Benefits Information Summary
For Benefited Employees of Springfield Public Schools
Effective 01-01-2007
This is not intended to provide all information regarding the benefits offered to employees of Springfield Public Schools. It is a summary of information for purposes of highlighting areas of interest. All rates and information are subject to change without notice.
Medical Plan Highlights
(Med-Pay 417-886-6886 or www.med-pay.com)
- St. John’s PPO Network Plan (Out of network services available at a reduced benefit)
- Claims process by Med-Pay
- Maximum Lifetime Benefit of $1,000,000
- Preventative Benefit – 100% deductible waived for $500 per calendar year maximum (in network)
If an HRA is completed after 1/1/2007, prior to any wellness visit an additional $200 will be allotted to your wellness fund.
Medical Deductibles/Coinsurance Maximums Per Calendar Year
|
In Network |
Out of Network |
Calendar Year Deductibles: |
|
|
Per Covered Person |
$500 |
$1,500 |
Per Family Unit – EE/Family |
$1,500 |
$4,500 |
Coinsurance Maximums: |
|
|
Per Covered Person |
$1,500 |
$4,500 |
Per Family Unit – EE/Family |
$4,500 |
$13,500 |
Employee Monthly Contributions |
|
District |
$319.25 |
Employee |
$0 |
EE/Spouse |
$243.90 |
EE/Children |
$232.20 |
EE/Family |
$477.00 |
Prescription Drug Benefit (Medtrak Services 1-800-771-4648)
|
In Network |
Out of Network |
Deductible Per Calendar Year: |
|
|
Per Covered Person |
$50 |
$250 |
Per Family Unit – EE/Family |
$100 |
$500 |
|
||
Co-payments Per Prescription: |
|
|
Name Brand Drug |
$10 plus 20% |
$10 plus 50% |
Generic Drug |
$5 plus 20% |
$5 plus 50% |
940 North JeffersonsSpringfield, Missouri 65802-3790
(417) 523-0022 s Fax (417) 523-0194
Dental Benefit (Delta 1-800-392-1167)
|
Basic Plan |
Advance Plan |
Calendar Year Maximum Benefit |
$1,000 |
$1,000 |
Calendar Year Deductible |
$50 per person (3/Family) |
$50 per person (3/Family) |
Preventative |
100% |
100% |
Routine Cleaning |
One cleaning every six (6) months |
|
Routine Oral Exam |
One oral exam every twelve (12) months |
|
Basic and Restorative |
80% |
80% |
Major |
N/A |
25% 1st yr/50% after 1st yr |
Orthodontics |
N/A |
50% |
Ortho Lifetime Maximum |
N/A |
$1,000 |
Employee Contributions |
||
|
Basic Plan |
Advance Plan |
Employee |
Board Paid |
$ 11.69 |
EE/Spouse |
$ 14.04 |
$ 37.12 |
EE/Child(ren) |
$ 24.86 |
$ 47.47 |
EE/Family |
$ 38.91 |
$ 72.90 |
Group Life Insurance Benefit
The District provides employees with coverage equal to one times their annual salary ($20,000 minimum). Additional optional coverage is available for the employee and any dependents. Maximum coverage available for the employee is the lesser of $150,000 or three times annual salary. Contact the Benefits Office at 523-0022 for eligibility.
Long Term Disability Benefit
The District provides employees with a basic plan, which would pay 66 2/3% of basic monthly earnings for two years should you become disabled. Optional coverage is available which would extend the payments after two years.
Tax Sheltered Annuities 403(b) and Deferred Compensation Plans 457(b)
The District offers Tax Sheltered Annuity 403(b) and Deferred Compensation 457(b) programs for regular employees. These tax-deferred annuities provide an effective method for accumulating money for your retirement as taxes are deferred on contributions and investment earnings until you decide to receive them. These plans are a payroll deduction program only, no matching contribution is made by the District. See the list of providers..
Tax Savings Plan
The Tax Savings Plan (Cafeteria Plan) allows employees to pay their portion of the insurance premium with pre-tax dollars. It also allows them to reduce their salary by a specified amount, to be directed into health care and/or Dependent Care Flexible Spending Accounts.
