HR, Payroll & Benefits
VEHI 2018 Health Plans
SUMMARY OF BENEFITS & COVERAGE - PLATINUM PLAN - JANUARY 1, 2018
SUMMARY OF BENEFITS & COVERAGE - GOLD PLAN - JANUARY 1, 2018
SUMMARY OF BENEFITS & COVERAGE - CDHP GOLD PLAN - JANUARY 1, 2018
SUMMARY OF BENEFITS & COVERAGE - CDHP SILVER PLAN - JANUARY 1, 2018 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 in January 2018. Click on the link to take you to the vehi.org website for the videos.
- Salary Selection Form - 20 or 24 pays
- WCSU 2018-2019 Pay Dates
- 2018 W-4 Form
- Form 1-9 - Employment Eligibility Verification Form Form I-9 Instructions
- Direct Deposit Form
- Declaration of Health Care Coverage Form - VT Dept of Labor - to be completed annually by all employees. (This is not a health insurance enrollment form.)
- WCSU Email Request Form Internet Acceptable Use Agreement
- New Hire Information Form
Municipal Retirement Enrollment Form - Non-teaching employees - This form shall be completed at time of employment for any person to be regularly employed 30 or more hours per week and 1040 hours a year for any school district.
COBRA - General Notices For all WCSU School District:
General Notice of COBRA Continuation Coverage Rights
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 2017-2018 - WOODSTOCK ELEM, WOODSTOCK UNION HIGH/MIDDLE SCHOOL WCEA MASTER AGREEMENT 2017-2018 - BARNARD, READING, WOODSTOCK ELEM, WOODSTOCK UNION HIGH/MIDDLE & WCSU TEACHERS
BENEFITS Health Insurance
WCSU BCBS of VT Enrollment/Change Form WCSU Section 125 Summary Plan Description WCSU HIPAA Notice of Privacy Practices for Health Reimbursement Plans (for HRA, FSA & DCA)
HRA (Health Reimbursement Agreement) -
Welcome to the DataPath Administrative Services site for VEHI groups. (click to be taken to the site)
Login to your Benefit Accounts on the MyRSC.com site.
FORMS available for your use: HRA Enrollment Form * HRA Claim Form * Reimbursement Direct Deposit Form * Debit Reimbursement Substantiation Request Form/Claim Form (all these forms may be found on the DataPath Administrative Services 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)
Flexible Spending Account Employee Booklet - this is filled with a wide variety of information regarding flex accounts, dependent care accounts, mobile app benefit.
Flexible Spending Account & Dependent Care Election form for 2018-2019 * This year the maximum election amount for a flex account is $2650, the dependent care remains at $5,000 max election. * You can use a flex account to pay for any out of pocket deductible/co-insurance costs you incur for eligible medical expenses. * You may use your MySource Debit Card at the point of service for FSA/DCA eligible expenses. Substantiation may be required.
FSA - Welcome to Mobile App - myRSC - Benefits at your Fingertips. Employees can now access employee benefits account information, file claims, view card activity and more using only their smartphones. Our convenient mobile apps are available for both the Summit and MyRSC administration platforms, respectively.
What you can do with the DataPath Mobile App
View Accounts – including detailed account and balance information
Card Activity – account information
Manage Subscriptions – Set up email notifications to keep you up-to-date on all account and health debit card activity
File Claims – use your smartphone’s camera and touchpad to file claims and submit receipts
Locating and Loading the DataPath Mobile App
Depending on which platform your plan is being serviced on, search for either “DataPath Summit” or for “myRSC” in the Mac App Store or in the Android Market on Google Play, and then load as you would any other app.
IN LIEU WAIVER FORMS: NEW FORM FOR 2018-2019
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) 2018 Enrollment Application 403(b) Paycheck Contribution Election Form 457(b) 2018 State of VT Deferral Form Instructions for choosing your beneficiary