Human Resources Information and Forms

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 COBRA_Rights
• Flexible Benefits Plan – Summary Plan Description
• Waiver of Health Plan

Employee Assistance

• Employee Assistance Program

Flexible Spending Account Information

Flexible Spending Account Information – http://www.flexadministrators.com/

• FHPS Enrollment Form
• FHPS-KISD Enrollment Form
• Reimbursement Form – Form Fill
• Direct Deposit Authorization Form
• Flex Card Enrollment Form
• Flex Card Brochure
• FSA Brochure
• FSA Required Documentation
• FSA Important Information
• Dependent Care Tax Credit Comparison
• Mandatory Statement for Dependent Care
• Worksheet: Estimated Unreimbursed Health Care Expenses

Office of Retirement – My Account Set Up

MESSA Information and Forms

Visit MESSA for more information

Teacher Plan

• Benefit Plan Comparison
• MESSA Choices Summary of Benefits
• MESSA ABC Summary of Benefits
• MESSA ABC-10% Coinsurance Summary of Benefits
• Choices II Enrollment Form
• Member Change Form
• MESSA Saver Rx
• MESSA Dental Plan Summary
• MESSA Vision Plan Summary
• ABC Enrollment Form
• ABC Employee HSA Payroll Deduction Form

ABC Packet

• Introducing MESSA ABC
• MESSA ABC Highlights
• ABC FAQs
• ABC Rx Overview
• ABC Strategies to Stretch Your Dollars
• ABC – Choices In-Network Comparison
• MESSA Preventive Drug List
• Understanding Deductibles

WMHIP Information and Forms

• WMHIP Priority Health 90% POS Summary
• WMHIP Priority Health 100% POS Summary
• WMHIP Priority Health HSA Summary
• Employee HSA Payroll Deduction Form
• WMHIP Enrollment/Change Form
• Priority Rewards
• NVA Summary
• NVA Eye Essential Plan
• NVA Enrollment Change Form
• EyeMed Vision Summary of Benefits
• ADN Summary
• ADN Enrollment Change Form

• Employee Performance Feedback Form
• Work Related Injury
• First Report of Injury
• Aesop- How to Create Preferred Sub List
• Aesop Teacher Guide

• MVP
• MVP Employee Discount
• Sprint 

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

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Dental

Delta Dental
P.O. Box 9085
Farmington Hills MI 48333-9085
800.482.8915

Plan year runs July 1 through June 30.

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Vision

VSP 3
P.O. Box 997105
Sacramento CA 95899-7105
800.877.7195

Plan year runs July 1 through June 30.

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Negotiated Long Term Disability

66 2/3% Max $6,000

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PAK Life and AD&D

$35,000

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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.

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

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Dental

ADN Administrators
Plan year runs January 1 to December 31

ADN
P.O. Box 610
Southfield MI 48037-0610
888.236.1100

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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

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Life Insurance and AD&D

Met Life
800.638.6420

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Long Term Disability

Sun Life Financial
800.786.5433

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.

See attached form for Teacher Certification “At-A-Glance”

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.