2025 Renewal Documents
Renewal documents are listed by Attachment number and title. The only documents from your renewal packet you will not find here are the specific Illustrations for your congregation or conference office.
Note there are multiple Attachments 5 & 6 depending on your deductible level and type. There are also multiple Attachment 13’s depending on the state you live in.
1-TCP_ParticipantLtr_2025 Year Duncan Smith letter – Full Participation Congregation.
2-TCP Renewal Instructions 2025 for congregations with health coverage attach 1-35
Attachment 1 – TCP Area Advocates 2025
Attachment 4 – 2235065 Summary of Benefits CEP MCUSA 2025
Attachment 6 – Frequently asked questions regarding Express Scripts coverage
Attachment 7 – 2220924 ESI Employee Communication FAQ’s flyer TCP
Attachment 8 – Connect Flyer – BCBS – Screen – Highmark
Attachment 9 – My Highmark Intro Flyer – BCBS – Screen
Attachment 10 – Well360 Virtual Health Flyer – Corinthian Plan – BCBS – Screen
Attachment 11 – Mennonite Church USA The Corinthian Plan – VSP Dual Member Benefit Summary
Attachment 12 – Mennonite Church USA The Corinthian Plan- VSP Member Benefit Summary (Signature)
Attachment 13 – Mennonite Church USA The Corinthian Plan- VSP Member Benefit Summary (Easy Option)
Attachment 14 – 2195128 Dental Plan – MCUSA
Attachment 15 – 2181037 Employee Enrollment Form CEP MCUSA TCP Fraternal
Attachment 15 – 2181036 Ee Enrollment Form CEP MCUSA TCP Non-Fraternal
Attachment 16 – NABCO Enrollment Form for MC USA Corinthian Plan
Attachment 17 – VSP ENROLLMENT FORM MCUSA TCP
Attachment 18 – 2191269 Employee Enrollment Dental MCUSA
Attachment 19 – 2230948 HRA – HSA Comp chart – Corinthian 2025
Attachment 20 – 2210936 HSA Summary for Employers
Attachment 21 – MCUSA HRA-2024
Attachment 22 – TCP Health Coverage with HSA 2025
Attachment 23 – 2230949 Section 125 Cafeteria Plan-MCUSA
Attachment 24 – 2210842 Election Form (w HSA) MCUSA THG
Attachment 25 – 2141030 THG Change Form HSA Contr
Attachment 26 – 2210843 Change Form Premium & Dep Care THG
Attachment 27 – 2230951 Section 125 Cafeteria Plan – MCUSA
Attachment 28 – 2230950 TCP Election Form
Attachment 29 – 2210846 Change Form Premium Med Exp Dep Care THG
Attachment 30 – 2100726 Monthly Payment Plan CEP
Attachment 31 – MC USA Premium Statement Adjustment Record
Attachment 32 – MC USA TCP CC Notification for 2025
Attachment 33 – 2195131 Notice of Health Privacy Practices MCUSA TCP
Attachment 34 – New Health Ins Marketplace Coverage Options Part A & B 2024
Attachment 35 – 2102024 Annual Notice – Women’s Health Act – CEP&GC