The District Insurance Committee has elected to change carriers  for medical and vision from Health Net to  PacificSource and United Heritage for life, accidental death & dismemberment, and long-term disability. Also, the decision was made to discontinue the $500 Deductible Plan. New this year, Employees have the ability to purchase additional life insurance for Employees, Spouse and Dependents as well as Short-Term Disability for the employee. In order to offer these two additions, we must have 25% participation. The new out of pocket amounts take effect in September.

2018-2019 PREMIUM RATES

2018-2019 PLAN COMPARISONS

2018-2019 BENEFIT RESOURCE GUIDE-Summary Plan Descriptions

2018-2019 GROUP HEALTH ENROLLMENT FORM

2018-2019 Life, LTD and STD Enrollment Form

HEALTH STATEMENT – FOR ADDITIONAL LIFE INSURANCE COVERAGE

PACIFICSOURCE PHARMACY NETWORK

FIND A DOCTOR

WHA (Benefit Service Team)

BENEFIT VENDOR CONTACTS

OPEN ENROLLMENT
Open Enrollment is your annual opportunity to choose the health plan that works best for you, beginning on September 1, 2018 and ending September 30, 2017.  Once Open Enrollment ends, no plan changes can be made until the next Open Enrollment period unless you experience a qualifying event.  For more information, click here.

ENROLLMENT FORMS

Health and Dental Enrollment and Change Form

VEBA Enrollment Form
HSA Salary Reduction Arrangement
Forms to Waive Coverage

 

REQUIRED NOTICES

SBC – $5000 Deductible

SBC – $1500 HDHP (HSA)

SBC – $1000 Deductible

SBC – PSN $1000 Deductible

COBRA Notice

Medicare Creditable Coverage Notice

Medicare Non-Creditable Coverage Notice for $1500 HDHP

CHIPRA Notice

Women’s Health and Cancer Rights Notice

HIPAA Notification

Market Exchange Notice

Summary Plan Description

 

 

HEALTH SAVINGS ACCOUNTS

Health Savings Account Enrollment Form

FLEXIBLE SPENDING ACCOUNT
PacificSource FSA Enrollment Form
PacificSource FSA User Guide
Request for Reimbursement from FSA or HRA

 

403(b) PLAN
Click here for information specific to the District’s 403(b) Tax Sheltered Annuity Plan (TSA) including vendor lists and enrollment forms.  Carruth Compliance Consulting (CCC) provides compliance assurance and plan administration services to the District on a contractual basis. CCC serves as a clearing house for administration of the District’s Plan, providing employees with the information they need to take advantage of this tax deferred retirement savings plan.

Salary Reduction Agreement

Vendor List

2018 403B TSA Announcement

2019 403B TSA Announcement

 

QUESTIONS?

If you have any questions about employee benefits, please contact either 

payroll@fernridge.k12.or.us or

Quanah Bennett in the Business Office at541-935-2253 x1202  –  or Dani Hughes at 541-935-2253 x1204 

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February 2019

Feb. 9 – EHS Hall of Fame Night

 

Feb. 14 – Valentine’s Day

 

Feb. 18 – No School in Honor of President’s Day

 

Feb. 19 – 6:30 School Board Mtg (District Office)

 

Feb. 20 – 100th Day of School

 

 

District Calendar

Print Calendar 2018-2019

 

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