EMPLOYEE BENEFITS & FORMS
Dental Insurance
The district offer dental insurance to eligible employees and pays 100% of the premium. There are no employee out-of-pocket costs. This is a fiscal year benefit (July 1 – June 30). Refer to the Benefit Plan Summary for details.
CUSTOMER SERVICE RESOURCES
Phone: 800-236-3712
Email: claims@deltadentalwi.com
Fax: 715-343-7623
PLAN DOCUMENTS
PROVIDER NETWORK SEARCH
Other Discounts: Vision and Hearing
Do you have a qualifying event and need to make a change to your benefits? A qualifying event may be marriage, divorce, birth, death, change of employment, etc. You have 30 days from the date of the qualifying event to make a change.
Health Insurance
The district offers two health insurance networks to eligible employees. See the Benefit Booklet under Plan Document Resources for details. Deductibles are calendar year; however, premiums are adjusted each fiscal year. Employees enrolled in health insurance receive an annual HSA contribution of $1,500/single or $3,000/family. New enrollees are eligible for health insurance on the date of hire.
A cash in lieu benefit of $5,800 (2024-25) is provided to staff who waive health insurance. The annual amount is prorated over each payroll on the employee's pay schedule.
CUSTOMER SERVICE RESOURCES
Do you have questions about prior authorizations, claims, checking the status of a deductible, or finding an in-network provider? Current members can chat with a customer service agent online while logged in to their My Security Health Plan account. Available Monday - Friday, 8 a.m. 4:30 p.m. They can also send a secure message in My Security Health Plan 24/7.
1-800-472-2363 (TTY 711)
Monday-Friday 7 a.m.-5:30 p.m.
1515 North Saint Joseph Avenue
P.O. Box 8000
Marshfield, WI 54449-8000
Do you have questions on medications, prescription drug claims, need help finding a pharmacy or need to set up a free annual medication review? Call 715-221-9604 or email shprx@securityhealth.org
ACCESS TO LOW COST HEALTHCARE
Care My Way® virtual care is available 24 hours a day, seven days a week. Our Care My Way benefit offers unlimited visits covered at 100% – via telephone, mobile app or through a web browser.
You may be prompted to pay $79 in advance of your Care My Way virtual visit, but your plan includes 100% coverage for this service and you will be reimbursed. Once services are completed, you can contact Security Health Plan Customer Service at 1-800-472-2363 (TTY 711) to coordinate receiving a reimbursement.
Care My Way® is a convenient, easy way to get a quick diagnosis and treatment from anywhere in the United States for common conditions including sinus infections, seasonal allergies or many others.
The Care My Way mobile app can be used 24 hours a day, 7 days a week in all 50 states. Members in Wisconsin, Michigan and Minnesota can also call 1-800-549-3174 (TTY 711) or use the Care My Way mobile app.
Save a trip to the store
Over-the-counter (OTC) drugs and supplies can be expensive. That’s why we are offering you a way to save money on these items and have them conveniently delivered to your home - saving you time and money.
PLAN DOCUMENT RESOURCES
Election/Waiver Form 2024-25 with Health Insurance Premiums
Out of Area Dependent Verification Form
Summary of Benefits and Coverage - Simply One
Summary of Benefits and Coverage - Premier
Schedule of Benefits - Simply One
Schedule of Benefits - Premier
Uniform Glossary of Health Insurance Terminology
Creditable Coverage Annual Notice for Medicare
PROVIDER SEARCH
HEALTH SAVINGS ACCOUNT
All employees enrolled in our health insurance program must open their HSA Account with Security Bank within 30 days of enrollment.
Contact Security Bank: 715-237-2658 or https://www.securityonlinebank.com
Do you have a qualifying event and need to make a change to your benefits? A qualifying event may be marriage, divorce, birth, death, change of employment, etc. You have 30 days from the date of the qualifying event to make a change.
Life Insurance
The district provides a fully paid term life insurance policy to eligible employees through the Standard Company. Additional coverage for the employee, spouse, and dependents is available at the employee’s expense.
CUSTOMER SERVICE RESOURCES
Phone: 1-800-628-8600
www.standard.com
PLAN DOCUMENT RESOURCES
Group Basic Life and Accidental Death Insurance
Life/ADD/LTD Insurance Application
Additional Employee Life Insurance Option Form
Do you have a qualifying event and need to make a change to your benefits? A qualifying event may be marriage, divorce, birth, death, change of employment, etc. You have 30 days from the date of the qualifying event to make a change.
Long-Term Disability Insurance
The School District of New Auburn's LTD plan is administered by The Standard and paid 100% by the district. This benefit pays a monthly percentage of your salary if you become disabled and are unable to work for an extended period of time. You are eligible if you are a regular employee actively working at least 30 hours per week or a regular bus driver working at least 20 hours per week.
The monthly benefit is 90% of the first $10,500 of your monthly pre-disability earnings. Maximum monthly benefit is $9,450 with a benefit waiting period of 45 days. The maximum benefit duration is to age 65; if disabled at age 62 or after, see Certificate of Coverage for benefit duration.
CUSTOMER SERVICE RESOURCES
Phone: 1-800-368-1135
www.standard.com
Vision Insurance
CUSTOMER SERVICE RESOURCES
Phone: 844-848-7090
Register or access your online account: https://member.eyemedvisioncare.com/deltaviswi/en
PLAN DOCUMENT RESOURCES
2024-25 Premiums: Single $7.74 per month and Family $19.27 per month for employee. The annual amount is prorated over the employee's pay schedule.
PROVIDER NETWORK SEARCH
Click here to access the DeltaVISION Eye Med Insight Network
Do you have a qualifying event and need to make a change to your benefits? A qualifying event may be marriage, divorce, birth, death, change of employment, etc. You have 30 days from the date of the qualifying event to make a change.
Employee Assistance Program
Family Medical Leave
The Federal and State Family Medical Leave Act provides eligible employees of covered employers with job-protected leave for qualifying family and medical reasons and requires continuation of their group health benefits under the same conditions as if they had not taken leave. FMLA leave may be unpaid or used at the same time as employer-provided paid leave. Employees must be restored to the same or virtually identical position when they return to work after FMLA leave.
FMLA BENEFITS
FMLA General Notice
Fact Sheet #28 FMLA
Employee Protection Under FMLA
FAQ Wisconsin
FMLA FORMS
FMLA Request Form - Wisconsin
Certification of Health Care for Employee Form
Certification of Health Care for Family Member Form
Certification for Military Family Leave
Payroll Resources
CALENDARS
2024-25 Payroll Calendar
2024-25 School Calendar
DIRECT DEPOSIT FORM
Requests must completed using the direct deposit form. District staff will contact you to verify all requests to update bank account information.
SKYWARD RESOURCES - COMING SOON!
Login to Skyward
Looking for instructions on how to navigate Skyward? Click Here!
TAX FORMS
The Federal W-4 was revised due to federal tax law changes that took place in 2018 which eliminated personal exemptions and doubled the standard deduction. Employees hired prior to January 1, 2020, were not required to complete the revised form; however, any changes must be on the new W-4 form. We recommend using the IRS Withholding Estimator Tool for the most accurate results. The district does not provide tax, legal or accounting advice.
Retirement Benefits - Wisconsin Retirement System
Eligibility is based on rules set by the Department of Employee Trust Funds. Employees who meet the eligibility requirements are automatically enrolled in this benefit as part of state law. The District will pay 100% of the employer’s share of the Wisconsin Retirement System Contribution Rate (amount established annually by Wisconsin Department of Employee Trust Funds). For 2025 the employer and employee contribution rate is 6.95% for a total retirement contribution of 13.8%.
CUSTOMER SERVICE RESOURCES
Phone: 1-877-533-5020 Monday-Friday 7:45am-4:30pm (CST)
Contact Us | ETF (wi.gov)
APPLYING FOR RETIREMENT
Learn more about the 12-month process by watching the Applying for Retirement video series.
If you are within 12 months of your minimum retirement age, take the first step in the application process and request an official Retirement Benefits Estimates and Application by completing an online form or calling a benefits specialist at 1-877-533-5020. It may take up to 6 weeks for processing.
PLAN DOCUMENT RESOURCES
Eligible employees are encouraged to read through "YOUR BENEFIT HANDBOOK" and/or watch the video presentation below.
Overview of Wisconsin Retirement System
Additional Contributions Brochure
Contribution Rates (Current and Future)
Annual Rate of Return for Core and Variable Funds
Beneficiary Designation Form and Guidelines
Review your beneficiaries and your needs regularly. Birth, death, marriage and divorce are all common life situations that can change how you want your beneficiary designations structured.
Tax Sheltered Annuities
What is a tax sheltered annuity? A 403(b) plan (also called a tax-sheltered annuity or TSA plan) is a retirement plan offered by public schools and certain 501(c)(3) tax-exempt organizations. Employees save for retirement by contributing to individual accounts.
Who contributes funds to the tax sheltered annuity? Funds are deducted pre-tax or post-tax from the employee’s paycheck.
How can I enroll in a tax sheltered annuity? Contact WEA Member Benefits to set up your account and then notify the district office that you would like to start make contributions.
PLAN DOCUMENT RESOURCES
Enrolling and Funding Your Retirement Account
WEA Member Benefits Online Access to Set-up a 403(b), Traditional IRA or Roth IRA
Workers Compensation
CUSTOMER SERVICE RESOURCES
Risk Administration Services (RAS) provides claims reporting services to the New Auburn School District. Please report all claims within 24 hours of notifying the district office.