Insurance Information
The Health Insurance Coordinator serves as a point of contact for those who have questions regarding the district health insurance plan. Enrollments, drops, and requests for changes in coverage are processed through the coordinator. The Insurance Coordinator also disseminates information regarding the insurance plan to all participants.
The following links provide information regarding your insurance benefits.
100% Covered Preventive Services (PDF)
Plan Documents
Employee Health Insurance Plan Document: Standard and Qualified High Deductible Health Plans - effective January 1, 2017 (PDF)
Employee Health Insurance Plan Document: Standard and Qualified High Deductible Health Plans - effective January 1, 2012 through December 31, 2016 (PDF)
COVID-19 Health Insurance Plan Amendment - effective March 1, 2020
Memo re: E-visits, Telemedicine, and Virtual Visit Covered Charges - effective March 1, 2020
Flexible Spending Plan w/Amendments (PDF)
Cares Act FLEX Spending Account Information
Working Spouse Policy Information and Forms
Introductory Letter - October 24, 2011 (PDF)
Working Spouse Policy Q and A (PDF)
Working Spouse Eligibility Form (PDF)
Open Enrollment
The annual open enrollment period for health insurance, dental and vision insurance, and FLEX plan takes place every November. Information pertaining to the current year’s open enrollment will be posted in October.
Open Enrollment 2023
EASE, our online open enrollment system, will be available beginning early November through December 1. All employees eligible to participate in the health insurance plan must complete the online enrollment process. Please review the information provided below as you consider your insurance needs for the coming year. All elections will be effective January 1, 2023.
Health Insurance Plan Document
Working Spouse Form - must complete annually if you cover your spouse
Information About Change in FLEX Plan Administrator (Migration from NCA to BRI)
HSA Payroll Deduction Form (QHDHP participants only)
Required Insurance Notices
We are required by law to provide these notices yearly to all who participate in our health care programs.
Notices Required Under PHS Act Section 2715
Summary of Benefits Coverage - PPO (PDF)
Summary of Benefits Coverage - HDHP (PDF)
Uniform Glossary of Terms (PDF)
October 13, 2022 Notices:
Notice of Privacy Practices (PDF)
Medicare Part D Notice - PPO (PDF)
Medicare Part D Notice - HDHP (PDF)
Women’s Health and Cancer Rights Act of 1998 (PDF)
Prior Notices:
Memo regarding Extension of Dependent Coverage to Age 26 (PDF)
Notice to Enrollees in Self-Funded NonFederal Government Group Health Plan (PDF)
CHIPRA Employee Letter (PDF)
CHIPRA Memo (PDF)
Submitting Insurance Claims
Our insurance carriers’ contact information and websites:
Health Insurance - address and fax to send claims:
IPMG
225 Smith Road
St. Charles, IL 60174
Fax Claims to: 630-203-4561
IPMG Website
Flex Health Care and Dependent Care Spending Claim Form
Vision Insurance - claims are usually submitted by the provider’s office
Vision Insurance Plan - VSP Signature Full Feature
VSP Website
Dental Insurance - claims are usually submitted by the provider’s office
Guardian Insurance Company
Guardian Insurance Company Website
Network Providers - a guide to verify our network providers
HFN, Inc.
P.O Box 247
Alpharetta, GA 30009
Phone: 630-954-1232
Fax: 630-954-1308
HFN, Inc. Website