Business Office
May 1, 2020 begins the Open Enrollment for Health Insurance (5/22/2020), Dental Insurance (ends 7/31/2020) & Section 125 (ends 5/22/2020).
Our team
Kris Pottle - Business Manager
Donna Bradford - Accounts Payable
Cindy Dixon - Human Resources
Alison Gamache - Accountant
Kristi Leavitt - Payroll & Benefits
Deb Nightingale - Support Staff
Forms
403(b) UNIVERSAL AVAILABILITY NOTICE
Posted 8/21/2019
You have the opportunity to save for retirement by participating in the Mt Blue Regional School District’s 403(b) plan (“Plan”). A 403 (b) plan is a retirement plan for certain employees of public schools, tax-exempt organizations and ministers. Contributions are mad under a Salary Reduction Agreement (SRA) with your employer. This agreement allows your employer to withhold money from your paycheck to be contributed directly into a 403 (b) account for your benefit. Usually, you do not pay income tax on these contributions until you withdraw them from the account. We recommend that all employees view a brief, 3-minute video presentation explaining what a 403(b) plan is, and how to contribute.
If there are any questions, you may contact The OMNI Group at 877-544-6664.
How Can I Participate?
Prior to contributing, you must open an account with an investment provider participating in the Plan, a list of which is available below. You can participate in the Plan with pre-tax contributions by completing and submitting a Salary Reduction Agreement (“SRA”) online at the OMNI 403b website, or by submitting a completed SRA form, which can be found on the same website, to The OMNI Group either by facsimile to (585) 672-6194 or by mail at 1099 Jay St., Bldg F, Rochester, NY, 14611 (“OMNI”).
How Much Can I Contribute Annually?
You may contribute up to $19,000 in 2019; this amount is subject to change annually. If you have at least 15 years of service with your employer or you are at least 50 years old, you may also be able to make additional catch-up contributions. For appropriate limits for your particular circumstances, please contact OMNI’s Customer Care Center at 1-877-544-6664.
What If I Already Have An Account?
If you are already contributing to the Plan, and you want to change your contribution amount or service provider, simply complete and submit a new SRA. See directions above for on-line and paper submission options.
What If I Do Not Want To Contribute?
If you do not want to take advantage of this program, simply submit an SRA with the option “I do not wish to participate at this time” selected. See directions above for on-line and paper submission options.
How can I get more information?
You can access further information at the OMNI 403b website or by viewing the 3-minute video presentation.
The following Vendors are authorized to receive contributions and contract exchanges between vendors under the Mt Blue Regional School District 403(b) Plan:
Name of Vendor | Contact Person | Phone Number |
---|---|---|
Ameriprise Financial Services |
General Number | (800) 862-7919 |
Franklin Templeton |
Aaron Knapp | (207) 778-9779 |
Franklin Templeton |
Jared Ranger | (207) 778-9779 |
Great American Insurance Group |
General Number | (800) 438-3398 ext 17197 |
Horace Mann Companies |
Troy True | (207) 645-4779 |
Metlife |
General Number | (800) 638-5433 |
Midland National Life Insurance |
Bob or Ann Yorks | (207) 779-0505 |
North American Life Insurance |
Bob or Ann Yorks | (207) 779-0505 |
Northeast Delta Dental Change/Enrollment form for open enrollment must be completed and submitted to the business office by July 31, 2020. The effective date of the change is September 1, 2020. If there is an event such as marriage, divorce, losing another coverage, the change form can be completed at the time of such event. The cost to the employee has not increased. It remains at:
$20.83 per pay for the employee and one additional family member;
$44.59 per pay for the employee and two or more additional family members.
There is no cost to the employee for a single subscriber plan.
Outline of Benefits
RSU #9 dba Mt. Blue Regional School District
Group Number: 0638-5253
Contract Year for Benefits - September 1 through August 31.
Eligibility Period - Determined by the Employer.
Waiting Period: None
Eligible Persons - Subject to the "Eligibility" provision above, employees and their dependents may be enrolled. Your employer pays the cost for eligible employees. Employees are responsible for the cost of their enrolled dependents. If enrolling dependents, all dependents must be enrolled for the term of the Agreement. A newborn child is automatically covered for the first thirty-one (31) days following birth. Coverage will continue if the child is formally enrolled within the first thirty-one days following birth or the child may be enrolled thereafter at any open enrollment or as of the first day of the month following the month of the child's second birthday.
Benefit Coverages and Percentages Paid by Northeast Delta Dental -
Diagnostic & Preventive: 100%
Basic Restorative: 80%
Major Restorative - including implant services: 50%
Benefit percentages shown are based upon the actual charge submitted up to the Maximum Allowable Charge for participating dentists, or Delta Dental's allowance for Non-Participating dentists.
Maximum Benefit - The maximum amount which your plan will pay is $1000 per person per Contract Year for Diagnostic & Preventive, Basic and Major benefits.
Deductible - There is no deductible
View the Outline of Coverage
Notice of May, 2020 Open Enrollment
Open enrollment for health insurance is during the month of May. The effective date of the change is dependent upon your contract renewal date. July 1 is the effective date for administrators, support staff, and school lunch workers. September 1 is the effective date for teachers and any other September 1 contracts. Applications for change for the July or September 2020 contract year must be completed and returned to the business office by May 22nd.
The following benefit information was provided by MEA Benefits Trust in a Rate Notice dated April 1, 2020.
Benefit changes for the 2020-2021 benefit year, effective July 1, 2020:
- MEA Choice Plus Plan:
- The annual copayment maximum will increase from $6,700 per individual to $6,950 per individual.
- The LiveHealth Online copayment is reduced from a $15 PCP copay to an $8 copay
- Benefits have been added for the following services:
- Temporomandibular Joint (TMJ) Services
- Travel and Lodging expenses up to $10,000 due to a Transplant
- Adult hearing aids up to $3,000 per hearing aid per hearing impaired ear every 36 months
- MEA Standard Plan:
- The annual copayment maximum will increase from $6,700 per individual to $6,950 per individual.
- The LiveHealth Online copayment is reduced from a $15 PCP copay to an $8 copay
- Benefits have been added for the following services:
- Temporomandibular Joint (TMJ) Services
- Travel and Lodging expenses up to $10,000 due to a Transplant
- Adult hearing aids up to $3,000 per hearing aid per hearing impaired ear every 36 months
- Acupuncture services up to 12 visits per calendar year for pain management
- MEA Standard 500 Plan:
- The annual copayment maximum will increase from $5,400 per individual to $5,650 per individual.
- The LiveHealth Online copayment is reduced from a $20 PCP copay to a $10 copay
- Benefits have been added for the following services:
- Temporomandibular Joint (TMJ) Services
- Travel and Lodging expenses up to $10,000 due to a Transplant
- Adult hearing aids up to $3,000 per hearing aid per hearing impaired ear every 36 months
- Acupuncture services up to 12 visits per calendar year for pain management
- MEA Standard 1000 Plan:
- The annual copayment maximum will increase from $4,900 per individual to $5,150 per individual.
- The LiveHealth Online copayment is reduced from a $20 PCP copay to a $10 copay
- Benefits have been added for the following services:
- Temporomandibular Joint (TMJ) Services
- Travel and Lodging expenses up to $10,000 due to a Transplant
- Adult hearing aids up to $3,000 per hearing aid per hearing impaired ear every 36 months
- Acupuncture services up to 12 visits per calendar year for pain management
Below is a document with 7/1/20 - 6/30/21 monthly rates. The employer's and employee's percentage of the plan vary depending on the RSU 9 employee group. Please note that these employer's and employee's percentage are subject to completion of contract negotiations for some groups. Additional benefit information and comparative information is available on MEA Benefit Trust's website and on Anthem's MEABT site.
After reviewing the information on this page, if you would like to make any changes to your coverage, download and save the Anthem Application/change form to your computer, complete the form, resave and email to Kristi Leavitt at the Business Office.
Monthly Rates |
7/1/2020 |
Administrators |
Support Staff |
Teacher |
At Will |
School Lunch Grandfathered |
School Lunch hired after June, 1993 |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Rate |
Employer |
Employee |
Employer |
Employee |
Employer |
Employee |
Employer |
Employee |
Employer |
Employee |
Employer |
Employee |
|
|
78% |
22% |
76.5% |
23.5% |
79.50% |
20.50% |
75% |
25% |
85% |
15% |
95% single |
5% single |
Choice Plus |
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee |
701.43 |
547.12 |
154.31 |
536.59 |
164.84 |
557.64 |
143.79 |
526.07 |
175.36 |
596.22 |
105.21 |
666.36 |
35.07 |
Employee/Spouse |
1,580.89 |
1,233.09 |
347.80 |
1,209.38 |
371.51 |
1,256.81 |
324.08 |
1,185.67 |
395.22 |
1,343.76 |
237.13 |
666.36 |
914.53 |
Employee/Family |
1,924.16 |
1,500.84 |
423.32 |
1,471.98 |
452.18 |
1,529.71 |
394.45 |
1,443.12 |
481.04 |
1,635.54 |
288.62 |
666.36 |
1,257.80 |
Employee/Child(ren) |
1,241.38 |
968.28 |
273.10 |
949.66 |
291.72 |
986.90 |
254.48 |
931.04 |
310.34 |
1,055.17 |
186.21 |
666.36 |
575.02 |
Employee (Grandfathered 7/1/15) |
|
|
|
561.14 |
140.29 |
|
|
|
|
|
|
|
|
Standard |
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee |
757.45 |
590.81 |
166.64 |
536.59 |
220.86 |
557.64 |
199.81 |
568.09 |
189.36 |
643.83 |
113.62 |
719.58 |
37.87 |
Employee/Spouse |
1,707.36 |
1,331.74 |
375.62 |
1,209.38 |
497.98 |
1,256.81 |
450.55 |
1,280.52 |
426.84 |
1,451.26 |
256.10 |
719.58 |
987.78 |
Employee/Family |
2,078.09 |
1,620.91 |
457.18 |
1,471.98 |
606.11 |
1,529.71 |
548.38 |
1,558.57 |
519.52 |
1,766.38 |
311.71 |
719.58 |
1,358.51 |
Employee/Child(ren) |
1,340.68 |
1,045.73 |
294.95 |
949.66 |
391.02 |
986.90 |
353.78 |
1,005.51 |
335.17 |
1,139.58 |
201.10 |
719.58 |
621.10 |
Employee (Grandfathered 7/1/15) |
|
|
|
561.14 |
196.31 |
|
|
|
|
|
|
|
|
Standard 500 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee |
666.35 |
519.75 |
146.60 |
536.59 |
129.76 |
557.64 |
108.71 |
499.76 |
166.59 |
566.40 |
99.95 |
633.03 |
33.32 |
Employee/Spouse |
1,501.85 |
1,171.44 |
330.41 |
1,209.38 |
292.47 |
1,256.81 |
245.04 |
1,126.39 |
375.46 |
1,276.57 |
225.28 |
633.03 |
868.82 |
Employee/Family |
1,827.95 |
1,425.80 |
402.15 |
1,471.98 |
355.97 |
1,529.71 |
298.24 |
1,370.96 |
456.99 |
1,553.76 |
274.19 |
633.03 |
1,194.92 |
Employee/Child(ren) |
1,179.31 |
919.86 |
259.45 |
949.66 |
229.65 |
986.90 |
192.41 |
884.48 |
294.83 |
1,002.41 |
176.90 |
633.03 |
546.28 |
Employee (Grandfathered 7/1/15) |
|
|
|
561.14 |
105.21 |
|
|
|
|
|
|
|
|
Standard 1000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee |
635.50 |
495.69 |
139.81 |
536.59 |
98.91 |
557.64 |
77.86 |
476.63 |
158.87 |
540.18 |
95.32 |
603.73 |
31.77 |
Employee/Spouse |
1,432.29 |
1,117.19 |
315.10 |
1,209.38 |
222.91 |
1,256.81 |
175.48 |
1,074.22 |
358.07 |
1,217.45 |
214.84 |
603.73 |
828.56 |
Employee/Family |
1,743.29 |
1,359.77 |
383.52 |
1,471.98 |
271.31 |
1,529.71 |
213.58 |
1,307.47 |
435.82 |
1,481.80 |
261.49 |
603.73 |
1,139.56 |
Employee/Child(ren) |
1,124.69 |
877.26 |
247.43 |
949.66 |
175.03 |
986.90 |
137.79 |
843.52 |
281.17 |
955.99 |
168.70 |
603.73 |
520.96 |
Open Enrollment Dates: May 1, 2020 through May 22, 2020
The enrollment for the Health/Dependent Care Spending Account is administered by Horace Mann. Troy True is the local agent and representatives at his office are available at 645-4779. Beginning in 2020, the reimbursement plans will be processed by Health Equity. They were previously processed by PayFlex. This year during the month of May, you must complete forms indicating participation or refusing participation. We must be able to document that everyone is offered this opportunity if audited by the IRS. There are three opportunities with our plan:
- Paying your insurance premiums prior to taxes.
- Flexible Spending Account; this benefit is an opportunity to pay for eligible out-of-pocket expenses with pre-tax dollars, thus reducing your taxable earnings at W-2 time.
- Dependent Care Reimbursement; this benefit is an opportunity to pay for eligible dependent/child care expenses with pre-tax dollars, thus reducing your taxable earnings at W-2 time.
The effective dates are as follows:
July 1 for administrators, psychologists, adult ed staff, support staff, and school lunch workers
Section 125 Form for July 1, 2020 Effective Date
September 1 for teachers and other professional staff members.
Section 125 Form for September 1, 2020 Effective Date
Select the form that is appropriate for your effective date. The completed forms must be returned to Kristi Leavitt in the Business Office by May 22, 2020.
Direct Deposit Forms are no longer available electronically for security reasons and are available in each District Building's Office.
Change of Address/Contact Information Form
Dental Application and Change Form
MePERS Member/Benefit Recipient Data Update
Anthem Application/Change Form
September 2020 Forms
September 4, 2020 is the first payroll date in September
Support Staff - Sick Leave Bank Contribution Form - Due 9/30/2020
Teacher - Sick Leave Bank Contribution Form - Due 9/30/2020
Support Staff - Cash in Lieu Notice - Due 9/30/2020
Teacher - Cash in Lieu Notice - Due 9/30/2020
Administrator - Cash in Lieu Notice - Due 9/30/2020
Food Service Worker - Cash in Lieu Notice - Due 9/30/2020
Other At Will Contracts - Cash in Lieu Notice - Due 9/30/2020