Insurance Information

Children’s Health Insurance Program (CHIP)  - CHIPRA - Children's Health Insurance Reauthorization Act.pdf

HIPAA Notice of Privacy Practices - HIPAA Notice of Privacy Practices (Fillable).pdf

WHCRA Enrollment Notice (1-2017) - WHCRA Enrollment Notice (1-2017).pdf

 The enrollment forms:

·         Health insurance - Romulus enrollment with 2017-18

·         FSA - FSA Enroll Form.pdf

·         HSA - HSA Enrollment Form 2017

 The rate sheets:

·         Instructional – 21 pay - 2017-2018 RFA Insurance Payroll Deductions for 21 Pay

·         Support Staff – 21 pay - 2017-2018 CSEA Insurance Payroll Deductions for 21 Pay

·         Support Staff – 26 pay - 2017-2018 CSEA Insurance Payroll Deductions for 26 Pay .pdf

·         Dental and Vision rates - 2017-2018 rates for dental & vision

 The plans:

·         Healthy Blue 15 - A1 HB 15

·         Healthy Blue 30 - A3 HB 30

·         Healthy Blue High Deductible - BKW HB HDHP 1500-3000

·         Blue Point 2 - EF BP2 15 5_15_30

·         Comparison of the plans - Comparisons

·         Dental Blue 3 - Dental Blue Options 3_ summary