Important Documents

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Overall Summary:

Open Enrollment:

AETNA Benefit Plans:

Delta Dental Benefit Plans:

Other Valuable Benefits:

St. Vincent’s Health Partners:

Discount Programs:

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  |
  • RX Member Services  |  1-888-792-3862  |
  • Aetna Dental Member Service  |  1-877-238-6200  |
  • Aetna Vision  |  1-877-973-3238  |
  • P&A Group Account Flex Spending  |  1-800-688-2611  |
  • Colonial Life Supplemental Insurance  |  800-325-4368  |
  • Paychex Flex (Online Benefit Website)  |
  • 24/7 telephone access to US board–certified doctors  |  (855) 835-2362  |

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

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