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.
Custodians
- Custodian Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100%
- Option 1 Benefits Summary
- Option 2 BCBSM $1650/$3300 PPO 80%
- Option 2 Benefits Summary
- Option 3 Blue Care Network $1650/$3300 POS 100%
- Option 3 Benefits Summary
- BCBSM/Blue Care Network Enrollment Form
- SET SEG – ADN Dental Summary
- VSP Vision Summary
- 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 Network1-800-662-6667
Early Childhood
- Early Childhood Premiums or Cash in Lieu
- Pre-Tax Premium Enrollment Form
- Cash in Lieu Election Form
- Messa Summary ABC
- Messa Summary Essentials
- Delta Dental
- VSP Vision
- LTD
- Life
- Messa Application
- What to do before your Messa card arrives
- Messa HIPAA Notice
Websites
- Delta Dental
- MESSA (800) 336-0013
- VSP
Non-Union Employees
- Option 1 – Priority Health POS 100%
- Option 2 – Priority Health POS 80%
- Option 3 – Priority Health HMO 100%
- Glossary Of Terms healthcare.gov
- SET SEG ADN Dental Benefits
- VSP Vision Benefits Summary
- Reliance Standard Long Term Disability and Life Insurance
- Reliance Long Term Disability Insurance Program
- HSA Pre-Tax Contribution Form
- Cash in Lieu Election Form
- Non-Union Insurance Premiums
- PH Enrollment Form
Websites
Paraprofessional / Clerical
- Paraprofessional Contract
- Paraprofessional Staff Insurance Premiums or Cash in Lieu
- MESSA Summary ABC
- MESSA Summary Essentials
- Delta Dental Summary
- VSP 2 Silver – Vision Plan Summary
- MESSA Application
- Clerical Contract
- Clerical Staff Insurance Premiums or Cash in Lieu
- Option 1 BCBSM $2000/$4000 PPO 100%
- Option 1 Summary of Benefits and Coverage (SBC)
- Option 2 BCBSM $1650/$3300 PPO 80%
- Option 2 Summary of Benefits and Coverage (SBC)
- Option 3 Blue Care Network $1650/$3300 POS 100%
- Option 3 Summary of Benefits and Coverage (SBC)
- BCBSM/Blue Care Network Enrollment Form
- Cash in Lieu Election Form
- Pre Tax Enrollment Form
- Delta Dental Summary
- VSP 2 Silver – Vision Plan Summary
- LTD
- Life
- Glossary Of Terms healthcare.gov
- HSA – FAQ’s
- Notices
Websites
- MESSA – 1-800-336-0013
- BCBSM – 1-313-225-9000
- Blue Care Network – 1-800-662-6667
- BCBSM & BCN Mobile App
Teachers
- Teacher Contract
- Teacher Insurance Premiums & Cash in Lieu
- Summary of Benefit Coverage – MESSA Choices
- Summary of Benefit Coverage – MESSA ABC
- MESSA Saver Rx Program
- MESSA ABC RX
- Delta Dental
- VSP 3 Plus 200CL Booklet – Vision Plan
- MESSA LTD
- MESSA Life
- 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
- MESSA HIPPA Notice
- 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 Choices and Essentials Benefits
- Summary of Benefits and Coverage (SBC) – Essentials
- Summary of Benefits and Coverage (SBC) – Choices
- VSP 3 Plus – Vision Plan
- Delta Dental
- LTD
- Life
- What to do before your MESSA card arrives
- MESSA HIPPA Notice
Websites
- Delta Dental
- MESSA (800) 336-0013
- VSP
