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.

Cover Memo

Health Insurance Plan Document

Health Plan Comparison Table

Network Information

Working Spouse Form - must complete annually if you cover your spouse

Information About Change in FLEX Plan Administrator (Migration from NCA to BRI)

FLEX Enrollment Form 

HSA Payroll Deduction Form (QHDHP participants only)

Dental Insurance Information

Vision Insurance Information

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)

Submitting Insurance Claims

Our insurance carriers’ contact information and websites:

Health Insurance - address and fax to send claims:

225 Smith Road
St. Charles, IL 60174
Fax Claims to: 630-203-4561
IPMG Website

BRI Flexible Spending Plan

 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