Employer Sponsored Health Care Plans
Employee Benefits
PA 106
Directions on how to set up a 403b or 457
Approved 403b/457 Vendor List
MESSA Choices Plan Highlights $1,000 $2,000 Annual Deductible
MESSA Choices Plan Highlights $2,000 $4,000 Annual Deductible
MESSA ABC 1 Plan Highlights
MESSA Essentials Plan Highlights
Summary of Benefits and Coverage MESSA Choices II $1,000 $2,000
Summary of Benefits and Coverage MESSA Choices II $2,000 $4,000
Summary of Benefits and Coverage MESSA ABC Plan 1
Summary of Benefits and Coverage MESSA Essentials
MESSA Prescription Drug Coverage
Understanding MESSA Choices Deductible
How to Find MESSA Dedictible
Comparison Chart - Health Plans
Where do I go, Who do I see first?
Livongo - Diabetes Management
MESSA Nurseline
Notification of COBRA Rights
PlanSource - Flexible Spending Account Booklet
Health Insurance Marketplace Coverage
Shared Time Teachers - Full Time - Benefits
MESSA Prescription Drug Coverage
ADN Benefit Summary
NVA Benefit Summary
Non-Affiliated Technicians - Benefits
MESSA Prescription Drug Coverage
NVA Benefit Summary
ADN Benefit Summary
Life and AD&D Non Affiliated Technicians w health coverage
Life and AD&D - Non Affiliated Technicians w/o health coverage
Long Term Disability - Non Affiliated Technicians
Teachers (BEA) Benefits
ADN Benefit Summary
MESSA Prescription Drug Coverage
NVA Benefit Summary
Life Insurance with Medical
Life Insurance without Medical
Long Term Disability
Paraeducators (BEAP) Benefits
MESSA Prescription Drug Coveraqe
ADN Benefit Summary
MESSA Vision VSP
Life Insurance - BEAP working less than 20 hours per week
Life Insurance - BEAP working over 20 hours per week w/o medical coverage
Life Insurance - BEAP working over 30 hours per week w medical coverage
Secretaries (BESA) Benefits
ADN Benefit Summary
Prescription Drug Coverage
NVA Benefit Summary
BESA Life Insurance w Health Coverage
BESA Life Insurance wo Health Care Coverage
BESA Long Term Disability Coverage
Administrators (ABA) Benefits
Prescription Drug Coverage
NVA Benefit Summary
ADN Benefit Summary
Non-Affiliated Employee Benefits
ADN Benefit Summary
Prescription Drug Coverage
NVA Benefit Summary
Life Insuarance and AD&D Insurance - Supervisor without health coverage
Life Insurance and AD&D Insurance - Supervisor with health coverage
Long Term Disability Coverage - Supervisor
Custodial & Maintenance (AFSCME) Benefits
MESSA Prescription Drug Coverage
NVA Benefit Summary
ADN Benefit Summary
AFSCME Life and AD&D Insurance for members with medical coverage
AFSCME Life and AD&D Insurance for members w/o medical coverage
AFSCME Long Term Disability Insurance
Enrollment Forms
MESSA Enrollment Form
MESSA Online Enrollment Website - Employee User Guide
Certificate of HSA Eligibility
Health Equity Payroll Form
ADN Dental Enrollment Form
National Vision Administrators (NVA) Enrollment Form
Designation of Beneficiary Form - Reliance Standard
Designation of Beneficiary Form - MESSA/CIGNA page 1
Designation of Beneficiary Form - MESSA/CIGNA page 2
PlanSource - Flexible Spending Account Enrollment Form
Waiver Form - Cash in Lieu of insurance
MESSA Options Information
The OMNI Group 403(b) Salary Reduction Agreement Form
The OMNI Group 457 Salary Reduction Agreement Form
If participating in the 403b/457 plan, see instructions under subsection heading Employee Benefits on how to set up a 403b account (above). Otherwise, if not participating, please print out The Omni Group 403(b) Salary Reduction Agreement Form and complete Parts 1,2,3, and 5.
Useful Links
MESSA
ADN DENTAL
National Vision Administrators (NVA) - Vision
PlanSource - Flexible Spending Account Administrator
The Omni Group (Third Party 403b/457 Administrator)
Office of Retirement Services
