Benefits

Benefits Coordinator: Jill Koncar - 801.578.8422

Medical Insurance Information

Employees must pay a monthly premium based on plan chosen. If the employee is part-time, they must pay a portion of the district contribution plus the employee contribution based on FTE. All classified contract employees are considered fulltime for benefit premiums at .75 FTE or 30 hours a week, all other contract employees are not considered full time unless they are 1.00 FTE or 40 hours. Unless grandfathered in 2008 all non-contract employees are not eligible for benefits.

Medical Insurance Documents and Forms

• Select Care+ Base Plan
• Select Care+ Catastrophic Plan
• Monthly Premiums
• Enrollment Form
• Change Form
• Preferred Drug List
• Drug Mail Order Form
• Travel Coverage
• Coverage Outside Utah
• www.selecthealth.org

Dental Insurance Information

EMI Health (Formerly Educators Mutual)

If you are full-time the district pays premium, if part-time you must pay portion based on FTE.

• Summary of Benefits
• Dental Member Handbook
• Enrollment Booklet
• Enrollment/Change Form
• www.educatorsmutual.com

Life Insurance Information

Benefit amount is the employee's annual salary rounded to highest thousand or $20,000 whichever is greater.

• Administrators Life Insurance Policy
• Contract Employees Life Insurance Policy
• Employee Term Life Insurance Beneficiary Change Form

Long Term Disability (LTD)

CIGNA Group Insurance

• Summary of Benefits
• Handbook
• Enrollment Form
• Evidence of Insurability Form
• 15 Year Approval Form

Flexible Spending

• Eligible Expenses For Reimbursement from FSA Plans
• Flexible Spending Account (FSA) Information
• Flexible Spending Account Reimbursement Form - This form must be mailed to the address on the bottom of form. Please do not mail to the district office.

Optional Plans

• Supplemental Benefit Plans (Through AFLAC)
• Employee's Welfare Association (EWA)

Health Plan Notices

• General Notice of COBRA Benefits Rights
• Information About Your HIPPA Rights
• Women's Health and Cancer Rights Act
• Creditable Coverage Disclosure Notice