Benefit Plan Documents

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

Costs for Insurance

• Costs for Insurance 2023-2024
• Marketplance Health Insurance Information

Health Insurance/Prescription Insurance

• MEBP Goshen College – Benefit Summary
• MEBP Goshen College – Summary of Benefits and Coverage (SBC)
• Health Enrollment Form
• MEBP Goshen College – SPD
• Highmark Preventive Schedule 
• SBC Glossary of Terms
• MEBP Notice of Health Privacy Practices 
• Annual Notice Women’s Health Act
• Express Scripts Claim Form
• No Surprise Medical Bills Model Notice

Dental Insurance

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

Vision Insurance

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

Retirement Fund

• Retirement Salary Reduction Agreement

Mennonite Retirement Trust Funds

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

TIAA-CREF Funds

• • TIAA Welcome
  • Employee Contribution Plan Summary

Flex Spending Account – Section 125 (Harrison Group)

• FSA Plan Summary
• FSA Enrollment Form
• 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

• EAP Choice – 3 Sessions
  • 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