Enrollment for August 1 to August 31 for TRS only.
No changes to your supplemental plans are allowed at this time.
REMEMBER: To provide benefit coverage for your
spouse or any eligible dependent children, it is REQUIRED that you provide the Social
Security # for them.
Highlights of 2009-2010 Supplemental Plans
Supplemental Insurances require employees to work a minimum of 20 hours per week to be eligible.
Supplemental Benefits Plan Year is December 1 to November 30
Open Enrollment for Supplemental Benefits will be held in October.
For more information look under Benefits & Forms/Benefit Guide
Flexible Spending Accounts - MGM is the Third Party Administrator (TPA) for
Mansfield ISD for plan year November 1, 2009 through October 31, 2010. Direct deposit is available.
The maximum annual contribution for medical reimbursement is $2,400/plan year. The maximum annual
contribution for dependent care reimbursement is $5,000/plan year. . Important Reminder: The same
IRS125 Plan that allows you to participate in this plan also requires that you forfeit any unused money
left in your account at the end of the Plan year or at your termination. This is the "USE IT OR LOSE IT"
provision of the IRS Code. It is very important that you estimate your expenses carefully and
conservatively. YOU MUST RE-ENROLL THIS YEAR FOR THE FLEXIBLE SPENDING ACCOUNT.
Benefits will not “roll-over” from last year.
Important Reminder: All
benefit elections will remain in effect and cannot be revoked or changed during the plan year unless you
have one of the following changes in family status: Marriage, Divorce, Birth, Adoption, Death,
Termination or change in employee or spouse’s employment (full-time to part-time/part-time to full-time
status), Change in eligibility status of a dependent (attains maximum eligibility age / meets and/or
ceases to meet full-time student status qualification), Loss or curtailment in health coverage of
employee or spouse due to change in spouse’s employment and upon meeting a required eligibility
period.NOTE: You must provide documentation from an independent third-party verifying that you have
experienced the indicated event within 31 days of the event.
Dental - Guardian is the dental provider effective 12.01.2009. Please review the
plan information under “Benefits & Forms/Dental” before making your selection.
Vision - Block Vision is the vision plan provider effective 12.01.2009. View more
plan information and rates under “Benefits & Forms/Vision".
Disability - Unum is the disability plan provider effective 12.01.2009. Coverage is
subject to a12-month-pre-existing condition exclusion. View more plan information and rates under “Benefits
& Forms/Disability”.
Cancer - American Public Life (APL) - (subject to 12-month pre-existing condition
exclusions). View a complete brochure, plan summary and rates under the “Benefits & Forms/Cancer” link.
Voluntary Life - Fort Dearborn - View more plan information and rates under “Benefits &
forms/Life”.
Hospital Indemnity Plan - Cigna is the HIP plan effective 12.01.2009. This plan is
employer paid for eligible employees who elect to waive participation in the school district’s health
insurance plan. Completion of an Enrollment form and beneficiary designation is
required.
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Financial Benefit Services, LLC
2121 N. Glenville Drive
Richardson, TX 75082
Local: 469.385.4640
Toll Free: 800.583.6908
Fax: 469.385.4641 |
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