Employee Benefit Information and Forms are Located on the Internal NSD Human Resources Website. We ask that Employees log into that Sharepoint site for the most up to date information.
For questions, please contact Jennifer Grimes in the Human Resources Department.
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. Changes to insurance must be made within 30 days of the qualifying life event.
Support Staff Prescription Information
Dental:
United Concordia
United Concordia Member Portal
Find a Dentist
Dependent Dental Certification Form
Vision:
Certified Staff: Vision Benefits of American Group 625
Support Staff: Vision Benefits of America Group 626
NSDAA: Vision Benefits of America Group 626
Vision Benefits of America Group 625
Confidential Secretary: Vision Benefits of America Group 626
NASA: Vision Benefits of America Group 626
Vision Benefits of America Group 625
Perks At Work Perks At Work
Pennsylvania Insurance Exchange (Pennie)
Disability Insurance:
Employees may be eligible to receive group coverage 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:
OneAmerica Short Term Disability Claim Statement
Life Insurance:
OneAmerica® Beneficiary Designation
Beneficiary Tips
Minor Beneficiary Questionnaire Packet
403B Annuity Information
Annuity Form 403B
Annuity Providers
Please return completed forms to Jennifer Grimes in Human Resources.
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