Open Enrollment

• Medical Benefits Summary
• Fillable Medica Medical Enrollment & Change Form (This form is used to add or terminate dependents off of your medical plan) 
• Deductible, Coinsurance & Copays
• Virtual Care
• Preventative Care
• No-Cost Health Benefits for Medica Members:
  • My Health Rewards (How to earn  the $160 in gift cards you are eligible for each year.)
    • How to download they app and setup your account. (Video)
  • Omada for Diabetes (A personalized program for pre-diabetic, diabetic, or anyone with joint pain.)
  • Omada for Joint & Muscle Health®
  • Omada for Prevention (Learn how to make smart food choices, discover easy ways to boost your activity, and overcome challenges that block you from getting healthier.)
  • Behavior Health (On demand help for stress, anxiety and depression)
  • Life Time Digital Fitness Program provides access to hundreds of on-demand and live fitness classes, meditations, plus nutrition and lifestyle articles to support your
    well-being goals.
• Medica Transparency in Coverage (As of 7/1/22, health insurers are required to publicly display certain health care price information via machine readable files (MRFs).
• When & Where to Get Care
• How to Get the Care You Need
• Medica Callink (Talk with an advisor or nurse, 24/7)
  • Plan Documents
    • Plan B
    • Plan C
    • Plan G
    • Plan H
    • Bronze Plan
• Medica Resources

Open Enrollment changes take effect on September 1, 2022. RETURN ALL FORMS TO MACKENZIE SAILER AT WESB BY WEDNESDAY, AUGUST 3, 2022. If you are not making any changes, you do not need to do anything.

• Delta Dental Benefits Summary
• Delta Dental Benefit Plan Booklet
• Delta Dental Fillable Change & Enrollment Form

• VSP Vision Insurance

As a District employee you are eligible to contribute to a 403(b) Plan. This contribution comes from pre-tax dollars. 

403B Open Enrollment is now. Effective 4/1/2023 you may start a 403B if you do not already have one or you can elect to make changes to your existing account.

Please keep in mind if you are starting a new account or changing companies please have your financial advisor sign the back of the 403B Form. If you have any questions about district contributions please refer to your contract language. 

RETURN ALL FORMS TO MACKENZIE SAILER AT WESB BY WEDNESDAY,  March 22, 2023.

• About the Elective Retirement Contributions
• Salary Reduction Agreement for 403(b) TSA with Match

403B Contact List

• HSA, Flex & Dependent Care Accounts Information
• IRS HSA Eligiable Expenses

• Medsurety Employee Portal Quick Start Guide
• Medsurety Benefits Payment Card Substantiation Details
• Medsurety Debit Card Consumer Announcement
• Medsurety Mobile App Highlights
• Medsurety Mobile App Fact Sheet
• Medsurety Automatic Dependent Care Request Form
• Medsurety FSA-HRA-DCAP Claim Form

• Change of Beneficiary Form - please return to Mackenzie Sailer.

• Long Term Disability Certificate of Insurance

• Employee Assistance Program - Support for employees with Life or Disability Insurance through National Insurance Services (NIS).
• Northern Pines Mental Health Center 
  Dana Morthberg
  Primary Phone: 218-296-0004
  Secondary Phone: 833-316-0698
   
• Behavior Health Video

• Employee Quick Start Guide
• HealthiestYou Essentials
• Back-To-School with HealthiestYou
• October 19 Webinar

• Compliance Notices
• Medica Part D Coverage Notice