|
<<Employee Handbook Index
Health Insurance
- Carrier: Blue Cross Blue Shield of Wyoming
- Coverage effective date of hire
- Must elect to participate within 30 days of date of hire; beyond 30 days, enroll during open enrollment unless special enrollment circumstances (i.e., loss of coverage due to change in family status or spouse's employment status)
- Open enrollment: Month of November with January effective date.
- Current employee contribution: 8 percent of total premium (subject to change):
- Family $128.20/month
- Single $38.76/month
- $500 single/$1,000 family deductible
- 50/50 co-insurance
- $1,500 single/$3,000 family out-of-pocket maximum after deductible
- Pharmacy Program
Summary of Benefits 
Health Insurance Handbook 
|
Term Life Insurance
- Carrier: Sun Life Assurance Company of Canada, Denver, Colorado
- Term life insurance with no cash value
- Eligibility: Permanent Employees, certified staff working a minimum of 17.5 hours per week, all others working a minimum of 20 hours per week
- Effective date: First day of month following date of hire
- Must elect to participate within 30 days of hire; beyond 30 days, must complete Evidence of Insurability form
- Coverage available based on annual salary
- Employee contribution: $2.50 per month for employee coverage, $1.60 per month for dependent coverage
| Salary |
Coverage |
Monthly Premium |
| Superintendent Staff |
$115,000 |
$24.72 |
| Administrators |
$75,000 |
$16.12 |
| Class 2 - $45,000 & Over |
$60,000 |
$12.90 |
| Class 3 - $35,000 & Over |
$50,000 |
$10.76 |
| Class 4 - $25,000- $34,999 |
$40,000 |
$8.60 |
| Class 5 - $20,000 - $24,999 |
$30,000 |
$6.46 |
| Class 6 - $15,000 - $19,999 |
$25,000 |
$5.38 |
| Class 7 - Under $15,000 |
$20,000 |
$4.30 |
Dependents
Spouse
Each Child |
5,000
2,500 |
$1.60
$1.60 |
| Class 8 Retirees |
$7,500 |
$20.48 |
Optional Term Life Insurance
- Carrier: Sun Life Assurance Company of Canada, Denver, Colorado
- Eligibility: Permanent employees, certified staff working a minimum of 17.5 hours per week, all others working a minimum of 20 hours per week
- Effective date: First day of month following date of hire
- Must elect to participate within 30 days of hire; beyond 30 days, must complete Evidence of Insurability form
- Coverage:
- Employee: An amount between $10,000 and $250,000 in increments of $10,000 not to exceed three (3) times your basic annual earnings. Amounts available with no evidence of insurability required: The lesser of three (3) times your basic annual earnings or $250,000 if you are under age 60; $40,000 if age 60-69; $20,000 if age 70-79; and $1,000 if age 80 or over. Age Reductions: To 67 percent at age 70 and to 50 percent at age 75.
- Spouse: An amount between $5,000 and $25,000 in increments of $5,000. Amounts available with no evidence of insurability required: Up to $25,000 if under age 60, $10,000 for ages 60-69. Spouse coverage ends when your spouse turns 70 years old.
- Child(ren): You can purchase increments of $2,500 up to $10,000 for each eligible child.
Current employee contribution towards premium (subject to change):
| Employee |
| Age |
Monthly cost per $1000 of coverage |
| 30-34 |
$.09 |
| 35-39 |
.10 |
| 40-44 |
.11 |
| 45-49 |
.16 |
| 50-54 |
.23 |
| 55-59 |
.41 |
| 60-64 |
.62 |
| 65-69 |
1.17 |
| 70+ |
1.89 |
|
| Spouse |
| Age |
Monthly cost per $1000 of coverage |
| 30-34 |
$.07 |
| 35-39 |
.08 |
| 40-44 |
.09 |
| 45-49 |
.14 |
| 50-54 |
.21 |
| 55-59 |
.39 |
| 60-64 |
.60 |
| 65-69 |
1.15 |
|
Child(ren)
Monthly Cost per $1000 of coverage |
| All eligible children |
0.123 |
|
Life Insurance Handbook - Superintendent's Staff 
Life Insurance Handbook - Administrators 
|
Disability Insurance
- Carrier: Sun Life Assurance Company of Canada, Denver, Colorado
- Coverage effective date: First day of month following date of hire
- Eligibility: Permanent Employees, certified staff working a minimum of 17.5 hours per week, all others working a minimum of 20 hours per week
- Must elect to participate within 30 days of hire; beyond 30 days, must complete Evidence of Insurability form
- Coverage: Following a 90 calendar day waiting period, upon approval of application, policy will pay 66 2/3 percent of base salary
- Current employee contribution to premium (subject to change):
- As long as disability continues, guaranteed benefit of 24 months for own occupation; if approved for permanent disability from any occupation, benefit will be paid until age 65
Long Term Disability Handbook 
|
Flexible Spending Accounts (Section 125 Plan)
- Carrier: Flexible Compensation Services - Blue Cross & Blue Shield of Wyoming
- Pre-tax payroll deduction for medical and/or dependent care expenses:
- Medical Reimbursement Spending Account
- Established to cover any medical expenses your health insurance does not cover. For example, deductibles, co-insurance, non-covered items such as vision, private rooms, etc.
- Adequate documentation includes notification of benefits from your insurance company or an itemized bill from your provider which includes date of service, patient's name, type of procedure, and amount of the claim.
- Dependent Care Spending Account
- Established to cover eligible dependent care expenses that are deductible on IRS form 2441 "Credit for Child and Dependent Care Expenses".
- Monthly child day care is eligible. The providers Federal Tax ID#, name and address must be included before claims may be processed and reimbursed.
- Plan Year - September to August
|
|
To get your account status or information on claim forms go to http://www.myflexonline.com
Claim forms may be faxed or mailed to:
BCBS
Attn: Flexible Spending Account
P.O. Box 2266
Cheyenne, WY 82003
Ph: (307) 432-2788
Fax: (307) 632-1654
|
|
|
Vision Services Plan - Vision Insurance
- Carrier: Vision Service Plan, Rancho Cordova, California
- Coverage effective first day of month following date of hire
- Must elect to participate within 30 days of hire; beyond 30 days, enroll during open enrollment unless special enrollment circumstances (i.e., loss of coverage due to change in family status or spouse's employment status)
- Eligibility: Permanent Employee
|
Visit the VSP Web site at
http://vsp.com
See Benefit Outline 
|
|
Employee contribution all units:
|
|
|
Employee
|
$10.32 |
|
Employee + One
|
$14.52 |
|
Family
|
$26.04 |
|
Retirement
- Wyoming Retirement System
- Total contribution of 14.12 percent of gross salary (12.69 percent contributed by the District; 1.43 percent by Employee)
|
Visit the WRS Web site at http://retirement.state.wy.us
for more information
WRS Handbook 
|
|
Tax Shelter Annuities
- Employees can contribute a maximum of $17,000 of their annual income to a participating 403(b) investment company.
- Employees can contribute a maximum of $17,000 to Wyoming Deferred Compensation.
|
|