Personnel Resources

Click here for 2023-2024 premium information

Click here for 2024-2025 premium information

Health Insurance Enrollment/Change form

Dependent Eligibility verification form

Summary of Benefits and Coverages

The Departments of Health and Human Services, Labor and Treasury issued regulations requiring health plans to provide a SBC and Uniform Glossary that clearly explain benefits and coverage afforded to our employees. Therefore, please refer to the following information:

Summary of Benefits and Coverage (MTEU)
Benefit Book CDZ
Summary of Benefits and Coverage (MAA, MEU, MFA, MSOPA, Mechanics and Non-Represented)
Benefits Book AVM
Summary of Benefits and Coverage (Retirees)
Benefits Book YZ
 

Benefit Details For Active Employees

	Health	Dental	Flex Spending Account
Eligibility	20+ hours per week	20+ hours per week	Part time and full time employees
Open Enrollment Period	September 1 - 30 *MFA enrollments received 10/1 - 10/15 changes begin October 1	September 1 - 30	June 1 - 30
Plan year begins	September 1	September 1/January 1	September 1
Terminate Coverage	Drop coverage at any time	Open enrollment or for qualifying event*	Open enrollment or for qualifying event
Add coverage	Open enrollment or for qualifying event	Open enrollment or for qualifying event	Open enrollment or for qualifying event
*Qualifying event i.e., marriage, divorce, death, birth, termination of employment

 

Ameritas Dental - see rates above

Dental Summary (High/Low plan information)

Dental Insurance Enrollment/Change form

We are excited to announce that the district is now offering a voluntary vision plan through Davis Vision.  Please read through the Q & A below for details:

Where can I see details of the plan?
You can view a summary of the plan here.

When can I access the voluntary vision plan benefits?
The plan is available May 1, 2021.

When can I sign up for the plan?
You must sign up for the plan by April 15, 2021 for it to be available to you on May 1, 2021.  You will also be able to sign up during the district's standard open enrollment period in August/September.

Do I need to sign up now or can I sign up in August/September?
You do not need to sign up now.  You can also sign up during the district's standard open enrollment period in August/September.

If I sign up now can I use the plan and cancel in August/September during open enrollment?
If you sign up now you will not be able to cancel enrollment until the August/September 2022 open enrollment period.

How do I enroll in the plan?
Please retrieve/complete the enrollment form and return to Stephanie Donovan in the business office.

How much does the plan cost?
Information about plan costs can be found in the summary document.  For quick reference we've provided annual cost information below:

• Employee: $97.32
• Employee + Spouse: $194.64
• Employee + Children: $204.36
• Employee + Family: $284.64

Will these rates change?
These rates are guaranteed for 4 years, through August 31, 2025

Is there a website I can access to learn more?
Yes.  Please click here and enter "2127" in the Client Code field.

Required by law (12 NYCRR § 472.8) the following information is available to employees to help them promptly complete the unemployment insurance benefits application.
Please click here for IA 12.3 Record of Employment

It is the intent of the Marcellus Central School District to furnish its employees a place of employment which is free from recognized hazards and to provide reasonable and adequate protection for the health and safety of its employees. To this end, and in compliance with New York State Labor Law, Article 28, Sections 875 et al, commonly referred to as the New York State Right-to-Know Law, and 29 CFR 1910.1200, commonly referred to as OSHA Hazard Communication Standard, please click here to view the Marcellus Central School District's Hazard Communication/Right to Know Plan.

The Affordable Care Act of 2010 requires that employers provide their employees with information regarding New York’s “Health Insurance Marketplace”.  The Marketplace opened on October 1, 2013 and began providing alternative access to health insurance coverage effective January 2014.  Employees are asked to review the documents below regarding this health insurance option.  Please note that:

• the Affordable Care Act requires that we inform you of your option to acquire health insurance through the Health Insurance Marketplace.
• the school district will continue to offer the same health insurance to its employees.  You do not need to do anything if you are happy with your current coverage.

For more information please refer to the documents below or visit New York's Health Insurance Marketplace.

Documents Available:
Affordable Care Act – Employee Notice
Affordable Care Act – Frequently Asked Questions

On December 18, 2017, New York State Governor Andrew Cuomo signed into law an amendment of Section 159-b of the state Civil Service Law. The amendment entitles any public employee the right to paid, excused leave of absence from his or her duties for a sufficient period of time, not to exceed four hours, to undertake a screening for cancer of any kind.  The law had previously provided leave for public employees for only breast and prostate cancer screenings.

The employee may be required to provide satisfactory medical documentation to substantiate that their absence was for the purpose of screening for cancer.  Failure to provide appropriate documentation may result in the employee being charged a sick or personal day.

Leave for cancer screening is not cumulative and expires at the close of business on the last day of each calendar year.

A 403(b) plan is a retirement plan for certain employees of public schools, tax-exempt organizations and ministers. Contributions are made under a Salary Reduction Agreement (SRA) with your employer. This agreement allows your employer to withhold money from your paycheck to be contributed directly into a 403(b) account for your benefit. Usually, you do not pay income tax on these contributions until you withdraw them from the account.

• For more detailed information, please consult your financial advisor or visit the IRS website.
• To learn more about joining the OMNI 403b Program at Marcellus Schools, please contact the Business Office at (315) 673-6141.

So you need to take a leave of absence? There are many reasons a person needs to take some time away from work, and each has its own criteria or “rules” to adhere to.  Some leaves can be paid – but can only be paid if you have sick, personal or vacation time available.  Some are unpaid, but under certain circumstances your health benefits continue as though you were continuing to work.  Some require you to submit a letter requesting the leave, and depending on the circumstances, the district will either approve or deny the request.  Regardless of the type of leave, we ask that employees adhere to the guidelines outlined in your employment contract to ensure that your leave is taken without cause for concern, and that your wages and benefits are properly handled.  Of course, if you have questions, please feel free to contact us for assistance.

A Medical Flexible Spending Account (Medical FSA) helps ease the burden of paying for health care by allowing you to use tax-free money to pay for your family's eligible medical expenses. This includes coinsurance and copays, your deductible, dental or vision expenses and over-the-counter drugs and medicines.

FSA Enrollment form

Beniversal Card Overview

BRIMOBILE App Overview

FSA Store

Dependent Care Worksheet