Maryann Gilmore
Maryann is available to help explain employee benefits and resolve issues that may arise between District employees and benefit providers. She may be reached at:
- 435-645-5600 x1427
- mgilmore@pcschools.us
Benefits Summary
Overview of PCSD Benefits: Benefits Summary 2020-21
Overview of PCSD Benefits: Benefits Summary 2021-22
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.
2021-2022 SY Insurance Information
- 2021-2022 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 (Family): Schedule of Benefits – Summary of Benefits and Coverage
- QHDHP/HSA (Individual): Schedule of Benefits – Summary of Benefits and Coverage
Information
2020-2021 SY Insurance Information
- 2020-21 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 (Family): Schedule of Benefits – Summary of Benefits and Coverage
- QHDHP/HSA (Individual): Schedule of Benefits – Summary of Benefits and 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.
Address: 11550 South 700 East Suite 200, Draper, UT 84020
Office: 801-938-1140
Customer Service: 801-274-8100
Veridicus Pre-certification: 855-586-2568
Wise Provider Networks: 801-566-6655
Fax: 801-274-8900
Web Site: www.talltreehealth.com
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.
Address: PO Box 1809, Alpharetta, GA 30023
Group #: 03268
Phone: 800-510-9915
Fax: 801-575-5171
Web Site: www.deltadentalins.com
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.
Address: 1901 W. Parkway Blvd, SLC, Utah 84119
Group #: 130CC
Phone: 800-363-0950
Web Site: www.opticareofutah.com
- Vision Plan Summary
- Select Network Providers
- Broad Network Providers
- Provider Location
- Opticare Out-of-Network Reimbursement
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.
Address: 8523 South Redwood Road, West Jordan, Utah 84088
Mailing Address: National Benefit Services, PO Box 6980, West Jordan, Utah 84084
Phone: 800-274-0503
Fax: 801-330-2631
Web Site: www.nbsbenefits.com
Health Savings Account
www.irs.gov/forms-pubs/about-publication-969
- 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
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
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
An annual preventative physical, biometric screening, and dental exam/cleaning are required to meet the bronze, silver and gold financial incentives. Please report the completion of your preventative visits to Brianne Jones, bjones@pcschools.us or by fax 435-645-5609 or district mail. You can provide a copy of your invoice, a doctor’s note or the EOB (Explanation of Benefits) from the insurance company. An annual OB/GYN visit satisfies the preventative physical requirement.
- Physicians Proof of Biometric Screening
- Recommended Adult Immunizations
- Wellness Program Provisions
- Wellness Tracker, August 2020
- Wellness Tracker, September 2020
In an attempt at streamlining the process for the wellness program, there are a few changes moving forward:
1. The trackers will now be sent as Google Sheets Templates. October’s template is here. If you haven’t already sent in your tracker for September please convert it to a Google Sheet (template preview). Please ask your building ETS or tech coach for help if needed. Make sure to set the sharing permissions to ‘anyone with the link in Park City School District can view’.
Please send your wellness activity trackers to Brianne at bjones@pcschools.us by the 10th of the following month.