Benefit Package School District of New Richmond

Benefit Overview

Keep for future reference.

Enrollment Forms to complete and return to HR

• Medical/Dental Enrollment Form

• WI Public Employers Group Life Insurance Program

• HSA Enrollment Form

• Flexible Spending Account

Booklets in your folder

• HealthPartners Plan Benefits

• HSA Bank Information

• Group Long-term Disability

• The Wisconsin Public Employers Group Life Ins. Program

• Your Benefit Handbook (etf)

• Family Means

HealthPartners Medical & Dental

Included in this booklet is your medical plan summary. As a new hire, you have the Health & Wellbeing Program Requirement Achieved Plan.

Prescriptions – toward deductible

Dental Plan (Teachers, support staff have Plan 1)

Where to go for help, discounts and hints to help save time and money.

Health and Wellbeing

New Hires and all employees (including spouse) if covered by the District’s medical insurance will be required to take an on-line assessment and complete one program.

Opens July 1st and closes February 28, 2014 (Frequent Fitness by 1/31/14). Program must be complete.

Benefit – your deductible remains at the current rate

If you do not complete the assessment and program your deductible increases $250 per year for single and $500 per year for family.

HSA Bank

Your HSA (Health Savings Account)The District contributes $58.33 monthly for single or $116.66 monthly for family.

Use for deductible and medical, dental and vision expenses.

When you leave the District the account goes with you.

You receive one debit card. Can request additional cards – 2 free.

Complete a beneficiary form.

HSA / FSA Enrollment

HSA (Health Savings Account) FSA (Flexible Spending Account)

• Must be enrolled in the District Medical insurance

• Payroll Deduction form must be returned indicating the contribution or not contributing into the HAS

• Contributions are pre-tax• Your account – use it or keep it• Can be used for medical,

dental and vision expenses• Can change your election at

any time (start or stop).

• If enrolled in District medical insurance, can be used only for dental and vision expenses.

• Dependent Care or medical expenses taken out pre-tax.

• Use it or lose it!• Need to return form even if

not enrolling. Check waiving FSA at the bottom and sign.

• Can only change if you have a life changing event.

HSA Forms

Form for additionalcards

Beneficiary Designation

Payroll DeductionAuthorization

Forms on District web page

Long-Term Disability

Eligible for benefits after 90 days of disability.

Pays 90% of salary

Group Life Insuance

District pays for basic coverageOne time annual salary

Can purchase an additional 2 times annual salary. Max is 3 times annual salary.

District does not offer spouse or dependent coverage.

Employee Trust Funds (WI Retirement System)

You are enrolled in the WRS upon hire if you work more than 880 hours per school year.

You will receive annual notices of your account.

Make sure you complete and send to ETF your beneficiary designation. You can make changes at any time. Forms available in HR.

Employee Assistance Program (EAP)

The District pays for up to 3 counseling sessions for a variety of issues.

Completely confidential

Quarterly information newsletters sent to building lounge and on the District’s web page.

This service is available to employee and immediate family (spouse and children).

403(b) Plan / 457 Plan

The District offers 3 different options to invest for the future.

WEA Trust – Is a lower cost option for employees. They offer phone and email support.

The Standard is offered through J. A. Counter here in New Richmond for face-to-face meetings

Roth is available from both vendors. Enrollment packets are available in HR. Just ask.

Wisconsin Deferred Compensation Program is a voluntary supplemental retirement savings program for all local government and school district employees.

District Web Page

www.newrichmond.k12.wi.us