Enrollment Information

Open enrollment runs every year before the start of school in August.  During that time, employees have the opportunity to review their Health & Dental options and make changes to their plan.  Open enrollment is MANDATORY and all eligible employees must complete the online process each year.

New Employees have an enrollment period of 31 days from their start date to enroll in or waive the District's benefits.  All other opportunity's to enroll in the health plan are based on qualifying events.  Employees working 30+ hours/week will be automatically enrolled in the least expensive, employee only option if enrollment is not completed during the eligibility period.  

Open Enrollment Documents:
First Security Bank - HSA Setup
Flexible Spending Account Claim Form
Dependent Care Reimbursement Form
Mutual of Omaha - EOI Submission Link
Evidence of Insurability Paper Form

FTE Calculator:
FTE Premium Calculation

Plan Brochure:

2021-2022 Benefits Brochure
 
Online Enrollment Instructions
Online Notice of Exchange (Healthcare Marketplace)

Notice of Exchange

2021-2022 Monthly Health Insurance & Dental Price Tags:
2021-2022 Price Tags - Certified and Classified
2021-2022 Price Tags - Admin and Professional
2021-2022 Price Tags - Self Pay


2021-2022 Summary Benefit Comparison (SBC)
1500 SBC
2800 SBC
5000 SBC
7000 SBC

2021-2022 Plan Documents:
1500 Plan Document
2800 Plan Document
5000 Plan Document
7000 Plan Document


2020-2021 Monthly Health Insurance & Dental Price Tags:
2020-2021 Price Tags - Certified and Classified
2020-2021 Price Tags - Administrators and Professionals
2020-2021 Price Tags - Self Pay


2020-2021 Summary Benefit Comparison (SBC)
1500 Deductible SBC
2800 Deductible SBC
5000 Deductible SBC
6900 Deductible SBC

2020-2021 Plan Documents:
1500 Plan Document
2800 Plan Document
5000 Plan Document
6900 Plan Document


Medical Plan Information:

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