Employee Benefits
- Dental Insurance
- Flexible Spending Account
- Family Medical Leave Act
- Health Insurance
- Life Insurance
- Long Term Disability
- Retirement 403B
- Retirement-HRA Plan thru Mid-America
- Retirement-Wisconsin Employee Trust Fund
Dental Insurance
DELTA DENTAL
800.236.3712
DELTA DENTAL
Group Dental Policy Benefit Summary
Benefit Period
September 1 - August 31
Maximum Benefit per Person per Year (not Including Orthodontic Benefits): $1500
Maximum Benefit per Person per Lifetime for Orthodontic Benefits: $1,500
Annual Deductibles: $0
Enrollment due to loss of coverage: Enrollment Form
Flexible Spending Account
Employee Benefits Corporation
P.O. Box 44347
Madison, WI 53744-44347
Bestflex Plan
Link to EBC
Enrollment Guide
My Account Assistant Guide
Benefit
Benefit Summary
Health Care FSA Rollover
Benny Card
Coverage
Eligible Expenses
Worksheet
Submitting Claims
Year-End Claims
Family Medical Leave Act
Description and Guidelines:
FMLA - Worksite Notice
FMLA Employee Rights
Definitions of FMLA:
Need to Apply?
FMLA Directions (Employee)
FMLA Form A - Request Form (Employee)
FMLA Form B - Eligibility Notice (Employer)
FMLA Form C - Designation Notice (Employer)
FMLA Form D - General Notice (Employee)
FMLA Medical Certification Form - Own Serious Health Condition
FMLA Medical Certification Form - Family Member
Health Insurance
Dean Health Plan
P.O. Box 56099
Madison, WI 53705
608.279.1301
deancare.com
Benefit Period:
September through August
Benefit Summary
9/1/18-8/31/19
Find a Doctor: Doctors
Life Insurance
Standard Insurance Company
800.527.0218
www.standard.com
Assistance@uhcglobal.com
Group Life Insurance and Optional Coverage:
Benefits Summary
Coverage: $50,000
Certificate of Group Life Insurance - Hourly Employees
Certificate of Group Life Insurance - Salaried Employees
Travel Assistance
Long Term Disability
Standard Insurance Company
800.527.0218
www.standard.com
Assistance@uhcglobal.com
Long Term Disability:
Benefit Summary
Retirement 403B
Retirement-HRA Plan thru Mid-America
MidAmerica Administrative & Retirement Solutions, Inc.
402 South Kentucky Avenue, Suite 500
Lakeland, FL 33801
800.430.7999
https://www.midamerica.biz/
Retirement-Wisconsin Employee Trust Fund
Wisconsin Department of Employee Trust Funds
P.O. Box 7931
Madison, WI 53707-7931