Please feel free to contact Human Resources for any other benefit information you do not find here: employeeportal@ccharities.org.
Benefits
In this section you will find all the benefit information and forms you need to enroll in medical, dental, life and disability insurance. Take a moment to look at the Other Benefit Information section as it has more information on benefits such as the Health/Dependent Care/Commuter Reimbursement Account, 401(a) and 403(b) retirement accounts and Group Term Life/Long Term Disability Insurance. In the Workplace Safety/Employee Wellness section, you will find many informative health and safety newsletters to read. Please feel free to contact Human Resources for any other benefit information you do not find here.
Medical
CCLA Benefit Guides
CCLA Benefits Guide 2019-2020
Medical Summary Plan Descriptions
Anthem PPO SBC – English
Anthem PPO SBC – Spanish
Anthem EPO SBC – English
Anthem EPO SBC – Spanish
Kaiser EPO SBC – English
Kaiser EPO SBC – Spanish
Kaiser EPO – Your Care, Your Way
Kaiser EPO – Getting Care Away from Home
Annual Notices 2018
Eye Med Vision Plan
Eye Med Vision (Anthem Plans Only) SPD (English)
Eye Med Vision (Anthem Plans Only) SPD (Spanish)
Hearing Aid Program
HearUSA
Employee Assistance Program
CCLA Employee Assistance Program
Benefit Forms and Resources
CCLA 2019 Employee Benefits Summary
CCLA 2019 OE Benefit Rates
CCLA Benefit Election Form
CCLA Enrollment Change Form
CCLA Coverage Declination
Dental
Cigna Dental Plan
Cigna Dental PPO SPD (English)
Cigna Dental PPO SPD (Spanish)
CCLA Generic Cigna DPPO ID
Guardian Dental Plans
Guardian Dental HMO/PPO SPD
Guardian Vision Access Insert
Guardian Dental Enrollment Form
Other Benefit Information
Aflac Supplemental Insurance
Open Enrollment takes place in April for May 1st effective date
Aflac Accident Advantage with Wellness
Aflac Cancer Assurance
Aflac Hospital Choice
Aflac Lump Sum Critical Illness
Aflac Plus Rider
Lincoln Voluntary Short-Term Disability Plan
Lincoln Voluntary STD Enrollment Form
Lincoln Voluntary STD Benefit Summary
Mutual of America Retirement Plans
Employer Funded – 401(a)/Employee Funded – 403(b)
Mutual of America 401(a) Enrollment Form
Mutual of America 403(b) TDA Allocation Transfer Form
Mutual of America 403(b) TDA Contribution Election Form
Mutual of America 403(b) TDA Enrollment Form
Mutual of America Beneficiary Designation Form
TakeCare by WageWorks Flexible Spending Account
Open Enrollment takes place in December for the new calendar year
TakeCare by WageWorks FSA Health with Grace Period
TakeCare by WageWorks FSA Dependent Care
TakeCare by WageWorks FSA Commuter
TakeCare by WageWorks FSA Health/Dependent Care Enrollment Form
TakeCare by WageWorks FSA Commuter Enrollment Form
TakeCare by WageWorks FSA Commuter Change Form
TakeCare by WageWorks FSA Direct Deposit Form
TakeCare by WageWorks FSA Letter of Medical Necessity
TakeCare by WageWorks FSA Health Claim Form
TakeCare by WageWorks FSA Dependent Care Claim Form
TakeCare by WageWorks FSA Commuter Claim Form
MetLife Voluntary Life Insurance Policy
MetLife Voluntary Life SPD
MetLife Group Term Life Beneficiary Designation Form
Leave of Absence
CCLA Request for Leave of Absence Form
Employee Wellness
TopHealth Newsletters
TopHealth 11 November 2019 – English
TopHealth 11 November 2019 – Spanish
TopHealth 10 October 2019 – English
TopHealth 10 October 2019 – Spanish
TopHealth 09 September 2019 – English
TopHealth 09 September 2019 – Spanish
TopHealth 08 August 2019 – English
TopHealth 08 August 2019 – Spanish
TopHealth 07 July 2019 – English
TopHealth 07 July 2019 – Spanish
TopHealth 06 June 2019 – English
TopHealth 06 June 2019 – Spanish
TopHealth 05 May 2019 – English
TopHealth 05 May 2019 – Spanish
TopHealth 04 April 2019 – English
TopHealth 04 April 2019 – Spanish
TopHealth 03 March 2019 – English
TopHealth 03 March 2019 – Spanish
TopHealth 02 February 2019 – English
TopHealth 02 February 2019 – Spanish
TopHealth 01 January 2019 – English
TopHealth 01 January 2019 – Spanish
National Suicide Prevention Lifeline
National Suicide Prevention Lifeline focuses on issues around suicide ideation and where to get help in a crisis: http://suicidepreventionlifeline.org
Workplace Safety
TopSafety Newsletters
TopSafety 11 November 2019 – English
TopSafety 11 November 2019 – Spanish
TopSafety 10 October 2019 – English
TopSafety 10 October 2019 – Spanish
TopSafety 09 September 2019 – English
TopSafety 09 September 2019 – Spanish
TopSafety 08 August 2019 – English
TopSafety 08 August 2019 – Spanish
TopSafety 07 July 2019 – English
TopSafety 07 July 2019 – Spanish
TopSafety 06 June 2019 – English
TopSafety 06 June 2019 – Spanish
TopSafety 05 May 2019 – English
TopSafety 05 May 2019 – Spanish
TopSafety 04 April 2019 – English
TopSafety 04 April 2019 – Spanish
TopSafety 03 March 2019 – English
TopSafety 03 March 2019 – Spanish
TopSafety 02 February 2019 – English
TopSafety 02 February 2019 – Spanish
TopSafety 01 January 2019 – English
TopSafety 01 January 2019 – Spanish
Work-Related Injury and Accident Reports
Form HR 601 A – Initial Report of Injury or Illness
Form HR 601 B – Witness Documentation Report
Form HR 630 A – Accident Information Form
WellComp Provider Search Instructions
Workers’ Compensation Claim Form (DWC 1)
1531 James M. Wood Blvd.
P.O. Box 15095, Los Angeles, CA 90015
(213) 251-3400 | info@CatholicCharitiesLA.org
©2018 All Rights Reserved. Catholic Charities of Los Angeles, Inc.
Catholic Charities of Los Angeles, Inc. is a 501(c)(3) nonprofit, public benefit corporation accredited by the Council on Accreditation.