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OPEN ENROLLMENT for the Plan Year October 1, 2017-September 30, 2018 is August 28 - September 7, 2017.

Pattonville Employee and Retiree Benefits  - 2017-18 INFORMATION
 
Below are documents related to benefits for Pattonville School District staff members for the 2017-18 school year

Pattonville Retirees have the option to purchase Health Insurance, Medicare Supplement Plans, Dental Insurance, Vision Insurance and Life Insurance Policy with a value of $7,500 or $15,000 based on retirement date.

Retiree Benefit Worksheet 2017-18
Retiree Worksheet 2017-2018.pdf

If you need to contact Tess Lewis, benefits coordinator the most efficient way is email benefits@psdr3.org
Phone number is internal 1035 or 314-213-8035 but due to the volume of calls you will need to leave a voice mail with the details of what you need and she will return your call as soon as possible.

 
Below is a copy of the active employee benefit worksheet for 2017-18 and Contact Information for each carrier,
BENEFIT WORKSHEET 2017-2018.pdf

Carrier Contacts 2017-18.pdf

2017-18 Comprehensive Open Enrollment Guide

Pattonville 2017 Open Enrollment Benefits Guide.pdf


HEALTH INSURANCE - ANTHEM
Customer Service Phone: 1-844-627-1637

Anthem Health Plans for 2017-18
Anthem Premium 2017-18.pdf
Anthem SOB Kidz 2017-18.pdf
Live Health Online.pdf
ER or Urgent Care.pdf
Anthem 2017-18 Benefit Guide.pdf
Newborn and Adopted Children.pdf
Anthem Medical Benefit Booklet.pdf

REQUIRED HEALTH PLAN NOTICES for 2017-18

Legal Notices 2017-18.pdf
MedicarePartDCreditableCoverageDisclosureNotice.pdf
HCR Exchange Notice.pdf

ANTHEM ENROLLMENT AND CHANGE FORMS  OCTOBER 1, 2017 - SEPTEMBER 30, 2018


Print landscape
Anthem Enrollment.Change Form0.pdf

KIDZ Plan EnrollmentChange Form.pdf


DENTAL INSURANCE - DELTA
Delta Dental Customer Service: 1-800-335-8266

Delta Customer Service and Website.pdf
Delta Dental EPO PPO Benefit Summary.pdf
Delta Dental Premier PPO Benefit Summary.pdf
Delta Dental Enrollment.Change Form.pdf

HYATT LEGAL PLAN
Hyatt Legal Customer Service 1-800-821-6400
MetLaw Enrollment Form 17-18.pdf
Quick FAQ Hyatt Legal.pdf
Hyatt Legal Fact Sheet.pdf


FLEXIBLE SPENDING PLAN - UNREIMBURSED MEDICAL/CHILDCARE

Discovery Benefits Flexible Spending Plan - Oct 1, 2017 - September 30, 2018
Discovery Benefits Customer Service 1-866-451-3399

Unreimbursed Medical Plan - Max Election is $2550.00  for 2017-18   
Dependent Childcare Plan - Max Election is $5000.00 for 2017-18


FSA Discovery Benefits Information.pdf
Discovery Benefits FSA Employee Guide.pdf
Discovery Benefits Enrollment Form.docx
Mobile Application Handout.pdf
Discovery Benefits Out of Pocket Reimbursement Form.pdf
FSA Medical $500 Rollover.pdf


VISION INSURANCE-UNITED HEALTH CARE
UHC Vision Customer Service: 1-800-638-3120

UHC Summary of Benefits.pdf
Vision Enrollment Form.pdf


LIFE INSURANCE - HARTFORD
Hartford Customer Service 1-800-523-2233

Beneficiary Designation Form.pdf
AbilityAssistPARA.pdf
EstateGuidance.pdf
FuneralPlanning.pdf
TravelAssist.pdf
Supp Life BHS.pdf
Hartford Additional Life Ins.Enrollment & Beneficiary Form0.pdf



1095B and 1095C Forms Information for Calendar Year 2016

You will receive by March 2nd two forms related to your health insurance coverage for 2016.  The 1095-B (Health Coverage) and 1095-C (Employer Provided Health Insurance)  are required by the Affordable Care Act.   The 1095-B will show the health coverage that you had from January 2016-September 2016.  1095-B forms were mailed this week.   The 1095-C form will be for the health coverage you had from October 2016-December 2016.  Two forms are necessary this year as Pattonville changed to a self-funded entity on October 1, 2016.

Forms have to be mailed by March 2, 2017.  Per the IRS guidance you do not have to wait for either form 1095-B or 1095-C to file your individual tax return.