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Retired UPE/Mgmt/Supv/Conf/TCS and Teamsters Employees Health Benefit Information

Enrollment Forms

Enrollment Forms are now located under the Frequently Used Forms page. 

2024 Rate Sheets

Effective January 1, 2024 鈥� December 31, 2024

2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet

2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet

2024 SEIU/Teamsters Early Retiree Rate Sheet

2024 SEIU/Teamsters Early 50% Retiree Rate Sheet

2024 SEIU/Teamsters Over 65 Retiree Rate Sheet

2024 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet

2025 Rate Sheet

Effective January 1, 2025 鈥� December 31, 2025

2025 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet

2025 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet

2025 SEIU/Teamsters Early Retiree Rate Sheet

2025 SEIU/Teamsters Early 50% Retiree Rate Sheet

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Retired Classified Employees Health Benefit Information

Enrollment Forms

Enrollment Forms are now located under the Frequently Used Forms page. 

Add dependents outside of Open Enrollment

Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.

2024 Rate Sheets

Effective January 1, 2024 鈥� December 31, 2024

2024 SEIU/Teamsters Early Retiree Rates

2024 SEIU/Teamsters Early 50% Rates

Employee Assistance Program (EAP)
Optum

Overview

Employee Assistance Program (EAP) provides virtual, telephonic and in-person counseling. Work and life services: financial, legal, identity theft, health modules, and more.  These services are available to all employees, including any person living in the same household.  We have switched our EAP provider.  Effective 7/1/23 MHN no longer services the District鈥檚 EAP program.  The new provider is now Optum.  Please follow these steps to initiate your EAP services.

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403b and 457 Plan Annuity Information
The District's Third Party Administrator Is SchoolsFirst Federal Credit Union

Administrative Procedures for Plan Participants

All participant transaction requests and Salary Reduction Agreements (SRA) must be submitted to SchoolsFirst Federal Credit Union for validation prior to being processed by your payroll department or your Investment Provider. This includes all distributions, rollovers, transfers/exchanges, loans, hardships, or Salary Reduction Agreements.