When you have questions on a benefit or a problem with a claim, we would encourage you to contact the insurance carriers directly who have your claims information readily available or contact your school insurance representative. These associates are very knowledgeable about Washington County School District insurance benefits.
For other questions please contact Tammara Robinson, 673-3553 x5119 - (Benefits & Wellness).
Health Care Compliance Packet
Employee Handbook
- Employee Benefits Handbook - 2019-2020
- Employee Benefits Handbook - 2018-2019
- Employee Benefits Handbook - 2017-2018
- Employee Benefits Handbook - 2016-2017
- Employee Benefits Handbook - 2015-2016
- Employee Benefits Handbook - 2014-2015
Group Health Plans Compliance Documents
- Notices for New Hires and Open Enrollment
- Chip Notification
- Medicare Part D Creditable Coverage
- 2019 EMI Summary of Benefits Traditional Plan
- 2019 EMI Summary of Benefits QHDHP with HSA Plan
- Summary Of Benefits BluePoint Traditional Plan
- Summary Of Benefits HDHP with HSA Plan
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Section 18B of the FLSA, as added by section 1512 of the Affordable Care Act, requires the District to provide each employee notice:
- Informing the employee of the existence of the Marketplace (referred to in the statute as the Exchange)
- The District Health Insurance Plan coverage meets the minimum value standard and the cost of the coverage is affordable for eligible employees
The attached notice meets this requirement. You may also find additional information on-line at: https://www.healthcare.gov/
District Insurances
COBRA Advisors
GBS Benefits
465 South 400 East, Suite 300, Salt Lake City, Utah 84111
(801) 364-7233 phone (866) 410-0457 fax Lorie Brown, Cobra Manager
COBRA RATES:
Dental Insurance
EMI Dental
5101 S Commerce Drive
Murray, Utah 84107
800-662-5851
www.educatorsmutual.com
Associated Files / Links
Benefit Change Forms
FLEX Spending
National Benefits Service (NBS)
8523 South Redwood Road
West Jordan, Utah 84088
(800) 274-0503 - Customer Service
www.nbsbenefits.com
Important Disclaimer:
Your individual or family tax liability may be affected by your selection of a health benefit plan offered by the Washington County School District. Circumstances such as enrollment in other health plans, availability of funds in an established Flexible Spending Account, contributions to a Health Savings Account, or other unique situations in your family or individual tax status are critically important factors you should consider as you select the plan that is best for you. For example, if you enroll in the High Deductible Health Plan and H.S.A., the Tax Code provides that you are not eligible for an H.S.A. contribution for any month in which you are also enrolled in or eligible for reimbursement under another health plan that is not a high deductible health plan (there are a few limited exceptions). The Washington County School District cannot provide professional tax advice or be held accountable for the tax treatment of your enrollment choice. We encourage you to consult a qualified tax professional concerning this matter.
Summary of Benefits
- Summary of Benefits
- Flexible Benefits Plan Highlights
- Instructions for Login NBS Portal
- Instructions for NBS Mobile App
Note: For the plan year 2019-2020, maximum benefit amount is $2,700.00 with a $500 rollover.
For 2019-2020: Limited Purpose FSA for employees who chose the HDHP and HSA.
For plan year 2018-2019, maximum benefit amount is $2,650.00 with a $500 rollover.
Benefit Change Forms
Employees must re-enroll for Flex spending every year during open enrollment. It can be used for medical and daycare expenses. Complete the enrollment form and submit to Tammara Robinson in HR Department.
HSA - Health Savings Account
Health Equity
Important Disclaimer:
Your individual or family tax liability may be affected by your selection of a health benefit plan offered by the Washington County School District. Circumstances such as enrollment in other health plans, availability of funds in an established Flexible Spending Account, contributions to a Health Savings Account, or other unique situations in your family or individual tax status are critically important factors you should consider as you select the plan that is best for you. For example, if you enroll in the High Deductible Health Plan and H.S.A., the Tax Code provides that you are not eligible for an H.S.A. contribution for any month in which you are also enrolled in or eligible for reimbursement under another health plan that is not a high deductible health plan (there are a few limited exceptions). The Washington County School District cannot provide professional tax advice or be held accountable for the tax treatment of your enrollment choice. We encourage you to consult a qualified tax professional concerning this matter.
Summary of Benefits
- Winning With A Health Savings Account
- HSA Fee Schedule
- If you elect the HDHP with the HSA during Open Enrollment, WCSD will deposit $80 into the HSA each month beginning in August 2019. WCSD will match $20 each month in Employee contributions in 2019-2020.
Benefit Change Forms
- Health Savings Account Enrollment Form
- Changes to the contribution amount on the HSA can be made at any time during the year. Submit the HSA change form to Tammara Robinson in the HR Department.
Insurance Advisors
GBS Benefits, inc.
465 South 400 East, Suite 300
Salt Lake City, Utah 84111
Denise House, Account Manager
801-842-0130 Office
- No associated forms at this time.
Life Insurance
LifeMap Life Insurance
LifeMap Medical Underwriting
(800) 794-1129 - Customer Service
Benefit Change Forms
The LifeMap insurance enrollment form must be completed in full for any additional life insurance the employee wants to purchase for themselves, spouse, and/or children. Submit the forms to Tammara Robinson in the HR Department. Beneficiary changes can be made any time through out the year.
Medical Insurance
emi medical insurance-effective 8/1/2019
5101 S Commerce Drive
Murray, Utah 84107
800-662-5851
www.educatorsmutual.com
Regence Blue Cross Blue Shield insurance Information-effective 8/1/2017-7/31/2019
Selecthealth insurance information-effective 2/1/2016-7/31/2017
Arches Health Insurance Information - Effective 8/1/2015-1/31/2016
Regence Blue Cross Blue Shield Pharmacy Information:
Effective Jan. 1, 2018- Prime Therapeutics will replace Optum Rx. Here is what you can expect with the transition:
- Mail Order Changed from OptumRx to AllianceRx Walgreens
- Transferable prescriptions currently dispensed at OptumRx Home Delivery will transfer to the new mail order pharmacy automatically
- Non-transferable prescriptions are controlled substances (i.e. narcotics), compounds, drugs without refills, and expired prescriptions. Members will need to obtain new prescriptions for non-transferable prescriptions.
- Former Walgreens Mail Service members will need to validate their personal information with the new pharmacy
- New members will need to register and provide their payment information
- Specialty Pharmacy Change from BriovaRx to Alliance Rx Walgreens Specialty
- Personalized outreach to members will occur 14-24 days in advance to register and get members set up with new pharmacy
- Former Walgreens Specialty Pharmacy members will need to validate their personal information with the new pharmacy
- All RegenceRx info will all be included on the regence.com website.
- New Mail Order Registration Form
summary of benefits
regence blue cross blue shield:
- Summary of Benefits Blue Point Traditional Plan
- BCBS Benefit Book Blue Point Traditional Plan
- Summary of Benefits HDHP with HSA Plan
- BCBS Benefit Book HDHP with HSA Plan
- ACA Compliant SBC Blue Point Traditional Plan
- ACA Compliant SBC HDHP with HSA Plan
- Regence BlueCard Travel Information
- ACA Preventive Medications
- ACA Contraceptive Products
- ACA Tobacco Cessation Coverage
insurance change form for 2019-2020
Forms must be completed in full for any insurance change and submitted to Tammara Robinson in the HR Department
Short / Long Term Disability
Lincoln Financial Group
(800) 423-2765
Short Term Enrollment FOrms
The Short Term Disability form must be completed in full for any insurance change and submitted to Tammara Robinson in HR Department.
Supplemental Insurance
AFLACIndividual and Group Policies:
Lane Morgan
(800) 992-3522 |
Associated Files / Links
- Accident Wellness Benefit Claim Form
- Accident Claim Form
- Critical Illness Wellness Benefit Claim Form
- Critical Illness Claim Form
- Hospital Indemnity Claim Form
Aflac Group Enrollment Form
Retirement Planning
Utah Retirement Systems (URS)
St. George, Utah 84770
(800) 950-4877 - Toll Free
(435) 673-6300 - Local Office
Associated Files / Links
Benefit Change Forms
Changes to this form can happen any time throughout the year. Employees don't need to wait for open enrollment to make changes to their contributions, investment designation, or to their beneficiaries.The form must be completed in full and submitted to Tammara Robinson in HR Department.
This form must be completed for the pension and the 401(k)/457 accounts to be updated correctly.Employees don't need to wait for open enrollment to make changes to their accounts with URS.They would be filled out for name changes, marriage status changes, address changes, and beneficiary changes. The forms must be completed in full and submitted to Tammara Robinson in HR Department.
This form assigns beneficiaries.