MEA (Teachers)

MEA Contract

Madison Education Association Teacher Contract

Salary Schedule

Health Insurance

For specific coverage questions please contact
Anthem customer service at 1-800-233-4947

Century Preferred Medical Summary

Century Preferred Medical Booklet

Century Preferred Prescription

Dental Plan     Rider A     Rider C

Enrollment / Claim Forms

Salary Reduction Agreement

Payment in Lieu of Benefits Policy/Waiver

COBRA Notification Letter

Managing Your Health Benefits Online

Anthem Enrollment and Membership Change Form

Anthem Claim Form

Generic Select Program

$4 Prescription Program

Express Scripts Mail Order Rx

[TOP]

Family Medical Leave Act (FMLA)

FMLA Overview

Notice of Obligations of Employees

Employee Request for FMLA Form

Certification of Health Care Provider

[TOP]

Flexible Spending

Accessing Your Account Via the Metavante BPS website

Medical And Dependent Care Flexible Spending Accounts

Flexible Spending Account Enrollment Form (this form is print-only)

Flexible Spending Account Request For Reimbursement Form

[TOP]

Life and Long-Term Disability Insurance

Life Insurance Benefits At A Glance

UNUM Term Life Change Request

Unum Provident Voluntary Term Life and AD&D Insurance Plan

Evidence of Insurability

Voluntary Life Beneficiary Designation

Long Term Disabilty Insurance Summary

[TOP]

Retirement

OMNI - access to website and online forms

OMNI Flex Form

403(b) Approved Vendors

403(b) Overview Information

Connecticut Teachers Retirement Application

TRB Voluntary Deduction Form

Teachers 457 Plan Participation Agreement:

Hooker & Holcombe / Account Management

Teachers 457 Plan Contact Info Toll Free: 1-800-784-6386, ext. 4003308  Marty Baron (800)784-6386 x5801606 ING Financial Advisors PO Box 990069 Hartford, CT 06119-0069 860-580-2233

[TOP]

Other Resources

Employee Assistance Program (Username and password: lifebalance)

Seasons Federal Credit Union

United Shoreline Federal Credit Union