Benefits

INDEPENDENT HEALTH

• Independent Health website

• Independent Health Mobile App

• Summary Plan Description (SPD) for all plans

• SPD Amendment #1 - Autism Services

• SPD Amendment #2 - Diabetes Medical Vendors

• SPD Amendment #3 

• SPD Amendment #4

LIFESTYLE PLANS

• Lifestyle Active Plan - Benefit Summary

• Lifestyle Family Plan - Benefit Summary

• Lifestyle Independent Plan - Benefit Summary

PPO PLANS

• PPO In Area Plan - Benefit Summary

• PPO Out of Area Plan - Benefit Summary

FIRST CHOICE

• First Choice - Benefit Summary

• Express Scripts Website

• Express Scripts Order Form

• Express Scripts Mobile App

• Health Extras Website

• Health Extras Participating Vendors

• Health Extras Reimbursement Form

Nova administers the dental and vision plans for Amherst Central School District.

NOVA WEBSITE

• Dental & Vision

DENTAL

• Nova Dental Claim Form

• Covered Dental Expenses

• Dental A Benefit Summary

• Dental B Benefit Summary

• Dental C Benefit Summary

• Dental Exclusions

VISION

• Nova Vision Claim Form

• Vision A Benefit Summary

• Vision C Benefit Summary

NOVA FORMS & MOBILE APP

• Nova Appeal Filing Form

• Nova Flex Mobile App Information - After you create your account online, you can download the NovaFlex app from the Google Play or iTunes store to access your account information for FSA, HSA, and HRA plan. 

Nova administers the FSA & HRA accounts for the Amherst Central School District.

• FSA & HRA Nova Website

• FSA Reimbursement Account Information Tip Sheet

• FSA & HRA Medical Claim Form

• FSA Dependent Care Claim Form 

• FSA Eligible Expenses

• FSA Direct Deposit Form

• Nova Member Resources Website

• IRS Notice 2-21-15 Carryover Unused Amounts

• Met Life Legal Website

• Met Life Legal Plan Descriptions (ML2)

• Met Life Legal Comparison Chart ML2 vs. ML4

• Accident Reporting Process