Insurance Information May

Open Enrollment is the month of May.

 The following is a list with the attachments:


Children’s Health Insurance Program (CHIP) - 
CHIPRA - Children's Health Insurance Reauthorization Act.pdf

HIPAA Notice of Privacy Practices - HIPAA Notice of Privacy Practices (Fillable).pdf

WHCRA Enrollment Notice (1-2017) - WHCRA Enrollment Notice (1-2017).pdf

 The enrollment forms:

·         Health insurance - Romulus enrollment with 2017-18 HDHP $1500

·         FSA - FSA Enroll Form

·         HSA - HSA Enroll Form

 The rate sheets:

·         Instructional – 10 Month - 2017-2018 RFA Insurance Payroll Deductions for 21 Pay

·         Support Staff – 10 Month - 2017-2018 CSEA Insurance Payroll Deductions for 21 Pay

·         Support Staff – 12 Month - 2017-2018 CSEA Insurance Payroll Deductions for 26 Pay

·         Dental and Vision rates - 2017-2018 rates for dental & vision

 The plans:

·         Healthy Blue 15 - A1 HB 15

·         Healthy Blue 30 - A3 HB 30

·         Healthy Blue High Deductible - BKW HB HDHP 1500-3000

·         Blue Point 2 - EF BP2 15 5_15_30

·         Comparison of the plans - Comparisons

·         Dental Blue 3 - Dental Blue Options 3_ summary