Hoosier School Benefit Trust (HSBT) Benefit Guide

• HSBT Benefit Guide 2021

Health Plans 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

Pharmacy 2021

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• How to Register in the My Drug Benefit Portal
• TrueScripts Prescription Benefits at a Glance
• HSBT Mail Order Pharmacy Network Questions about your Rx prescriptions? Call True Scripts at: 844-257-1955

Additional Benefit Information

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

Dental Plans 2021

• Core Dental
• Enhanced Dental

Vision Plan 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

2021 Rates

• 2021 Certified Staff Insurance Rates
• 2021 Support Staff Insurance Rates (12 MONTH STAFF - hired before July 1, 2007)
• 2021 Support Staff Insurance Rates (12 MONTH STAFF- hired after July 1, 2007)
• 2021 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired before July 1, 2007)
• 2021 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 24 pays, hired after July 1, 2007)
• 2021 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired before July 1, 2007)
• 2021 Support Staff Insurance Rates (LESS THAN 12 MONTH STAFF- 21 pays, hired after July 1, 2007)

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

• Biometric Screening Information - 2021

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 Stewart for an Ineligibile for Coverage Marketplace Notice. 
• FMLA Employee Guide

Paper copies of all required notifications are available upon request.

Contact

Paige Stewart
Benefits Specialist
317-856-5265 ext 18131