Hoosier School Benefit Trust (HSBT) Benefit Guide

OPEN ENROLLMENT
November 1, 2021 - November 19, 2021

***Please Click on this Link Below To Schedule Your Appointment Today!!***

       SCHEDULE APPOINTMENT HERE

Health Plans 2022 - Open Enrollment Information

• HSBT Benefit Guide 2022 - Printable Version
• HSBT Benefit Guide 2022 - Electronic Interactive Version
• Enrollment in HSBT Plan 4 or 5 requires an American Fidelity HSA application CONTACT: American Fidelity (Todd Caston, Account representative) (800) 638-4268

Health/Dental/Vision Rates 2022

• 2022 Certified Staff Insurance Rates
• 2022 Support Staff Insurance Rates (12 MONTH STAFF - hired before July 1, 2007)
• 2022 Support Staff Insurance Rates (12 MONTH STAFF- hired after July 1, 2007)
• 2022 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired before July 1, 2007)
• 2022 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired after July 1, 2007)
• 2022 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired before July 1, 2007)
• 2022 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired after July 1, 2007)

Pharmacy 2022

• How to Register in the My Drug Benefit Portal
• TrueScripts Prescription Benefits at a Glance
• HSBT Mail Order Pharmacy Network
• NEW!!!  TrueScripts Portal Updated
• I-Phone App Instructions
• Android App Instructions

Additional Benefit Information

• Glossary of Terms
• Employee Assistance Program
• Understanding Your HSA

Health/Dental/Vision Required Documentation for Dependents

• Required Documents for qualifying spouse or Dependent Enrollment
• Spousal Carve out form

HSBT Health and Wellness Centers

• Electronically Scheduling HSBT Appointment
• HSBT Hours-Harding Street Location
• HSBT Hours-Speedway Location
• www.anthem.com
• Schedule your Biometric Screening for April

HSBT - MyWellness Portal

• MyWellness Portal Login
• Points-At-A-Glance

Sun Life Disability and Life Insurance

• Certified Staff-Basic Life Enrollment Form
• Certified Staff Basic Life Certificate
• Support Staff Basic Life Staff Enrollment Form
• Support Staff Basic Life Staff Certificate
• Sun Life Beneficiary Change Form
• Voluntary Life Insurance
• Voluntary Life Insurance Enrollment Form

The district provides Certified Staff with a $50,000 Basic Life Insurance Policy. The district provides Classified Staff with a $25,000 Basic Life Insurance Policy.

American Fidelity

• Benefits Overview
• Disability Claim Form
• Hospital Indemnity Claim Form
• Accident Insurance Claim Form
• Section 125 Flex Benefits Guide

Fifth Third Membership Advantage for MSD of Decatur

• Membership Advantage Flyer
• Fifth Third Promotion

Terry Lee Companies Corporate Partner Program

• Terry Lee Companies Corporate Partner Program Certifiate
• Terry Lee Companies CPP

Retirement Programs

• Teachers Retirement Fund (TRF)
• Public Employees Retirement Fund (PERF)
• Retired Teachers Health Insurance/VEBA Guidelines
• Optional 403(b) Plan
• TIAA
• Register for TRF Retirement Education Workshop

Required Notifications

• Health Plan Notification Booklet containing the Special Enrollment Rights, Medicare Part D Notice, WHCRA Notice and Notice of Grandfathered Status and the Health Insurance Portability and Accountability Act (HIPAA) Notice of Privacy Practices.
• Marketplace Notice
• Please contact Paige Poindexter for an Ineligibile for Coverage Marketplace Notice. 
• FMLA Employee Guide

Paper copies of all required notifications are available upon request.

Contact

Paige Poindexter
Benefits Specialist
317-856-5265 ext 18131