2019-2020 Employee Benefits Open Enrollment

Open Enrollment Period is the one time each year employees can change what health insurance and dental insurance plans they are enrolled in. Open Enrollment period is from 04/15/2019 - 05/15/2019 with an effective date of 07/01/2019.  If changes aren't made during the open enrollment period, an employee must have an "event" in order to make changes such as a birth, wedding, divorce, adoption, or change in employment. Employee Benefits Rate Sheet 2 Married Employees Rate Sheet Transportation Route Drivers Rate Sheet 2 Married Employees (one regular/one route driver) Rate Sheet Employee Benefits FAQ New Dental Plan Comparison Open Enrollment Form  Enrollment forms will be sent to all employees in their April 25th pay stub envelopes. Form here is for reference only. (Note that Administrators, Married Employees, and Bus Route Drivers have their own form that will be shared individually with them) Health Insurance Plan Comparison Blue Rx Value Plus (Your Guide to Prescription Drug Benefits) AVESIS Eye Care Insurance (Optional)  $500 Deductible PSF (100% Paid by District if Eligible)  $1,000 Deductible (Grandfathered) $2,500 High Deductible Plan  Some employees may qualify for district contributions to the HSA with this plan. Check the rate sheets for more information.  Health Savings Account Information (with choice of $2,500 HDHP Plan) $500 Deductible Plan Booklet Booklet is 2018 version as 2019 version is not yet available.  There are minimal changes to the new policy other than the transition to the Blue Rx Value Plus Drug Benefit Plan.  $1000 Deductible Plan Booklet Booklet is 2018 version as 2019 version is not yet available.  There are minimal changes to the new policy other than the transition to the Blue Rx Value Plus Drug Benefit Plan.  $2500 HDHP Plan Booklet Booklet is 2018 version as 2019 version is not yet available.  There are minimal changes to the new policy other than the transition to the Blue Rx Value Plus Drug Benefit Plan.   What is an Health Savings Account (HSA)  Partial Self Funding Flow Chart    Moving to an HDHP  Is an HSA right for you? What are the Qualified Medical Expenditures you can pay from from your HSA?  Partial Self Funding Arrangement           HSA Direct Deposit Form        Titonka Savings Bank (TSB) HSA Account Information  TSB HSA FAQ TSB Customer Application Form TSB HSA Information       Manufaturers Bank and Trust (MBT) HSA Account Information  MBT Customer Application Form MBT HSA Information