HR, Payroll & Benefits
open enrollment 2019-20 - May 20 - 31, 2019
EACH PACKET CONTAINS THE FOLLOWING:
2019-20 Open Enrollment Election Form
Health Insurance Cost Sheet
Cash In Lieu Form
Debit Card Black-Out Flyer
csONE Employee Portal Set Up Guide
csONE FSA/DCA Enrollment Set Up Guide
VEHI 2019 Health Plans
2019-20 Benefit Plan Cost:
SUMMARY OF BENEFITS & COVERAGE - PLATINUM PLAN
SUMMARY OF BENEFITS & COVERAGE - GOLD PLAN
SUMMARY OF BENEFITS & COVERAGE - CDHP GOLD PLAN
SUMMARY OF BENEFITS & COVERAGE - CDHP SILVER PLAN Benefit Description Document (BDD) for Gold & Silver CDHP Benefit Description Document (BDD) for Platinum & Gold
VEHI has made available two videos to explain the four new plans being offered. Click on the link to take you to the vehi.org website for the videos.
2019 FEDERAL W-4 Form - Windsor Central Unified Union School District
2019 FEDERAL W-4 Form - Windsor Central Supervisory Union
2019 FEDERAL W-4 Form - Barnard School District
Declaration of Health Care Coverage Form - VT Dept of Labor - to be completed annually by all uncovered employees. (This is not a health insurance enrollment form.)
Municipal Retirement Enrollment Form - Non-teaching employees - This form shall be completed at the time of employment for any person who will be regularly employed for 30 or more hours per week and 1040 hours a year for any school district.
CHIP - Premium Assistance Under Medicaid and the Children's Health Insurance Program - (for you or your children who are eligible for Medicaid or CHIP).
WCEA Educational Support Personnel Master Agreement 2019-2020 - The PROSPER VALLEY SCHOOL, READING ELEMENTARY SCHOOL, KILLINGTON ELEMENTARY SCHOOL, WOODSTOCK ELEM, WOODSTOCK UNION HIGH/MIDDLE SCHOOL & WINDSOR CENTRAL SUPERVISORY UNION SPECIAL EDUCATION PARA PROFESSIONALS WCEA - ESP SIDE LETTER - Intensive Needs Position WCEA - SIDE LETTER FOR SLPA (Speech/Language Pathologist Assistant) & COTA (Certified Occupational Therapist Assistant) WCEA - SIDE LETTER - Barnard Food Service Worker - Kitchen Assistant
WCEA MASTER AGREEMENT 2018-2021 - BARNARD, READING, KILLINGTON, PROSPER VALLEY, WOODSTOCK ELEM, WOODSTOCK UNION HIGH/MIDDLE & WCSU TEACHERS
SICK LEAVE BANK PROCEDURES AND PARTICIPATION FORM: Information about this benefit for teachers and ESP employees may be found in your WCEA Master Agreement. WCEA Sick Leave Bank Request Form
WCSU HIPAA Notice of Privacy Practices for Health Reimbursement Plans (for HRA, FSA & DCA)
HRA (Health Reimbursement Agreement) - csONE website
Northeast Delta Dental Enrollment / Change Form Northeast Delta Dental - Employee Portal
Northeast Delta Dental - Certificate of Coverage - Dental Plan Description
Dental Outline of Benefits - All Districts
Delta Dental Resources
Vision Discount Program
"HOW" Health through Oral Wellness Program
"Go Green!" with Northeast Delta Dental's Benefit Lookup site
Delta Dental PPO Plus Premier Network - You will get the best value from your Delta Dental Plan when you receive your dental care from one of our PPO (greatest savings) or Premier network participating dentists:
No Balance Billing: Because participating dentists accept Northeast Delta Dental’s allowed fees for services, you will typically pay less when you visit a participating dentist.
No Claims Paperwork: Participating dentists will prepare and submit claims for you.
Direct Payment: Northeast Delta Dental pays participating dentists directly, so you don’t have to pay the covered amount up front and wait for a reimbursement check.
To find out if your dentist participates in our PPO or Premier network, you can: call your dentist, visit our website “Learn About Your Network Options” page: http://nedelta.com/Dentist-Search/Learn-About-Your-Plan, or call Customer Service at 1‐800‐832‐5700.
Flex Spending Accounts (FSA) & Dependent Care Accounts (DCA)
Use this to set up your elections for a Flexible Spending account and/or dependent care account. The maximum election amount this year for FSA is $2700 and $5,000 for Dependent care. Your election amount will be payroll deducted beginning with your first payroll for fiscal 2019-20. Deadline to enroll is May 31, 2019. New hires will have 30 days to decide once eligible for benefits.
Questions about these two benefit accounts should go to csONE at 603-227-2021 or Lisa Ouellette at firstname.lastname@example.org
CASH IN LIEU WAIVER FORMS: NEW FORM FOR 2019 - 2020
Life Insurance - Mutual of Omaha
WCSU offers a $10,000 life insurance policy free of charge to all other eligible employees who work at least 30 hours per week while employed in a member school district. Principles and Administrators will received a $100,000 life insurance policy free of charge while employed in a member school district and who work at least 30 hours per week. WCSU CLASS 1 - Principals & Administrators - Your Group Term Life Benefits WCSU CLASS 1 - Life Certificate Summary WCSU CLASS 2 - All other eligible employees - Your Group Term Life Benefits WCSU CLASS 2 - Life Certificate Summary
Long Term Disability:
Long term disability plans provide financial protection for you by paying a portion of your income while you are disabled. The amount you receive is based on the amount you earned before your disability began. In some cases, you can receive disability payments even if you work while you are disabled.
Please review your plan information for your class - Teacher or Support Staff.
TEACHERS: This is an optional benefit for teachers covered under the collective bargaining agreement who work at least 17.5 hours per week. Employee pays for this coverage on a post tax basis. Each spring during open enrollment you will get the opportunity to enroll in this benefit if you currently don’t have this coverage. New hires will have thirty (30) days to decide and coverage will begin the first of the month following. Submit enrollment form to the Human Resource office. Keep in the mind, not all request for information on the form pertains to long term disability, only fill out the applicable information.
Cost calculation for annual premium: Current Salary divide by 100 and then multiply by .42. To determine your paycheck amount divide the annual premium amount by your number of pays (20 or 24).
SUPPORT STAFF: This is an employer funded benefit, there is no cost for employee who are covered under the collective bargaining agreement. There is no specific enrollment form for support staff. HR will enroll you automatically if you meet all the eligibility requirements.
Investment Options - 403(b) & 457(b) Plans:
403(b) - The Windsor Central Supervisory Union (WCSU) 403(b) Plan is a powerful tool to help you reach your retirement dreams. As a supplement to other retirement benefits or savings that you may have, this voluntary Plan allows you to save and invest extra money for retirement... tax deferred! Not only will you defer taxes immediately, you may build extra savings consistently and automatically, choose from a variety of investment options, and learn more about saving and investing for your financial future.
Go to http://vermont.retirepru.com to learn more.
SUSAN KIBBE RETIREMENT COUNSELOR - Phone: (802) 391-7229 Email: email@example.com
403(b) Enrollment Application 403(b) Paycheck Contribution Election Form 457(b) State of VT Deferral Form Instructions for choosing your beneficiary