District Insurance Providers
GBS BENEFITS
2200 South Main #600, South Salt Lake, Utah 84115
(801) 842-0148 office- Lorie Brown, Cobra Manager
EMI DENTAL
5101 S Commerce Drive
Murray, Utah 84107
(800) 662-5851
NATIONAL BENEFITS SERVICE (NBS)
P.O. Box 219393
Kansas City, MO 64121-9393
(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 22024-2025, the maximum benefit amount is $3,200.00 with a $600 rollover for both flexible spending and limited-purpose flexible spending accounts.
Employees must re-enroll for Flex spending every year during open enrollment. It can be used for medical and daycare expenses.
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
- HSA Fee Schedule
- If you elect the HDHP with the HSA during Open Enrollment, WCSD will deposit $100 into the HSA each month as long as the employee contributes $20. Contributions to the HSA are made typically within 48 hours after payday.
BENEFIT CHANGE FORMS
- OE Employee HSA Payroll Deduction Form 2024
- 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 or Marci Ware in the HR Department.
GBS BENEFITS, INC.
640 E 700 S
St. George, Utah 84770
Emilyann Peinamalie, Account Manager
(435) 879-7889 Office
LINCOLN FINANCIAL LIFE INSURANCE
LIFEMAP MEDICAL UNDERWRITING
OE Life Insurance- EOI Instructions Employee Flyer 2024
BENEFIT CHANGE FORMS
- Beneficiary changes can be made at any time throughout the year.
- Life Insurance Beneficiary Designation Form
EMI HEALTH-EFFECTIVE 8/1/2019 TO PRESENT
5101 S Commerce Drive
Murray, Utah 84107
(800) 662-5851
www.emihealth.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
LINCOLN FINANCIAL GROUP
(800) 423-2765
SHORT TERM ENROLLMENT FORM
VOYA
- VOYA Claim Instructions
- VOYA Wellness
- 728497 Enrollment form 2024
- Accident Plan Benefits
- Hospital Indemnity Plan Benefits
- Critical Illness Plan Benefits
VOYA ASSOCIATED FILES / LINKS
UTAH RETIREMENT SYSTEMS (URS)
St. George, Utah 84770
(800) 950-4877 – Toll Free
(435) 673-6300 – Local Office
ASSOCIATED FILES / LINKS
- Understanding the Pension Contribution Rate and How it Impacts Your Tier 2 Hybrid Benefit
- Tier 2 Member Contribution FAQs
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.
EMI VSP VISION SERVICES
EMI Health