Neshaminy School District

It is your responsibility to notify Human Resources if you have a life event that will alter your health insurance coverage. Examples are: marriage, porce, 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.

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 Waiver: Opt Out Form

OneAmerica® 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:

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 Sharon Russell in Human Resources.

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