St. Dominic’s Employee Benefits Information
Your St. Dominic Health Services benefits are a big part of your total compensation as a St. Dominic’s Employee. We work hard to make St. Dominic’s an ’employer of choice’ in this job market while meeting the personal and financial needs of you and your family. We hope you will find the information you might need to utilize your potential benefits on this page. Whether it’s a form you need to print out and send to us or you just want to see what the fine print says, it’s all here. If you have any questions, please feel free to call the Employee Benefits Office at 601.200.6706 or 6858 for information or assistance.
Do you have questions about the benefits offered through your employment with St. Dominic Health Services? The Benefits Enrollment Guide is designed to provide you with an overview of the benefits available to you.
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Benefits Coverage Summaries
Medical Rates
Preventive Care Parameters (Wellness Grid)
In-Network Doctors
Required Notices
- CHIP Notice
- Marketplace Notice
- Medicare and Prescription Drug Notice
- Privacy Practices Notice
- Notice of Grandfather Status under the Patient Protection and Affordable Care Act, Notice of Privacy Practices, Newborns and Mothers Health Protection Act of 1996 as amended, Women’s Health and Cancer Rights Act of 1998
Aetna Registration and Print ID Card
Aetna On-the-Go
Aetna Medical Benefits Claim Form
Medical Prescription Info
* All Dentists Accepted – Any dentist can be used but better discounts apply with network providers
The Employee Assistance Program is available to all employees and immediate family members.
Accident Wellness Benefit Claim Form Instructions
Burial Beneficiary Change Request
Critical Illness Wellness Benefit Claim Form Instructions
Critical Illness and Accident Change Form
Hospital Confinement Indemnity Attending Physician’s Statement
Hospital Confinement Indemnity Claim Form-Employee
Hospital Confinement Indemnity Plan Summary
Hospital Indemnity Claim Form Instructions
Identity Guard – Value Plan Sheet
Identity Guard – Total Plan Sheet
Identity Guard – Value + Total Summary
Short Term Disability Claim Form
Short Term Disability and Universal Life Cancellation Form
For more information, call TransAmerica at 800-755-5801.