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| "Worker"
Eligibility |
An
eligible worker cannot be denied enrollment because of age,
occupation, sex, or religion. This includes workers in day
care centers, preschools, and lunch programs that are under
the control of a participating LCMS congregation. Vicars and
intern teachers who will be returning to the seminary or college
to complete their studies are not eligible to enroll in the
Concordia Plans. However, those who have completed their formal
course-work and will not be returning to school are eligible
and, at the option of the employer, may be enrolled. An employer
who elects to enroll such an individual, is required to enroll
the worker in all Plans in which the employer participates.

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| CHP: |
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Full-time –
Any worker employed more than 20, 25, or 30 hours, as designated
by the employer, and more than 5 consecutive months per
year, is eligible for CHP coverage.
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Part-time –
Any worker employed 20, 25, or 30 hours or less, according
to the employer’s designation.
- Temporary
– Any worker employed 5 months or less is
ineligible to participate.
If an employer
makes no designation, the default rule of "more than 20 hours"
will apply to its workers. To use the "more than 25 hours" or
"more than 30 hours" definition, an employer must complete a
Declaration of
Hours Form and submit it to Concordia Plan Services. |
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CRP/CDSP: |
-
Full-time – Any
worker employed more than 20 hours per week and more than
5 consecutive months per year.
- Part-time
–
Any worker employed 20 hours or less per week is ineligible
to participate.
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Temporary –
Any worker employed 5 months or less is ineligible to participate.
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| AIP
Enrollment |
| Full-time
workers participating in at least one of the Concordia Plans
are eligible to participate in the AIP. Enrollment is effective
the first day of the month following receipt of the worker’s
enrollment form. |
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| Plan
Contributions |
The
employer is responsible for paying the entire cost of the
CRP and CDSP. The employer is also required to pay a minimum
of 50% of the CHP cost for worker-only coverage.
The worker is expected to pay the cost for dependent health
coverage, unless the employer establishes a policy to pay
for all or part of the cost for dependent coverage. The
employer must be consistent and non-discriminatory for all
workers when creating such a policy.
If
the worker shares the cost for dependent CHP coverage with
the employer, the worker’s portion is to be obtained
by payroll deduction since an invoice will only be sent to
the employer for the total amount due.
When
a worker becomes disabled, the employer must continue paying
the contributions for that worker’s coverage until the
beginning of the third calendar month following the start
of disability benefits. Thereafter, CRP and CDSP contributions
are waived until the end of the month in which disability
benefits cease. If the worker is enrolled in the CHP, contributions
for this Plan are paid according to the following:
- IF
the worker is enrolled in the
CDSP, the CHP contributions will be paid by the CDSP until
the end of the month in which disability benefits cease.
However, if the disabled worker is able to work partially
and earns 50% or more of the salary being earned prior to
the disability, either the worker or the employer must pay
the contributions.
IF the
worker is not enrolled in the CDSP,
contributions must be paid by either the disabled worker or
the employer in order to keep CHP coverage in effect during
the disability. |
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| AIP
Contributions |
AIP
contributions are set by the insurance carrier underwriting
the program and are normally the responsibility of the worker.
Contributions
are collected by the employer through payroll deduction (an
invoice is only sent to the employer for the amount due).
However, employers may pay this premium if they wish. AIP
coverage and contributions stop when waiver of CRP, CDSP,
and/or CHP begins. |
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A
“Cafeteria Plan”
is a program that allows workers who share the cost of dependent
CHP coverage with their employers to do so with pre-tax dollars.
In other words, such an arrangement allows workers to reduce
their salaries for tax purposes and have the reduction used
for their share of the CHP cost, thus saving money by lowering
their income taxes. Contact the Concordia Plan Services office
if you have additional questions on setting up a Cafeteria
Plan.
CHP
contributions are a flat dollar amount based on a
geographic rating that reflects the cost of providing health
care benefits in a local area.
CRP
and CDSP contributions are a percentage of compensation.
Compensation includes the basic wage or salary paid to a worker
plus:
- 25%
of the basic wage if housing is furnished by the employer
- any
cash utility allowance
- any
cash housing allowance

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| "Employer"
Eligibility |
The
Concordia Plans are employer-sponsored benefit programs that
the Synod established in 1965. Participation is available
to eligible LCMS employers as defined by the Concordia Plans.
The employer can adopt one of two benefits packages:
- The
Church's Plan, which consists of the Concordia
Health Plan, Concordia Retirement Plan, Concordia Disability
and Survivor Plan, and Concordia Retirement Savings Plan.
- Package
3,which consists of the Concordia Retirement Plan
and Concordia Disability and Survivor Plan.
Employer
enrollment is effective the first day of any month following
adoption by the governing body of the employer. Enrollment
in the CHP is subject to group underwriting standards established
by the Concordia Plan Services, and an employer’s enrollment
can be denied or be subject to a rate surcharge. |
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Plan
provisions require that before an organization may adopt the
Concordia Plans, the eligibility of such organization must
be reviewed and approved by Concordia Plan Services. If the
organization, whether incorporated or unincorporated, meets
the criteria, then such organization is eligible to join the
Concordia Retirement Plan (CRP), Concordia Disability and
Survivor Plan (CDSP) and the Concordia Health Plan (CHP) by
adopting a resolution authorizing participation in and payment
of contributions to the Plan(s).

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