Insurance Forms

• Blue Cross Blue Shield Enrollment/Change Form
• Northeast Delta Dental Enrollment/Change Form
• FSA Enrollment Form
• Lincoln Voluntary Life Enrollment Form

Payroll

• W-4
• Automatic Deposit Enrollment/Change Form
• 403(b) ROTH Agreement
• 403(b) Salary Reduction Agreement
• 403(b) Participating Providers

Health Insurance

• Benefits Guide
• VEHI Health Plan Comparison
• Health Rates: 1/21 - 6/21
• Health Rates: 7/21 - 6/22
  (rates are not available yet)
• HRA Wrap Employer Pays First
• HRA Summary of Benefits
  • Gold
  • Gold CDHP
  • Platinum
  • Silver CDHP
• Prescription Costs

Dental Insurance

• Outline of Coverage

Vision

• EyeMed

HRA

• Summary A
• HRA Fact Sheet
• HRA Essential Guide ER Pay HPC

HSA

• BCBSVT Further Partnership
• HSA Fact Sheet
• HSA Essential Guide
• HSA Worksheet

FSA

• FSA Fact Sheet
• FSA Medical Care - Essential Guide
• FSA Medical - Worksheet
• FSA Dependent Care - Essential Guide
• FSA Dependent Care - Worksheet

Life Insurance

• Lincoln Optional Life Insurance Flyer

403b

• Plan Summary Information 2021

• Mileage
• Lodging 
• Meals

Linda Nash
Human Resources
802-295-8600
nashl@hartfordschools.net

Who Does What at the Superintendent's Office

• What is the Employee Assistance Program?
• Lunch and Learns
• Online portal for stress tools for VT school employees

• Request a Personal/Emergency Day
• Request a Professional Day

• Easing the Transition to Home-Based Work
• HSD Response Page

(Click the image for details)

(Click the image for details)

UPDATE 4/24/20: VEHI COVID-19 Update & Summary

Since mid-March, VEHI has been working closely with BCBSVT and state regulators to ensure that school employees and their families have access to the medical care they need during the pandemic, and to help stop the transmission of the virus.

This campaign monitor lists the VEHI benefit changes now in effect in response to the health emergency, including two new ones: ambulance transportation and prescription drug coverage.

To learn more, please click HERE for details.

UPDATE 3/23/20:  Enhanced Telehealth Services and Special Assistance for the Uninsured Now Available During Pandemic Crisis

During these uncertain times, we are happy to notify you that BCBSVT, working together with its in-network providers and national telemedicine contractor, has expanded and enhanced telemedicine benefit coverage. 

As of March 20, these additional services will be available to VEHI subscribers and anyone enrolled in a BCBSVT benefit plan:

• Urgent Care telemedicine services through Amwell at no cost to employees. (Amwell contracts with BCBSVT to provide telemedicine benefits.)
• Vermont providers can now offer expanded telemedicine services over various auto-visual platforms, at the same coverage level as an in-person visit.
• Uninsured Vermonters are eligible for a special enrollment period through Vermont Health Connect.

To learn more, please click HERE for details.