Medica

• Marketplace Coverage
• Plan Summary for 1650 HSA Plan
• Plan Summary for 1650 VEBA Plan
• Plan Summary for 4000 HSA Plan
• Plan Summary for 4000 VEBA Plan
• Plan Summary for 6000 HSA Plan
• Plan Summary for 6000 VEBA Plan
• Enrollment/Change/Cancelation Form
• Waiver of Group Health Benefits
• Omada

Delta Dental

• Enrollment Form
• Change Form
• Summary of Benefits - Dental Plan

VEBA/HSA Account Information Wex 

• HSA Employee Contribution Form
• HSA and Coordination of Benefits Information
• HSA vs. HRA Comparison Chart
• VEBA Account
• VEBA Participant FAQ
• Flexible Spending Enrollment Form (Requires an annual enrollment form to be completed)
  
  • 2025 Dependent Care Limit: $5,000 
  • 2025 Medical FSA Limit: $3,300
  • Claims Filing Deadline for FSA Accounts: 9/15

National Insurance

• Evidence of Insurability Form
• Life Insurance Enrollment Form
• Change of Beneficiary Form

Educators Benefit Consultants, LLC

• Salary Reduction Agreement