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Orland School District 135

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Insurance Information

Benefits Summary 2022

2022 Group Health Insurance Benefits Summary.pdf 2.08 MB (Last Modified on November 12, 2021)

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Health Insurance Rates Effective 1/1/2022

INSURANCE RATES EFF Jan 1 2022.pdf 5.6 MB (Last Modified on November 8, 2021)

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Required Documents for Spouse/Children

Audit_Rules_for_Spouses_and_Children.pdf 623.71 KB (Last Modified on November 3, 2021)

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Insurance Enrollment Portal

Employee Navigator

PreTax (HSA/FSA) Voya Effective January 1, 2022

BCBS PPO HSA Summary of Benefits 1/2/2022 - 12/31/2022

2022.pdf 1,014.97 KB (Last Modified on December 1, 2021)

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HSA Presentation November 2021

HSA Presentation Slides_Nov 2021.pdf 1.29 MB (Last Modified on November 3, 2021)

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What is an HSA and What's Next?

What is an HSA and Whats Next.pdf 3.87 MB (Last Modified on November 12, 2021)

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HSA FAQ

OrlandHSAFAQr1.pdf 272.59 KB (Last Modified on November 12, 2021)

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2022 Calendar Year Payroll Schedule for Flex and HSA

2022 Calendar Year for Flex.pdf 12.8 KB (Last Modified on November 5, 2021)

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How to File a Claim

VOYA How to File a Claim FSA.pdf 195.65 KB (Last Modified on November 8, 2021)

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Investing Your HSA

Investing-with-an-HSA.pdf 801.4 KB (Last Modified on November 12, 2021)

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Voya HSA Investment Performance Update Oct 2021

Voya HSA Fund Performance Report_October 2021.pdf 233.6 KB (Last Modified on November 12, 2021)

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2022 VOYA Limited Purpose FSA

2022Limited Purpose FSA Brochure.pdf 736.98 KB (Last Modified on November 17, 2021)

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2022 VOYA Dependent Care

2022Dependent Care Brochure.pdf 320.35 KB (Last Modified on November 17, 2021)

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2022 VOYA Health Care Brochure

2022Health FSA Brochure.pdf 691.9 KB (Last Modified on November 17, 2021)

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2022 VOYA FSA FAQ

2022FSA FAQ.pdf 209.83 KB (Last Modified on November 17, 2021)

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Medical & Dental

BCBS PPO Summary of Benefits for Certified Staff 7/1/2021 - 6/30/2022

BCBS_Sumary_0002_2021-2022.pdf 1.04 MB (Last Modified on November 3, 2021)

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BCBS PPO Summary of Benefits for Admin/At-Will & Classified Staff 7/1/2021-6/30/2022

BCBS_Sumary_0001_2021-2022.pdf 981.88 KB (Last Modified on November 3, 2021)

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BCBS Speciality Drug Mail Order

BCBAIL_Accredo_Prime_Specialty_Pharmacy_Medications_Member_Flier.pdf 569.47 KB (Last Modified on November 3, 2021)

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BCBS - Express Scripts Mail Order Web Form

Express_Scripts_Web_Order_Form_7.31.20.pdf 284.91 KB (Last Modified on November 3, 2021)

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BCBS Mail Order Information

BCBSIL_Pharmacy_Mail_Order__Flier.pdf 430.2 KB (Last Modified on November 3, 2021)

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Claim Form

BCBS_Claim_Form.pdf 502.42 KB (Last Modified on November 3, 2021)

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BCBS OTC COVID-19 Tests

OTC-Test-Coverage-Member-Flyer-IL.pdf 1.23 MB (Last Modified on February 16, 2022)

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Preventive Services Covered by the Health Plan

Preventive Services Covered by Private Health Plans under the Affordable Care Act.pdf 259.71 KB (Last Modified on November 3, 2021)

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BCBS IL No Cost Preventative Drug List

2021 Preventive Drug Program Standard Categories Drug List.pdf 124.73 KB (Last Modified on November 10, 2021)

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IL Employer Essential Health Benefit Coverage Listing

ILDOL_Employer_EHB_Listing.pdf 159.92 KB (Last Modified on February 4, 2022)

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Eyemed Vision

Eyemed Vision Benefits

EyeMed_Summary_of_Benefits.pdf 1.15 MB (Last Modified on November 3, 2021)

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Life Insurance

Life Insurance - Support Staff

Board_Life_Support_Staff.pdf 224.26 KB (Last Modified on November 3, 2021)

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Life Insurance - Admin/At-Will/Teachers

Board_Life_Certified-Admin.pdf 1.62 MB (Last Modified on November 3, 2021)

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Life Beneficiary Form

Lincoln_Life_Beneficiary_Form_GLC-02170f.pdf 122.67 KB (Last Modified on November 3, 2021)

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Voluntary Group Life Insurance

Lincoln_Voluntary_Life_Plan_Benefits.pdf 266.04 KB (Last Modified on November 3, 2021)

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Evidence of Insurability - Instructions for Online Submission

EOI Instructions Employee FlyerGP-EOICK-FLI001.pdf 304.96 KB (Last Modified on November 10, 2021)

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Flexible Spending Through December 31st, 2021 (Diversified)

Diversified Dependent Care Plan

Dependent_Care_FSA.pdf 652.91 KB (Last Modified on November 3, 2021)

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Diversified Flex Claims Filing Options

Claims_Filing_Options 1.pdf 379.26 KB (Last Modified on November 3, 2021)

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Diversified Flex Debit Card FAQ's

Flex_Debit_Card_FAQs.pdf 2.54 MB (Last Modified on November 3, 2021)

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Notice of Privacy Practices

Flex_Plan_Notice_of_Privacy_Practices.pdf 663.02 KB (Last Modified on November 3, 2021)

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Plan Booklets

DENTAL - BCBS IL Plan Booklet

BCBS Dental Care Program.pdf 742.83 KB (Last Modified on November 12, 2021)

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