Benefits & Insurance

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

Note: For the plan year 2022-2023, maximum benefit amount is $2,850.00 with a $500 rollover.

For 2022-2023: Limited Purpose FSA for employees who chose the HDHP and HSA.

For plan year 2021-2022, maximum benefit amount is $2,750.00 with a $500 rollover.

Benefit Change Forms

Flex Spending Enrollment Form

Employees must re-enroll for Flex spending every year during open enrollment. It can be used for medical and daycare expenses.

HSA - Health Savings Account

Health Equity

15 W Scenic Pointe Dr. STE 400

Draper, Utah 84020

866-346-5800

www.healthequity.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

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 2022. WCSD will continue to match $20 each month in Employee contributions in 2022-2023.

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

Life Insurance

LifeMap Life Insurance

(800) 286-1129 - Life Insurance Claims

(800) 777-9368 option 2 - Conversion & Portability

LifeMap Medical Underwriting

(800) 794-5390 - Customer Service

Summary of Benefits

Benefit Change Forms

Life Insurance Enrollment Form
Beneficiary changes can be made at any time throughout the year.
Life Insurance Beneficiary Form

Medical Insurance

emi medical insurance-effective 8/1/2019

5101 S Commerce Drive
Murray, Utah 84107
800-662-5851
www.educatorsmutual.com

Traditional Plan Summary

QHDHP with HSA Summary

EMI Provider Search Instructions

EMI TeleMed Dr. Appointment Information

EMI Care Management Information

Insurance Enrollment Form

Regence Blue Cross Blue Shield insurance Information-effective 8/1/2017-7/31/2019

Regence Blue Cross Blue Shield Customer Service:

866-240-9580

www.regence.com

Selecthealth insurance information-effective 2/1/2016-7/31/2017

SelectHealth Customer Service:

800-538-5038

http://selecthealth.org/contactus/Pages/MemberServices.aspx

Arches Health Insurance Information - Effective 8/1/2015-1/31/2016

5505 S 900 E

Salt Lake City, UT 84117

(877) 334-4947

www.archeshealth.org

Short / Long Term Disability

Supplemental Insurance

VOYA

Aflac group policies end on 7/31/2022. Contact Individual and Group Policies: Lane Morgan at (800) 992-3522

VOYA is the new carrier for the supplemental accident, critical illness, and hospital indemnity plans.

Group Name: Washington County School District

Group Number: 728497

VOYA Associated Files / Links

Retirement Planning

Utah Retirement Systems (URS)

165 North 100 East #9
St. George, Utah 84770
(800) 950-4877 - Toll Free
(435) 673-6300 - Local Office

www.urs.org

Associated Files / Links

Tier 2 Comparison

Benefit Change Forms

URS 401k/457 Investment Contract

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.

URS Change in Records Form

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.

URS Beneficiary Designation Form

This form assigns beneficiaries.

Voluntary Vision

Outpatient Facilities

Benefit Handbook

Insurance transparency

FLU shot information

Revere Health southern utah services

EMI Save-on Pharmacy Medications

90-day prescriptions filled at local pharmacies

Employee Handbook

Open Enrollment Information

New Hire Employees

Rate Comparison Tool

Tools & Instruction

Group Health Plans Compliance Documents

District Insurances