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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.
2010-11 OPEN ENROLLMENT - Tuesday, April 13 - Monday, April 26, 2010
This open enrollment period allows you to enroll or make changes to your benefits without a qualifying event (within 31 days of a birth, marriage, job status change, etc.).
Changes or new enrollments will take effect on July 1, 2010. If you have any questions, please contact Julie Hanson (952-681-6440).
OPEN ENROLLEMENT HANDOUTS
  Open Enrollment Announcement (3/10/10) - 2010-11 Health Insurance Rates/ HSA District Contribution (3/10/10)
- 2010-11 Dental Insurance Rates (3/10/10)
- 2010-11 Open Enrollment Notice - Employee Worksheet (3/10/10)
- Voluntary Vision Enrollment Packet (3/10/10)
CUSTOMER SERVICE NUMBERS
Provider |
Service |
Phone Number |
PreferredOne
|
Health Insurance
7am-7pm M-F |
763-847-4477
1-800-997-1750 |
| Health Equity |
Health Savings Accounts |
1-866-346-5800 (24/7) |
| Delta Dental |
Dental Insurance |
1-800-553-9536 |
Corporate Health
|
Dependent Care
Flexible Spending Accounts |
952-939-0911 x 14
(Patty Kivi) |
POWERPOINTS - check back on April 12 to view revised powerpoints for 10-11
BENEFIT ELIGIBILITY TABLES (based on Hire Date)
|
Clerical (Appendix A) |
2007-09 |
|
Community Ed Independent Hourly (Appendix A) |
2009-10 |
|
Custodial / Transportation (Appendix A) |
2007-09 |
|
Food Service (Appendix A) |
2009-10 |
|
Nurses / Health Services (Appendix A) |
2007-09 |
|
Paraprofessionals (Appendix A) |
2009-10 |
|
Principals (Appendix A) |
2008-09 |
|
Teachers (Schedule F) |
2007-09 |
2010-2011 INSURANCE INFORMATION & FORMS
- A. Health Insurance [PreferredOne - EFFECTIVE 7/1/09]
- High Deductible Health Plan (HDHP) Rates
- 2009-10 Rates (6/22/09)
- 2010-11 Rates (3/10/10)
- Enrollment/Change
- FORM-P1 Enrollment (4/06)
- FORM-P1 Change (4/06)
- Plan Documents
- Summary (4 pages) (4/14/09)
- Certificate (68 pages) (7/29/09)
- Double Coverage (4/16/09)
- Minnesota Age 25 Mandate
- FORM-MN Age 25 Mandate (3/12/09)
- MEMO-MN Age 25 Mandate (3/12/09)
- Nurseline (4/14/09)
- Employee Assistance Program (4/14/09)
- Fitness Advantage Information and Enrollment Form (11/18/09)
- Fitness Advantage Approved Facilities (11/01/09)
- National Network -Beech Street Customer Service 1-800-937-2277 or 1-800- 877-1444
- PreferredOne phone: 763-847-4477
or 1-800-997-1750
- B. Health Savings Accounts [HealthEquity]
- Eligibility
- FORM-HSA Form (3/1/10), includes employee contribution changes and new hire eligibility
- MEMO-Clarification re: Spouse's Medical Flex and HRA-like Account (6/4/08)
- IRS Limits
- 2009 IRS Health Savings Accounts Limits (7/31/08)
- 2010 IRS Health Savings Accounts Limits (06/10/09)
- Hardship
- HSA Hardship Form (6/6/09)
- Information
- Beneficiary Designation
- FORM-HSA Beneficiary Designation 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 (2010 update-1/20/10)
- 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)
- 2009-10 Delta Dental Rates & Summary (4/7/09)
- 2009-10 Delta Dental Plan Summary (25 pages) 7/1/2009
- 2010-11 Delta Dental Rates & Summary (3/10/10)
- Enrollment/Change
- FORM-Dental Enrollment (10/9/07)
- FORM-Dental Change (11/9/07)
- Delta Dental phone: 1-800-553-9536
- D. Dependent Care Flex Spending Accounts [Corporate Health Systems]
- Enrollment Information (DC FSA)
- Enrollment Letter (4/13/09)
- Benefit Guide (4/13/09)
- On-line enrollment information (4/13/09)
- 2009-10 Reimbursement Schedule (4/13/09)
- FORM-Claim Form (5/07)
- FORM-Direct Deposit Authorization (4/08)
- FORM-Paper Enrollment (4/08)
- FORM-Paper Change (4/08)
- Plan Documents
- 2009-10 Plan Document (4/13/09)
- Medical Expense Flexible Spending Account - NOT AVAILABLE
- replaced by Health Savings Accounts (HSAs) on July 1, 2008
- Corporate Health Systems phone: 952-939-0911 x14 (Patty Kivi)
- E. 403(B) - Tax Sheltered Annuity (TSA)
[self-administered]
- *FORM-403(B) Wage Deferral Authorization (updated 2/1/09)
- *PDF IS A FILLABLE FORM.
- Authorized Vendor List (8/1/08)
- HR Communicates: 403(b) Info
- Tip#2 (2/10/09) "DID THE NEW IRS 403(b) GO INTO EFFECT ON 1/1/09"
- Tip#1 (12/4/08) "HOW WILL THE NEW IRS 403(b) REGULATIONS AFFECT ME?
- Plan Documents
- Highlights (2 pages)
- Summary (11 pages)
- Adoption (22 pages)
- Basic Plan Document (48 pages)
- Amendment 12/31/09 (11 pages)
- Amendment Summary 12/31/09 (1 page)
- Universal Availability Notice 1/1/2010 (2 pages)
- Sharing Agreement Letter for Vendor (9/25/08)
- F. Life Insurance [ReliaStar Life Insurance Company]
- Beneficiary Designation Change: Contact HR for form: 952-681-6440.
- Certificate Booklet
- Cover Page (7/1/08)
- Booklet (7/1/08)
- Class 14 Rider (7/1/08)
These are PDF documents that can by read by Adobe Acrobat®. If your computer cannot read the document, please install Acrobat reader from the Adobe website.
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