skip to main content
Home
Twitter RSS
Open Enrollment 2020-2021
Staff Main Page
Additional Pages:
Open Enrollment 2020-2021
Teacher PlusPortal Instructions

PLEASE REVIEW THE PLAN DETAILS ATTACHED BEFORE MAKING YOUR ELECTIONS FOR THE 2020-2021 SCHOOL YEAR.

 

United Health Care/ The Oxford Medical Plan:

Cigna Dental Insurance:

Humana Vision Insurance - Available to Secretary and Teacher Union Only:

 

TO MAKE CHANGES TO YOUR COVERAGE:

Forms needed to make changes to your current elections are attached below.  Please review each scenario to correctly return all of the needed forms to

smithje@newmilfordps.org   OR

   New Milford Public Schools

   Attn: Jennifer Smith

   50 East St.

   New Milford, CT 06776

 

  • To Terminate Existing Coverage
  1. Please return the "Payroll Changes Form"
  2. Be sure to include a copy of your new insurance coverage information to prove alternative coverage.

 

  •  To Add a New Depdent- Spouse or Child
  1. Please return the "Payroll Changes Form"
  2. Please return an "Enrollment Form" for each coverage you are enrolling the new member into ( ie. seperate form for Medical, Dental, Vision)
  3. Please include a copy of the Marriage License or Birth Certificate for the new dependent.

 

  • Newly Enrolling Yourself and Others onto the Plan
  1. Please return the "Payroll Changes Form"
  2. Please return an "Enrollment Form" for each coverage you are electing and include any dependent information.
  3. Please return the "Pre-Tax Option form" 
  4. Please include a copy of the Marriage License or Birth Certificate for any dependents.

 

Payroll Changes Form

Medical Enrollment Form

Dental Enrollment Form (section B and D only)

Humana Enrollment Form (highlighted areas only)

Pre-Tax Option Form (Option 1 for Pre-Tax deduction Option 2 for Post Tax deduction)

 

 

***Some additional Information apart from the medical plan available to all employees is listed below:

 

  • My Cafeteria Plan/FSA Account- You may elect to contribute funds into a Flexible Spending Account (FSA).  Please review the Brochure and complete the included enrollment form if you wish to utilize this benefit.

 

  • AFLAC Short Term Disability Insurance- Please review the brochure attached.  Separate meetings will be set up in order to speak with an agent for enrollment in this option.

50 East Street, New Milford, CT 06776