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South Central USD 5

District

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Human Resource Information for Employees

Benefits

AFLAC Insurance

Representative Contact:  Deb Larson

Email:  deborah_larson@us.aflac.com

Phone:  402.984.1679

Representative Contact:  Erin Marick

Email:   erin_marick@us.aflac.com

Cell Phone:  402.658.2920

 

Flex Program

Healthcare Flexible Spending Account

Dependent Care Flexible Spending Account

Employee Website -  www.takecarewageworks.com

Setup an employee account

Show Benefits, Claims & Payments, Debit Card Information

Healthcare Claim Form

Dependent Care Claim Form

 

403(b) Program

Representative Contact - Ed Young, Plan Services Investments

Phone:  712.527.5751

Cell Phone:  402.657.9032

403(b) Plan Eligibility Announcement to Employees

Annual Notice

Salary Reduction Agreement

Right to Participate Form

All employees must complete and return the Right to Participate Form to the Central Office. 

 

Legal Shield - Identity Theft Program

Representative Contact - Larry Fahrenbruch

Cell Phone:  785.626.5177

Email:  lfahrenbruch@hotmail.com

Website:  www.mylegalshield.com

Authorization Form

 

Family Heritage Supplemental Insurance

Representative Contact - Mark Beelek

Phone:  402.617.6657

Email:  MBeelek@legacyservices.com

 

Wholeness Healing Center - Employee Assistance & Wellness Program

Representative Contact - Barb Ernst

Phone:  308.382.5297, ext. 127

Website:  www.WholenessHealing.com

August 2017 Employee Support Program

 

Blue Cross Blue Shield - Health & Dental Coverage

Certified & 12-month Employee Health Coverage Options

EHA Health Plan Option 3 - $1,050 Deductible   OR

EHA Health Plan Option 8 (HSA-Eligible) - $3,500 Deductible

Classified Staff Health Coverage Option

            EHA Health Plan Option 6 - $1,900 Deductible

All Employees Dental Coverage Option - Option 2 (Standard Plan)

Overview of Your Health Care, Prescription Drug and Dental Benefits

Keep Track of Your Health Care - Go to www.mynebraskablue.com

EHA Health & Dental Enrollment Form

$1,050 Deductible Benefit Summary

$3,500 Deductible Benefit Summary

$1,900 Deductible Benefit Summary

 

Vision Insurance

VSP Vision Benefits Summary

​​10 month Enrollment Form

12 month Enrollment Form

VSP Doctor Directory

 

    Payroll/Employment Forms

W-4 Form

Payroll Direct Deposit

Retirement Beneficiary Designation

School Employees Retirement System Handbook

 

Disability/Life Insurance

Long Term Disability

Life Insurance - Administrators

Life Insurance - Employees Insured under Clay Center PS as of 8/31/10