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Enrollment Deadlines 2019 -Schedule of Deadlines and Action Necessary 

Medical/Dental

    1. Open Enrollment Explanation

    2. HealthPartners General Info Pamphlet

    3. Combined Medical-Dental Change Form 2019

    4. Combined Medical-Dental Enrollment Form 2019

        Ins. Med Plan Overview

        Ins. Dental Plan Overview

        Coverage Summary $15 Co-Pay

        Coverage Summary $20 Co-Pay

        Coverage Summary Deductible w/HSA

    5. HSA Eligibility Checklist 2019

    6. Insurance Cost Calculators

Click on the appropriate calculator.  If your FTE (for teachers) or hours worked (for other employees) are different than the example, click on "Open with Google Sheets", then "Google Sheets"  to open a format that enables you to change the yellow box.  Click on the yellow box and be patient.  After the "working" message in the center of the screen disappears, you will be able to enter a different number.

             BEA Oct. 2019

             Local 284 Multi Unit Oct. 2019

             Local 284 Transportation Oct. 2019

403b Retirement

        403b Match - Intent to Participate

        403b Salary Reduction Agreement Form

125 Flex Plan

        Flex Plan Instructions 2019

        Flex Plan Information

Sick Leave Bank

        Sick Leave Bank-BEA Election Form 2019

        Local 284 Sick Leave Bank 2019