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

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