Questions?

Please contact our office for assistance.

Nicole Palacios - Benefits Specialist

palaciosns@midlandps.org (989) 923-5067

Benefits


Health Insurance

Health insurance is provided by MESSA/BCBS.  Eligible MPS employees are enrolled in the MESSA ABC 1 plan, which is a High Deductible Health Plan with a Health Savings Account (administered by Health Equity).  MESSA’s Customer Service number is 1-800-336-0013.  Or you can log on to their website at www.messa.org.   If you have questions about the plan, please contact the Benefit Specialist, Nicole Palacios, at 989-923-5067 or palaciosns@midlandps.org.

MESSA Plan Coverage Guide – Plan 1

MESSA Plan 1 Highlights

MESSA Quick Tips

Administrative Guidelines for MPS Insurance Plans

Dental Insurance

 Dental insurance is provided through CIGNA, group number 3214252. Phone number: 1-800-244-6224

Cigna Dental Plan Overview

Cigna Dental Summary of Benefits

CIGNA Annual Compliance Rider – September 1, 2016

 

Vision Insurance

 Vision insurance is provided through VSP (Vision Service Plan), group number 0539. Phone number: 1-800-225-5877

VSP3 Plus Plan Overview

VSP3 Plus Plan Benefit Summary

 

Notice of Privacy Practices

 This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. The Notice of Privacy Practices is made in compliance with the Standards for Privacy of Individually Identifiable Health Information set forth by the U.S. Dept. of Health and Human Services (HHS) pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, as amended.

HIPAA Notice of Privacy Practices

 

Life/AD&D Insurance

 Life/AD&D insurance is with Reliance Standard Life Insurance Co. Eligible employees receive a life insurance benefit of two times their salary, rounded up to the next thousand. AD&D (Accidental Death & Dismemberment) has a schedule of benefits for loss of life or limbs due to an accident, up to the life benefit. Beneficiary change forms are available on request from the Benefits Specialist.

Reliance Standard Life Insurance Beneficiary Designation Form

Reliance Standard Life Insurance – Teachers-full time & part time

Reliance Standard Life Insurance – all other employee groups

 

LTD Benefits

Madison National Life Ins. Co is our LTD carrier. Long Term Disability provides a benefit of 60 percent of base wages to be paid after a qualifying period of 60 days or the extent of available sick leave, whichever is greater, upon approval of application. Eligible employees are automatically enrolled in the LTD plan.

Madison National Life Insurance LTD plan – all full time employees

Madison National Life Insurance LTD plan – part time administrators

Enrollment Forms

Enrollment forms are issued by Human Resources when an employee is hired or becomes eligible for coverage.  If a new enrollee has questions regarding the completion of the forms, they should contact the Benefit Specialist.  Completed forms should be returned to Benefits or Human Resources.

 

Enrollment Status Changes

 For changes to enrollment status, employees should call or email the Benefits Specialist to inform MPS of the change (birth, death, marriage, divorce, loss of dependent status, change in address or phone number, etc.). Appropriate insurance companies will then be notified by the Benefits Specialist. Changes must be made within 31 days of the date of the event.

Questions regarding the insurances, including claim status, providers, and general coverage inquiries should be directed to the Benefits Specialist.

 

Payroll Forms

Visit the Finance page to find the following forms:

  • Direct Deposit
  • HSA Salary Reduction Form
  • Mileage Reimbursement
  • W4
  • 403b
  • 457