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School District of New Berlin
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Salary Reduction Agreement
Complete the form on-line, print and sign. Fax the completed form to (863) 688-4466
WRS (Wisconsin Retirement System)
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Employee Portal
Employee Portal
One spot for all your needs. Information on Payroll, Leaves, Benefits & Deductions, Employee Directory, etc.
Employee Portal Instructions
Last Updated 8/6/12
Medical/Drug
United Health Care
Benefit Summary - Choice Plus
Last Update 1/21/13
Benefit Summary - PPO
Last Update 1/21/13
Prescription Drug Program
Benefit Summary - Pharmacy
Last Update 1/21/13
UnitedHealthcare National Pharmacy Network
Changes Effective July 1, 2013
Notice of Change from Medco to Optum
Efffective June 1, 2013
FAQ - Change from Medco to Optum
Dental
Delta Dental
Benefit Summary - Dental
Last Update 11/1/11
Vision
National Vision Administrators
Benefit Summary - Vision
Flexible Spending Accounts
Employee Benefits Corporation (EBC) Website
My Benny Card Website
Online Claim Instructions
Bestflex Summary Plan Descriptions
Last update 11/11/11
Flexible Spending Plan Description
Last Update 10/17/11
Flexible Spending Plan Worksheet
Last Update - 10/17/11
Flexible Spending Plan Grace Period
Last Update 10/17/11
Enrollment Form
Last Update 10/17/11
Benny Card Information
Last Update 10/17/11
Tax Savings Calculator
Last Update 10/20/10
Wellness HRA
Employee Benefits Corporation (EBC) Website
Online Claim Instructions
Wellness HRA Explanation
Last update - 12/21/11
HRA Summary Plan Description
Last Update 11/2/11
HRA Claim Form
Last Update 10/27/11
Long Term Disability
Certificate of Insurance
Last Update 2/21/13
Short Term Disability
Short Term Disability Enrollment Information
Last Update 1/31/12
Short Term Disability Calculation Form
Last Update 12/15/11
Short Term Disability Enrollment Form
Last Update 12/15/11
Short Term Disability Evidence of Insurability
Last Update 12/15/11
Short Term Disability Benefit Information
Last Update 12/15/11
Certificate of Insurance
Last Update 2/21/13
Life Insurance
Basic Life Insurance Summary
Basic Life Insurance Summary - Administrators
Basic Life Insurance Enrollment Form
Last Updated 5/16/13
Beneficiary Designation & Change Form
Life Insurance Evidence of Insurability Form
Tax Sheltered Annuity (403(b))
Universal Availability Notice
Last Update 10/20/10
403(b) & 457 TPA Participant Website Instructions
Last update 11/20/12
Legal Notices
CHIPS Notice
Last Update 10/6/11
HIPAA Privacy Practices Notice
Last Update 10/20/10
Medicare Creditable Coverage Notice
Last Update 10/6/11
Continuation Coverage Rights (COBRA Notice)
Last update 10/23/12
Women's Health Care and Cancer Rights Act (WHCRA Notice)
Last update 10/23/12
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