SSL Certificate
St. Francis Area Schools
A PreK-12 public school district serving the communities of Athens Township, Andover, Bethel, East Bethel, Linwood Township, Nowthen, Oak Grove, St. Francis and Stanford Township

Retiree/COBRA Benefits 2019-20

Retiree/COBRA Benefits are for retirees and former St. Francis Area Schools employees who were contracted at or above 1020 hours per year and enrolled in benefits at the end of their employment with St. Francis Area Schools.

Health Partners
Retiree National Choice Plan

01/01/19-12/31/19
Single, RNC Plan: $254.80/month
Single and Spouse, RNC Plan: $509.60/month
Retiree National Choice Plan summary of benefits (PDF)

Public Employees Insurance Program (PEIP)

Medical benefits contact information:
Innovo Benefits Administration
952-746-3101 800-829-5601
www.innovomn.com

Monthly
Single, PEIP Advantage High Plan: $781.68
Family, PEIP Advantage High Plan: $2,066.80
Plan Summary

Monthly
Single, PEIP Value Plan: $699.58
Family, PEIP Value Plan: $1,847.62
Plan Summary

Monthly
Single, PEIP H.S.A. Plan: $536.98
Family, PEIP H.S.A. Plan: $1,413.48
Plan Summary

Enrollment or Waiving Coverage Form

PEIP Medicare Part D 2018 Credible Coverage Disclosure Information

Delta Dental Plans

Single: $38.00
Single +1: $72.00
Family: $96.00
Delta Dental Booklet
Delta Dental Summary
*2018-19 added benefit, standard implant coverage

Cigna Life Insurance

Retiree Life Policy $.33/$1,000
Basic Life Policy $.18/$1,000
Supplemental Life $.19/$1,000
Dependent Life $5,000 Policy: $1.25
Dependent Life $10,000 Policy: $2.00
Dependent Life $15,000 Policy: $5.40

Billing & Administrative Fees

Billing is administered through Plan Source Benefits Administration, formerly Corporate Health Services Inc. - OneDigital
Joanne Lynch, Benefits Administrator
Plan Source Benefits Administration
(Direct Ph) 612-256-0844
joanne.lynch@plansource.com

Questions

For more information, contact Wendy Carlberg, Benefits, Human Resources, St. Francis Area Schools.

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