SAU 29 New Hampshire

Human|Resources > Employee Benefits > Keene Custodians

KEENE CUSTODIANS

Keene Custodians who work 40 hours per week are offered a comprehensive benefits package of medical insurance, including prescriptions and vision care; dental insurance; life insurance; long-term disability and short-term disability; enrollment in the NH Retirement System; direct deposit; 403(b) plan through Fidelity; sick leave; paid personal leave; paid holidays; and vacation leave.

The first sixty (60) days of employment as a Keene custodian is considered a probationary period to permit the district to determine a new employee's fitness and adaptability for the work required.

The first of the month following 60 days of probation, a Keene custodian may enroll in medical and/or dental insurance. Once you submit your elections, your choices will be recorded as your benefits elections until the next Open Enrollment period (every July 1st). You may not make any changes to your elections unless you have a qualified family status change. The effective date for medical and/or dental insurance is the first of any given month following 60 days probation or the first of the month following the date of a qualifying event.

Currently, both medical and dental insurance is offered through the Local Government Center (LGC) HealthTrust. LGC HealthTrust has contracted with Anthem BC/BS of NH to insure their medical plans and Northeast Delta Dental to insure the Option 4B dental plan offered to Keene Custodians.

Keene Custodians Collective Bargaining Agreement

MEDICAL PLAN

Summary Plan Description:

Matthew Thornton Blue HMO Medical Plan Summary

COSTS

Employee deductions for medical and dental are taken on a pre-tax basis throughout the year. In 2011-2012, Board's contributions for medical are based on 85% of the current HMO premiums.

HMO (Rx $3/$15)	Annual Cost	Board's Annual Cost	Employee's Annual Cost	Employee Cost per payperiod*
Single	$ 7,660	$ 6,511	$1,149	$ 47.89
2-person	$15,321	$13,023	$2,298	$ 95.74
Family	$20,683	$17,580	$3,103	$129.29

DENTAL PLAN

For the 2011-12 school year, the Board will contribute up to $750 towards the Northeast Delta Dental Plan, Option 4B.

Delta Dental Option 4B	Annual Cost	Board's Annual Cost	Employee's Annual Cost	Employee Cost per payperiod*
Single	$ 354	$354	$ 00	$ 00
2-person	$ 689	$689	$ 00	$ 00
Family	$1,219	$750	$469	$19.55

*In 2011-12, 24 payroll deductions will be taken for health and dental insurance from July 15, 2011 to June 15, 2012 (includes a 3rd payroll deduction in December).

A completed Medical and/or Dental Application and Change Form is required to enroll in the District's medical and/or dental insurance. Click here to locate the forms at the Local Government Center's webpage.

PRESCRIPTION COVERAGE

Prescription coverage for employees and eligible family members on the HMO plans is offered through the Caremark Prescription Benefit Program at:

$3.00 co-pay for generic prescriptions
$15.00 co-pay for brand name prescriptions
$1.00 co-pay for 90 day mail away through CVS/Caremark

VISION CARE

Employees and eligible family members enrolled in LGC HealthTrust’s medical plans are also automatically enrolled in the EyeMed Discount Vision Plan. To learn more about this discount plan, read the "Vision Care" section of LGC's HealthTrust Benefits Overview located at the below link.

EyeMed Information

LIFE INSURANCE

Term life insurance, with Accidental Death & Dismemberment (AD&D) is offered to an employee at no cost through the Lincoln Financial Group. Keene custodians have a term life benefit amount of one times (1x) the annual rate of basic earnings rounded to the next higher multiple of $1,000. Life insurance goes into effect the first day of the month following 60 days of continuous employment and remains in effect until an employee either retires or resigns. Upon first becoming eligible for the District paid term life insurance, please complete Sections A & C only, sign and date the Enrollment Form and return to Human Resources: Lincoln Enrollment Form

To make any future changes to your designated beneficiary(ies), complete the Lincoln Beneficiary Form and return to Human Resources.

Following is your Life Insurance Policy to print for your records, along with a copy of Lincoln's Privacy Practices Statement and information on TravelConnect-travel assistance services offered through Lincoln.

LONG-TERM DISABILITY INSURANCE

Long-term disability insurance is fully funded by the Keene School District at no cost to the employee. Long-term disability (LTD) is paid as a monthly benefit by our insurance carrier at 60% of your pre-disability earnings. A Keene Custodian is eligible for LTD the first of the month following a 60 day probation period. The benefit waiting period for long-term disability is the later of: a) 90 days; or b) the date your accumulated sick leave ends, if applicable.

LTD Insurance Booklet

SHORT-TERM DISABILITY COVERAGE

Short-term disability (STD) is paid by the District at 60% of either your per diem rate (if you are paid an annual salary), or 60% of your hourly rate (for support staff). An employee is eligible for STD upon exhaustion of all sick leave OR on the 10th consecutive day out sick (whichever is later).

NEW HAMPSHIRE RETIREMENT SYSTEM

All full-time, eligible employees must enroll in NHRS. Click here for more information and enrollment forms.

DIRECT DEPOSIT

Upon being hired, a Keene custodian must elect direct deposit of paychecks by completing the following form and returning to the payroll office:

Direct Deposit Form

403(B) Plan

NH School Administrative Unit 29 is pleased to partner with Fidelity Investments as our exclusive provider of investment options and recordkeeping services for the SAU 29 403(b) plan.

403(b) Plan Information