Benefits - Maintenance & Mechanics
2019 Benefit Enrollment Information
- 2019 Benefit Summary
- MESSA In-Network Plan Comparison (Compares All Five Plans)
- District and Employee Contribution Schedule
Additional Materials
- Medical MESSA Choices:
- Medical MESSA ABC Plan 1:
- Medical MESSA ABC Plan 2:
- ABC Plan 2 w/10% Co-Insurance and 3 Tier RX Medical Plan Highlights
- ABC Plan 2 w/10% Co-Insurance Summary of Benefits and Coverage
- ABC Plan 2 3 Tier Rx Coverage Overview
- ABC Plan 2 Rx Covered Medications and their Tier
- ABC Plan 2 Free Rx List
- ABC Plan 2 3 Tier Rx - Drugs Not Covered/Preferred Alternatives
- Understanding Deductibles
- Medical MESSA Essentials Plan
- Health Savings Account (HSA): Informational Booklet
- Eligible Expenses for Reimbursement (HSA, HRA and FSA)
- Dental: ADN Dental Guide - ADN Non COB - ADN COB
- Vision: Benefit at a Glance
- Accidental Injury - Benefit Summary
- Critical Illness - Benefit Summary
Insurance Carrier Enrollment And Change Forms:
- Medical - MESSA Choices Enrollment Form (no co-insurance)
- Medical - MESSA ABC Enrollment Form
- Medical - MESSA Essentials Enrollment Form
- Medical - MESSA Change Form
- Waiver - NCSD Medical Waiver Form
- Dental - ADN - Enrollment/Change Form
- Vision - N.V.A Enrollment Form - N.V.A Change Form - Claim Form
- Life Insurance - CIGNA Beneficiary Designation Form
- Critical Illness - Plan Information
- Accidental Injury - Plan Information
- LIFE Insurance Booklet
- LTD Insurance Booklet
Contact Sheila McDonnell at 248.449.1415 or Sheila.McDonnell@novik12.org if you have any questions.