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 begins in November 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
- Custodian Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100%
- Option 2 BCBSM $1650/$3300 PPO 80%
- Option 3 Blue Care Network $1650/$3300 POS 100%
- BCBSM/Blue Care Network Enrollment Form
- ADN Dental Summary
- VSP Vision Summary
- Reliance Standard Group Life and AD&D
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- 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
- Early Childhood Premiums or Cash in Lieu
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- Option 1 BCBSM $1650/$3300 PPO 80%
- Option 2 BCBSM $2000/$4000 PPO 100%
- Option 3 BCN $1650/$3300 POS 100%
- ADN Dental Summary
- VSP Vision Summary
- Reliance Standard Long Term Disability
- Reliance Standard Group Life and AD&D
- BCBSM/BCN Enrollment Form
- Pre-tax Authorization Form
Websites
- ADN Dental
- BCBSM1-313-225-9000
- Blue Care Network 1-800-662-6667
- VSP
Non-Union Employees
- Non-Union Insurance Premiums
- Option 1 – BCBSM $2000/$4000 PPO 100%
- Option 2 – BCBSM $1650/$3300 PPO 80%
- Option 3 – BCN $1650/$3300 POS 100%
- Glossary Of Terms healthcare.gov
- ADN Dental Benefit summary
- VSP Vision Benefit Summary
- Reliance Standard Long Term Disability
- Reliance Standard Life and AD&D Insurance
- HSA Pre-Tax Contribution Form
- Cash in Lieu Election Form
- BCBSM/BCN Enrollment Form
Websites
Paraprofessional / Clerical
- Paraprofessional Contract
- Paraprofessional Staff Insurance Premiums or Cash in Lieu
- MESSA ABC Plan 1
- MESSA Essentials
- Delta Dental Summary
- VSP 2 Silver Summary
- MESSA Long Term Disability
- MESSA Group Life and AD&D Insurance
- MESSA Application
- Clerical Contract
- Clerical Staff Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100%
- Option 2 BCBSM $1650/$3300 PPO 80%
- Option 3 Blue Care Network $1650/$3300 POS 100%
- BCBSM/Blue Care Network Enrollment Form
- Cash in Lieu Election Form
- Pre Tax Enrollment Form
- Delta Dental Summary
- VSP 2 Silver Summary
- MESSA Group Life and AD&D Insurance
- MESSA Long Term Disability
- MESSA Application
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
- Teacher Contract
- Teacher Insurance Premiums & Cash in Lieu
- MESSA Choices
- MESSA ABC Plan 1
- Delta Dental
- VSP 3 Plus 200CL Booklet – Vision Plan
- MESSA Long Term Disability
- MESSA Group Life and AD&D
- MESSA Application
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- HSA Election Form
- HSA – FAQ’s
- What to do before your MESSA card arrives
- Notices
Websites
- Delta Dental
- MESSA (800) 336-0013
- VSP
Transportation
- Transportation Contract
- Transportation Staff Insurance Premiums or Cash in Lieu
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- MESSA Application
- MESSA Essentials
- MESSA Choices
- VSP 3 Plus
- Delta Dental
- MESSA Group Life and AD&D
- MESSA Long Term Disability
- What to do before your MESSA card arrives
- Notices
Websites
- Delta Dental
- MESSA (800) 336-0013
- VSP
