Employee Benefits - Forms

PDF DocumentINSURANCE PLAN SUMMARIES

  1. Administrative Assistants (Secretaries)
  2. Administrators
  3. Maintenance
  4. Paraprofessionals
  5. Teachers

HEALTH COVERAGE INFORMATION - BLUE CROSS:
PDF DocumentChange of Status
PDF DocumentEmployee Enrollment Form

DENTAL COVERAGE INFORMATION - ADN:
PDF DocumentPlan Information
PDF DocumentEnrollment/Change Form

PRESCRIPTION COVERAGE INFORMATION - MEDTIPSTER:
PDF DocumentClaim Form - Prescription Form

VISION COVERAGE INFORMATION:
PDF DocumentOptical Enrollment/Change Form

LIFE INSURANCE COVERAGE INFORMATION - MADISON NATIONAL:
PDF DocumentChange of Beneficiary Form 
PDF DocumentEnrollment Form

VOLUNTARY BENEFITS - Trustmark
Information for 2019 is forthcoming.

FLEXIBLE SPENDING ACCOUNT INFORMATION - Employee Benefits Concepts:
External Linkhttps://www.ebcflex.com  
PDF DocumentWhat is an FSA
PDF DocumentSign up Now
PDF Document​FSA Expense List
PDF DocumentDaycare
PDF DocumentElder Care
PDF DocumentWPS Debit Card
PDF DocumentUnderstanding Agreement
PDF DocumentWPS 2019 Election Form

Board of Education 639 Oak Street Wyandotte, MI 48192 734-759-6002
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