Benefit Information and Programs

The Greater Johnstown School District recognizes the importance of ensuring our website is accessible to those with disabilities and, as such, endeavors to conform to Web Content Accessibility Guidelines 2.0. We are committed to making our information accessible to visitors and are actively working to increase the accessibility and usability of our website. In the meantime, should you experience any difficulty in accessing content on this page, please don’t hesitate to contact the GJSD Human Resources Department for printed copies. 

Dental

• CSEA Dental Contract
• CSEA Dental Enrollment
• Delta Dental Contract Highlights – 4 High Plan
• Delta Dental Contract Highlights – 4 Low Plan
• Delta Dental Comparison (2022-23 vs 2023-24 High & Low)
• Delta Dental Enrollment Form

Flexible Spending Account (FSA)

• GJSD FSA Overview
• Election Form/Compensation Reduction Agreement
• Flexible Spending Account – Medical Expense Recovery Form
• Flexible Spending Account – Dependent Care Expense Recovery Form

Group Life

• Renaissance Life Insurance Contract
• Renaissance Life Insurance Enrollment Form
• Renaissance Life Insurance Beneficiary Form

For more information, please visit: RenaissanceBenefits.com
Or call the Renaissance Life and Disability Customer Service at 844-368-6485

Investments

• OMNI & TSACG 403b New Third Party Plan Administrator Announcement
• 403(b) Contribution Limits for 2024

Supplemental Benefits Provider

Open enrollment for AFLAC runs through June 30, 2023.  All new enrollments and changes to existing coverages will be effective July 1, 2023. There will be in-person AFLAC opportunities at the end of August and on the September Superintendent’s Conference Day.

AFLAC plans available:

• Short-Term Disability – How would you pay your bills if you are disabled and cannot work? An AFLAC short-term disability insurance policy can help provide you with a source of income while you concentrate on getting better from a disability due to an injury, sickness or child delivery.
• Hospital/Sickness- Hospital stays are expensive. An AFLAC hospital policy can help ease the financial burden if ever hospitalized or have services related to an injury, sickness or child delivery. Additional benefits included for trips to the emergency room, physician visits, laboratory tests, x-rays, major diagnostic exams, surgery, ambulance and much more. This plan has benefits for routine check-ups, so you don’t need to be sick or injured to use it.
• Accident- Accidents happen. When a covered accident happens to you on or off the job, our accident insurance policy pays you cash benefits to help with the unexpected medical and everyday expenses that begin to add up almost immediately.
• Cancer/Critical Illness- AFLAC’s cancer policy can help you and your family cope financially if a positive diagnosis of cancer ever occurs. Optional specified health event rider that provides benefits for heart attack, stroke, end-stage renal failure and sudden cardiac arrest, is also available.

Check out the AFLAC Landing Page, this page provides product videos, product brochures, rates, and a link to get on my calendar to schedule a virtual meeting to discuss the different options, review existing coverage or to enroll.

Health Insurance

• 2023-2024 Annual Health Insurance Premiums
• 2023-2024 Annual Dental Insurance Premiums
• Creditable Coverage Letter
• Insurance Questionnaire
• Health Insurance Change Form
• Health Insurance Buyout Request Form
• GJSD/Fulmont Health Trust Consumerism
• Slide Show – Benefit from your Benefits: Getting the most value from your health plan

Health Insurance Plans

For specific coverage and/or policy questions, please contact your insurance carrier directly by using the phone number listed on the back of your insurance card, or by using their website.

Affordable Care Act

As part of the Affordable Care Act, the Department of Health and Human Services has established templates that health insurers must use to summarize their benefits. These documents will make it easier for consumers to understand their benefits and compare coverage options.

• Empire Blue Cross, MVP, CDPHP Comparisons

CDPHP

• CDPHP Telemedicine
• CDPHP Summary of Benefits and Coverage 2023-24
• CDPHP Plan Benefit Summary
• CDPHP Enrollment Form
• CDPHP Fillable Enrollment Form
• CDPHP Service Area Map
• CDPHP Creditable Coverage Letter

MVP

• MVP Telemedicine DOD
• MVP Telemedicine Visit Now
• MVP Summary of Benefits & Coverage 2023-24
• MVP Plan Cost Sharing Highlights
• MVP Enrollment Form
• MVP Fillable Enrollment Form
• MVP Large Group HMO/POS Service Area Map
• MVP Creditable Coverage Letter
• CVS Caremark Mail Service Order Form

Empire Blue Cross

• Empire Overview Effective 7/1/2022
• Empire PPO High Summary of Benefits 2023-24 / Empire PPO High Summary of Benefits & Coverage 2023-24
• Empire PPO Low Summary of Benefits 2023-24 / Empire PPO Low Summary of Benefits & Coverage 2023-24
• Empire EPO Summary of Benefits 2023-24 / Empire EPO Summary of Benefits & Coverage 2023-24
• Empire EPO with HSA Summary of Benefits 2023-24 / Empire EPO with HSA Summary of Benefits & Coverage 2023-24
• Empire PPO High Summary of Benefits & Coverage 2022-23
• Empire PPO Low Summary of Benefits & Coverage 2022-23
• Empire EPO Summary of Benefits & Coverage 2022-23
• Empire EPO with HSA Summary of Benefits & Coverage 2022-23
• Empire Enrollment Form
• Empire Fillable Enrollment Form
• Empire Blue Cross National Drug List
• Empire Blue Cross Formulary 1
• Empire Health Rewards
• Gym Reimbursement
• Blue View Vision Empire
• BV Vision Claim Form
• Empire Blue View Vision Summary of Benefits
• Empire Brochure 6-7-2019
• Empire Blue Cross Telemedicine
  If you have District health insurance coverage through the Fulmont Health Trust (Empire Blue Cross insurance), you have access to telemedicine through United Concierge Medicine.  This allows you to access a doctor by phone or an app on your phone. To sign up, email UCM at customersupport@UCMnow.com or call 844-4-VIP DOC (844-484-7362) to activate your ID. Check out these fliers for more information:

• • Digital Health FAQs
  • Flier #1
  • Flier #2
  • Flier #3
  • Sam Telehealth Mental Health Counseling
• 01/27/23 Empire Blue Cross Telemedicine Update:
  Our telemedicine provider for Blue Cross participants, United Concierge Medicine, recently updated their app and website. Even if you are a returning user, you will have to create a new account before you can start a consultation.
  Below are some tips:

• • Please make sure you have provided your current home address to the Human Resources Office and have notified them of any changes.
  • Email: Use the email address you used in the past (if a returning user)
  • Employer: Fulmont Health Trust
  • Town & Zip Code: Use Your Home Address
  • Dependents: Your children should be visible when you sign on. Your spouse and children 18 years of age and older will need to create their own account. If you don’t set up an account, you can still call by phone: 844-484-7362.

Humana (Age 65+)

• Humana Medicare Advantage Webinar
• Humana Medicare Summary of Benefits
• Humana Medicare Prescription Drug Schedule
• Humana Pharmacy Mail Delivery
• Humana Medical/Vision Reimbursement Form
• Humana RX Reimbursement Form
• Humana Dental Reimbursement
• Humana Drug Formulary

Retiree Medicare Advantage Plan (Age 65+) Information