Employee Benefits by Contract
Notice to Employees: You can request a copy of your Form 1095-B or 1095-C regarding your health insurance coverage, we will provide the form within 30 days of your request. If you have a dependent change or a benefit question, please contact Sara Iverson.
Open enrollment is November 10-26 with the effective date of January 1.
Coverage Notices
- Children’s Health Insurance Program (CHIP) Notice
- COBRA Continuation Coverage Notice
- MESSA Creditable Coverage Disclosure
- SET-SEG Creditable Coverage Disclosure
- Family and Medical Leave Act (FMLA) Poster
- Health Insurance Marketplace Coverage Notice
- Pre-Tax Premium & Dependent Care Summary Plan Description
Carrier Websites
Custodians
- 2025-2028 Custodian/Maintenance Contract
- Option 1 BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 BCBSM $1650/$3300 PPO 80% (SBC)
- Option 3 Blue Care Network $1650/$3300 POS 100% (SBC)
- 2026 Custodial Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 BCBSM $1700/$3400 PPO 80% (SBC)
- Option 3 (NEW) BCBSM $2500/$5000 PPO 100% (SBC)
- Option 4 BCN $1700/$3400 POS 100% (SBC)
- ADN Dental Benefit Summary
- VSP Benefit Summary
- Reliance Standard Group Life and AD&D
- BCBSM/Blue Care Network Enrollment Form
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- 2026 HSA Election Form
- HSA – FAQ’s
- BCBSM & BCN Mobile App
- Glossary Of Terms healthcare.gov
- Notices
Websites
- Honor Bank – HSA
- BCBSM 1-313-225-9000
- Blue Care Network 1-800-662-6667
Early Childhood
- 2025 Early Childhood Premiums or Cash in Lieu
- Option 1 BCBSM $1650/$3300 PPO 80%
- Option 2 BCBSM $2000/$4000 PPO 100%
- Option 3 BCN $1650/$3300 POS 100%
- Option 1 BCBSM $1700/$3400 PPO 80%
- Option 2 BCBSM $2000/$4000 PPO 100%
- Option 3 (NEW) BCBSM $2500/$5000 PPO 100%
- Option 4 BCN $1700/$3400 POS 100%
- ADN Dental Benefit Summary
- VSP Benefit Summary
- Reliance Standard Long Term Disability
- Reliance Standard Group Life and AD&D
- BCBSM/BCN Enrollment Form
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
Websites
- ADN Dental
- BCBSM 1-313-225-9000
- Blue Care Network 1-800-662-6667
- VSP
Non-Union Employees
- 2025 Non-Union Insurance Premiums or Cash in Lieu
- Option 1 – BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 – BCBSM $1650/$3300 PPO 80% (SBC)
- Option 3 – BCN $1650/$3300 POS 100% (SBC)
- 2026 Non-Union Insurance Premiums or Cash in Lieu (with $1400/$2800 HSA)
- 2026 Non-Union Insurance Premiums Worksheet (Optional HSA Election max $1400/$2800)
- (this worksheet is intended as a tool, instructions are at the top)
- Option 1 - BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 - BCBSM $1700/$3400 PPO 80% (SBC)
- Option 3 - (NEW) BCBSM $2500/$5000 PPO 100% (SBC)
- Option 4 - BCN $1700/$3400 POS 100% (SBC)
- ADN Dental Benefit Summary
- VSP Benefit Summary
- Reliance Standard Long Term Disability
- Reliance Standard Life and AD&D Insurance
- HSA Pre-Tax Contribution Form
- Cash in Lieu Election Form
- Non-Union Medical Plan & HSA Election Form 2026 (Required for all non-union staff)
- BCBSM/BCN Enrollment Form
Websites
Paraprofessional / Clerical
- 2025-2028 Paraprofessional Contract
- 2025 Paraprofessional Staff Insurance Premiums or Cash in Lieu
- MESSA ABC Plan 1
- MESSA Essentials
- 2026 Paraprofessional Staff Insurance Premiums or Cash in Lieu
- MESSA ABC Plan 1
- MESSA Essentials
- Delta Dental Benefit Summary
- VSP 2 Silver Benefit Summary
- MESSA Long Term Disability
- MESSA Group Life and AD&D Insurance
- MESSA Enrollment Form
- Cash in Lieu Election Form
- Pre Tax Enrollment Form
- Option 1 BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 BCBSM $1650/$3300 PPO 80% (SBC)
- Option 3 Blue Care Network $1650/$3300 POS 100% (SBC)
- 2026 Clerical Staff Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100% (SBC)
- Option 2 BCBSM $1700/$3400 PPO 80% (SBC)
- Option 3 (NEW) BCBSM $2500/$5000 100% (SBC)
- Option 4 BCN $1700/$3400 100% (SBC)
- Delta Dental Summary
- VSP 2 Silver Summary
- MESSA Long Term Disability
- MESSA Group Life and AD&D Insurance
- BCBSM/Blue Care Network Enrollment Form
- MESSA Enrollment Form
- Cash in Lieu Election Form
- Pre Tax Enrollment Form
Websites
- MESSA - 1-800-336-0013
- BCBSM – 1-313-225-9000
- Blue Care Network – 1-800-662-6667
- BCBSM & BCN Mobile App
- Glossary Of Terms healthcare.gov
- HSA – FAQ’s
- Notices
Teachers
- BCCEA Teacher Contract 2024-2027
- 2025 Teacher Insurance Premiums or Cash in Lieu
- MESSA Choices
- MESSA ABC Plan 1
- 2026 Teacher Insurance Premiums or Cash In Lieu
- MESSA Choices
- MESSA ABC Plan 2 (Deductible Change)
- Delta Dental Benefit Summary
- VSP 3 Plus Benefit Summary
- MESSA Long Term Disability
- MESSA Group Life and AD&D
- MESSA Enrollment Form
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- 2025 HSA Election Form
- 2026 HSA Election Form
- Teacher HSA Contribution Agreement
- HSA – FAQ’s
- What to do before your MESSA card arrives
- Notices
Websites
- Delta Dental
- MESSA 1-800-336-0013
- VSP
Transportation
- 2026 Transportation Staff Insurance Premiums or Cash in Lieu
- MESSA Essentials
- MESSA Choices
- VSP 3 Plus Benefit Summary
- Delta Dental Benefit Summary
- MESSA Group Life and AD&D
- MESSA Long Term Disability
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- MESSA Application
- What to do before your MESSA card arrives
- Notices
Websites
- Delta Dental
- MESSA (800) 336-0013
- VSP
