Employee Benefits

Benefit Eligibility

2016-2017 Benefit Information

Open Enrollment 2017-2018

2017-2018 Belgrade School District Health Insurance Rate Sheets

12 Month Rate Sheet

9-Month Rate Sheet

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Pacific Source Health Insurance

Enrollment Form

2017 Member Guide

Benefit Summary – $1000 Deductible

Benefit Booklet – $1000 Deductible

Benefit Summary – $2600 Deductible

Benefit Booklet – $2600 Deductible

Benefit Summary – $5000 Deductible

Benefit Booklet – $5000 Deductible

Benefit Summary – Dental

Benefit Booklet – Dental

Benefit Summary – Vision

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2017-2018 Flex Benefits

9 Month Enrollment Form

12 Month Enrollment Form

FSA User’s Guide

Dependent Care Recurring Expense Form

MyFlex Online Claims Instructions

Request for Reimbursement from FSA or HRA

Examples of Eligible Dependent Care Expenses

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Principal Life Insurance

Principal Life Enrollment Application and Waiver

Principal Life Statement of Health

Basic Life Insurance Benefit Summary – Classified and Certified

Long Term Disability Benefit Summary

Voluntary Term Life Benefit Summary

Voluntary Term Life Rates

Voluntary Critical Illness Information

Voluntary Critical Illness Summary

Voluntary Critical Illness Smoker Rates

Voluntary Critical Illness Non Smoker Rates

Beneficiary Designation/Change Form

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Principal Life Insurance – Additional Services

Employer Assistance Program

Travel Assist