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Academics Programs District & Staff Community Connection School Info School Info

 

 

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.

OPEN ENROLLMENT

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 at the beginning of the plan year (July 1).  If you have any questions, please contact Julie Hanson (952-681-6440).

OPEN ENROLLMENT - 2011 - Tentative dates are Arpil 12 - 25, 2011

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
  •       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)

AlwaysCare Voluntary Vision Program 1-888-729-5433 ext 2013

POWERPOINTS -

 

2010-2011 INSURANCE INFORMATION & FORMS

  • A. Health Insurance [PreferredOne]
    • 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) (4/13/2010)
      • Certificate (68 pages) (7/29/09)
    • Double Coverage (3/27/10)
    • Minnesota Age 25 Mandate
      • FORM-MN Age 25 Mandate (3/12/09)
      • MEMO-MN Age 25 Mandate (3/12/09)
    • 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 (6/1/10)
    • 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)
    • Rates & Summary
      • 2009-10 Delta Dental Rates & Summary (4/7/09)
      • 2010-11 Delta Dental Plan Document (25 pages) 08/13/10
      • 2010-11 Delta Dental Rates & Summary (06/25/10)
    • Enrollment/Change
      • FORM-Dental Enrollment (04/25/2010)
      • FORM-Dental Change 04/25/2010)
    • Delta Dental phone: 1-800-553-9536
     
  • D. Dependent Care Flex Spending Accounts [Corporate Health Systems]
    • Enrollment Information (DC FSA)
      • Enrollment Letter (4/13/2010)
      • Benefit Guide (4/13/10)
      • On-line enrollment information (4/13/10)
      • 2010-11 Reimbursement Schedule (4/13/10)
      • FORM-Claim Form (4/13/10)
      • FORM-Direct Deposit Authorization (4/13/10)
      • FORM-Paper Enrollment (4/13/10)
      • FORM-Paper Change (4/13/10)
    • Plan Documents
      • 2010-11 Plan Document (4/13/10)
    • 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 [ING ReliaStar Life Insurance Company]
    • Beneficiary Designation Change: Contact HR for form: 952-681-6440.
    • Effective July 1, 2010, all full and part-time employees will be covered for two times their annual salary.
      • 2010 ING Life Insurance Certificate
  • G. Long-Term Disability (LTD) & Accidental Death & Dismemberment

    [ING ReliaStar Life Insurance Company]

    • Effective July 1, 2010, long-term disability will be provided by ING. 
  • 2010 ING LTD Certificate 

    • New:  3/12 Pre-existing Condition Exclusion for employees hired after 7/1/201:   ReliaStar will not pay monthly income bnefits if your disability is due to a pre-existing condition and you become disabled during the first 12 months your insurance is in effect.  Pre-existing condition is defined as a sickness or accidental injry for which, during the 3 months immediately before the effective date of your insurance you did one or more of these:  received medical treatment, care, services or advise; took prescribed drugs or had medications prescribed; experienced related or resulting symptons or aggravations which would be a reaonsable cause for an ordinarily prudent person to seek diagnosis, care or treatment from a doctor or health care facility. 

H.  Voluntary Vision [AlwaysCare]

    Voluntary Vision Information Packet (3/26/10)

    Voluntary Vision Enrollment Form (3/26/10)

    Certificate of Coverage (06/14/20)

     

 I. MEDICARE Supplements for Retirees

    Bloomington has an association with UCARE and MEDICA to offer a special option to our retired Bloomington staff who are looking for a MEDICARE supplement.   Please contact either company below if you want additional information or wish to enroll.

    UCARE for Seniors - Call for more information 612-676-3557.

    MEDICA - Call 952-992-2330 for information on the PEIP plan.

BENEFIT ELIGIBILITY TABLES (based on Hire Date) - APPENDIX A

Clerical
2009-11

Community Ed Independent Hourly
2010-11

Custodial / Transportation
2009-11

Food Service
2010-11

Nurses / Health Services
2009-11

Paraprofessionals
2010-11

Principals
2009-11

Teachers
2009-11

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