Employees insurance resources such as medical, dental, vision, life and more.

Jefferson Health Plan Welcome Letter. 

Jefferson Health Plan HIPAA Notice of Privacy

HSAMedicalPrescriptionVisionDentalWellnessBoard Paid LifeVoluntary Life
American Fidelity HSA Website
American Fidelity HSA Forms
American Fidelity HSA Deduction Form
HSA Contribution Limits 2020-2021
HSA Application and Custodial Agreement

Medical Mutual

  • Log in to My Health Plan to view & manage your personal health information, claims and more.
  • Install the free MedMutual app for your iPhone or Android.
Medical Mutual Website
Medical Mutual Application
Medical HN Benefit Summary 2021
Manditory Spouse Enrollment Certification Form
Non Emergency Room Memo
ER vs Primary Care
Medical Mutual Cleveland Clinic Express Care
Medical Mutual Express Care
Medical Mutual Where to Find Care
Medicare Part D Notice
Prescription Drug Plan Introduction Letter 12.04.20

VSP (Vision)

  • See your personal benefit information. Find the right doctor for you.
VSP Website
VSP Benefit Summary Choice Plan
VSP Membership Enrollment Form

Delta Dental

  • The move from CoreSource to Dental Dental as our insurance provider is effective January 1, 2019.
Delta Dental Plan Enrollment Form
Delta Dental Website
Delta Dental Benefit Summary Standard (Jan 2022)
Delta Dental Benefit Summary Premium (Jan 2022)
Dental Delta Mobile App Adroid
Dental Delta Mobile App Apple

2019 Healthy School Point System (November 1, 2018 to October 31, 2019). Incentive Paid out December 2019 via payroll department of each district.

2020 Healthy School Point System
2019 Healthy School Point System Worksheet
Non Tobacco User Affidavit

Certified Life Insurance Policy

Classified Life Insurance Policy

Life Insurance – Enrollment Form

Voluntary Life Insurance

Life Insurance – Enrollment Form