• Life Eventsorder health care cards

     

    Health Plan Book

     

     

     

     

     

    American Fidelity

    To make a new hire appointment:

    American Fidelity Website:  
    https://americanfidelity.com/fairbanks


    If you have secondary insurance please review the following guidelines: Coordination of Benefits.

     

    FSA, HRA & HSA

    Flexible Spending Account

    A Flexible Spending Account allows Eligible FNSBSD employees to pay for qualified health and dependent care expenses with pre-tax dollars which reduces your taxable income.

    Maximum Annual Contributions for 2022 are:

    • Medical FSA - $2,850

    Maximum Annual Contributions for 2023 are:

    • Medical FSA - $3,050

    You must enroll each year during open enrollment or within 30 days of an IRS qualifying status change to participate.

    • Health Care FSA — reimburses you for most out-of-pocket medical, dental, orthodontia, and vision expenses.
    • Dependent Care FSA – reimburses you for out-of-pocket, non-educational, and non-medical dependent care expenses that are incurred because you and your spouse, (if married) work.
    • FSA Eligible Expenses


    Health Reimbursement Arrangement (HRA)

    Available with Plan C only.

    A Health Reimbursement Arrangement allows FNSBSD to set aside funds for you to spend on qualified health care expenses. Money not used in one calendar year can be rolled over as long as you remain in Plan C. FNSBSD will contribute up to $750 to each employee’s account. 

    Contributions made by FNSBSD will be available in full on January 1 of each year.

    You can use these funds for you and your dependents that are enrolled in Plan C. If you leave Plan C, the funds will be forfeited.

    How the HRA works with a Flexible Spending Account (FSA):

    • You may have both an HRA and enroll in an FSA. 
    • Expenses are paid from the FSA first, as those funds are use-or-lose.
    • HRA Eligible Expenses

     

    Health Savings Account (HSA)

    Available with Plan B only

    A Health Savings Account lets you set aside money to pay for future medical costs through your own tax-deferred contributions.

    • You may make pre-tax contributions through payroll deductions, which reduces the amount of taxable income.
      • For 2022, the maximum employee contribution is $3,650/individual and $7,300/family.
      • For 2023, the maximum employee contribution is $3,850/individual and $7,750/family.
    • The FNSBSD will contribute up to $750 each year to your HSA, if you elect it.
    • The money stays in your account from year to year. It is yours to keep even after you leave FNSBSD. There is no deadline to use HSA contributions, so you can continue to save for a rainy day or to help pay for medical needs into your retirement years.
    • An HSA is similar to an individual retirement account (IRA) because it too can be invested in a variety of investment vehicles while accumulating tax-free interest. The advantage of an HSA compared to an IRA is that the funds from an HSA are not taxed when they are withdrawn to pay for qualified medical expenses.

    You must elect this benefit annually.

    You may enroll in either the HSA or the Health Care FSA, but not both.

    You are eligible for an HSA if you're an individual who:

    • Is covered under a qualified high-deductible health plan (HDHP), such as Plan B;
    • Is not also covered by any other health plan that is not a qualified HDHP;
    • Is not enrolled in Medicare; and
    • May not be claimed as a dependent on another person’s tax return.

    If you don't meet all these criteria, you are not eligible to enroll in an HSA. You may elect a Health Care FSA. You may still elect Plan B.

     

    Life & Long Term Disability Insurance

    Principal Life Insurance

     Long-Term Disability Insurance

    Call American Fidelity (Tracy Fannin 1-866-576-0201) or log into your americanfidelity.com account, if you have questions regarding:

    • Health Savings Account (HSA)
    • Flexible Spending Account (FSA)
    • Dependent Care Flexible Spending Account (DFSA)
    • Health Reimbursement Arrangement (HRA)
    • Voluntary/Supplemental Life
    • Disability/Cancer/Accident/Life Insurance

     

     

     

     

     

     

    COBRA

    The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a health insurance program that allows an eligible employee and/or his or her dependents the continued benefits of health insurance coverage after becoming ineligible due to end of employment, divorce, loss of dependent child status, etc. 

    Enrollment must be received by Human Resources within 60 days of loss of coverage.

    COBRA rates for 2022:

     

    Plan A

     

    Plan B

     

    Plan C 

    (no HRA)

    Plan C 

    (HRA)

    D/V/A

     

    EE Only

    $2,538.61

    $624.85

    $943.92

    $970.74

    $78.46

    +Spouse/+kids

    $3,528.67

    $868.54

    $1,312.05

    $1,349.33

    $137.31

    +Family

    $5,813.41

    $1,430.91

    $2,161.58

    $2,222.99

    $235.39

     

    COBRA rates for 2023:

     

    Plan A

     

    Plan B

     

    Plan C 

    (no HRA)

    Plan C 

    (HRA)

    D/V/A

     

    EE Only

    $3,338.00

    $698.96

    $973.99

    $1,001.52

    $71.60

    +Spouse/+kids

    $4,172.50

    $873.70

    $1,217.49

    $1,251.90

    $146.78

    +Family

    $7,510.51

    $1,572.66

    $2,191.48

    $2,253.41

    $232.71

     

     

     

     

    Qualifying Life Events

    Do you have a qualifying life event? 

    You can make mid-year changes to your plan if you have one or more of the following events:

    • Marriage,

    • Divorce or legal separation,

    • Birth or adoption of a child, 

    • Death of a Dependent

    • Dependent gain or loss of coverage

    • Change in coverage under another employer plan, or

    • A change in employment status

    Complete the appropriate form below and submit it to benefits within 30 days of your qualifying life event.

    Healthcare Enrollment Form

    Make sure and submit any supporting documents with your enrollment form! These include your marriage certificate, birth certificates for children, or a waiver form, if applicable.

    Health Plan Waiver of Coverage Form

    This document is needed if you are waiving Health Insurance.


American Fidelity Contacts

District Contact

Last Modified on November 18, 2022