Medical Plans
PfISD currently offers five medical plans administered by BlueCross BlueShield and Healthcare Highways running from January 1 to December 31. The link above will give you further information regarding benefit summary and rates, enrollment, benefit coverage, and submitting claims.
The Affordable Care Act IRS Reporting - THE DEADLINE TO PROVIDE 1095C FORMS IS MARCH 31, 2023. PfISD WILL MAIL THE FORMS TO EMPLOYEES NO LATER THAN THE DUE DATE. If you need a copy of your 1095C, contact the Benefits Department.
Form 1095-C is an annual reporting form used in connection with the Affordable Care Act. Form 1095-C includes information about the health insurance coverage offered to you and if applicable, your family. You may need to submit information from Form 1095-C to your personal income tax filing.
The link below leads to machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
The FSA/Section 125 program is a tax-savings plan governed by the rules of Section 125 of the Internal Revenue Code. An important rule for Section 125 plans is that you cannot change your election to participate during the calendar year unless you or your dependent(s) experience a Qualifying Life Event (QLE). Dependents are defined as listed in the Summary Plan Description of your United Healthcare medical plan Definition of a Dependent. Elections that are not eligible to be changed without a QLE include medical, dental, vision, cancer, Health Care Flexible Spending Account (HCFSA) and Dependent Care Flexible Spending Account (DCFSA). Changes must be made within 60 calendar days of any applicable QLE. For more information click the link above.
A PfISD employee who is enrolled in the group health plan and who has not otherwise elected coverage under the group health plan for a "spouse" may elect to cover one "qualifying individual' under the group health plan. For more information click on the link above.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
The Health Insurance Marketplace is available to assist you to evaluate health care options for you and your family. The Marketplace/Exchange Notice provides some basic information about employment-based health coverage offered by PfISD.
Social Security along with many large companies, organizations and agencies is facing a "retirement boom." As the baby boomers get older, we will see an increase in the claims for retirement and disability benefits. In order to provide timely services, Social Security is encouraging people to use the internet and save a trip to the local office. Be aware that the District does not make withdrawals from your earnings for social security benefits. However this site is being provided for your benefit especially if you had previous social security withdrawals.
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