Employee Resources
COVID-19 Notice:
Family First Coronavirus Response Act Employee Rights
Handbooks
Administrator / Director Handbook
Insurance Plans & Directories
Benebridge Self Enrollment Guide
Health & Dental
2122 Health & Dental Benefit Guide
Health Insurance
2122 Option A $1,500 Summary of Benefits & Coverage
2122 Option B $2,500 Summary of Benefits & Coverage
2122 Option C $3,500 Summary of Benefits & Coverage
2122 Option D HDHP $5,000 Summary of Benefits & Coverage
Glossary of Health Coverage and Medical Terms
Health Risk Assessment Instructions
Premium Assistance Under Medicaid & the Children's Health Insurance Program CHIP
Annual Creditable Coverage Disclosure Notice 2015
Dental Insurance
Delta Dental Online Member Account - You are able to review your benefits & eligibility, estimate out of pocket expenses, print your member ID card, review claims and Explanation of Benefits and access member only discounts. All you need to set up the account is your member ID number which is on your ID card. If you have questions or don't know your ID number, call 800-234-3375.
Cancer Insurance
Cancer Insurance Wellness Reimbursement Request Form
Heart & Stroke Insurance
Heart Stroke Insurance Brochure
Accident Insurance
Vision Insurance
Flex Spending
Flex Spending Mobile Access Video
Flex Spending Website - Access your Account
Flex Spending Medical Reimbursement Request Form
Dependent Care
Dependent Care Reimbursement Request Form
Disability Insurance
Short Term Disability Claim Form
Life Insurance
Identity Theft Insurance
Making Changes Under Your Section 125 Plan
403b Information
403b Salary Reduction Agreement
Forms
2021/22 Pay Period Schedule (Classified / Substitute)
Inspiring Excellence Nomination Form
The Inspiring Excellence Award is used to honor staff members that exemplify excellence in their duties. Students, Parents, Other Staff Members, and Volunteers can nominate a U.S.D. 263 employee for this award. The award is given at the Board of Education meetings. Do you know someone who would perfect for this award? If so, use this form to nominate someone today!
FMLA Request Forms - Please contact the Human Resource Department at 316-777-1155 or email Amy Mundell as soon as you know you will need to request FMLA leave. Once contacted the Human Resource Department will mail the appropriate notification and paperwork to you. If eligible, you have 15 days to complete and return necessary paperwork. You will then receive a Designation Notice informing you if your FMLA was approved or if additional information is required.
Employee Rights and Responsibilities Under the Family and Medical Leave Act
FMLA Frequently Asked Questions and Answers
Links
403b Access to Your Account / Login Instructions
Social Security Retirement Estimator
Skyward Employee Access - Check Stubs / True Time / Time Off Access
