Insurance Information

Insurance Information

All full-time employees with the District are eligible to participate in the following insurance programs:

 

Medical, Vision, Prescription and Dental:   Local Government Center 1-800-527-5001 customer service         LGC Enrollment/Change Form

LGC Matthew Thornton Blue (HMO) Medical Plan Summary MTB5

Group#:363050-001

1-800-870-3057  SBC - Matthew Thornton -MTB5-RX10 20 45 Summary of Benefits and Coverage (SBC)
LGC Blue Choice (POS) Medical Plan Summary BC2T10 Group#:363050-000 1-800-438-9672                                    SBC - Blue Choice -BC2T10-RX10 20 45 Summary of Benefits and Coverage (SBC)

Caremark Prescriiption Program Overview

Group:LGCRX  PCN:CRK  BIN:610029 1-888-726-1631  
Eyemed Vision Care Group#:9231549 1-866-839-3633  
Delta Dental Plan Summary - Plan 1A Group#:3116-5008 1-800-832-5700  
Life Resources Brochure (24-7 support) 1-800-759-8122  
Slice of Life - Wellness Program
LGC Partners
  

 

Life Insurance:   Reliance Standard 1-800-644-1103 customer service

  • District-Paid Life Insurance  - $50,000 policy
  • District-Paid Accidental Death and Dismemberment (AD&D) - $50,000 policy
Teacher Reliance Teacher Life And ADD Plan Document Staff Reliance Staff Life And ADD Plan Document
Optional Additional Life Insurance for Employee, Spouse and Children Reliance Optional Life Insurance Plan And Form Reliance Optional Life Enrollment Form

 

Long Term Disability:  Reliance Standard 1-800-351-7500 claim support

District Paid Long Term Disability Teacher and Staff Reliance Long Term Disability Plan Document

 

NH Retirement System:     603-410-3500

 

Flexible Spending:  Benefit Strategies 603-647-4666  customer service                  Flexible Spending Enrollment Form 2013-2014

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All employees with the District, may participate in:

 

403b Retirement - CPI 1-877-488-4040 Participant Center  (see the 403b page for more information)

Direct Deposit Form

Group Discounts

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EMPLOYEE-PAID INSURANCE RATES:

 

Medical and Dental:  Insurance Rates 2012-2013 Teachers                Insurance Rates 2013-2014 Teachers

Medical and Dental:  Insurance Rates 2012-2013 Employees             Insurance Rates 2013-2014 Employees

Optional Life Insurance:  Reliance Rates based on birthdate on 7-1 of each yr

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NOTE:
All Full-Time Employees (employees who work 35 hours per week or more) are eligible to enroll in Medical, Dental, Life and Disability on the first of the month following 30 days of employment with the District.  Enrollment and Beneficiary Forms are available at the Forms webpage.

If a qualifying event occurs during the year, such as marriage, birth, adoption, divorce, or loss of coverage elsewhere, contact HR as soon as possible to facilitate changes in coverage to be effective on the first of the month following the qualifying event date if forms are processed within required timelimits.  Changes such as beneficiaries or tax exemption elections may also need to be made, see forms page for appropriate documents.