Benefits Portal
What Do I Need to Do?
Step 1: Refer to your bargaining agreement to learn about benefits available to you.
Step 2: Click the link to What benefits are available-How do I enroll for enrollment instructions (below).
Step 3: Click the link to the bargaining group of which you are a member to view plan descriptions and premium cost shares pertaining to your options.
Step 4: Click the link for Enrollment/Change forms, download the appropriate form(s) as outlined in the enrollment instructions.
Step 5: Complete the necessary enrollment/change forms and submit to Human Resources by May 31, 2018.
*Important Information*
2018-2019 Enrollment/Change Forms
Print out, complete, and return the necessary forms to Human Resources by May 31, 2018.
Medical and/or Dental Forms
HSA Contribution
- Lumenos HSA Salary Reduction Agreement
- (Note: Employee must be enrolled in High Deductible Health Plan (HDHP) to Participate)
Term Life
Long-Term Disability (LTD)
Health Care/Dependent Care Flexible Spending Account (FSA)
- Flexible Spending Accounts (FSA) - Health/Dependent Care Enrollment Form
- (Employees enrolled in the Lumenos HSA Health Plan cannot participate in the flexible spending health care reimbursement account, but may participate in the dependent-care reimbursement account)
IRS Code Section 125 Premium Conversion
403b Forms (Voluntary Participation)
Health Savings Account (HSA) Overview / Questions & Answers
Flexible Spending Account (FSA) Overview
2018-2019 School Administrators
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 25)
Long-Term Disability (LTD)
2018-2019 Teachers
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 19)
Voluntary Long-Term Disability (LTD)
2018-2019 Nurses
PENDING OUTCOME OF NEGOTIATIONS
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 19)
Voluntary Long-Term Disability (LTD)
2018-2019 Central Office Administrators
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 25)
2018-2019 Central Office Staff Benefit Package (Superintendent's Secretary, Data Manager, HR Specialist, Accounting Supervisor, Transition Coordinator, IT Staff, Security Staff, Head Nurse, and Occupational Therapist)
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 25)
2018-2019 Clerical/Secretarial/Paraprofessional
PENDING OUTCOME OF NEGOTIATIONS
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
Century Preferred PPO plan summary
(dependent eligibility to age 26)
- PPO Fact Sheet
- PPO Informational Booklet
- Prescription (PPO Plan)
- Vision Rider (included in PPO plan only)
(dependent eligibility to age 19)
Voluntary Long-Term Disability (LTD)
2018-2019 Custodial/Maintenance
PENDING OUTCOME OF NEGOTIATIONS
Lumenos HSA - Summary of Benefits
(dependent eligibility to age 26)
Note: Members not eligible to participate in the Health Savings Account (HSA) may participate in a Healthcare Reimbursement Account (HRA). Contact Human Resources for more information.
(dependent eligibility to age 19)
Voluntary Long-Term Disability (LTD)
Retirement
- CERTIFIED STAFF:
- NON-CERTIFIED STAFF HIRED PRIOR TO 7/1/12:
- NON-CERTIFIED STAFF HIRED AFTER 7/1/12:
- ICMA- enrollment form
- www.icma.org for information