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.  

MEDICAL PLAN

 
Summary Plan Description:

• Matthew Thornton Blue HMO Medical Plan Summary

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COSTS

Employee deductions for medical and dental are taken on a pre-tax basis throughout the year.  In 2010-2011, Board's contributions for medical are based on 88% of the current HMO premiums.

DENTAL PLAN

For the 2010-11 school year, the Board will contribute up to $750 towards the Northeast Delta Dental Plan, Option 4B.

*In 2010-11, 24 payroll deductions will be taken for health and dental insurance from July 16, 2010 to June 17, 2011.

FORMS NEEDED TO ENROLL IN MEDICAL AND/OR DENTAL INSURANCE  

• Medical and/or Dental Application and Change Form

• Dependent Child Certification Form

• Civil Union Partner – Certificate of Tax Dependent Status

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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 the LGC HealthTrust’s medical plans are also automatically enrolled in the EyeMed supplemental vision program.

•  EyeMed Information

LIFE INSURANCE

Term life insurance, with Accidental Death & Dismemberment (AD&D) is offered to eligible Keene Custodians members at no cost.  Members have a life benefit amount of one times (1x) the annual salary rounded to the nearest thousand.  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 initial date of hire, or to change a beneficiary, please complete the following sections only on the enrollment form and return to Human Resources:  Applicant, Beneficiary and Signature. 

• Keene Custodians Life Insurance Enrollment Form
• Keene Custodians Certificate of Life Insurance Booklet

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 LTD 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.  

• Keene Custodians 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).

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NEW HAMPSHIRE RETIREMENT SYSTEM

The NH Retirement System is a public employee, defined benefit plan that provides a lifetime pension upon retirement.  The amount of the pension is based on salary and active years of service.  Teachers and employees contribute 5% of their gross pay into NHRS.  Once a member has contributed to NHRS for a minimum of ten (10) years, they become vested and eligible for a lifetime pension.  A member who is age 60 or older and actively working may retire with no minimum years of creditable service.

ENROLLMENT FORMS - To enroll in NHRS, please complete the following two forms and return to the SAU 29 HR office, along with required copies of your birth certificate and social security card:

• NHRS Member Information/Enrollment Form  
• NHRS Designation of Death Beneficiaries Pre-Retirement Form

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
  

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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