AHSD 25 Benefits Orientation

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Benefits Orientation

Welcome to Arlington Heights School District 25 and our Benefit Orientation website!

We have created this website to help you organize your benefits information and to make it as clear as possible what you need to fill out and return.

As you browse through the website, you will find all the information and enrollment forms for the benefits available to you as a benefited staff member – working full-time or job-share. .5 FTE teachers are eligible for medical insurance (PPO) only.

All employees are eligible to participate in the District’s 403b program.

If you have any questions, please feel free to call me at (847) 758-4915 / tbenyk@sd25.org

Sincerely,

Tammie Benyk
Supervisor of Business Services

All forms need to be returned to me as soon as possible – within 30 days from your start date at the latest, but the sooner I receive them, the sooner you enrolled. You can drop them off at the administration building: (1200 S Dunton), mail them, or send them through the interoffice mail.

The District holds Open Enrollment once a year – usually in December. During this open enrollment period, you may enroll, change plans and/or add dependents. You cannot make these changes outside of the open enrollment period unless you have a qualifying "life change" event. You may drop coverage or dependents at any time during the year.

Effective 7/1/2011, the District requires the following documentation for each family member enrolling in District insurance:

Spouse/Partner - Marriage/Civil Union License
Children - Birth Certificate/Adoption Documents/Legal Guardianship Certificate

All of forms on this website are in PDF format. If you do not have Adobe Reader, download from www.adobe.com. Click on the form you want and print or save it to your computer.

Premium Rates – Full-time/Job-Share, Premium Rates – 0.5 FTE Teachers
(see new hire brochure for this information)

Medical Insurance –Blue Cross / Blue Shield

Certificated Teachers
Non-Certificated Staff

Dental Insurance – Guardian

Vision Insurance - VSP

Life Insurance – $50,000 (District Paid)

AHSD25 HIPPA Privacy Policy and notification

Please keep the policy for your reference. Please sign and return the receipt after reviewing the policy.

Waiver of Insurance Coverage

If you choose not to enroll in any or all of the insurance plans (medical, dental, vision or life), please complete this form and return it to me within 30 days from your start date.

Full-Time Employees

Part-Time Teachers

Supplemental Life Insurance – Guardian

Flexible Spending Accounts – Ceridian

Tax Shelter 403b Annuity Program

Family and Medical Leave Act (FMLA) Information

This explains what your rights and responsibilities are under the FMLA after you have been employed by the District for one year.

To review, please return the following forms to the Business Office within 30 days of your start date.

Waiver of insurance coverage (if declining any or all coverage)
Receipt of HIPPA Privacy Notice

If enrolling in any of the following:

Life insurance enrollment/beneficiary form
One medical insurance enrollment form (PPO or HMO)
One dental insurance enrollment form (Guardian or Aetna)
One vision insurance enrollment card (VSP)
Flexible spending enrollment form
403(b) Salary Reduction Agreement