Employee Health Plans

High Deductible Health Plan (HDHP)

  1. High Deductible Health Plan Summary (HDHP - Lumenos)
  2. Health Savings Account (HSA) Frequently Asked Questions
  3. Anthem Insurance Enrollment/Change Form
  4. Health Benefit Enrollment Form
  5. HSA Qualified and Non-Qualified Medical Expenses
    • The attached document lists both eligible and ineligible medical services or treatments that are commonly questioned by employees as to their status as a Qualified Medical Expense. IRS code 213d (Publication 502) determines eligible qualified medical expense that you can use your HSA funds tax free. Remember only those expense covered by the Health Plan will accumulate towards your deductible. These expenses are determined by the IRS. For more information refer to Publication 502:https://www.irs.gov/publications/p502/index.html
  6. Salary Redirection Agreement for HSA/Liberty Bank - Forms for Payroll Deduction for Direct Deposit into HSA
  7. Medicare Creditable Coverage - Important Notices from the Southington Board of Education about Prescription Drug Coverage and Medicare

     

Employee Wellness Screening Information - See union contract

 

COBRA Information

  1. Initial COBRA Notification