2016-17 Jaffrey-Rindge Cooperative School District Open Enrollment

All forms must be submitted to human resources by the close of open enrollment on Friday, May 13, 2016 at 5:00p.m.

Overview & Calendars
Benefits Overview Payroll Calendar
Holiday Calendar School Calendar
Annual & Affordable Care Act Notices
Summary of Benefits & Coverage – Yellow with Choice SchoolCare Program Updates
Summary of Benefits & Coverage – Yellow 403(b)
 Summary of Benefits & Coverage – Orange CHIP Notice
Benefit Rate Sheets
Employee Rates District Rates
Dental Dental
Health Health
Medical-SchoolCare Open Enrollment Documents
Yellow with Choice Overview School Care Enrollment / Change Form
Yellow Overview School Care Enrollment / Change Form Instructions
Orange Overview  School Care Enrollment Packet
Preventative Drug List Preventative HealthCare
Healthy Rewards Good For You Wellness
Travelers Identity Fraud EAP
Benefits Overview HealthTrust Enrollment / Change Form
Benefit Strategies Flex
Worksheet Dependent Care Eligible Expenses
App Directions Eligible Expenses
 JREA/JRAO Exempt Forms JRSSA Forms
 Non Exempt Forms Benefit Strategies Summary Plan 
Life and AD&D, LTD
 Life & AD&D Enrollment Form LTD Enrollment Form
 Life & AD&D Beneficiary Change Form Privacy Notice
Links to Benefit Websites
Cigna HealthCare Benefit Strategies
The OMNI Group 403(b) New Hampshire Retirement System
Delta Dental School Care