Plan Description Summary of Benefits for Dental, Vision, Life, and Long Term Disability by group:
Summary of Benefits and Coverage - MESSA ABC 1 - All Groups
Summary of Benefits and Coverage - MESSA Choices 2017 - All Groups - with Co-Insurance
Summary of Benefits and Coverage - MESSA Choices - Union Administrators
Summary of Benefits and Coverage - MESSA Choices - Custodial-Maintenance
Summary of Benefits and Coverage - MESSA Choices - Non-Affiliated/Exempt Personnel
Summary of Benefits and Coverage - MESSA Choices - Teachers MPS
Summary of Benefits and Coverage - MESSA Choices - Union Clerical
Resources
EBC Dependent Care Reimbursement Form
( 72.4 KB )
EBC Medical Reimbursement Form
( 100.7 KB )
HIPPA Privacy Policy - Fully Insured Program
( 61.4 KB )
HIPPA Privacy Policy - Self Insured Program
( 57.9 KB )
HIPPA Privacy Notice
( 134.6 KB )
Medicare Notification
( 142.2 KB )
MESSA Employee Change Form
( 200.3 KB )
PPAC Exchange Notice
( 189.1 KB )
SET-SEG Change Form
( 25.7 KB )
SET Dental 58010 Monroe Schools Custodial Dental BAAG
( 80.0 KB )
SET Dental 58010 Monroe Schools Secretary Dental BAAG 1
( 80.2 KB )
SET Dental 58010 Monroe Schools Superintendent Central Office Union Administrators Dental BAAG
( 80.6 KB )
SET Vision 58010 Monroe Schools Custodial Vision BAAG
( 76.6 KB )
SET Vision 58010 Monroe Schools Superintendent Central Office Union Administrators Secretary Vision BAAG
( 77.1 KB )