Human Resources • DIOCESE OF BRIDGEPORT

Overall Summary:

• 2020 Benefits Booklet (PDF)
• 2020 Benefits Rate Sheet (PDF)
• 2020 Employee Benefit Overview (PDF)

Open Enrollment:

• 2020 Benefits Fair Dates (PDF)

AETNA Benefit Plans:

• 2020 Aetna Medical Benefit Summary (PDF)
• 2020 Aetna Vision Summary (PDF)
• Aetna Cost Estimator Information

Delta Dental Benefit Plans:

• 2020 Delta Dental Benefit Summary (PDF)

Other Valuable Benefits:

• Supplemental Insurance —
  SunLife Generic Booklet 2020 Cemeteries Employees (PDF)
  SunLife Generic Booklet 2020 All Employees (not Cemeteries) (PDF)
• Flexible Spending Account
• Mutual of America – Retirement Plan Information:
  401(a) Summary Plan Description (SPD)
  403(b) Summary Plan Description (SPD)
  403(b) Payroll Election Form-revised as of 7.25.2017
  403(b) TDA Enrollment
  401(a) Election form – Rev. 2016

St. Vincent’s Health Partners:

• Free Resource to Diocese Employees!

Discount Programs:

• Travelers Auto and Home Discounts Available!
• Verizon – Employee Discount (Non Profit Organizations)

Self-Service Benefit Contact Information:

• Diocesan Dedicated Benefit Call Center  |  844-675-8539 (8am to 8pm EST)
• AETNA Members Services and Wellness  |  1-800-962-6842  |  www.aetna.com
• RX Member Services  |  1-888-792-3862  |  www.aetna.com
• Aetna Dental Member Service  |  1-877-238-6200  |  www.aetna.com
• Aetna Vision  |  1-877-973-3238  |  www.aetnavision.com
• P&A Group Account Flex Spending  |  1-800-688-2611  |  www.padmin.com
• Colonial Life Supplemental Insurance  |  800-325-4368  |  www.coloniallife.com
• Paychex Flex (Online Benefit Website)  |  www.mypaychex.com
• 24/7 telephone access to US board–certified doctors  |  (855) 835-2362  |  www.teladoc.com

Employment/Tax Documents
Employment Application (PDF)
2016 CT-W4 (PDF)
2016 W-4 (PDF)
Direct Deposit (PDF)
I-9 (PDF)
Computer Usage Guidelines (PDF)
Emergency Contact Info (DOC)
Virtus Online Registration (PDF)
Procurement of an Investigative Report Authorization (DOC)
Executive Summary for Lay Employees (PDF)

Background Checks
The following forms are to be used for volunteers and those who are contracted to do work for Diocese of Bridgeport. Please contact the Human Resources Department with any questions by emailing HRdept@diobpt.org.

MYB Employee Authorization Form (PDF)
MYB Volunteer Authorization Form (PDF)
Consumer Rights on background checks under the Fair Credit Reporting Act (PDF)
More information on MYB
More information on Safe Environments