage within 30 days of the benefit eligible hire date. As a new hire, any amounts in excess of the employee guarantee issue maximum amount of $400,000 are subject to Evidence of Insurability (EOI). You can contact Human Resources for an enrollment form. Additionally, contributory spouse and child life insurance is available.
Dependent Life Insurance
You may enroll in life insurance coverage of up to $250,000 for your spouse or up to $10,000 for your children under age 26. You must be insured in order for dependents to be covered.
You can make changes to your beneficiaries at any time during the year by completing the form located on the HR website Holyname.org/hr> Forms> Life beneficiary form and emailing to benefits@holyname.org.
