Benefits

Benefits Summary

Overview of PCSD Benefits: Benefits Summary

• Benefits Enrollment

  Benefits will be offered to employees who are working a minimum of 20 hours per week or .50 FTE (Full Time Equivalency) and work in a benefits eligible position. Employees working in Instructional Assistant I & II positions must work a minimum of 30 hours per week or .75 FTE to be eligible for benefits. Benefits premiums are prorated for FTE. Benefits are effective the first day of the month following the employees hire date.

  Employees are not automatically enrolled in any insurance benefits. Employees must make benefits elections through www.employeenavigator.com within 30 days of your hire date. If you do not make your elections within this 30 day window, benefits will automatically waive until the next open enrollment period or QLE (qualifying life event).
  PCSD currently pays 100% of the Family premium for the QHDHP/HSA, Silver 70/30, Dental and Single Vision coverage for full-time employees (1.0 FTE or 40 hours per week). Two Party and Family Vision coverage is available at reduced group rates.

  The District provides a life insurance policy equal to annual base salary rounded to the nearest thousand dollars and two thousand dollars of life insurance on your legal dependents. Supplemental voluntary life insurance is available at an additional cost to the employee at reduced group rates.

  Benefits Contributions (Less than 1.0 FTE)

  If an employee is working less than 1.0 FTE, the District will pay the FTE equivalent of the premium and the employee will be responsible for the remainder. (Example: For an employee working .75 FTE or 30 hours per week, the Districts pays 75% of premium and employee contributes via automatic payroll deduction the remaining 25%).

  Changes to Benefits

  Employees must login to www.employeenavigator.com to report a qualifying life event. The District benefits office must receive notice of the change from employee navigator by the 10th of the month in order to be reflected in the current month’s payroll. Changes received after the 10th of the month will be reflected in the following month’s payroll.

  Benefits Terminations

  The PCSD will allow terminations as provided in insurance carriers’ group service agreements. Benefits will remain in place until the end of the month in which the employee last worked. Benefits for contract employees will continue through the last day of the month of the contract. Employees may have a COBRA option to continue insurance coverage and will receive additional information following termination.

  2018-2019 SY Insurance Information

  • 2019-20 Insurance Rates

   

  • Gold: Schedule of Benefits – Summary of Benefits and Coverage
  • Silver: Schedule of Benefits – Summary of Benefits and Coverage
  • Bronze: Schedule of Benefits – Summary of Benefits and Coverage
  • QHDHP/HSA: Schedule of Benefits – Summary of Benefits and Coverage

  Information

  • Delta Dental Benefits
  • Opticare of Utah Benefits
  • Employer Paid Life Insurance Benefits
  • Cafeteria Plan Benefits
  • Medicare Creditable Coverage

Medical Insurance
Medical insurance is provided to you and your dependents at no cost to you! (Full-time eligible employees). Coverage is available with a contribution to eligible part-time employees working a minimum of 20 hours a week. 30 hours for Instructional Asst. I & II.

Note: the Wise-Network is for in-network providers in Utah. The out of state network is the First Health Network.

• Wise Provider Network Website
• First Health Network (out of state)
• Summary Plan Document
• Adult Vaccine Schedule

Dental Insurance
Dental insurance is provided to you and your dependents at no cost to you! (Full-time eligible employees). Coverage is available with a contribution to eligible part-time employees working a minimum of 20 hours per week. 30 hours for Instructional Asst. I & II.

• Benefit Highlights for Delta Dental
• Dental Cards

Vision Insurance
Vision insurance is provided at no cost to you! (Full-time eligible employees). Coverage is available to your dependents for a nominal contribution.

• Vision Plan Summary
• Network Locations
• Opticare Out-of-Network Reimbursement Form

Prescription Drug Coverage and Medicare

This notice has information about your current prescription drug coverage with Park City School District and about your options under Medicare’s prescription drug coverage. This information can help you decide whether or not you want to join a Medicare drug plan.

Medicare Prescription Drug Coverage

Flexible Spending
A 125 flexible spending cafeteria plan is provided for all benefits eligible employees to utilize pre-tax dollars to pay for out of pocket medical, prescription, dental, day care etc. expenses. A debit card is provided at no cost to you when you enroll in this tax savings plan.

Health Savings Account

www.irs.gov/forms-pubs/about-publication-969

• Contribution Correction
• Distribution Reversal

• Benefit Access Portal
• Cafeteria Plan
• Eligible 125 Flexible Spending Account Expenses
• NBS (Flex Spending) Change of Status
• Examples of Eligible Expenses
• Changes to Eligible OTC Expenses
• NBS Orthodontic Expense Worksheet

Health Reimbursement Account

• Plan Highlights
• Plan Document
• Summary Plan Description
• Claim Form
• Eligible Expenses

Life and Disability Insurance
A life insurance policy, equivalent to your annual salary, is provided at no cost to you! (All benefits eligible employees). Each of your dependents is also provided with a $2000 life insurance policy. Supplemental life insurance policies are available for you and your dependents to purchase at a reduced group rate.

LifeMap

LifeMap Assurance Company®
P.O. Box 1271 M/S E8L
Portland, Oregon 97207-1271
1 (800) 794-5390 https://lifemapco.com

• Evidence of Insurability
• Travel Assistance Program
• Employee Assistance Program

AFLAC

Phone: 801-265-1783
Web Site: www.aflac.com

Educators’ Mutual Insurance Association

Phone (toll free): 800-662-5851
Phone: 801-262-7475
Web Site: www.educatorsmutual.com

Physician’s Mutual

Phone: 877-602-0930
Web Site: www.physiciansmutual.com

Utah Retirement Systems

Phone (toll free): 800-365-8772
Phone: 801-366-7700
Web Site: https://www.urs.org

RxBenefits (Pharmacy Benefits Manager)

Member Service is Available:       

            Monday-Friday  from 6:00 AM – 7:00 PM Mountain Time 

Member Services is available to assist members with any questions or concerns regarding their pharmacy benefits, such as: 

• Benefit Details
• Claims Status
• Pharmacy Network
• Coverage Determination/Inquiries
• Mail & Specialty Scripts
• Pharmacy Information 

Phone:  1.800.334.8134

Email:  RxHelp@rxbenefits.com

Washington National Insurance Company

Phone (toll free): 800-628-6428
Web Site: www.washingtonnational.com