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Pattonville Employee and Retiree Benefits  - 2016-17 INFORMATION
 
Below are documents related to benefits for Pattonville School District staff members for the 2016-17 school year

Pattonville Retirees have the option to purchase Health Insurance, Medicare Supplement Plans, Dental Insurance, Vision Insurance and Life Insurance Policy with a value of $7,500 or $15,000 based on retirement date.

If you need to contact Tess Lewis, benefits coordinator the most efficient way is email tlewis@psdr3.org   Her phone number is internal 1035 or 314-213-8035 but due to the volume of calls you will need to leave a voice mail with the details of what you need and she will return your call as soon as possible.

 

Below is a copy of the active employee benefit worksheet for 2016-17 and Contact Information for each carrier,
BENEFIT WORKSHEET 2016-2017.pdf
Benefit Contact Information 2016-2017.pdf

1095B and 1095C Forms Information

1095B-C Forms.pdf


HEALTH INSURANCE - ANTHEM
Customer Service Phone: 1-800-843-6447 (for Anthem claims prior to September 30,2016)
Health Reimbursement Customer Service: 1-855-488-5476 (for claims prior to September 30, 2016)
Customer Service Phone: 1-844-627-1637 for Anthem Claims after October 1, 2016


Anthem Health Plans for 2016-2017
Pattonville Summaries and HRA 2016-17.pdf
Pattonville ID Cards 2016-17.pdf

Anthem Mobile App.pdf
Live Health Online.pdf
ER or Urgent Care.pdf


 REQUIRED HEALTH PLAN NOTICES for 2016-17

Legal Notices OE 08 2016.pdf

MedicarePartDCreditableCoverageDisclosureNotice.pdf

HCR Exchange Notice.pdf

ANTHEM ENROLLMENT AND CHANGE FORMS  OCTOBER 1, 2016 - SEPTEMBER 30, 2017

Print landscape
Anthem Enrollment.Change Form0.pdf

KIDZ Plan EnrollmentChange Form.pdf


DENTAL INSURANCE - DELTA
Delta Dental Customer Service: 1-800-335-8266

Delta Customer Service and Website.pdf
Delta Dental EPO PPO Benefit Summary.pdf
Delta Dental Premier PPO Benefit Summary.pdf
Delta Dental Enrollment.Change Form.pdf

HYATT LEGAL PLAN
Hyatt Legal Customer Service 1-800-821-6400

Hyatt.Legal.Brochure.pdf
HYATTLEGAL Enrollment Form.pdf
Quick FAQ Hyatt Legal.pdf
Hyatt Legal Fact Sheet.pdf


FLEXIBLE SPENDING PLAN - UNREIMBURSED MEDICAL/CHILDCARE

Discovery Benefits Flexible Spending Plan - Oct 1, 2016 - September 30, 2017
Discovery Benefits Customer Service 1-866-451-3399

Unreimbursed Medical Plan - Max Election is $2550.00  for 2016-17   
Dependent Childcare Plan - Max Election is $5000.00 for 2016-17


FSA Discovery Benefits Information.pdf
Discovery Benefits FSA Employee Guide.pdf
Discovery Benefits Enrollment Form.docx
Mobile Application Handout.pdf
Discovery Benefits Out of Pocket Reimbursement Form.pdf
FSA Medical $500 Rollover.pdf


VISION INSURANCE-UNITED HEALTH CARE
UHC Vision Customer Service: 1-800-638-3120
Vision Enrollment Form.pdf
Vision Summary 2016.2017.pdf


LIFE INSURANCE - HARTFORD
Hartford Customer Service 1-800-523-2233

Beneficiary Designation Form.pdf
AbilityAssistPARA.pdf
EstateGuidance.pdf
FuneralPlanning.pdf
TravelAssist.pdf
Supp Life BHS.pdf
Hartford Additional Life Ins.Enrollment & Beneficiary Form0.pdf

INFORMATION ABOUT ANTHEM CYBER ATTACK

Enrolling in Credit Protection Services 2-13-15
How to Enroll In Credit Protection Services Offered by Anth.pdf
Employer Credit Protection FAQ.pdf


Anthem Identity Theft Services 2/11/15
Update from Anthem about Identity Theft Services.pdf


Anthem FAQs updated 2/11/15
Anthem FAQ Updated .pdf

Anthem Cyber Attack.pdf
ANTHEM Cyber Attack FAQs.pdf

Anthem Press Release.pdf

Anthem Press Release from Anthem Website.png