HR - Employee Benefits

Your eligibility for employment benefits is determined by your collective bargaining contract or district policy. If you are eligible for benefits, you will be able to enroll in the district plans during your new hire orientation.  There is a deadline to enroll of 30 days from your hire date, qualifying date, or qualifying life event.  If you miss this opportunity, the district offers an annual open enrollment period in late spring.  Notification of the exact dates are provided to District staff each year.

UPDATES

• FORM- HSA Form, includes employee contribution changes and new hire eligibility (revised 1/5/09)
• FORM- MSRS HCSP Suspension Election (2009 update-11/14/08)

• MEMO- new BCBS HDHP deductibles and new maximum HSA contribution levels (new 11/7/08)
• 2008-09 Delta Dental Rates & Summary (revised 11/1/08)
• Tri-Fold HSA Brochure (new 10/14/08)

CUSTOMER SERVICE NUMBERS

POWERPOINTS

• Blue Cross Blue Shield Health Insurance (PDF-update 7/31/08)
• Delta Dental Insurance
• Corporate Health Dependent Care Flexible Spending Account
• Health Equity Health Savings Account (PDF-update 7/31/08)

2008-09 INSURANCE FORMS & INFORMATION

• A. Health Insurance [Blue Cross Blue Shield website]
• Rates
  • High Deductible Health Plan (HDHP) (PDF-updated 5/4/08)
  • Food Service Gold Plan (PDF)
• Enrollment/Change
  • FORM-Health Enrollment/Change (PDF)
• Plan Summaries (2 pages each)
  • High Deductible Health Plan (HDHP) (PDF-updated 8/1/08)
  • Gold Plan (co-pay) (PDF-updated 8/1/08)
• Plan Certificates (almost 100 pages each)
• High Deductible Health Plan- Single (HDHP) (PDF-new 8/1/08)
• High Deductible Health Plan- Family (HDHP) (PDF-new 8/1/08)
• Gold Plan (co-pay) (PDF-new 8/1/08)
• Minnesota Age 25 Mandate
  • FORM-Tax Certification of Dependent Status  (PDF-updated 5/3/08)
  • MEMO-HR MN Age 25 Mandate (PDF-updated 5/3/08)
  • BULLETIN-BCBS MN Age 25 Mandate (PDF)
  • Frequently Asked Questions (PDF-updated 4/30/08)
• BlueCross BlueShield Nurseline
• BlueCross BlueShield Employee Assistance Program
• BCBS phone: 651-662-5001 or 1-800-531-6676

• B. Dental Insurance [Delta Dental website]

• C. Flex Spending Accounts [Corporate Health Systems, Inc. website]
• Dependent Care Flexible Spending Account (DC FSA)
  • Enrollment Letter (PDF)
  • Plan Summary (PDF)
  • Plan Document (PDF)
  • Benefit Guide (PDF)
• 2008-09 Reimbursement Schedule (PDF)
• FORM-Claim Form (PDF)
• FORM-Direct Deposit Authorization (PDF)
• FORM-Paper Enrollment (PDF)
• FORM-Paper Change (PDF)
• Medical Expense Flexible Spending Account (Medical FSA)
  • Not available for 2008-09
  • Medical FSAs will be eliminated starting July 1, 2008 and replaced by Health Savings Accounts (HSAs)
• CHS phone: 952-939-0911 x14

• D. Health Savings Accounts [HealthEquity, Inc. website ]
  • MEMO- new BCBS HDHP deductibles and new maximum HSA contribution levels (new 11/7/08)
  • Tri-Fold HSA Brochure (new 10/14/08)
• MEMO-Clarification re: Spouse's Medical Flex and HRA-like Account (PDF-updated 6/4/08)
• Eligibility
  • FORM-HSA Form (revised 1/5/09), includes employee contribution changes and new hire eligibility
  • IRS Publication 969 (PDF)
• IRS Limits
  • 2009 IRS Health Savings Accounts Limits (7/31/08)
• Hardship
  • HSA Hardship Form (new 9/23/08)
• Information
• What is an HSA? (link to HealthEquity website)
• Frequently Asked Questions (link to HealthEquity website)
• Qualified Medical Expenses (link to HealthEquity website)
• Eligible HSA Expenses (PDF)
• IRS Publication 502 (PDF)
• Beneficiary Designation
  • FORM-HSA Beneficiary Designation (PDF), for employees without wills or who want HSA to go to others than natural heirs
• Minnesota State Retirement System Health Care Savings Plan
  • FORM- MSRS HCSP Suspension Election (2009 update-11/14/08)
  • Contact: Joy Sperger, Retirement Services Specialist, Minnesota State Retirement System, e-mail- Joy.Sperger@state.mn.us, phone- 651-284-7840
• Health Equity, Inc. phone: 1-866-346-5800 (24/7)

• E. Tax Sheltered Annuity (TSA or 401k)

• FORM-TSA Salary Reduction Agreement (PDF)
• Sharing Agreement Letter for Vendor (PDF- updated 9/25/08)

• F. Life Insurance (ReliaStar Life Insurance Company)
  • Beneficiary Designation Change: Contact HR for form: 952-681-6440.
  • Cover Page of Certificate Booklet
  • Life Insurance Certificate Booklet
  • Class 14 Rider

• G. Long-Term Disability (LTD) & Accidental Death & Dismemberment

  Certificates (new 12/1/08)

• Teachers
  • Summary
• Administrators & Principals
  • Summary
• All Other Eligible Employees
  • Summary

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