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Benefits

Employee Benefits
 

the video below gives an overview of benefits offered through SoWashCo Schools.

Gallagher Benefits Video

 

BenefitFocus Login

*Must be logged into Staff Portal/Classlink before you begin*

Contact

Kimberly Shirek 
Benefits Specialist
651-425-6263
kshirek@sowashco.org

Kimberly Shriek, Benefits Specialist

 

Brittani Beatty 
Benefits Specialist
651-425-6251
bbeatty@sowashco.org

Brittany Beatty Photo

Quick Links: 2024 Benefits Documents

Benefitfocus

Benefitfocus is our new benefits administration platform that simplifies how SoWashCo Schools employees enroll in and manage their benefits. This system is available year round. Active benefit eligible employees will sign in using their ClassLink username and password.

Benefitfocus will now be used for:

  • New hire enrollments
  • Adding/updating life insurance beneficiaries
  • Life events or change in family status
  • Status changes
  • Reviewing benefit summaries
  • Open enrollment

BenefitFocus Login

*Must be logged into Staff Portal/Classlink before you begin*


HealthPartners Medical Insurance

HealthPartners medical insurance provides employees with great service, network options and price.

Two Network Options with HealthPartners

In addition to the HealthPartners Open Access plan, we are pleased to offer our employees the opportunity to select the HealthPartners Achieve Network as a way to lower your insurance premiums.

Open Access Plans

With HealthPartners Open Access Plan, just chose from the doctors in your network and get care whenever and wherever it works best for you.

Achieve Network Plans

Lower your health insurance costs and improve your health with HealthPartners Achieve High-Performance Network.

Achieve Network Overview
Why go with the Achieve Network? 
Achieve Network FAQs 

COVID-19 At-Home Test Coverage


DENTAL INSURance

 

NEW PROVIDER FOR 2024

 

2024 Provider: HealthPartners Dental

The following is an overview of your HealthPartners dental coverage. For exact coverage terms and conditions, consult your plan materials.

 

HealthPartners Dental Plan Highlights

Dental Tiered PPO Network A

Plan Highlights

In-Network Our-of-Network
Dental Plan Parameters Annual maximums and deductibles are combined across all tiers
Annual Maximum

Level 1: $1,000 per calendar year

Level 2: $1,000 per calendar year

$1,000 per calendar year
Individual Deductible (applies to Basic Care, Special Care and Prosthetics)

Level 1: None
Level 2: None

None
Family Deductible (applies to Basic Care, Special Care and Prosthetics)

Level 1: None
Level 2: None

None
Preventive and Diagnostic Care
Teeth cleaning, exams, dental x-rays and fluoride treatments

Level 1: 100%
Level 2: 80%

80%
Sealants

Level 1: 80%
Level 2: 80%

80%
Basic Care
Basic Care I
Fillings (amalgam and anterior composite)

Level 1: 80%
Level 2: 80%

80%
Posterior composite (white fillings) Level 1: 80%
Level 2: 80%
80%
Simple extractions Level 1: 80%
Level 2: 80%
80%
Non-surgical periodontics Level 1: 80%
Level 2: 80%
80%
Endodontics (root canal therapy)

Level 1: 80%
Level 2: 80%

80%
Basic Care II
Surgical periodontics

Level 1: 80%
Level 2: 80%

80%
Complex oral surgery Level 1: 80%
Level 2: 80%
80%
Special Care
Restorative crowns and onlays Level 1: 80%
Level 2: 80%
80%
Prosthetics
Bridges, dentures and partial dentures Level 1: 50%
Level 2: 50%
50%
Dental implants Level 1: 50%
Level 2: 50%
50%
Orthodontic Services
Orthodontic lifetime maximums are combined in and out-of-network.
Orthodontic care for dependents age 18 or under Level 1: Plan pays 50% up to $1,500 lifetime maximum
Level 2: Plan pays 50% up to $1,500 lifetime maximum
Plan pays 50% up to $1,500 lifetime maximum

*If your out-of-network dentist charges more than the maximum allowable amount, you may responsible for the difference.

Emergency Care: Refer to the Group Dental Member Contract for coverage of emergency dental services

Diabetes and Pregnancy: Additional periodontal services (exams, cleanings, scaling and root planing and debridement) for our members who are diabetic and/or pregnant are covered at 100% in-network. Deductibles, annual maximums and frequency limitations will be waived on these specific services for members referred into the program by a HealthPartners network dentist.

Benefit Limitations

  • Coverage for dental exams limited to twice each calendar year.
  • Coverage for dental cleanings (prophylaxis or periodontal maintenance) limited to twice each calendar year. 
  • Coverage for professionally applied topical fluoride limited to once each calendar year for members under age 19.
  • Coverage for bitewing x-rays limited to once each calendar year. 
  • Full mouth or panoramic x-rays limited to once every three years. 
  • Oral hygiene instruction limited to once per enrollee per lifetime.
  • Coverage for space maintainers limited to replacement of prematurely lost primary teeth for dependent members under age 19.
  • Replacement of crowns and fixed or removable prosthetic appliances limited to once every five years.
  • Certain limitations apply to repair, rebase and relining of dentures. 
  • Dental services related to the replacement of any missing teeth prior to the member's effective date are covered when services are performed by a provider in the HealthPartners Dental Tiered PPO Network A.
  • Non-surgical and surgical periodontics limited to once in two years.

THIS IS A BENEFIT SUMMARY SHEET ONLY. THIS DENTAL PLAN MAY NOT COVER ALL YOUR DENTAL CARE EXPENSES. 


eyemed vision insurance

SoWashCo is part of EyeMed's Insight Network.


Employees have two plans to choose from (see plan options below).

*Remember that you receive an annual eye exam covered by HealthPartners if you are enrolled in SoWashCo's HealthPartners health plan.

EyeMed Vision Plan


flexible spending accounts

 

New for 2024: Minimum of $100 election for FSA

 

Benefit Resource (BRI)

Employees that work at least 30 hours per week are eligible to participate in our Flexible Spending Accounts (FSA). Outside of the annual open enrollment period, you will have to wait until you have a qualifying life event in order to change your enrollment status for FSA.

The FSA program is administered by Benefit Resource (BRI). Visit their website at benefitresource.com. Your personal spending account status and claim history will be available to you at this site. If it is your first time visiting the BRI website, you will need to register your account. To register, you will need the following information:

  • Company code: southwcsd
  • Member ID: your SSN (no dashes)
  • Personal Information: first name, last name, date of birth, zip code
  • Access to email or phone number on file with Benefit Resource

Follow the prompts to select a new Login ID and Password. A confirmation code will be sent to your email or through text message (message rates may apply).

Contact BRI

Toll-Free: 888-717-1320
Local: 320-457-0058
Email: participantservices@benefitresource.com 
Website: www.benefitresource.com
Hours: Monday - Friday, 7am - 7pm

Creating an Online FSA with BRI

  • Visit BRI's website to login or download the free mobile app
  • Click "Register an Account" 
  • Company Code: southwcsd
  • Member ID: Your SSN, no dashes

About Flexible Spending Accounts


veba

What is a VEBA?

VEBA is for most employees enrolled in the Open Access and Achieve Network High Deductible Plan. Check your employee group to see if you qualify for a VEBA.

The VEBA contribution will be funded three times per year. Your annual VEBA contribution will be disbursed to your VEBA account as such:

  • 50% on Jan. 15
  • 25% on July 15
  • 25% on Oct. 15

A VEBA is a tax-free Health Reimbursement Arrangement (HRA) that provides a source of funds to pay for the cost of health, dental and vision care expenses for you and your dependents covered by the District's health plan. Please see the specific costs sheet for your union/employee group for details on your VEBA contribution from the district.

Contact BRI

Toll-Free: 888-717-1320
Local: 320-457-0058
Email: participantservices@benefitresource.com 
Website: www.benefitresource.com
Hours: Monday - Friday, 7am - 7pm

Creating an Online VEBA with BRI

  • Visit BRI's website to login or download the free mobile app
  • Click "Register an Account" 
  • Company Code: southwcsd
  • Member ID: Your SSN, no dashes


Employee Assistance program

Get Help With the Tough Stuff in Life

The Employee Assistance Program (EAP) offers immediate and confidential support to help resolve work, health, and life challenges to improve your life. Let us help you find solutions so you can reach your goals at any age or stage of life. We help millions of people worldwide live healthy, happy, and productive lives. 

Learn More

For immediate and confidential assistance:

Call: 888-293-6948
Send an Email: answers@healthadvocate.com
Contact Form

Health Advocate | EAP+Work/Life
 
 
 
 
 

Health Advocate makes healthcare easier for over 12,500 organizations and their members by leveraging a combination
of personal support, data and technology to engage people in their health and well-being. HealthAdvocate.com

 


Life Insurance and Long-term Disability

Upon your hire to a benefit-eligible position, you will have the opportunity to enroll in Life and Long Term Disability coverage. If you choose not to enroll at that time or wish to make changes to your level of coverage, please know that you may only enroll through an Evidence of Insurability process, which may require medical underwriting. If you are interested in completing this process, please contact your benefits specialist for the necessary paperwork.

Life and Long Term Disability coverage are underwritten by The Standard.

Changes to your beneficiary must be completed in Benefitfocus.

Life Insurance Beneficiary Change Form

Changes to your beneficiary must be completed in Benefitfocus.

BenefitFocus Login


Life Events

You may make changes to your health and/or dental insurance, outside of an open enrollment period, if you experience a life event AND you complete a change or enrollment form within 30 days of the life event. All changes must be made in Benefitfocus. Examples of IRS-qualifying life events include:


retirement accounts

Optional Tax Sheltered Accounts

A tax-sheltered account is a tax-deferred retirement investment plan such as the 403b and 457 plans offered through the District. The terms “403b” and “457” refer to sections of the IRS Code that define the rules by which “pre-tax” and "post-tax" investments may be made through payroll deduction. These voluntary saving plans supplement the mandatory defined-benefit pension plan (such as TRA or PERA) to which you already belong. 

mandatory pension plans

Teachers Retirement Association (TRA)

TRA New Hire

TRA Mid-career

TRA Planning for Retirement

Contact TRA

Public Employee Retirement Association (PERA)

PERA New Hire

PERA Mid-career

PERA Preparing for Retirement

Contact PERA


Voluntary Benefits

2024 Voluntary Insurance Documents


Insurance terms to know

Below are some common words and phrases you'll find while reviewing insurance plans and what they mean. If you have additional questions, please contact your benefits specialist.