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Employee Benefits

Information relating to the District's Health Plan, PATH to Health and Wellness, Section 125 Flexible Spending Accounts, benefit-related forms as well as benefit contact numbers can be found here. If you have specific questions relating to the benefits plan, contact:  Dawn Maranville, Benefits Coordinator, 452-2000, x11382.

DocumentsDownloads
Health Plan Enrollment Change Form0
2012 Health Benefit Plan Book

A comprehensive summary of the District's Health Plan which includes medical, dental, vision, audio and prescription drug coverage.

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2012 Health Plan Brochure0
Summary of Plan Benefits / Plan A340
Summary of Plan Benefits / Plan B143
2013 Health Plan Brochure321
Health Plan Waiver of Coverage Form0
Fairbanks Urgent Care PA Clinic Program Guidelines

Employees and dependents participating in Plan A are eligible to utilize the services of the PA Clinic through Fairbanks Urgent Care.

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PA Clinic Patient Registration Forms

If you or your eligible dependents would like to utilize the services of the PA Clinic contract, the process can be made easier as a first-time patient by completing these registration documents.

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PA Clinic Satisfaction Survey0
Benefits Contact List0
PATH Success0
FNSBSD Summary Plan Description0
Flex-Plan Services Enrollment Kit (Company Code: FSS)

Flex-Plan Services, Inc. is the company administering the Section 125 Medical and/or Dependent Care Flexible Spending Account program.

0
Flex-Plan Services Benny Card Overview0
Flex-Plan Services Enrollment Form / Order A Benny Card0
2013 Flex Plan Reimbursement Claim Form

Employees contributing to a Medical and/or Dependent Care Flex Spending account during 2013 can submit claims by using this form.

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WPAS Claim Form for Medical/Dental/Vision/Rx Expenses0
WPAS Health Plan Travel Reimbursement Preauthorization Form0
WPAS Employee PIN Request Form / Online Claims Viewing0
WPAS Dependent PIN Request Form / Online Claims Viewing0
Caremark Prescription Mail Order Form0
ING Group Life Insurance Plan Book0
ING Life Insurance Beneficiary Change Form0
ING Request for Change16
Long-Term Disability Insurance Plan Booklet (Exempt Staff)0
First Aid Injury/Incident Report438
FMLA Physician Certification Form0
Fitness For Duty427
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