Employee Benefits and Forms

NEW! Click for Sourcewell's Employee Health and Wellness Program! 

2022 Benefit Information 

Video Presentation - 2022 Open Enrollment Benefit Details
​Presentation Slides 
Teacher Open Enrollment Guide
Para Open Enrollment Guide
NonNon Staff Enrollment Guide

2022 Benefit Forms

HealthPartners - Health Insurance Enrollment Form
HealthPartners - Dental Insurance Enrollment Form
EyeMed - Vision Insurance Enrollment Form
Aviben - FSA / Dependent Enrollment Form
​2022 HSA Contribution Form
​HSA Eligibility Checklist
​HSA Maximum Annual Contribution Calculation for 2022

Detailed Benefit Guides and Summary of Benefits and Coverage (SBC)

HealthPartners Smart Plans

• $1400 Deductible SBC
• $2800 Deductible SBC
• $3650 Deductible SBC

Dental Insurance
Vision Insurance
Flexible Spending Accounts SBC

Aviben FSA / Dependent Care Information

Flexible Spending Account General Benefit Information
New Enrollee Open Enrollment Instructions
Online Portal Quick Start Guide
​Mobile App Quick Start Guide
​WEX Health Payment Card FAQs
Flexible Benefits Video Presentation by Aviben
Aviben Dependent Care Receipt Form
Aviben Medical Flex Claim Form 

Policy

Healy Staff Handbook 20-21
Harassment and Violence Policy; Harassment Reporting Form
​CARES ACT Leave Info

Health Insurance / Public Employees Insurance Program (PEIP) 2021

Public Employees Insurance Program (PIEP) home page
PEIP Enrollment Instructions
Teacher PEIP Rates
Para PEIP Rates
NonNon PEIP Rates

Health Insurance-Marketplace Coverage

Payroll and W2

ESS Smart eR 

Benefits

403B Info
403B Deduction Form 
Frontline
Funeral Leave Request
​

Master Agreements (Contracts)

Non-Union Non-Certified Group 

Training and Staff Development

Continuing Education-Everything you need to know to renew your teaching license
​Continuing Education Form
Infinitec
iObservation

Retirement

The Value of your Pension