Payroll and Benefits – Documents

https://docs.google.com/presentation/d/1cajd1J8UjyM4804sGrnc5mWLecu9FkTkV5A4JUia7_4/edit?usp=sharing

2024 2025 Pay Periods Pay DatesDownload
2023 2024 Pay Period Pay Dates 1Download
Long Term Sub Teacher FormDownload
403B Salary Reduction FormDownload
RIC 403b At A Glance December 2023Download

Health Plan

Medical Plan ComparisonDownload
MIIP ChecklistDownload
Enrollment FAQDownload
24 25 Medical Dental Vision Rates
24 25 ECC Medical Dental Vision RatesDownload
24 25 Driver Aide Medical Dental Vision Rates
23 24 Medical Dental Vision Rates
23 24 ECC Medical Dental Vision Rates
23 24 Driver Aide Medical Dental Vision Rates
HMO vs PPODownload
Plan Compare WorksheetDownload
MIIP Choice PPO 1250Download
MIIP Core PPO 2000Download
MIIP Core HMO 3000Download
MIIP HDHP ValueDownload
Choose your PCP
MIIP HDHPGuide Secrets to Success
MIIP HDHParticle1 ValuePlanDownload
MIIP HDHParticle3 HSADownload
MIIP HDHParticle2 PrevCareDownload
MIIP HDHParticle4 RXDownload
MIIP HDHP Value
MIIP HMO CoreDownload
MIIP PPO ChoiceDownload
MIIP PPO CoreDownload
2023 24 MIIP HMO HDHP HMODownload
2023 24 MIIP HMO Essential HMODownload
2023 24 MIIP PPO Choice PPODownload
2023 24MIIP PPO Premier PPODownload

Dental Plan

Customer Support: Team Service 877-983-3582 or email TeamService@deltadentalia.com

https://www.deltadentalia.com/oe/ccsd/

Dental Benefit Summary 23 24
College CSD Dental Benefit OverviewDownload
Delta Dental Benefit SummaryDownload
Dental Policy Book 07.01.2021Download

Vision Plan

EyeMed Member/Patient Service Number 1-866-800-5457

College CSD Vision Benefit OverviewDownload
Vision Benefit SummaryDownload
EyeMed Member FAQsDownload
Eyemed Provider ListDownload
2021 eyemed wellness calendar dataDownload

Flexible Benefits Information

Flexible Benefits Change of Family Status FormDownload
Flexible Benefits Eligible ExpensesDownload

Annual Notices

Wellmark Website InformationDownload
HIPAA NoticeDownload
Medicare Part D NoticeDownload
Medicare Part D Notice and FAQDownload
2024 Notice of Coverage OptionsDownload
2024 CHIP Iowa 1Download
2024 CHIP model noticeDownload
College CSD HIPAA Privacy Notice 2013 updateDownload
Notice of Special Enrollment RightsDownload
Surprise billing model noticeDownload
Annual MIIP NoticeDownload
RIC 403B 2022 Universal Availability NoticeDownload

Life Insurance and Long Term Disability

Certificate MNL ELE 7 1 2021 COLLEGE COMMUNITY SCHOOL DISTRICT 010154 6129 LTD 01 ALL ELIGIBLE ACTIVE EMPLOYEESDownload
Life Insurance Plan AdminDownload
Life Insurance Plan Confidential EmployeesDownload
Life Insurance Plan Food ServiceDownload
Life Insurance Plan TeachersDownload
Life Insurance Plan TeamstersDownload
Life Insurance Plan All OthersDownload
Life Insurance Plan all Other Non BargainingDownload
Life Insurance InformationDownload
Long Term Disability PlanDownload

American Fidelity

https://americanfidelity.com/pages/college-community-school-district/

College Comm AF Brochure ComboDownload

Disability Insurance

Accident Only Insurance

Cancer Insurance

Critical Illness Insurance

Life Insurance

Flexible Spending Accounts

Health Savings Accounts (HSA)

Calculators to Help Plan For Your Future

Medical Costs

Tax Savings

Retirement Savings

Customer Support Information

Customer Support

How to File a Claim

Download AF Mobile

Wellmark Required Documents- Transparency in Coverage

https://web.healthsparq.com/app/public/#/one/insurerCode=WMRK_I&brandCode=WELLMARK&productCode=MRF/machine-readable-transparency-in-coverage?searchTerm=426020063&lock=True