Service resumes: #6 – NT, #6 – NHMS/NHS, #69 – TA, #69 – NHMS/NHS, #74 – KF , #74 – EMS/EHS, #75 – CW, #75 – CMS/CHS, #76 – OV, #76 – NHMS/NHS, #89 – TA, #89 – CMS/CHS. Service suspended: #1 – MB, #1 – EMS/EHS, #9 – CW, #9 – CMS/CHS, #65 – TA, #65 – CMS/CHS, #72 – KF, #72 – EMS/EHS, #84 – COL, #84 – NHMS/NHS.
Human Resources Information and Forms
- Human Resources Home
- Employment Applications
- Freedom of Information Act
- Frequently Asked Questions
- Information and Forms
- Who should I contact?
Employee Benefit Information
Open Enrollment changes will be effective January 1, 2020.
Click on each toggle bar to find the form you’re looking for. Documents are typically in PDF format, so make sure you can open those documents properly. Download Adobe Reader
Human Resource Forms
- Tuition Reimbursement Form
- P2 Personal Leave Form
- P3b Vacation Authorization
- P3C Non-Teacher Request for No-Pay Days Form
- P3T Teacher Request for No-Pay Days Form
- Employee Status Form
- P24 Employee Information Update
- P26 Incident/Injury Report (non-work related)
- Employee Work Related Injury Form
- Work Related Injuries – Policies & Procedures
- Authorization to Treat Form (fillable PDF file, save to disk first)
- Spectrum Health Occupational Services Map
- District Provided Professional Development Recording Form
Employee Benefits & Investments
Investment Information
- TSA Consulting Group Website
- Investment Provider Listing
- MRIC
- Transaction Routing Request Form
- Salary Reduction Authorization for 403(b) or 403(b)(7)
- Salary Reduction Authorization for 457(b)
- TSA Online Record Keeping System “ART”
Annual Benefit Notices
- Notice of Privacy Practices
- 403(b) Plan Eligibility Notice
- Women’s Health and Cancer Rights
- Medicare Prescription Drug Coverage
- Health Insurance Marketplace Coverage Options
- Continuation Coverage Rights Under COBRA
Employee Assistance
Flexible Spending Account Information
Please visit the BASIC website for more information about this program
MESSA Information and Forms
Visit the MESSA website for more information
WMHIP Information and Forms
Substitute Teacher Information & Forms
Employee Perks
Teacher Benefits Vendor Contact Information
Medical
MESSA
1480 Kendale Blvd
P.O. Box 2560
East Lansing MI 48826
800.292.4910
Plans Available:
- MESSA Choices II (Blue Cross Blue Shield of Michigan)
- Plan year runs January 1 through December 31
- MESSA ABC HSA Plan 1 (Blue Cross Blue Shield of Michigan)
- Plan year runs January 1 through December 31
Dental
Delta Dental
P.O. Box 9085
Farmington Hills MI 48333-9085
800.482.8915
Plan year runs July 1 through June 30.
Vision
VSP 3
P.O. Box 997105
Sacramento CA 95899-7105
800.877.7195
Plan year runs July 1 through June 30.
Negotiated Long Term Disability
66 2/3% Max $6,000
PAK Life and AD&D
$35,000
MESSA Options
Basic Term Life, Supplemental Life, Survivor Income, Short Term Disability, and Dependent Life are all available for purchase. Please see the second page of the MESSA Application for Member Benefits for more information.
Non-Teacher Benefits Vendor Information
Medical
Medical plans are administered by Priority Health and are under the West Michigan Health Insurance Pool.
Plan year runs January 1 through December 31.
Plans Available:
- Priority Health 100/90 Plan
- Priority Health 90/70 Plan
- Priority Health HSA Plan
Priority Health
P.O. Box 232
Grand Rapids, MI 49501-0232
800.821.2733
Dental
ADN Administrators
Plan year runs January 1 to December 31
ADN
P.O. Box 610
Southfield MI 48037-0610
888.236.1100
Vision
National Vision Administrators (NVA)
Plan year runs November 1 through October 30
NVA
P.O. Box 2187
Clinton NJ 07015
800.672.7723
www.e-nva.com
Life Insurance and AD&D
Met Life
800.638.6420
Long Term Disability
Sun Life Financial
800.786.5433
Certifications
The Michigan Online Educator Certification System (MOECS) allows educators to have access to all of their certification data, apply for certificates and endorsements, and renew their certificates online. To renew your certificate click here.
Please see the Facts on Educator Certification and Certificate Guidance Documents to help address any questions you may have in regards to your certificate.
District Provided Professional Development
Due to a recent reinterpretation of MCL 380.1527, the Office of Professional Preparation is pleased to announce that the group of educators that may use District Provided Professional Preparation Development (DPPD)to renew and advance certain certificate types has expanded. Please review the PDF attachment for more information.
Also, please share this communication with educators and colleagues for whom it may have impact. Questions may be directed to the OPPS technical support staff at MOECSSupport@Michigan.gov.
If you have further questions regarding your certificate, please contact HR department staff or MOECS Support desk at 517.373.3310.
Retirement Information
Please see attachment for Ready to Retire – Countdown to Retirement to help guide you with your planning.
Retiring This Year?
If you are considering retirement, the State of Michigan Office of Retirement Services (ORS) recommends that you apply online with them at least 3 months before your retirement date. Please see the recommended timeline on the ORS website. Instructions for retirement application can be found here.
Retirement Workshops
ORS offers retirement workshops at various locations around the state. These workshops are conducted by ORS staff members and are hosted at the different ISDs in Michigan. Please check their Webinars and Seminars page if you are interested in learning more about retirement.
