Benefits

Non Teacher Benefits - July 2019 through June 2020

Priority Health POS
Priority Health PPO
Priority Health HMO
Priority Health PPO-HSA


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 1 Benefits - PAK C
Teachers MESSA ABC Plan 1 with 20% Co-Insurance - PAK D
Teachers MESSA ABC Plan 2 with 20% Co-Insurance - PAK E
Teachers MESSA Delta Dental Benefits - PAK A ,C,D & E
Teachers MESSA Delta Dental Benefits - PAK B
Teachers MESSA VSP Gold Vision Coverage -All PAKS
Teachers MESSA Life & Accidental Death Benefits - PAK A, C, D, & E
Teachers MESSA Life & Accidental Death Benefit - PAK B
Teachers MESSA Long Term Disability Coverage - All PAKS
Teachers MESSA Basic Term Life - PAK A, C, D, & E

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)
* An updated form is required each calendar year

MESSA 2019 HSA Payroll Deduction Authorization

MESSA 2020 HSA Payroll Deduction Authorization

Priority Health 2019 HSA Payroll Deduction Authorization

Priority Health 2020 HSA Payroll Deduction Authorization