Health Plan Enrollment
(Church Treasurers: for a complete schedule of benefits and comparison of rates, please see the U.S. Employees section and the Benefits Summary.)
To enroll a new employee, you must mail or fax enrollment forms to Alliance Benefits within 30 days of your employee’s start date.
Premiums are withdrawn from the church’s/employer’s bank account the third business day each month. If your church comes onto our Health Plan for the first time, you may start coverage on the first of any month, after which future employees must be added within 30 days of hire.
Late enrollees will have a six-month waiting period if there is no qualifying event (such as new hire or involuntary loss of other coverage). Qualifying changes to coverage include (but are not limited to): employment status, marriage, birth/adoption, dependents ages 19-23, and Medicare/Medicaid coverage. Please contact us for more details.
Alliance Benefits
P.O. Box 35690, Colorado Springs, CO 80935-3569
Toll Free (800) 700-2651
FAX (719) 262-5397
E-mail: benefits@cmalliance.org
Download U.S. Health Plan Forms & Documents
(Forms require Adobe Acrobat)
- 2009 Health Benefits Flyer
- 2009 U.S. Benefits Summary
- 2009 Preventive Schedule
- 2009 High-Deductible Health Plan (HDHP)
- Superior Vision Benefits
- Superior Vision Contact Lenses Benefits
- MEDEX Travel Assist Benefits
- Notice of Privacy Practices
- U.S. Benefits Enrollment/Change Form
- Superior Vision Non-PPO Claim Form
Benefits Documentation
Enrollment Forms
