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July 2017
Benefit Summary
For Active EmployeesPartners in Value
At the Archdiocese of Cincinnati, we do all we can to mitigate the
effect of rising healthcare costs. We look at the design of our benefit
programs,
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01
Start by reviewing the July 2017 benefit summary form to understand what information is required.
02
Fill out your personal details including your name, address, and contact information.
03
Provide information about your current employment status, including the name of your employer and your job title.
04
Indicate the type of benefits you are claiming for the month of July 2017, such as medical, dental, or retirement benefits.
05
Specify the coverage period for which you are claiming benefits in July 2017, for example, the specific dates of medical treatment or the duration of retirement contributions.
06
If applicable, provide details of any dependents who are also eligible for benefits and include their names and relationship to you.
07
Review your completed form to ensure all information is accurate and complete.
08
Sign and date the form to certify the accuracy of the information provided.
09
Submit the filled out July 2017 benefit summary form to the relevant authority or department.
Who needs july 2017 benefit summary?
01
Employees who receive benefits from their employers.
02
Individuals who are eligible for specific benefits provided in July 2017.
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