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The packet explains coverage effective dates, coordination for employees with prior Arkansas school employment, and where to get assistance for plan selection and enrollment questions. It includes HSA eligibility rules, dental/vision enrollment instructions, Colonial Life life insurance requirements, and a monthly premium table for different coverage levels and plan years.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/new-employee-insurance-packet-enrollment-and-premium-rates-information/302220/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/new-employee-insurance-packet-enrollment-and-premium-rates-information/302220.png","ImageObject",442,249,{"name":88,"@type":89},"Bill Black","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How long do new employees have to enroll in a health plan?","Question",{"text":108,"@type":109},"New employees have 60 days from the hire date to enroll in a health plan. 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Employees choosing Premium coverage cannot contribute to an HSA.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302220,1790106442,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":40,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":140},24189269381491,"https://ap-avatar.wpscdn.com/avatar/160000cf11732dd8392?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788146458752108895","# New Employee Insurance Packet\n\nHealth Insurance  \nAll medical insurance information and forms may be found athttps://www.transform.ar.gov/employee-benefits/public-school-emplovees/.  \nThe next few pages in this packet will provide some of the documents and forms that may behelpful to you as you 'shop'for the plan that best suits your needs.  \nYou will have 60 days from your hire date to enroll in a health plan.To enroll you mustcomplete an enrollment form and fax to 501-683-0983.Effective date of coverage will be thefirst of the month following the signature/date on the enrollment form.If you were employedby another Arkansas school immediately prior to being hired in Huntsville,and had medicalcoverage,please contact the administration office @479-737-8005.We will assist you in'transferring'your current policy.  \nIf you have questions regarding the specifics of the plans please call ARBenefits @877-815-  \n1017.If you have questions about the enrollment process-please feel free to call Mary at the  \nHuntsville School District Administration Office at 479-737-8005.  \n## HSA(Health Savings Account and Salary Reduction Agreement)\n\nYou can contribute to a HSA,only if you enroll in ARBenefits and chose Classic or Basiccoverage.If you chose Premium coverage you cannot contribute to a HSA.The HSA is only foremployees on a high deductible plan.Fill out the application form(in the packet)and submitthe form to the Administration Office.  \nDental and/or Vision  \nPlan descriptions and an enrollment form is available in this packet.If you wish to enroll,please print the form,fill out info and return to the Administration Office.  \nColonial Life  \n·$10,000 basic life insurance plan for $2.00 per month is required unless you opt out.You must complete the enrollment form provided in this packet even if you aredeclining coverage.Form should be submitted to the Administration Office.  \n·Spousal and dependents plans are also offered (see Colonial Life info included in packet)  \nAnnuities,Life,Hospitalization,Disability,Etc.  \nMany different types of insurance with group rates are available to district employees.AnAmerican Fidelity Rep will be meeting with you to offer these additional policies.  \n## PUBLIC SCHOOL ACTIVE EMPLOYEES MONTHLY PREMIUMS\n\nWITH WELLNESS  \n2022 Plan Year Rates-Effective January 1,2022-December 31,2022  \nSchool District  \nTotal Monthly  \nBase Monthly  \nState &Plan  \nEmployee Cost  \nPremium  \nContribution  \nContribution  \n\n| Premium   |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Employee Only   | $668.00   | $266.02   | $168.52   | $233.46   |\n| Employee &Spouse   | $1,618.83   | $569.11   | $168.52   | $881.20   |\n| Employee &Child(ren)   | $1,183.95   | $494.89   | $168.52   | $520.54   |\n| Employee &Family   | $1,910.92   | $858.96   | $168.52   | $883.44   |\n| Classic   |  |  |  |  |\n| Employee Only   | $394.73   | $130.19   | $168.52   | $96.02   |\n| Employee &Spouse   | $897.07   | $323.93   | $168.52   | $404.62   |\n| Employee &Child(ren)   | $660.49   | $283.55   | $168.52   | $208.42   |\n| Employee &Family   | $1,152.22   | $575.38   | $168.52   | $408.32   |\n| Basic   |  |  |  |  |\n| Employee Only   | $328.71   | $98.93   | $168.52   | $61.26   |\n| Employee &Spouse   | $728.45   | $237.15   | $168.52   | $322.78   |\n| Employee &Child(ren)   | $546.47   | $206.09   | $168.52   | $171.86   |\n| Employee &Family   | $900.69   | $406.55   | $168.52   | $325.62   |\n| The Basic plan meets the minimum essential coverage required under A.C.A.   |  |  |  |  |\n\nState Contribution is funded by Act 1842 of 2005 and Act 1412 of 2009Plan Contribution is funded by PSE Trust Fund as Claims Reserve Allocation  \nThis form is to be used for Open Enrollment and New Enrollees ONLY.Please use the Change Form for Qualifying Events.  \n## ACTIVE STATE&PUBLIC SCHOOL ENROLLMENT ELECTION FORM\n\n\n| Part 1:Employee Information   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ","cbCaicGNzzQ9iQ1P","https://ap.wps.com/l/cbCaicGNzzQ9iQ1P","pdf",863068,"English","# New Employee Insurance Packet\n## Health Insurance Enrollment Instructions\n## HSA (Health Savings Account and Salary Reduction Agreement)\n## Dental and/or Vision\n## Colonial Life\n## Public School Active Employees Monthly Premiums With Wellness\n## Active State & Public School Enrollment Election Form","[{\"question\":\"How long do new employees have to enroll in a health plan?\",\"answer\":\"New employees have 60 days from the hire date to enroll in a health plan. Enrollment requires completing an enrollment form and faxing it to 501-683-0983.\"},{\"question\":\"When does coverage become effective after enrollment?\",\"answer\":\"Coverage becomes effective on the first of the month following the signature/date on the enrollment form.\"},{\"question\":\"Who is eligible to contribute to an HSA in this packet?\",\"answer\":\"Employees can contribute to an HSA only if they enroll in ARBenefits and choose Classic or Basic coverage. Employees choosing Premium coverage cannot contribute to an HSA.\"}]","New Employee Insurance Packet - Enrollment and Premium Rates Information | PDF",1789790814,6]