Benefits

Legal and Annual Notices
 
Priority Health - Medical Benefits

     Plan Year July 1st through June 30th

WARREN WOODS PUBLIC SCHOOLS Copay Aligned POS $1500 100%-2024-SBC
WARREN WOODS PUBLIC SCHOOLS Copay Aligned PPO $1500 100%-2024-SBC
WARREN WOODS PUBLIC SCHOOLS Copay Aligned HMO $2000 80%-2024-SBC
WARREN WOODS PUBLIC SCHOOLS Copay Aligned PPO/HSA $2500-2024-SBC

ADN Dental - Dental Benefits

     Plan Year July 1st through June 30th

ADN Dental Summary of Benefits

NVA Vision - Vision Benefits

     Plan Year July 1st through June 30th

NVA Vision Summary of Benefits

Reliance Standard Life and Accidental Death and Dismemberment Coverage

Reliance Standard Beneficiary Form


Non Teacher Life Insurance
Administrators
Administrative Assistants - Non Union
AFSCME
Paraprofessionals - AFT
Teamster
Retired Administrators
Retired Teamster 

Non Teacher Long Term Disability
Administrators
Administrative Assistants - Non Union
AFSCME
Paraprofessional - AFT
Teamster 

MESSA - Teacher Benefits

     Plan Year January 1st through December 31st

MESSA Choices 2025 (Pak A)
MESSA ABC Plan 2 2025 (Pak C)
MESSA ABC Plan 1 with 20% Co-Pay 2025 (Pak D)
MESSA ABC Plan 2 with 20% Co-Pay 2025 (Pak E)

MESSA Delta Dental Benefits - PAK A ,C,D & E
MESSA Delta Dental Benefits - PAK B
MESSA VSP Gold Vision Coverage -All PAKS
MESSA Life & Accidental Death Benefits - PAK A, C, D, & E
MESSA Life & Accidental Death Benefit - PAK B

MESSA Basic Term Life - PAK A, C, D, & E

MESSA Optional Coverage Information


Group Resources Flexible Spending (FSA) and Dependent Care (DC)

     Plan Year July 1st through June 30th

FSA/Dependent Care Enrollment Form 2024-2025
FSA Eligible Expenses 2024-2025
FSA/ Dependent Care Direct Deposit Reimbursement Form
FSA Claim Form
Dependent Care FSA Claim Form
Summit Online Access Instructions
Debit Card Information 2024-2025
Limited Purpose FSA FAQ


Health Equity - Health Savings Account (HSA)

* An updated form is required each calendar year

MESSA 2025 HSA Payroll Deduction Authorization

Priority Health 2025 HSA Payroll Deduction Authorization