Insurance Forms

Archdiocese of Oklahoma City Employee Forms
Enrollment/Change Forms All forms are printer friendly. Please print off your forms, complete them and mail or FAX to:
Business Office Attention: Shannon Schrempp
P.O. Box 32180
Oklahoma City, Oklahoma 73123-0380
FAX Number: 405-709-2711.

Benefit Summary

pdf 2018 Benefit Summary (1.50 MB)

pdf Paycom Benefit Enrollment Instructions (917 KB)


AETNA Member Services

Delta Dental

Delta Member Services

default Delta Dental Card

default Delta Dental Summary Plan

New Hire Form
Hire Form

Vision Benefits
VBA General Information           

Change Request
default Change Request

Evidence of Insurability 

default Evidence of Insurability

Special Events Coverage
Special Events Coverage