Quick Links

Skip to main content Skip to navigation

Main Navigation

Top

Working...

Ajax Loading Image

 

Insurance Enrollment, Benefits and Coverage

Enrollment Information

Board & Employee Insurance Contributions 2022-23

HSA Enrollment Form (for employees new to the HSA plan)

HRA Enrollment Form (for employees new to the HRA plan) 

Blue Cross Initial Health Insurance Application (for first time health insurance enrollees only)


Summaries of Benefits

Blue Cross Health Savings Account Plan (HSA) (through August 31, 2023)

Blue Cross Health Reimbursement Arrangement (HRA) (through August 31, 2023)

BlueCare Dental Insurance (through August 31, 2023)

Blue Cross Blue Shield Vision Insurance (through August 31, 2023)

Blue Cross Blue Shield Life and AD&D Insurance (through August 31, 2023)

Blue Cross Blue Shield Web Access

Blue Cross Blue Shield Virtual Visits


HSA and HRA Information

HSA Compliance Overview- Withdrawal and Spending Rules 

HRA Claim Form and Procedures

HRA Employee Direct Deposit Authorization Form

HRA Summary Plan Description

HRA Plan Document


Affordable Care Act (ACA) Required Notifications

ACA Health Insurance Marketplace Coverage Options

ACA Health Insurance Marketplace Brochure

  • Facebook Icon
  • YouTube Icon

Peru Elementary District 124 1800 Church Street Peru, IL  61354

Phone: 815-223-1111 FAX: 815-223-0490

This institution is an equal opportunity provider.

Back To Top