Benefits Forms and Information

• 2020-2021 Active Insurance Rates (Admin/Non-Unit/Bus Drivers)
• 2020-2021 Active Insurance Rates (MHRDEA)
• 2019-2020 Active Insurance Rates (Admin/Non-Unit/Bus Drivers)
• 2019-2020 Active Insurance Rates (MHRDEA)
• PPO Traditional Plan Overview (MHRDEA)
• POS Plan Overview (MHRDEA)
• POS Plan Overview (Admin/Non-Unit/Bus Drivers)
• Payroll Deductions for Additional Benefits 2020-21
• Dental Benefits Summary
• Vision Benefits - NVA
• Medical Enrollment Form
• Dental Enrollment Form
• Vision Enrollment Form
• 2020-2021 Waiver Form
• 2020-2021 Waiver Form Bus Drivers

• Dependent Care Account (DCA)
• Healthcare Flexible Spending Account (FSA)
• My Ameriflex Participant Portal

Information on Open Enrollment

• Open enrollment for the district's Flexible spending account program for medical & dependent care expenses for the benefit plan year July 1, 2020 to June 30, 2021 will open on Monday, May 18, 2020.
• The portal is accessible for eligible employees who are working the full contract year. If you are not working the full contract year please contact me for separate enrollment forms.
• If you are currently enrolled & would like to continue participation for the new plan year, you MUST re-enroll.  
• The maximum amount you may add to a Flexible spending account for medical expenses is  $2,750 for the period July 1, 2020 to June 30, 2021.  At the end of each plan year, up to $500 of unused funds may be carried over for use in the next plan year. The carryover amount can never exceed $500. Any unused funds in excess of $500 at the end of the plan year will be forfeited.
• The maximum amount you may add to a Dependent care account is $5,000 per family per CALENDAR YEAR (January 1st to December 31st) with no carryover allowed.
• This year enrollment will be processed online through the Ameriflex portal. Click here to view instructions for accessing the portal.
• The portal will close on Friday, June 12, 2020.  No changes will be permitted after June 12, 2020.

• Aetna Medical Plan Claim Form
• Dental Claim Form

• Maternity/Family Leave Overview
• NJ Family Leave Insurance Poster
• NJ Family Leave Website
• NJ Family Leave Application

Other Useful Benefits

• Voluntary Benefits - Short/Long Term Disability
• Tax Shelter Providers
• Tax Shelter Application and Changes - OMNI
• Brown and Brown Advisors - Online Benefits Center
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• Employee Assistance Program