Employee Benefits

2016-2017 Belgrade School District Health Insurance Rate Sheets

Certified Rate Sheet

Classified 9-Month Rate Sheet

Classified 12-Month Rate Sheet


BlueCross BlueShield Medical Plans

BCBSMT Participating Fitness Centers

BCBSMT Preferred Dentists

Benefit Summary – $1000 Deductible

Benefit Summary – $2600 Deductible

Benefit Summary – $5000 Deductible

Benefit Summary – Dental

Benefit Summary – Vision

Blue Cross Blue Shield Enrollment/Change Form

Blue Access For Members

CMM Plan Booklet

Dental Benefit Booklet 

HSA PLus PPO 5000 Deductible Plan Booklet

HSA PLus PPO 2600 Deductible Plan Booklet

Vision Benefit Booklet 

Pharmacy Information


BCBSMT Wellness Information

Well onTarget BAM Login

Well onTarget Blue Points

Well onTarget Fitness Program

Well onTarget Health Assessment

Well onTarget


Benefit Eligibility 10-12-2015


2016- 2017 FLEX Benefits-Connect Your Care

Claim FAQs
Claim Form
Connect Your Care Brochure
Connect Your Care Flex Benefit Guide
Flex Enrollment Form – Must be submitted to Benefits Department by August 29, 2016
Flex Dependent Care Claim Form
FSA Eligible Expenses


2017 Blue Cross Blue Shield Medicare Benefits

2017 Formulary (List of covered drugs)

2017 Provider Directory for Vision/Dental/Hearing

2017 Group MAPD Summary of Benefits

Belgrade School District #44 Blue Cross Medicare Advantage (PPO)℠ Evidence of Coverage Benefit Insert

Blue Cross Medicare AdvantageSM Plan Group Employee Enrollment Form

Mail Order Prescription FAQ’s for Medicare Members

Participating Pharmacies

Silver and Fit Participating Facilities


Dearborn National Life Insurance

Beneficiary Resource Services
Dearborn Basic Life Insurance Benefit Booklet

Dearborn Voluntary Life Insurance Benefit Booklet
Dearborn Basic Long Term Disability Benefit Booklet
Disability Resource Services
Group Long Term Disability (District Paid)
Group Life Benefit Summary – (District Paid) 
Travel Resources
Voluntary Life Benefit Summary – (Employee Paid)


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