- 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
- Health and Wellness Information
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.
2020 Summary Plan Document - Active Employees
2020 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. With a High Deductible Health Plan, members pay out of pocket for prescription costs.
You are able to manage your Prescription Drug needs by registering online at https://www.express-scripts.com/ and accessing the cost compare tools.
If you have questions please contact Express Scripts Customer Service at 888-848-4452.
Other resources that you may find helpful to lower your prescription drug needs are below.
- 100% Coverage for Preventive Medications (log on to your Express-Scripts account for the most up to date listing!)
- $4 Walmart Drug List (get your meds for $4!)
- Smart 90 Program - 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
- Specialty Pharmacy - You will be notified if you prescription needs to be filled through this program
NEW BENEFIT! Make the Change You've Always Wanted, for FREE
Real Appeal is available NOW at no additional cost to employees, spouses and dependents age 18 or older who are enrolled on the District's health plan benefits
- Small steps. Lasting change. Set achievable nutrition, exercise and weight loss goals, then track your progress from your daily dashboard
- Support and guidance. Committed to you. Stay focused on your goals with online group sessions led by coaches and a caring community of members.
- Tools and resources. Delivered to your door. You'll receive a Success Kit with weight and food scales, exercise tools, food guides and more.
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||2020 Maximum||2021 Maximum||55+ Catch Up|
- Direct Deposits may be made directly into the HSA account that you set up
- Any deposits made into your HSA outside of payroll can be deducted off your gross income as a line item on your 1040 form
- 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
- Skyward Employee Access Check Estimator Tool
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.
- Flexible Spending Accounts
- Limited Purpose FSA
- Dependent Care Accounts
- File a Claim
- COVID-19 Updates
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 for 2021 is $2,750 based on the 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 $550 of the remaining monies.
NEW for 2019! If enrolled in a Health Savings Account(HSA), employees may choose to participate in a Limited Purpose flexible spending account (LPFSA) option. While the HSA can be used for medical, prescription drugs, dental and vision expenses, the LPFSA can only be used for dental and vision expenses.
The annual maximum amount an employee can elect is $2,750 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 $550 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.
If you have a Debit Card, please review the following information on how to properly use your Debit Card.Debit Card Substantiation
With the passing of the CARES Act, coverage for Over the Counter (OTC) medications has been reinstated under HSA/FSA plan. OTC Product Guide
The Carryover provision has been increased to $550 for the 2020 plan year (this does not apply to Dependent Care FSA).
Due to COVID-19, employees may prospectively increase, reduce, elect new or revoke their Medical FSA, Limited Purpose FSA or Dependent Care FSA elections. Please complete and return the Status Change Form to email@example.com.
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 $10,556 per month.
Sick leave pay will cease effective the first day long-term benefits begin.
Certificate of Coverage - All Active Eligible Employees
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.
If you need to file a claim, the following forms must be completed by yourself and your treating provider. Please notify the HR office as well. You can complete the forms below, or online at https://www.madisonlife.com/.
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.
Effective August 1, 2020, the District has increased the number of FREE sessions to six (6) per incident per calendar year to help provide increased support to employees in need.
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.
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.
Effective January 1, 2020, the required contribution is 6.75% of the employee's gross income and the District will match the contribution at 6.75%.
For questions on your WRS benefits, please contact them directly at (877) 533-5020.