DeKalb School District 428 "School, Community, Family....A Partnership for Education!"
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Employee Benefits 
 

 

OUTLINE OF EMPLOYEE BENEFITS

 

I.            HEALTH INSURANCE

A.     Eligible 1st of month following start date.

B.     The school district pays for full-time employee and dependent coverage per the terms of the employee contract.

C.    Major medical highlights:

   Blue Cross/Blue Shield of Illinois

   2 PPO Plans:

                $500 deductible per person, maximum first 2 deductibles per family.

-Click HERE for more info on low PPO option-
-Click HERE for PPO Low Summary of Benefits and Coverage-
-Click HERE for PPO Low Plan Summary-

                $1500 deductible per person, maximum first 2 deductibles per family.

-Click HERE for more info on high PPO option-
-Click HERE for PPO High Summary of Benefits and Coverage-
-Click HERE for PPO High Plan Summary-


2 HMO Plans:

-Click HERE for HMO I Summary of Benefits and Coverage-
-Click HERE for BA HMO Summary of Benefits and Coverage-
        

-Click HERE for HMO Plan Summary-

D. Rx

-Click HERE for Dekalb Rx Highlights-


Enhanced benefits

   HMO1 – larger network of providers; BA HMO – smaller network of providers

     Coverage = PPO, in-network 80%20%; out-of-network 60%/40% both to a maximum out of  pocket of $1000 (after $500 Deductible) and $2000 (after $1500 deductible), maximum first 2 per family.

   Wellness benefits paid at 100%

   $30 co-pay for physician office visit; $50 co-pay for specialist office visit.

     Prescription card coverage = 80%/20% of first $1000.  $20 minimum and $100 maximum co-            pay.

     Mail Order prescription services available.  $15 for 3 month supply of generic drugs, $25 for   3 month supply of formulary drugs and $45 for 3 month supply of non-formulary drugs.

        Premiums usually change effective January 1st of each year. 

-Click HERE to view our plan document for HMO1
-Click HERE to view our plan document for Blue Advantage HMO

D.     Additional Blue Cross Information

E.      Benefit Forms

F.      PPO_HMO provider search instructions

G.     Blue Cross/Blue Shield Blue Access for Members 

H.     Affordable Care Act (ACA) Marketplace

II.           DENTAL INSURANCE

 A.   Delta Dental, eligible 1st of month following start date.

B.   The school district pays for full-time employee and dependent coverage per the terms of the employee contract for health insurance.       

C.   Major dental highlights:

   Preventive care:

100% coverage.

No deductible

   Annual deductible:

$50 per person (3 person family maximum).

   $1500 calendar annual maximum per person

   Other services:

            50% to 80% per terms of schedule

Some services require waiting period

   $1500 lifetime maximum per person under age 19 for orthodontia 

D.    Delta Dental Additional Information

E.     Delta Dental Forms

F.     Dental provider search instructions

G.     Delta Dental Online Account setup instructions

III.          VISION INSURANCE

 A. EyeMed, eligible 1st of month following start date.

 B. The school district pays for full-time employee and dependent coverage per the terms of the employee contract for health insurance.

 C. Major vision highlights:

·         Eye exam once every 12 months ($10 in network)

·         Lenses and frames or contact lenses once every 12 months ($25 in network)

·         Discounts offered if out of network

Click HERE for EyeMed Online Instructions

Click HERE for EyeMed Benefit Information

Click HERE for Vision provider search instructions

IV.         LIFE INSURANCE 

A.   Mutual of Omaha, full-time employee eligible 1st of month following start date.

B.   The school district pays for full-time employee coverage per the terms of the employee contract.

C.   Additional optional life insurance available for employee, or employee and spouse, or employee and dependent children at a reasonable cost to the employee subject to application approval. 

D.   Life insurance included in the TRS or IMRF benefits also.

E.  Additional Mutual of Omaha Information

F. District Paid Life Insurance Benefits by Employee Type

G.

 

V.         LONG TERM DISABILITY

A.   Included in the employee TRS or IMRF benefits.

B.   Mutual of Omaha, additional voluntary benefit available to all full-time employees subject to application approval.

C.   Monthly benefit is per schedule, depending on disability.

D.   Benefit begins per schedule, depending on disability.

E. 

VI.         PAID SICK, VACATION, HOLIDAY AND PERSONAL TIME

                A.  Per terms of employment contract

   B.   Extended Medical Leave

   C.   Request for Medical Accomodations Form

VII.        FLEX PLANS  

A.     PayFlex, full-time employee eligible on effective date of health insurance for medical/dental/vision reimbursement. 

Eligible upon start date for dependent care reimbursement.  Plan year is October 1st through September 30th.

B.     Pre-tax payroll deductions for medical expense reimbursement and dependent care expenses.

C.   Additional PayFlex Information

D.  Claim Form 

E.   Link for Flex Enrollment Form
      Link for Flex Direct Deposit Authorization Form
      Health hub link (Flex employee portal)


VIII.       PAYROLL

A.     Direct deposit available.  Most banks offer free services (checking, etc.) for your direct deposit.

B.     Pay dates are the 15th and last day of the month or the last business/school day before the pay date.

C.    Changes to payroll must be received by the 1st of the month to appear on the 15th paycheck, and by the 15th of the month to appear on the end of month paycheck.

 

DeKalb C.U.S.D. 428      
Insurance Payroll Deductions
Effective January 1, 2013
       $500 Deductible   $1500 Deductible   HMO 1     BA HMO    
HEALTH INSURANCE 2012-2013 Benefit                  
  Individual Family  Individual   Family   Individual   Family   Individual   Family   Individual   Family 
Teachers 95% ($10,000 max.) $6,000  $         17.86  $  285.90  $         16.19  $  235.68  $         15.11  $      203.38  $         13.60  $    158.05
                 
Secretaries 90% ($10,000 max.) 70% ($10,500 max.)  $         35.73  $  160.77  $         32.38  $  145.70  $         30.23  $      136.01  $         27.20  $    122.41
                 
Assistants 90% ($10,000 max.) 0%  $         35.73  $  535.90  $         32.38  $  485.68  $         30.23  $      453.38  $         27.20  $    408.05
                 
Cooks & Custodians 100% 0%  $                -    $  535.90  $                -    $  485.68  $                -    $      453.38  $                -    $    408.05
                 
Asst. Superintendents 100% ($12,778 max.) 95% ($13,850 max.)  $                -    $    26.80  $                -    $    24.28  $                -    $        22.67  $                -    $      20.40
                 
Other Certified 100% ($12,778 max.) 90% ($13,850 max.)  $                -    $    53.59  $                -    $    48.57  $                -    $        45.34  $                -    $      40.80
                     
Other Non-Certified 95% ($12,778 max.) 90% ($13,850 max.)  $         17.86  $    53.59  $         16.19  $    48.57  $         15.11  $        45.34  $         13.60  $      40.80
DENTAL EMPLOYEE EE/SPOUSE EE/CHILD EE/FAM. VISION EMPLOYEE EE/SPOUSE EE/CHILD  EE/FAM. 
Teachers:                   
w/ind. & fam. Health  $                               0.79  $                         16.61  $         15.58  $    33.66    $            0.15  $           2.84  $            3.14  $         5.94
w/ind. Health or no Health  $                               0.79  $                           0.79  $            0.79  $       0.79    $            0.15  $           0.15  $            0.15  $         0.15
Hired before 8/15/06  &  $                            15.82  $                         31.64  $         30.61  $    48.69    $            2.99  $           5.68  $            5.98  $         8.78
        no Health Insurance                  
Secretaries  $                               1.58  $                           6.33  $            6.02  $    11.44    $            0.30  $           1.11  $            1.20  $         2.04
Assistants  $                               1.58  $                         17.40  $         16.37  $    34.45    $            0.30  $           2.99  $            3.29  $         6.09
Cooks & Custodians  $                                   -    $                         15.82  $         14.79  $    32.87    $                -    $           2.69  $            2.99  $         5.79
Asst. Superintendents  $                                   -    $                           0.79  $            0.74  $       1.64    $                -    $           0.13  $            0.15  $         0.29
Other Certified  $                                   -    $                           1.58  $            1.48  $       3.29    $                -    $           0.27  $            0.30  $         0.58
Other Non-Certified  $                               0.79  $                           2.37  $            2.27  $       4.08    $            0.15  $           0.42  $            0.45  $         0.73

-Click HERE for Payroll Deduction 2013-2014-

IX.         NORTHERN ILLINOIS UNIVERSITY TUITION WAIVERS

A.     Per terms of employment contract.

B.     Prior approval required from building principal.

C.    Receipts and grades required.

X.          EMPLOYEE ASSISTANCE PROGRAM

              A.     Preventative health and well-being workshops and seminars for employees and families.

B.     24 hour help line 1-800-292-2780

C.    Short term counseling (up to 8 free counseling sessions per year).

D.    Referral services for long term assistance.

E.    Additional  EAP Information

XI.       TAX SHELTERED ANNUITIES (403B)

A.     Payroll deductions are available.

B.     All accounts will be administered by planwithease.com.

C.    This benefit is not subject to any enrollment deadlines and can be applied for at any time.

D.   Enrollment Form

E.   Approved Vendors

XII.       YMCA

A.     20% discount available for district employees and families

B.     Payroll deduction also available.

C.    This benefit is not subject to any enrollment deadlines and can be applied for at any time.

NOTE:  both the membership application AND Y Payroll Deduction form must be completed and submitted before membership will be processed.

Click HERE for Membership Application

Click HERE for YMCA Cancellation/Change Form

Click HERE for the Y Payroll Deduction

Click HERE for the YMCA Corporate Rate Sheet

XIII.    TRS – Teacher Retirement System

              A.   State pension, disability and death benefit for all certified employees.

 B.   TRS Forms 

XIV.     IMRF – Illinois Municipal Retirement Fund

               A.   State pension, disability and death benefit for all certified employees

  B.   IMRF Forms 

XV.       Workman's Compensation Provisions for Assitance if you are Injured on the Job 

 A. Workman's Compensation Forms

 B. Company Nurse Reference Guide

 C. Workers Comp Preferred Provider List

 D. Company Nurse Employee Training Video  

Questions?? – Contact MaryAnn Brown at (815) 754-2288 or e-mail: maryann.brown@dist428.org

 
De Kalb School District 428 Dr. James Briscoe, Superintendent 901 S. 4th St. De Kalb, IL. 60115 (815) 754-2350 En Espanol (815) 754-2102 fax (815) 758-6933
  Please contact the editor at editor@dist428.org with any questions or comments about the site.