Benefits Documentation

File nameDescriptionSizeRev.TimeUser
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
CHI High Deductible Health Plan Design & Benefits, including deductibles.   99k v. 2 Oct 20, 2017, 11:06 AM Karen Porter
Ċ
View Download
Standard High Deductible Plan Design, including deductibles.  103k v. 2 Oct 20, 2017, 11:06 AM Karen Porter
Ċ
View Download
Traditional PPO Health Plan Design & Benefits: including deductibles, coinsurance, & copays.  103k v. 2 Oct 20, 2017, 11:06 AM Karen Porter
Ċ
View Download
Amounts and schedule for the 2018 HSA District Contributions  137k v. 2 Oct 20, 2017, 8:04 AM Karen Porter
ċ

View
  Nov 10, 2017, 10:32 AM Karen Porter
Ċ
View Download
How to check your 2017 benefits and your dependents.  183k v. 2 Oct 20, 2017, 8:13 AM Karen Porter
Ċ
View Download
Open Enrollment 10/23/17-11/17/17. Flyer includes dates for benefit information meetings and how to register.  226k v. 2 Oct 5, 2017, 2:14 PM Karen Porter
Ċ
View Download
  1953k v. 2 Oct 30, 2017, 2:33 PM Karen Porter
Ċ
View Download
  747k v. 2 Nov 8, 2017, 1:02 PM Karen Porter
Ċ
View Download
  747k v. 2 Nov 8, 2017, 1:02 PM Karen Porter
Ċ
View Download
  751k v. 2 Nov 8, 2017, 1:02 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
All 2018 Rates are PER paycheck. Effective 1/1/2018.   23k v. 2 Oct 23, 2017, 5:22 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  22k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  23k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  23k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  23k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  24k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
Ċ
View Download
  10k v. 2 Oct 23, 2017, 5:21 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
To find a participating provider, visit www.ameritasgroup.com and select FIND A PROVIDER, then DENTAL. Enter your criteria to search by location or for a specific dentist or practice. Or call Ameritas’ customer service at 800-487-5553 and press 0 to speak with a customer service representative.  197k v. 2 Apr 13, 2017, 6:26 AM Karen Porter
Ċ
View Download
If you need an ID card, sign in (or create) your secure member account today. Already registered? Sign into your secure member account. If you're a first-time user, just create a new account.  68k v. 2 Oct 13, 2017, 8:29 AM Karen Porter
Ċ
View Download
How will changing plans impact dental treatment in progress? For dental services, the date the treatment begins is usually the only date of service. For example, the day they start a root canal, or prepare a crown or denture. There are services that go hand in hand, such as an extraction of a tooth and a placement of a bridge.  93k v. 2 Apr 13, 2017, 6:19 AM Karen Porter
ċ

View
Print your card, find an in-network provider and more...  Oct 17, 2017, 9:59 AM Karen Porter
Ċ
View Download
  92k v. 2 Nov 9, 2017, 11:15 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Discovery Benefits: 1-866- 451-3399    315k v. 2 Feb 6, 2017, 11:36 AM Karen Porter
Ċ
View Download
  281k v. 2 Oct 19, 2017, 12:55 PM Karen Porter
Ċ
View Download
  360k v. 2 Jul 21, 2017, 1:32 PM Karen Porter
Ċ
View Download
  326k v. 2 Oct 19, 2017, 12:48 PM Karen Porter
Ċ
View Download
The annual maximum amount for dependent care is $5,000 (or $2,500 if married and filing separately) per calendar year.   152k v. 2 Feb 6, 2017, 11:40 AM Karen Porter
Ċ
View Download
  360k v. 2 Oct 19, 2017, 12:52 PM Karen Porter
Ċ
View Download
  322k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
UPDATE: The ACA limits employees’ pre-tax health FSA (Health Flexible Spending tax-deferred account) contributions to $2,650 per year for 2018.      370k v. 2 Oct 19, 2017, 12:58 PM Karen Porter
Ċ
View Download
  497k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  1384k v. 4 Oct 19, 2017, 12:54 PM Karen Porter
Ċ
View Download
  380k v. 2 Oct 19, 2017, 12:41 PM Karen Porter
Ċ
View Download
  169k v. 2 Oct 19, 2017, 12:46 PM Karen Porter
Ċ
View Download
  58k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  66k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  275k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  95k v. 2 Apr 28, 2016, 12:28 PM Chad Lawton
Ċ
View Download
Omni 1-877-544-6664  530k v. 2 Jul 8, 2016, 11:42 AM Karen Porter
Ċ
View Download
Services Providers are subject to change. www.omni403b.com  606k v. 2 Oct 13, 2016, 12:54 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Aetna Navigator: Print ID cards• Find A Provider • Manage Claims • See Coverage & Costs & Manage Prescriptions. Customer Service 1-888-751-4027 and choose the concierge option.     761k v. 2 Jun 16, 2017, 7:59 AM Karen Porter
Ċ
View Download
(CHI Health Plan is in the CHI folder)  831k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
Prescription Formulary Changes for 2017  217k v. 2 Jan 19, 2017, 7:16 AM Karen Porter
Ċ
View Download
(CHI Summary is in the CHI folder)  350k v. 2 Jun 2, 2017, 8:26 AM Karen Porter
Ċ
View Download
  358k v. 2 Jun 2, 2017, 8:21 AM Karen Porter
Ċ
View Download
  1008k v. 2 Oct 12, 2016, 2:10 PM Karen Porter
Ċ
View Download
  1149k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  671k v. 2 Oct 12, 2016, 2:10 PM Karen Porter
Ċ
View Download
This form is meant to accompany the complaint or appeal request. Please remember to include a letter with full details of the complaint or appeal.  176k v. 2 Oct 28, 2016, 6:45 AM Karen Porter
Ċ
View Download
  961k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
Using Aetna Navigator, you can estimate drug costs with the Price-A-Drug tool for your local pharmacy or mail order, compare the costs of generic and brand-name drugs, & find an in-network pharmacy.   96k v. 2 Oct 26, 2017, 9:10 AM Karen Porter
Ċ
View Download
Find a provider in the Aetna network without logging into Aetna Navigator  992k v. 2 Jun 14, 2017, 9:59 AM Karen Porter
Ċ
View Download
Instructions to located medication  271k v. 2 Mar 2, 2017, 1:51 PM Karen Porter
Ċ
View Download
  520k v. 2 Mar 2, 2017, 1:49 PM Karen Porter
Ċ
View Download
Ways to find the best value, top-notch care  423k v. 2 Mar 6, 2017, 11:19 AM Karen Porter
Ċ
View Download
  265k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  65k v. 2 Dec 13, 2016, 12:28 PM Karen Porter
Ċ
View Download
  65k v. 2 Dec 13, 2016, 12:28 PM Karen Porter
Ċ
View Download
  942k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  634k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  747k v. 2 Oct 27, 2017, 11:28 AM Karen Porter
Ċ
View Download
  787k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  831k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
  350k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
Also visit the Aetna Benefit Information folder for more Aetna benefit details  1973k v. 4 Jan 19, 2017, 7:15 AM Karen Porter
Ċ
View Download
CHI Network PowerPoint Presentation  1316k v. 4 Dec 13, 2016, 12:29 PM Karen Porter
Ċ
View Download
What are the options if your dependent lives out of state?  749k v. 4 Dec 13, 2016, 12:29 PM Karen Porter
Ċ
View Download
Find providers and facilities in the CHI Network  392k v. 4 Jun 14, 2017, 9:58 AM Karen Porter
Ċ
View Download
See the Health Benefit Information folder for the full Summary Plan Description  65k v. 3 Dec 13, 2016, 12:34 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  52k v. 2 Aug 18, 2017, 11:11 AM Karen Porter
Ċ
View Download
  36k v. 2 Aug 18, 2017, 11:11 AM Karen Porter
Ċ
View Download
Private counseling sessions may be scheduled to discuss Medicare benefits, Medicare Advantage products, Medicare Supplement policies, Medicare Part D, or healthcare fraud. All SHIIP presentations and counseling sessions are free. Nebraska SHIIP at 1-800-234-7119   152k v. 4 Aug 18, 2017, 11:13 AM Karen Porter
Ċ
View Download
  46k v. 2 Aug 18, 2017, 11:11 AM Karen Porter
Ċ
View Download
  309k v. 2 Aug 18, 2017, 11:11 AM Karen Porter
Ċ
View Download
  104k v. 2 Aug 18, 2017, 11:11 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  655k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  655k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  656k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  214k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
Ċ
View Download
  125k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
Ċ
View Download
  120k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
2017 Premiums, District Contributions, and numbers; to compare for 2018 - you will have to update that information with the 2018 numbers.  443k v. 2 Nov 13, 2017, 6:43 AM Karen Porter
Ċ
View Download
2017 Premiums, District Contributions, and numbers; to compare for 2018 - you will have to update that information with the 2018 numbers.  502k v. 2 Nov 13, 2017, 6:43 AM Karen Porter
Ċ
View Download
2017 Premiums, District Contributions, and numbers; to compare for 2018 - you will have to update that information with the 2018 numbers.  470k v. 2 Nov 13, 2017, 6:43 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
How to check current benefits/dependents & add/update beneficiaries on the employee access center.   183k v. 3 Oct 17, 2017, 9:39 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Customer Service: 1-800- 357-6246. Mon. -Fri. 7:00 a.m. - 9:00 p.m. & Sat 9:00 a.m. - 1:00 p.m.    2933k v. 2 Oct 19, 2017, 2:58 PM Karen Porter
Ċ
View Download
  137k v. 3 Dec 13, 2016, 12:12 PM Karen Porter
Ċ
View Download
  750k v. 2 Oct 19, 2017, 3:04 PM Karen Porter
Ċ
View Download
  136k v. 2 Oct 19, 2017, 3:02 PM Karen Porter
Ċ
View Download
HSA Eligibility Rules  423k v. 2 Oct 25, 2016, 7:45 AM Karen Porter
Ċ
View Download
  304k v. 2 Nov 16, 2017, 11:40 AM Karen Porter
Ċ
View Download
  2311k v. 2 Apr 28, 2016, 12:04 PM Chad Lawton
Ċ
View Download
  67k v. 5 May 16, 2016, 7:40 AM Chad Lawton
Ċ
View Download
  62k v. 2 Apr 28, 2016, 12:04 PM Chad Lawton
Ċ
View Download
IRS Publication for Medical & Dental Eligible Expenses  166k v. 4 Dec 15, 2016, 12:13 PM Karen Porter
Ċ
View Download
IRS Publication on Health Savings Accounts   164k v. 4 Dec 15, 2016, 12:14 PM Karen Porter
Ċ
View Download
  269k v. 2 Oct 19, 2017, 3:05 PM Karen Porter
Ċ
View Download
  720k v. 2 Oct 19, 2017, 3:05 PM Karen Porter
Ċ
View Download
  121k v. 2 Oct 19, 2017, 3:04 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  146k v. 2 Jan 30, 2017, 7:33 AM Karen Porter
Ċ
View Download
  146k v. 2 Jan 30, 2017, 7:33 AM Karen Porter
Ċ
View Download
Tips about beneficiaries.  1962k v. 2 Jul 28, 2017, 10:39 AM Karen Porter
Ċ
View Download
To apply for additional life insurance, complete this form and return it to HR/Benefits. Email mpsbenefitsq@mpsomaha.org with questions.  34k v. 2 Mar 6, 2017, 11:26 AM Karen Porter
Ċ
View Download
  24k v. 3 Jan 19, 2017, 7:27 AM Karen Porter
Ċ
View Download
To update/change your life insurance beneficiary: Complete the beneficiary change form and submit the completed form to HR. See "Update Your Life Insurance Beneficiary" pdf for important tips.  196k v. 2 Feb 23, 2017, 7:04 AM Karen Porter
Ċ
View Download
  56k v. 2 Oct 7, 2016, 12:09 PM Karen Porter
Ċ
View Download
Please note that your Life Insurance plan has a conversion option. If you wish to take advantage of this option, you must make a written application for this provision within 31 days of your last date of eligibility. If you fail to elect this provision within the given 31 day time period, you will not be able to take advantage of this provision at a later date. If you have any questions or need further information, please contact National Insurance Services at 800-627-3660  560k v. 2 Feb 23, 2017, 7:00 AM Karen Porter
Ċ
View Download
You may be eligible to continue your life insurance - please note you need to apply within 31 days of termination. Premium payments may be higher than your group rate.   48k v. 2 Jul 28, 2017, 10:37 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  140k v. 2 Nov 13, 2017, 7:13 AM Karen Porter
Ċ
View Download
  322k v. 2 Nov 13, 2017, 7:13 AM Karen Porter
Ċ
View Download
  56k v. 2 Nov 13, 2017, 7:13 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
All 2017 Rates are PER pay check. Effective 1/1/2017.   23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  17k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  713k v. 2 Nov 14, 2017, 12:43 PM Karen Porter
Ċ
View Download
2017 Classified Staff Retirement Presentation  870k v. 2 Feb 20, 2017, 11:57 AM Karen Porter
Ċ
View Download
Please remember to update your beneficiaries with the State of Nebraska Retirement office, as needed.  144k v. 2 Aug 22, 2017, 6:29 AM Karen Porter
Ċ
View Download
This flyer includes information on the State of Nebraska Retirement seminars.  341k v. 2 Aug 22, 2017, 6:28 AM Karen Porter
Ċ
View Download
Need more information or have questions, call 1-800-245-5712.    1322k v. 2 Jul 13, 2017, 6:40 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
ć
View Download
Aetna Vision customer service Mon-Sun @  1-877- 973-3238.   5533k v. 2 Jul 8, 2016, 11:43 AM Karen Porter
Ċ
View Download
  92k v. 2 Nov 9, 2016, 9:13 AM Karen Porter
Ċ
View Download
  263k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton
Ċ
View Download
  262k v. 2 Nov 9, 2016, 9:04 AM Karen Porter
Ċ
View Download
  127k v. 2 Nov 8, 2017, 1:03 PM Karen Porter
Ċ
View Download
  470k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton
Ċ
View Download
  3750k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton