Benefit Information and Programs
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.
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.
- 2022-2023 Annual Health Insurance Premiums
- 2023-2024 Annual Health Insurance Premiums
- 2023-2024 Annual Dental Insurance Premiums
- 2022 Creditable Coverage Letter
- Insurance Questionnaire
- Health Insurance Change Form
- Health Insurance Buyout Request Form
- GJSD/Fulmont Health Trust Consumerism
- New York State COVID-19 Paid Quarantine Leave
- Slide Show – Benefit from your Benefits: Getting the most value from your health plan
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:
More information should be coming soon about telemedicine for employees with insurance coverage through other carriers.
01/27/23 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.
CDPHP
- CDPHP Telemedicine
- CDPHP Summary of Benefits and Coverage 2022-23
- 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 2022-23
- MVP Enrollment Form
- MVP Fillable Enrollment Form
- MVP Open Enrollment Kit 2022
- 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
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.
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
Investments
Retirees: Humana (Medicare Advantage 65+)
Questions regarding retiree health and dental benefits should be dircted to humanresources@johnstownschools.org
- 2022-2023 Annual Health Insurance Premiums
- 2023-2024 Annual Health Insurance Premiums
- 2022 Creditable Coverage Letter
- 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