Benefit Plan Documents 2022-23

All documents on this page reflect the most current information available.

Costs for Insurance

• Costs for Insurance 2022-23

Health Insurance/Prescription Insurance

• MEBP 2022-23 Goshen College – Benefit Summary
• MEBP 2022-23 Goshen College – SPD
• MEBP 2022-23 Goshen College – Summary of Changes in Health Coverage
• 2022-23 Highmark Preventive Schedule 
• SBC Glossary of Terms
• MEBP 2022-23 Notice of Health Privacy Practices 
• Annual Notice Women’s Health Act
• Express Scripts Claim Form
• No Surprise Medical Bills Model Notice

Dental Insurance

• 2022-23 Dental Plan Summary 
• HRI-Paramount Dental Enrollment Form
• Dental Member Portal Flyer

Vision Insurance

• MetLife Vision Plan Summary
• VSP Provider Directory – Goshen
• MetLife Consumer Privacy Notice

Retirement Fund

• Notice of Salary Reduction Contributions
• Retirement- Amendment of Salary Reduction Agreement

Mennonite Retirement Trust Funds

• • Summary Plan Description
  • Plan Features
  • MRT Enrollment Form
  • MRT Beneficiary Form

TIAA-CREF Funds

• • College Contribution Plan Summary
  • Employee Contribution Plan Summary
  • Retirement-Amendment-of-Salary-Reduction-Agreement

Flex Spending Account – Section 125 (Harrison Group)

• FSA Plan Summary
• FSA Eligible and Ineligible Expenses
• FSA Mobile App Information
• Harrison Group: Employee Login and Card Instructions
• FSA Claim Form
• FSA Healthcare Calculator

Employee Assistance Program

• The Equitable EAP Brochure
  • Confidential emotional support
  • Work-life solutions
  • Financial resources
  • Identity theft services
  • Legal guidance

COVID-19 Testing

• ESI Claim Form
• ESI COVID 19 OTC Reimbursement Process
• ESI Flyer COVID-19 OTC Test 

United Way

• MyFreeTaxes One-Page Flyer

Life Insurance

• The Equitable – Life Welcome Kit

Long Term Disability Insurance

• The Equitable –  LTD Welcome Kit