Payroll and Benefits – Documents

2022 2023 Pay Period Cut Off Dates EMPLOYEEDownload
Long Term Sub Teacher FormDownload
RIC form 403b 1Download
RIC At a Glance 1Download

Health Plan

Medical Plan ComparisonsDownload
MIIP ChecklistDownload
MIIP Enrollment FAQDownload
22 23 Medical Dental Vision RatesDownload
22 23 ECC Medical Dental Vision RatesDownload
22 23 Driver Aide Medical Dental Vison RatesDownload
HMO vs PPODownload
Plan Compare WorksheetDownload
2023 24 MIIP HMO Essential HMODownload
2023 24 MIIP HMO HDHP HMODownload
2023 24 MIIP PPO Choice PPODownload
2023 24MIIP PPO Premier PPODownload
22 23 HMO HDHPDownload
22 23 HMO Essential
22 23 PPO PremierDownload
22 23 PPO ChoiceDownload
Medical Plan Cost ComparisonDownload
HMO vs. HDHP with HSADownload
MIIP HMO Essential 22 23Download
MIIP HMO HDHP 22 23Download
MIIP PPO Choice 22 23Download
MIIP PPO Premier 22 23Download

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
CHIP NoticeDownload
Annual MIIP NoticeDownload
RIC 403B 2022 Universal Availability NoticeDownload
2022 Notice of Coverage Options Health Plan Marketplace 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