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Neshaminy School District

We Build Futures

 Current Insurance Carriers:
 
         Health Insurance:  
               
               2016 Preferred Plan Comparison 
 
                                   BMCS Preferred Open Choice 1
                                   BMCS Preferred Open Choice 2
                                   BMCS Preferred Point of Service 
                           
                                      Click for:  Additional Aetna Information 
Prescription Drug:
                        Certified Staff:    CVS Drug Program  
                        Administrative:   CVS Drug Program
                        Support Staff:    CVS Drug Program 
 
                           Click for:  Additional CVS Information 
 
         **Health Insurance & Prescription: Universal Enrollment Form 
             
          FutureScripts Mail-Order Form - (until 7/1/16)
 

Employee Benefit Website:  https://www.bmshc.aetna.com 
 
Dental:    United Concordia
 
Vision:       
          Certified Staff::     Vision Benefits of America Group 625 How to Use Plan
                                         Vision Benefits of America Group 625 Form 
          Support Staff:   Vision Benefits of America Group 626 
          NSDAA:     Vision Benefits of America Group 626
                              Vision Benefits of America Group 625 How to Use
                              Vision Benefits of America Group 625 Form 
          Confidential Secretary:  Vision Benefits of America Group 626
          NASA:  Vision Benefits of America Group 626
                        Vision Benefits of America Group 625 How to Use
                        Vision Benefits of America Group 625 Form 
 
Change in Insurance Coverage:
It is your responsibility to notify Human Resources if you have a life event that will alter your health insurance coverage.  Examples are:  marriage, divorce, birth or adoption of a child, child reaching age 19, or change in your spouse's employment resulting in the gain or loss or health care coverage.  Our current coverages are:  Single, Husband & Wife, Parent & Child, Parent & Children, Family. 
 
Voluntary Waiver of Employee Insurance (Opt-Out):
Employees may waive District paid medical coverage:  hospitalization/medical/surgical coverage and/or prescription drug and/or dental.   Proof of other alternative health insurance is required.  Incentive will be paid on a monthly basis. 
 
Waiving coverage is effective at the first of the month following the date the waiver is received in the Office of Human Resources.  Revoking a waiver cannot occur until July 1 following the open enrollment period, or some other date if the employee experiences a life event. 
 
     Health, Prescription, and Dental Coverage Waver for 2016 - 2017 School Year: Opt Out Information
 
Assurant Employee Benefits:
Employees are eligible to receive and/or buy short and long term disability coverage.  Please consult your bargaining unit agreement for specific details.
 
The following forms are available for printing: 
 
               Short Term Disability:
                   Form: Assurant Short Term Disability Claim Statement
                       Certified Staff Short Term Disability Booklet
                       Support Full Time Staff Short Term Disability Booklet 
                       Support Part Time Staff Short Term Disability Booklet 
 
               Long Term Disability:
                    Form: Assurant LTD Claim Statement
                        Certified Staff Long Term Disability Booklet 
                        Full Time Support Staff Long Term Disability Booklet
                        Part Time Support Staff Long Term Disability Booklet
                         
               Life Insurance:
                    Assurant Beneficiary Designation
                    Beneficiary Tips
                        Certified Staff Life Booklet 
403B Annuity Information
 
          Annuity Form 403B
          Annuity Providers 
 
Please return completed forms to Karen Morrow in Human Resources.
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