Hoosier School Benefit Trust (HSBT) Benefit Guide

• HSBT Benefit Guide 2020
• HSBT Benefit Guide 2021

Health Plans 2020 & 2021

• HSBT Plan 1-2
• HSBT Plan 3
• HSBT Plan 4
• HSBT Plan 5
• Side by Side Comparison of Medical Plans

• Enrollment in HSBT Plan 4 or 5 requires an American Fidelity HSA application CONTACT: American Fidelity (Todd Caston, Account representative) (800) 638-4268

• IngenioRx Claim Form
• IngenioRX Order Form  Questions about your Rx prescriptions? Call IngenioRx at: 833-236-6196
• Glossary of Terms
• Employee Assistance Program
• Understanding Your HSA

Dental Plans 2020 & 2021

• Core Dental
• Enhanced Dental

Vision Plan 2020 & 2021

• Anthem Vision Benefits Summary

Health/Dental/Vision Rates and Enrollment Forms

• Anthem Health/Dental/Vision Enrollment Form
• Required Documents for qualifying spouse or Dependent Enrollment
• Spousal Carve out form

2020 Rates

• 2020 Certified Staff Insurance Rates
• 2020 Support Staff Insurance Rates (12 MONTH STAFF - hired before July 1, 2007)
• 2020 Support Staff Insurance Rates (12 MONTH STAFF- hired after July 1, 2007)
• 2020 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired before July 1, 2007)
• 2020 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired after July 1, 2007)
• 2020 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired before July 1, 2007)
• 2020 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired after July 1, 2007)

2021 Rates coming soon

HSBT Health and Wellness Centers

Electronically Scheduling HSBT Appointment

HSBT Hours-Harding Street Location
HSBT Hours-Speedway Location

www.anthem.com

HSBT - MyWellness Portal

• MyWellness Portal Login

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 Jennifer Schuler for an Ineligibile for Coverage Marketplace Notice. 
• FMLA Employee Guide

Paper copies of all required notifications are available upon request.

Contact

Jennifer Schuler
Benefits Specialist
317-856-5265 ext 18131