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Downloads and Forms

General documents
  • Group Benefit Program
  • Rate Information
Benefits information
  • Highmark BCBS Benefit Material
  • Delta Dental Material
  • DeltaVision Material
  • Unum Life, Disability, and Travel Insurance Material
  • Express Scripts Prescription Material
  • Amplifon Material

Plan change request forms
  • Bethany Benefit Addition, Update, and Termination Forms
  • ACH Funds Transfer Form
Claim forms
  • Highmark BCBS Medical Claim Forms
  • Delta Dental Claim Form
  • DeltaVision Claim Form
  • Express Scripts Prescription Claim Forms

Bethany Benefit Service

  • Home
  • Benefits and Rates
    • Rates and Materials
    • Medical Insurance
    • Prescription Benefit
    • Dental insurance
    • Vision Benefit
    • Life and AD&D Insurance
    • Long-term Disability Insurance
    • Employee Assistance Program
    • Wellness Programs
    • Travel Benefits
    • Teladoc
    • Amplifon
  • Covenant Pension Plan
    • Covenant Pension Plan Home
    • Covenant Pension Transition Readiness : What to Do Now
    • Pension Plan Conversion Form
    • Covenant Subsidized Benefits Program
      • CSB Application Form
    • Presentation from Midwinter 2020
    • Pension Plan Flowchart Slides
    • Enrollment details
    • Downloads and Forms
    • Contact Information
    • 403(b)(9)
  • Health Care Reform
  • 403b9 Spanish
  • Policies and Procedures
    • Policies and Prodedures Home
    • Eligibility
    • Dependents
    • Changes in Employment
    • Turning 65
    • Filing Claims
    • Payments and Update Sheets
  • Retirement and Medicare
  • Downloads and Forms
  • Frequently Asked Questions
  • Contact Information

Contact Us


P.O. Box 316560
Chicago, IL 60631-6560

Bethany@CovChurch.org

(800) 313-8955

Fax: (773) 784-2249

Bethany Benefits

Ministers and church workers enjoy the benefits of group coverage through Bethany Benefit Service, such as low co-pays and deductibles, choice of doctors, wellness care, and transferable benefits. They also know that Bethany Benefit Service is available to act as their advocate to ensure their claims are handled in a timely manner. Churches save
time and money, as well as support the larger Covenant family, by joining a larger group plan as opposed to purchasing insurance on their own.

Join the Pension Plan

contact Bethany Benefit Service staff at bethany(at)covchurch.org or 800-313-8955

To update your Covenant Pension Plan account, complete the forms below.

  • Salary Report Form
  • Update Form

Apply for Insurance

To apply for insurance benefits, contact Bethany Benefit Service for an enrollment packet.

P.O. Box 316560
Chicago, IL 60631-6560
email: bethany(at)covchurch.org
phone: (800) 313-8955
fax: (773) 784-2249

Affiliate Ministries

  • Camps and Retreat Centers
  • CHET: Hispanic Theological Studies
  • Covenant Initiatives for Care
  • Covenant Ministries of Benevolence
  • Covenant Pension Plan
  • Covenant Living Communities
  • Covenant Trust Company
  • National Covenant Properties
  • North Park Theological Seminary
  • North Park University
  • Paul Carlson Partnership
  • Swedish Covenant Hospital

Regional Conferences

  • Alaska
  • Canada
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  • Midsouth
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  • Pacific Southwest
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Quick Links

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Contact Us

(773) 784-3000

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© 2018 The Evangelical Covenant Church
8303 West Higgins Road, Chicago, Illinois, 60631

© 2017 The Evangelical Covenant Church
8303 West Higgins Road, Chicago, Illinois, 60631
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