The Roman Catholic Archdiocese of Atlanta

Insurance Forms and Information

Health Insurance

Employee Information Web Site: https://www.mymeritain.com

NurseLine: 888-229-9301 PIN# 736

Benefit Highlights

2011 Meritain Health - Group Health Care Plan

2011 Hartford Benefits All Full-Time Active Lay Employees

2011 Hartford 403b Enrollment Book - English

2011 Hartford 403b Enrollment Book - Spanish

2011 Hartford Lay Student Age Endorsement Rider

2012 Hartford Benefit Plan - Coming Soon

2012 Meritain Health - Group Health Care Plan - Coming Soon

Medical Claims

Meritain Medical Claim Form

Additional Forms

Meritain Enrollment Form

Meritain Dental Claim Form

Hartford Change Form

WC-1 Employer's First Report of Injury or Occupational Disease Form (August 2011)

Page Last Updated: November 18, 2011