2022 Resources For Open Enrollment

 Open-Enrollment-2022 Presentation

⇒  Action Required: 

• Open Enrollment Employee Form — 2022

• HRA – Application Form   
  • Additional HRA Card Request
• HSA Application Form 
  • Certification of HSA Eligibility
• HSA – Extra Employee Contribution 
• Health Flexible Spending Account (FSA) or Dependent Care (DC) Election Enrollment-Form

⇒  Cash-in-Lieu – Health Insurance Buyout – FY2022
If you are eligible for group health insurance and opt-out and have comparable, alternative group health insurance coverage, you are eligible to receive a cash-in-lieu payment.  The current cash-in-lieu rates can be found here:  RCPS Health Insurance Buy-Out Plan 2022

Only for New Enrollments or Changes: 

• BCBS Enrollment Change Form 

• Domestic Partner Enrollment Form

⇒  Important Health Plan Information: 

Licensed Employees: 

• Licensed Employees –  Plan Comparison Grid of VEHI Health Plans 

• Health Insurance Rates — Licensed Employees 2022 Cost Comparison

Non-Licensed Employees: 

• Non-Licensed Employee – Plan Comparison Grid of VEHI Health Plans

• Health Insurance Rates Non- Licensed Employee 2022 Cost Comparison

⇒ Other Helpful Information:  

VEHI BC/BS Enrollment Booklet 

VEHI Website 

BC/BS VT Website 

VEHI Benefit Description Wrap Form 

• • 2022 Summary of Benefits –  Platinum
  • 2022 Summary of Benefits – Gold
  • 2022 Summary of Benefits – Gold CDHP
  • 2022 Summary of Benefits – Silver CDHP
  • BC/BS & VEHI Helpful Packet

      Datapath Information:

• • FSA Enrollment Booklet
  • HSA Enrollment Book From Datapath -VT
  • HSA Frequently Asked Questions  
  •  HSA vs HRA – What is right for you
  • General Guidance HRA and HSA — updated 11.12.2020

      Datapath Link for www.myrsc tutorial – https://datapathadmin.com/vermont/

Employees’ Login of Individual HSA/HRA/FSA Accounts:    www.myrsc.com

Delta Dental Information:   

• • Delta Dental Booklet
  • Delta Dental Enrollment or Change Form  
  • Delta Dental PPO Plus Premier Claim Example

Summary Plan Description for the Cafeteria Plan