Insurance Services
Director:
E-mail:
Phone:
Fax:
Lorelee Mitchell
lorelee.mitchellAtjordan.k12.ut.us
(801) 567-8146
(801) 567-8070

Alice Jensen, Secretary (801) 567-8341
Debbie Kinsman, Secretary (801) 567-8146
Susan Strebel, Secretary (801) 567-8255
Katrina Cloward, Assistant (801) 567-8277

Important Change
Effective January 1, 2009, IRS regulations have changed the requirement that new enrollments and changes be submitted within 30 days of a contract start date or qualifying event.

Insurance Information for New Employees:

  1. Your insurance packet will need to be picked up in the Human Resources Office.
  2. You will receive insurance coverage if a completed Benefit Election form is received in the District Insurance Office within 60 days (30 days effective Jan. 1, 2009) 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 60 days (30 days effective Jan. 1, 2009) 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 60 days (30 days effective Jan. 1, 2009) 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 60 days (30 days effective Jan. 1, 2009) of your contract start date.
  6. A $32,000 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, long-term care 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 60 days (30 days effective Jan. 1, 2009) to complete and return a new change form or you will have to wait until the next Open Enrollment period.
    • Divorce or legal separation (will remain 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 ( will remain 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, (801) 567-8146, with any questions.

Insurance Advisory Committee Minutes
 
 
 
 
 
 
Insurance Documents
 Document Name Type
Premiums - High Deductible Plans PDF
Premiums - Traditional Plans PDF
Employee Benefit Change Form 2007-08 PDF
Benefit Enrollment Guide 2007-08 PDF
Benefit Enrollment Guide 2008-09 PDF
(Policy) Accidental Death and Dismemberment - Active Employee PDF
(Policy) Accidental Death and Dismemberment - Retiree After 9/1/03 PDF
(Policy) Accidental Death and Dismemberment - Retiree Prior to 9/1/03 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 PDF
Cigna Application - Continuation PDF
Cigna Application - Life Insurance Conversion PDF
Cigna Application - Child Continuation PDF
PEHP Flexible Spending Enrollment Form PDF
PEHP Flex Spending Reimbursement Form PDF
Insurance Plans - Advantage, Summit and Preferred PDF
Prescription COB Reimbursement PDF
Prescription Mail Order PDF
Jordan School District's Privacy Policy and Practice PDF
Medicare Part D Creditable Coverage PDF

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Jordan School District | 9361 S. 300 East | Sandy, UT 84070 | (801) 567-8100 | © 2008