Insurance
Contact Information
Teresa Foster, HRIS & Employee Wellness Coordinator
Insurance Benefits & Leave of Absence (FMLA)
Phone: 248-746-8547
Fax: 248-746-8926
Email: teresa.foster@southfieldk12.org
Benefit Information
SASA /UNAFF/UNAFT
Pak A MESSA Choices (No Deductible) Benefit Highlights for SASA/Unaffiliates 2017- 18
Pak A MESSA Choices (No Deductible) Plan Description Book for SASA/Unaffiliates 2017-18
Pak A MESSA Choices (No Deductible) Summary Plan Description for SASA/Unaffiliates 2017-18
Pak C MESSA Choices (Deductible $500/$1,000) Benefit Highlights for SASA/Unaffiliates 2017-18
Pak C MESSA Choices (Deductible $500/$1,000) Plan Description Book for SASA/Unaffiliates 2017-18
Pak C MESSA Choices (Deductible $500/$1,000) Summary Plan Description for SASA/Unaffiliates 2017-18
MESSA Saver RX Prescription Benefit Highlights for SASA/Unaffiliates for SASA/Unaffiliates 2017- 18
Delta Dental Benefit Highlights for SASA/Unaffiliates 2017- 18
VSP 3 Plus P Vision Benefit Highlights for SASA/Unaffiliates 2017- 18
VSP 3 Plus P Vision Plan Description Book for SASA/Unaffiliates 2017- 18
ESOS/MESPA/SEA
Pak A MESSA Choices (Deductible $500/$1,000) Benefit Highlights for SEA/ESOS/MESPA 2017- 18
Pak A Messa Choices Plan Description Book for SEA/ESOS/MESPA 2017- 18
Pak A Messa Choices Summary Plan Description for SEA/ESOS/MESPA 2017- 18
Pak A MESSA Prescription Benefit Highlights for SEA/ESOS/MESPA 2017- 18
Pak C MESSA ABC Plan 1 (High Deductible) Benefit Highlights for SEA/ESOS/MESPA 2017
Pak C MESSA ABC Plan 1 (High Deductible) Benefit Highlights for SEA/ESOS/MESPA 2018
Pak C MESSA ABC Plan 1 Plan Description Book for SEA/ESOS/MESPA 2017- 18
Pak C MESSA ABC Plan 1 Summary Plan Description for SEA/ESOS/MESPA 2017
Pak C MESSA ABC Plan 1 Summary Plan Description for SEA/ESOS/MESPA 2018
Pak C MESSA ABC Plan 1 Prescription Benefit Highlights for SEA/ESOS/MESPA 2017- 18
Delta Dental Benefit Highlights 100% for SEA/ESOS/MESPA 2017- 18
Delta Dental Benefit Highlights 50% Dual Coverage for SEA/ESOS/MESPA 2017- 18
VSP-3 Plus Vision Benefit Highlights for SEA/ESOS/MESPA 2017- 18
VSP 3 Plus Plan Description Book for SEA/ESOS/MESPA 2017- 18
Frequently Needed Websites
SASA /UNAFF/UNAFT
Delta Dental Medical for SASA/Unaffiliates 2017-18
MESSA CIGNA Life Insurance for SASA/Unaffiliates 2017-18
MESSA Medical for SASA/Unaffiliates 2017-18
VSP-3 - Vision Medical for SASA/Unaffiliates 2017-18
Basic Flexible Spending Account FSA SEPT 2016 - AUG 2017
AMERIFLEX Flexible Spending Account FSA eff Sept 2017
Office of Retirement Services - ORS
GLP Strategic Administrative Group 403b
ESOS/MESPA/SEA
Delta Dental Medical for SEA/ESOS/MESPA 2017-18
MESSA CIGNA Life Insurance for SEA/ESOS/MESPA 2017-18
MESSA Medical for SEA/ESOS/MESPA 2017-18
VSP-3 - Vision Medical for SEA/ESOS/MESPA 2017-18
Basic Flexible Spending Account FSA SEPT 2016 - AUG 2017
AMERIFLEX Flexible Spending Account FSA eff Sept 2017
HealthEquity Health Savings Account for MESSA Pak C Abc Plan 1
Insurance Forms
MESSA Member Application for All Members
Used to re-instate recalled employees and to switch from Pak A (full coverage) to Pak B (no medical).
MESSA Member Change Form for All Members
Used to add/remove dependents/optional benefits or name/address changes.
MESSA COBRA Application for All Members
Used to elect employee paid group health coverage upon separation from the District.
MESSA CIGNA Life Insurance Beneficiary Designation Form for All Members
MESSA CIGNA Life Insurance Beneficiary Address Form for All Members
SASA/UNAFF (ONLY) MUTUAL OF OMAHA Beneficiary Designation Form
Flexible Spending Account (FSA) Information
AMERIFLEX FSA INFORMATION SEPTEMBER 2017 - AUGUST 2018
Southfield Public Schools AMERIFLEX FSA in Brief
AMERIFLEX FSA Quick Reference Guide
AMERIFLEX FSA Online Account Instructions
AMERIFLEX FSA Adding A Family Member
BASIC FSA INFORMATION SEPTEMBER 2016 - AUGUST 2017
Southfield Public Schools BASIC FSA in Brief
BASIC FSA Medical Expense Summary List
BASIC FSA Summary Plan Description 2016-17