2020 RESOURCES FOR OPEN ENROLLMENT

Action Required: 

• RCPS Open Enrollment — No Change Of Benefits Form 2020
• HRA Enrollment Form 
• HSA Enrollment Form 
• Certification of HSA Eligibility
• HSA Enrollment Form for Extra Employee Contribution-2020
• FSA-DCA-Enrollment-Form
• Health-Insurance-Buyout-for-the-12-Month-Period-of-January-1-2020-December-31-2020

 

Only for New Enrollments or Changes: 

• BC/BS Enrollment/ Change Form

• Delta-Dental-Enrollment-Change-Form 

VEHI HEALTH PLANS INFORMATION:

• BC/BS-Benefits-Booklet
• Rutland Public Schools Summary of Health Plans, HRA, HSA, and FSA
• Summary of Benefits – Platinum
• Summary of Benefits -Gold
• Summary of Benefits -Gold-CDHP with HRA Wrap Document
• Summary of Benefits – Silver-CDHP
•  BC/BS Know Before You Go
•  HSA Enrollment Book From Datapath -VT
•  HSA Elections Information 2019-2020
•  FSA Enrollment Book From Datapath-VT
•  Dental Benefits Booklet

 

This is the link to employees’ login of individual HSA and HRA accounts:    www.myrsc.com