ATTENTION! This page is under construction!
You may be able to find the documents you are looking for on the 2026 renewal documents site, found here.
If you are not able to find what you need or for any questions, contact TCP Director Susan Burkholder (susanb@Mennoniteusa.org) or Denise Henke (denise.henke@everence.com).
Health Plan Enrollment Forms
- Enrollment Form for Employer: Congregational Selection Form
- Enrollment Forms for Employees
- Employee Enrollment form for the following states: AZ, CA, CO, DE, FL, ID, IL, IN, IA, KS, MD, MI, MN, MT, NE, OH, OK, OR, PA, SD, VA, WA
- Employee Enrollment form for all other states 2131086 Ee Enrollment Form CEP MCUSA TCP Non-Fraternal
- NABCO North American Benefits Company — Life and disability enrollment form
- Dental & Vision enrollment form for employee
- Cancellation of coverage
- Employer HRA Enrollment and EFT Authorization
HSA and HRA Information
- TCP Health Coverage with HSA
- Health Reimbursement Arrangement
- Everence HSAs – A Summary for Employers
- Section 125 Cafeteria Plan for Mennonite Church USA
- HRA and HSA Comparison Chart for Congregations
- Everence HSA Group Contributions
- HSA Contribution Form
- HRA Employee Direct Submission Authorization
- 2024 HSA Employee and Employer Contribution
Coverage Information
- 2026 CEP SPD MCUSA HDHP $3,000/6,000 Non-Embedded with 10% coinsurance
- 2026 CEP SPD MCUSA HDHP $5,000/$10,000 Embedded with 10% coinsurance
- SBC CEP MCUSA 2026 $3,000 Individual Coverage Embedded Deductible
- SBC CEP MCUSA 2026 $6,000 Family Coverage Embedded Deductible
- SBC CEP MCUSA 2026 $5,000 Single Coverage HDHP
- SBC CEP MCUSA 2026 $10,000 Family Coverage HDHP
- Complete plan description: Summary of Benefits
- Group Term Life
- Overview Of Group Life And Long Term Disability **
- Group Long Term Disability Insurance
- Explanation of Benefits
- Finding a Provider for your Highmark PPO Program
- Dental Plan – (Summary of Benefits)
- Dental Plan — Comprehensive Coverage Summary Plan Description
- Dental – Prev & Basic Coverage SPD
- VSP Easy Option Plan Summary
- VSP Signature Plan Summary
Wellness Incentives & Resources
- Highmark website flyer
- 2022 Highmark Preventive Schedule
- Baby BluePrints – Maternity Education and Support Program
- BCBS Complementary Wellness Discount
- Fitness Program Discounts
- BlueCard Worldwide Brochure
- Blues On Call Brochure
- Highmark BSBC Need Answers
- The Cost of Your Health Care: What You Can Do About It
For Updated 2026-2027 Wellness Incentive Documents, see Wellness Incentive Webpage
Subsidy
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