SSL Certificate
St. Francis Area Schools
A PreK-12 public school district serving the communities of Athens Township, Andover, Bethel, East Bethel, Linwood Township, Nowthen, Oak Grove, St. Francis and Stanford Township

Open Enrollment 2018-19

This information is for all St. Francis Area Schools benefit-eligible employees
(staff contracted for 1020 or more hours per year)

The 2018-19 Annual Benefits Open Enrollment period is May 1-15, 2018.

St. Francis Area Schools' Benefit Plan Year is July 1, 2018-June 30, 2019.

Medical insurance is available with Public Employees Insurance Program (PEIP). Three medical plan options will be offered with single or family coverage.

IMPORTANT for 2018-19: All benefit-eligible employees are required to complete a medical insurance form to indicate waiving coverage or enrolling in a plan. ONLY paper forms accepted from May 1 - 15, 2018, by 4 p.m.

Pro-Tip: Calculator to Compare Medical Plans

(Employee Monthly Premium Cost x 12 months) + Maximum Plan Year Out-of-Pocket = Total Maximum Potential Cost Per Plan

Example:
Employee Example ($385.52/month premium x 12 months) = $4,626.24 + $2,000 max out-of-pocket max = $6,626.24 total maximum potential cost

The dental rates and plan remain the same with Delta Dental of Minnesota. As of July 1, 2018, dental implant benefit will be added.

Flexible Spending Accounts (FSA) enrollment forms need to be completed every plan year if you wish to participate in medical or dependent care FSA. The medical FSA maximum is $2,650 per eligible employee per plan year; the dependent care FSA maximum is $5,000 per plan year.

Benefits Open Enrollment Information

  • Tuesday, April 24, 2018 4:00 p.m.
    Central Services Center, Community Room
  • Tuesday, May 1, 2018 10:00 a.m. & 4:00 p.m.
    Central Services Center, Community Room

Links to Benefits Open Enrollment Forms* & Information

PEIP

For more information about PEIP, visit www.innovomn.com.

Innovo Benefits Administration Step by Step Enrollment Instructions
2018-19 PEIP Rates
PEIP Advantage Health Plan 2018-19 Benefits Schedule
PEIP Advantage Health Plan 2018-19 Benefits Schedule Value Option
PEIP Advantage Health Plan 2018-19 Benefits Schedule HSA Compatible
Enrollment or Waiving Coverage Form
PEIP Clinic Directory

Delta Dental

2018-19 Dental Rates
Delta Dental Benefits Summary
Delta Dental Enrollment Form *only if not currently enrolled
Delta Dental Membership Maintenance Form *only if changes need to made **download to computer and save

Effective as of July 1, 2018 dental implants will be added to benefits

Flexible Spending Accounts

Flexible Spending Accounts (TASC) Enrollment Form

Includes Direct Deposit Authorization form if you have a banking account change or a new bank account. New FSA enrollees are required to complete the Direct Deposit Authorization form.

Effective as of July 1, 2018 Medical FSA increases to $2,650

VOYA Life Insurance

Employees who previously purchased less than $50,000 in supplemental term life have the option to purchase up to $50,000 with an application. Subject to approval from VOYA.
Evidence of Insurability Application Form

Long-Term Disability

Information will be updated on Long-Term Disability when available.

Questions?
Contact Wendy Carlberg, St. Francis Area Schools Human Resources, Benefits

Return all forms to Wendy Carlberg, St. Francis Area Schools District Office, Human Resources Department

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