Insurance Services

Director:
E-mail:
Phone:
Fax:
Cheryl Matson
cheryl.matsonAtjordandistrict.org
801-567-8146
801-567-8070
Name Phone Position
Kathryn Brinton 801-567-8146 Secretary
Jeanne Ince 801-567-8341 Secretary
Susan Strebel 801-567-8255 Secretary
Sharon Leigh 801-567-8277 Assistant

Insurance Information for New Employees:

  1. Review insurance information and benefit election forms listed below under “Open Enrollment/New Hire Documents”.
  2. You will receive insurance coverage if a completed Benefit Election form is received in the District Insurance Office within 30 days of your contract start date. If you miss this deadline, you will have to wait until the next Open Enrollment period to enroll in an insurance plan unless you have a qualifying event during the year.
  3. Flexible spending election forms are also due in the District Insurance Office within 30 days of your contract start date.
  4. For Certificated new hires (those individuals holding a teaching certificate or equivalent, interns, counselors, etc.),insurance plans will be effective the first day of the month after a 2-month waiting period has been satisfied as long as your enrollment form is completed and received in the District Insurance Office within 30 days of your contract start date. Your 2-month waiting period will start from the first day of the month after your contract start date.
  5. For Classified new hires (secretaries, custodians, nutrition services workers, inspectors, maintenance workers, delivery drivers, bus drivers, other transportation workers, benefit eligible assistants, etc.) and Administrative new hires (directors, principals, assistant principals, consultants, etc.), insurance coverage will be effective the first day of the month after your Benefit Election form is received in the District Insurance Office as long as your enrollment form is completed and received in the District Insurance Office within 30 days of your contract start date.
  6. A life insurance and a long-term disability policy is offered to all benefit eligible employees at no cost to you. Even if it is your intent to waive medical insurance coverage, complete the Benefit Election form for these benefits.
  7. Once enrolled in the medical, dental, vision, and cancer plans, you must remain on that plan for the benefit year unless you have a qualifying event. When you have a qualifying event you have 30 days to complete and return a new change form or you will have to wait until the next Open Enrollment period.
    • Divorce or legal separation (60 day notification);
    • Marriage, or change in number of dependents;
    • Change in employment status of employee, spouse, or dependent that causes loss of eligibility;
    • Dependent satisfies (or ceases to satisfy) eligibility requirements (60 day notification);
    • Change in coverage under another employer plan (including mandatory or optional change from your spouse’s employer and change initiated by your spouse);
    • Loss of coverage from government or educational institution;
    • COBRA qualifying event (termination/reduction of hours, employee death, divorce/legal separation, ceasing to be a dependent);
    • Other changes resulting from a judgment, decree, or order; Medicare or Medicaid entitlement; or FMLA leave of absence.

Insurance Open Enrollment:

June and July, effective date of September 1

The following changes can be made during the open enrollment period:

  1. Enroll in a new insurance plan
  2. Change an existing service plan
  3. Cancel an existing service plan
  4. Complete a new flexible spending form
    (A new flexible spending election form must be turned in each year you wish to participate in this program per IRS guidelines.)

Note: Open enrollment forms and flexible spending elections will not be accepted during the months of August or September, unless you are a newly hired employee and your contract begins in August or September.

Please call Insurance Services, with any questions.

Insurance Newsletters
Newsletter Name Type
PEHP/Department of Health Healthy Utah Newsletter Link

Insurance Documents
2012-13 Documents Type
Enrollment Guide 2012-13 PDF
Premiums Traditional 2012-13 PDF
Premiums Value (High Deductible) 2012-13 PDF
Change Form 2012-13 PDF
New Hire Form 2012-13 PDF
Flexible Spending Election Form PDF
RX Medco PDF
Cigna Life: Booklet, Identity Theft, Secure Travel, Will Prep PDF
Cigna Life Application PDF
Dental: Dental Select PDF
Dental: EMI PDF
Dental: TDA PDF
Vision: Opticare PDF
Aflac Voluntary Benefit Information PDF
Aflac Application PDF
CHIP Notice PDF
Medicare Part D Creditable Coverage PDF
2011-12 Documents Type
Benefits Summary & Master Policy PDF
Enrollment Guide PDF
Premiums Traditional 2011-12 PDF
Premiums High Deductible 2011-12 PDF
Change Form 2011-12 PDF
RX Medco Benefit Guide PDF
RX Medco Benefit Summary PDF
Cigna Life: Booklet, Identity Theft, Secure Travel, Will Prep PDF
Dental: Dental Select Booklet PDF
Dental: EMI Booklet PDF
Dental: TDA Booklet PDF
Aflac PDF
CHIP Notice PDF
Medicare D Creditable Coverage Notice PDF
Medco Presentation PowerPoint
PEHP Presentation PowerPoint
Documents/Forms Type
Authorization for Release of Information PDF
(Policy) Accidental Death and Dismemberment – Active Employee PDF
(Policy) Life Insurance – Active Employee PDF
(Policy) Life Insurance – Retiree After 9/1/03 PDF
(Policy) Life Insurance – Retiree Prior to 9/1/03 PDF
(Policy) Long Term Disability – Active Employees PDF
Cigna Application – AD&D Conversion PDF
Cigna Application – Life Insurance Continuation PDF
Cigna Application – Life Insurance Conversion PDF
Cigna Application – Dependent Child Insurance Continuation PDF
Cigna Application – Voluntary Life Insurance PDF
PEHP Flex Spending Reimbursement Form PDF
Prescription COB Reimbursement PDF
Prescription Mail Order PDF
Jordan School District’s Privacy Policy and Practice PDF
Workers Compensation PDF

Insurance Providers

Blomquist Hale
Dental Select
Educators Mutual
Medco
OptiCare
PEHP
TDA
United
Insurance Advisory Committee Minutes
 April 18, 2012
March 21, 2012
Feb. 22, 2012
 Feb. 16, 2011
 Jan. 19, 2011