Benefits

Non Teacher Benefits - July 2016 through June 2017

Priority Health POS
PH POS 2017 Schedule of Copayments and Deductibles

Priority Health PPO
PH PPO 2017 Schedule of Copayments and Deductibles

Priority Health HMO
PH HMO 2017 Schedule of Copayments and Deductibles

Priority Health PPO-HSA
PH PPO-HSA 2017 Schedule of Copayments and Deductibles 

ADN Dental 
NVA Vision

Non Teacher Life Insurance
Administrators
Administrative Assistants - Non Union
AFSCME
Paraprofessionals - AFT
Teamster
Retired Administrators
Retired Teamster 

Non Teacher Long Term Disability
Administrators
Administrative Assistants - Non Union
AFSCME
Paraprofessional - AFT
Teamster 

Teacher Benefits
Teachers MESSA Choices Plan Benefits - PAK A
Teachers MESSA ABC Plan Benefits - PAK C
Teachers MESSA Delta Dental Benefits - PAK A & C
Teachers MESSA Delta Dental Benefits - PAK B
Teachers MESSA VSP Gold Vision Coverage - PAK A, B & C
Teachers MESSA Life & Accidental Death Benefits - PAK A & C
Teachers MESSA Life & Accidental Death Benefit - PAK B
Teachers MESSA Long Term Disability Coverage - PAK A, B & C
Teachers MESSA Basic Term Life - PAK A & PAK C

Group Resources Flexible Spending (FSA) and Dependent Care (DC)
Summary Plan Document - FSA
Summary Plan Document - FSA Limited Purpose Fund
Group Resources Direct Deposit Form
Group Resources Flexible Spending (FSA) Claim Form
Group Resources Dependent Care (DC) Claim Form

Health Equity - Health Savings Account (HSA)
Priority Health HSA Payroll Deduction Authorization
Priority Health HSA Payroll Deduction Authorization 2018
MESSA HSA Payroll Deduction Authorization
MESSA HSA Payroll Deduction Authorization 2018