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Employee Benefits
Employee Benefits
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Administered by The Empire Plan
1-877-769-7447 (Empire Plan)
When calling be sure to have your insurance card handy! You will need your ID number. -
Administered by United Health Care
- $1,000,000 annual maximum; no lifetime maximum
- $20 co-pay for providers
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- 100% coverage at accredited hospital for one year
- $70 co-pay for emergency room service - Call within 48 hrs. after emergency visit
- Hospitals typically file claims on patient's behalf
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Administered by Caremark
Simply create a user name and this site will tell you the cost of your medications plus your medication history! -
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Administered by United Health Care
- Physical Therapy
- Home Advocacy
- Chiropractic
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Administered by Delta Dental
Delta Dental PPO of New York
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Administered by Preferred Group Plans
1-800-573-7474
Allows for payment of eligible expenses with your pre-tax dollars- $3,050 annual maximum for medical expenses: Co-pays and deductibles, chiropractic, contact lenses and supplies, hearing aids and batteries, home health care, physical therapy, orthodontic, health club memberships and massage if prescribed by doctor
- $5000 annual maximum for eligible child care expenses for children up to age 13 including nursery school, before and after school care
- $5000 annual maximum for elder care
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Administered by Shelter Point - May submit claims for Date of Serivices up to and including 12/31/2024
1-516-465-3900- Plan covers remaining 20% beyond the 80% usual and customary for non-participating providers from United Health Care
- Reimburses deductible after $750
- Covers charges in excess of $1,000,000 annual maximum up to another $1,000,000 (not including nursing or long-term care)
- Provides $50 per day for hospitalizations (for employees only)
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Administered by MetLife Davis Vision
Take these helpful steps to get started now:- Register for easy online access at Metlife MyBenefits25
- From here, you can find coverage details, view claim status, set up paperless delivery for
- important documents and much more.
Download your ID card- Once registered, you can easily download your card and have it on hand for your next
appointment.
Find a provider- Choosing a provider in your network can help you maximize your benefits and helps ensure
- you're getting the most affordable care possible.
- If you have questions about your benefits, contact MetLife Vision Customer Service at 800-942-0854
- or MetLife Vision Customer Service at 800-GET-MET8.
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Report all injuries to your supervisor or school nurse at the time of injury. An Employee’s Report of Injury Report MUST be completed within the first 24 hours of injury. Once completed and signed by your supervisor or principal please send to Jessica Vooght in Employee Benefits. If you are leaving your duties to seek medical attention please notify your doctor and/or hospital emergency room that the Pearl River School District is self-insured with:
Wright Risk Management333 Earle Covington Blvd., Suite 505
Uniondale, NY 11553-3624
Policy number is W860621
Phone: 1-800-476-9747
Our representative is Michelle Ballard
Please use your social security number until you receive a workers compensation case number from Wright Risk.
If you are unable to report to work due to an on-the-job injury, please call your absence in as such and give the date of injury. You must also let Jessica Vooght (845) 620-3937 know this as well so she can notify the Workers Comp Board and complete the proper paperwork. When you return to work you must have a medical note stating you can return without restrictions.
Out-of-State Residents who seek a doctor regarding work-related injuries are asked to consult a New York based doctor, unless the injury is of an emergency nature. Injuries occurring within the School district come under the jurisdiction of the New York Workers’ Compensation Board. As such, the Law requires that you be treated by a doctor authorized to treat Workers’ Compensation cases who will charge what it permissible under the New York State fee schedule. If you need assistance in choosing such doctor in your vicinity, please call (718) 802-6600. Any unpaid doctor or hospital bill that you may receive should be forwarded to Wright Risk Management at the above address.
Employees who are out of work due to on the job injury cannot return to work and are to remain off district property unless they have a medical note (with a diagnosis) stating that you can return to work full duty,NO RESTRICTIONS and have clearance to do so from the district. Paychecks will be mailed to your residence. -
If you have questions about enrolling or need more information on your current AFLAC plan please contact:
- Michele Zrelak - District Sales Coordinator
- (845) 642-7684 michele_zrelak@us.aflac.com
- Aflac Supplemental Insurance - New Interest Form
Please use the direct link below to view product information specified for our district.
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Did you know you can have even MORE retirement investments? Check out the attached Tax-Sheltered Annuity Companies and start saving today!
Need to set up an 403b, 457b, ROTH 403b Account? OMNI403B
A listing of our participating OMNI providers can be found on the OMNI website. You will set up a meeting with whomever you choose. They will set up your account and contact OMNI on your behalf. OMNI will then notify the district that you have set up a deduction amount with a start date. Each account is personal to you. It is up to the individual to work with their provider for election amounts. Changes are not made through the business office. You will deal directly with OMNI or your financial officer.
You can use the OMNI website to make changes to your elections through an SRA (salary reduction agreement)
Click on Employees and then Start/ Change Contributions.
Under Salary Reduction Agreement Forms for: Select New York. Employer Name is Pearl River CSD. You will be redirected to the SRA Agreement Page. At this point you can complete your changes online.
For any questions concerning your employers list of participating providers, please contact our Customer Care Team at 1.877.544.OMNI (6664). OMNI403B
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To make changes to your payroll tax deductions please log into Wincap ESS.
- Once logged in hover over Employee Self-Serve on the purple ribbon until the yellow pop up opens. (Do Not Click)
- On the yellow popOnce up you will see "My Employee Deductions" Click on this
- The top box will show your current allocations. Below this box you will see a purple Add Change Request. Click here Complete the new form and select Update. Please consult your financial advisor if you have questions about your selections.
Changes to your W-4 or NYS IT-2104 are not an immediate update. Your request will be reviewed by payroll and may take up to two pay cycles for the changes to be completed.
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