- Employee Handbook and Appendices
- Benefit Guide Books
- Important Annual Notices
- Request for Leave
- Request for Change to Benefit Elections
Please see the Benefit Documents below for your reference. If you need assistance accessing or interpreting the documents, please contact Human Resources and we will assist you.
Please refer to the Employee Handbook, Section 8 and Section 9, which outline the District's Leave Policies. If you have questions or concerns, please contact Melissa Beck at (262) 255-8396.
The Family Medical Leave Act entitles eligible employees of covered employers to take unpaid, job protected leave for specified family and medical reasons with continuation of group health coverage under the same terms and conditions as if the employee had not taken leave.
Requests for FMLA may be submitted to firstname.lastname@example.org, or via interoffice mail to Melissa Beck, HR Manager-Benefits.
If an employee is not eligible under FMLA, or are requesting time off that is not qualified under FMLA, they must submit their request to the Human Resource Department for approval.
Please complete and submit the request to email@example.com, of via interoffice mail to Melissa Beck, HR Manager-Benefits.
Employee's may request a change to their benefit elections outside of the annual open enrollment if they experience a Qualifying Life Event, such as marriage, death, divorce, birth, adoption, or loss of coverage.
It is the employee's responsibility to notify the Human Resource office within 30 days of the qualifying life event by completing and submitting the Request for Change form along with documentation of the Qualifying Life Event. If the change is not submitted within the 30 day window, you will have to wait until the next open enrollment period to make your changes. The District's annual open enrollment is held in the Fall with changes effective January 1st.
Please complete the form below and submit it to Melissa Beck at firstname.lastname@example.org with the proper documentation.
- Health Plan
- Health Savings Account
- Flexible Spending Accounts
- Dental Plan
- Vision Plan
- Life Coverage
- Disability Coverage
- Employee Assistance Program
- Retirement Savings Plan
- WRS - Wisconsin Retirement System
The School District of Menomonee Falls offers comprehensive medical and prescription drug coverage for its employees.
The District Partners with UMR, a third party administrator, who provides the network options and claims administration for members for the District.
2018 Summary Plan Description - Active Employees
2018 Summary of Benefits and Coverage - Active Employees
The School District of Menomonee Fall's health plan offers Prescription Drug coverage through Express Scripts, a third party Pharmacy Benefit Manager.
Manage your Prescription Drug needs online at https://www.express-scripts.com/
Express Scripts Customer Service: 888-848-4452
As prescription medication costs continue to increase, you may be searching for ways to lower your costs at the pharmacy. As a member, you have the ability to cost compare across pharmacies by using this link. Other resources are below.
- $4 Walmart Drug List (get your meds for $4!)
- Walgreens 90 day fill - If your prescription is on the list, you can get a 90 day supply at Walgreens and save some dollars
- Mail Order - If your prescription is not available through the Walgreens 90 day fill, you can save dollars by enrolling into mail order
The District health plan is a Qualified High Deductible Health Plan. If an employee is enrolled in the health plan and is eligible, they may establish a Health Savings Account at a bank of their choosing.
An HSA works in conjunction with a Qualified High Deductible Health Plan (QHDHP). HSA dollars can be used to help pay for qualified medical expenses - such as deductible expenses- and out of pocket dental and vision expenses with pre-tax dollars.
The IRS sets the allowable calendar year contribution amounts every year. Below are the current maximum allowable contributions for a health savings account based on coverage level.
|Coverage Level||2018 Maximum||2019 Maximum||55+ Catch Up|
- Dollars can be used for out of pocket medical, dental and vision expenses
- Tax deductible off of gross income
- Interest earnings grow tax-defered
- NEVER taxed when used for qualified medical expenses
- Rolls over year after year - no "use it or lose it"
- Portable - it is your money - it goes with you wherever you go
- Direct deposits may be made directly into the HSA account that you set up
- Pre-tax deductions may be set up through payroll
- HSA Deduction Form - Please complete this form and return it to the Payroll Office with confirmation of your HSA account
The District partners with Diversified Benefit Services to provide flexible spend account options for employees to set up pre-tax payroll deductions.
If you have questions regarding your Flexible Spend Accounts you may contact Diversified Benefit Services directly at 262-367-3300.
A Flexible Spending Account allows employees to elect to have monies taken out of their payroll check on a pre-tax basis in order to pay for out of pocket medical, dental and vision expenses that are qualified expenses.
The annual maximum amount an employee can elect is $2,650 based on a calendar tax year. This is a use it or lose it benefit, therefore, if you do not incur claims within the plan year of your election, you will forfeit all but $500 of the remaining monies.
A Dependent Care Account allows employees to elect to have monies taken out of their payroll check on a pre-tax basis in order to pay for dependent daycare needs.
The annual maximum amount an employee can elect is $5,000 based on a calendar tax year. This is a use it or lose it benefit, therefore, if you do not incur the expenses within the plan year of your election, you will forfeit any monies leftover.
Claims must be filed directly with Diversified Benefit Services. You are able to file a claim online, via fax, mail or their mobile app.
Funds from a flexible spending account are accessible up front. Dependent care expenses, are only dispersed as the funds are credited to your account.
Click Here for more information on these options.
The District partners with Reliance Standard to provide life coverage to eligible employees and their families.
The District maintains Beneficiary Information for the life coverage. If you need to update your Beneficiary Information please complete the Beneficiary Designation Form and return it to the Human Resource Office.
If an employee is eligible for the District provided life coverage, they may also choose to enroll themselves or their family members in additional voluntary life coverage. This coverage is subject to the terms of the carrier and may be subject to underwriting.
The District partners with Madison National Life to provide you with income replacement should you become disabled and unable to work due to a non-work related illness or injury. The District provides eligible employees with long-term disability income benefits at no cost. Short-term disability is voluntary and enrollment is optional.
Long-Term disability benefits are provided by the District to eligible employees. The benefit kicks in on the 60th calendar day of being off of work and pays 66 2/3 of the monthly gross income, not to exceed $7,000 per month.
Sick leave pay will cease effective the first day long-term benefits begin.
Certificate of Coverage - All Active Eligible Employees, except Superintendent
Certificate of Coverage - Superintendent
The District offers the option for eligible employees to enroll in a voluntary short-term disability plan. The short-term disability plan will begin on day 1 for an accident and day 7 for an illness and pay out the weekly benefit amount elected at time of enrollment.
Short-term disability will pay out in conjunction with sick leave pay.
Maternity benefits are considered as an illness and will therefore pay out after 7 days up to a maximum of 6 weeks for a regular birth and 8 weeks for a C-section.
If you did not enroll in the coverage initially, you may enroll at a later date by completing the Evidence of Insurability Form and forwarding this to the HR Office.
Sometimes life can be challenging. That’s why the District provides an employee assistance program (EAP) to all eligible employees -- at no cost to you. The EAP is designed to provide prompt, confidential help with a range of personal and family issues that may affect all of us from time to time.
A 24-hour toll-free telephone line staffed by professional counselors is an option when you want to talk to someone anonymously or if you feel the situation warrants a professional counselor.
All employees of the School District of Menomonee Falls are eligible to participate in the Voluntary Retirement Savings Plan. Employees can choose to set up a 403(b) or 457 with any of the District's three approved vendors.
Salary Reduction Agreement - Once you have established your retirement savings account please complete this form and return it to the Payroll Office.
Employees working in WRS covered positions who are regularly scheduled to work 880 or more hours in a rolling 12 month period are eligible for membership in the State retirement plan known as WRS. If eligible, employee participation in mandatory. If you are unsure of your eligibility, please contact the Payroll Department.
The 2018 contribution requirement is 6.7% of gross income. The District matches the contribution at 6.7%.
For questions on your WRS benefits, please contact them directly at (877) 533-5020.