Open enrollment for the 2022-23 school year will begin on May 2, 2022 and will remain open until May 20, 2022 at 4:00 p.m. Please be sure to read the documents in this overview section for more information.
Benefits Overview
Open Enrollment FAQs and Save the Date
Benefit Enrollment Form/Health Plan Waiver
Summary of Benefits and Coverage - Yellow with Choice
Summary of Benefits and Coverage - Yellow
Summary of Benefits and Coverage - Orange
Health Insurance Marketplace Coverage Notice
403(b) Universal Notice
CHIP Notice
SchoolCare/Cigna Medical Plans
HealthTrust/Northeast Delta Dental
SchoolCare Annual Open Enrollment Notice
SchoolCare/Cigna Enrollment Guide
SchoolCare/Cigna Open Enrollment Presentation
SchoolCare/Cigna Enrollment/Change Form
Employee Assistance Program
Summary of Medical Benefits
HealthTrust Dental Benefits Overview
HealthTrust Enrollment/Change Form
Benefit Strategies Mobile App Directions
JREA/JRAO Exempt Forms
JRSSA Forms
Non-Exempt Forms
Dependent Care Federal Tax Comparison
FSA Eligible Expenses
Flexible Benefit Plan - Summary Plan Description
Adoption Agreement - Cafeteria Plan
JRCSD Formal Record of Action - July 1, 2016
JRCSD Formal Record of Action - May 5, 2021
Pre-Retirement Beneficiary Designation Form
Life Insurance and Accidental Death and Dismemberment Enrollment Form
Mutual of Omaha Beneficiary Designation Change Form
Long Term Disability Enrollment Form
Privacy Notice
Term Life Benefits - Class 1: FT and PT Superintendents
Term Life Benefits - Class 2: FT and PT Administrators
Term Life Benefits - Class 3: FT Exempt Staff
Term Life Benefits - Class 4: PT Exempt Staff
Term Life Benefits - Class 5: Teachers
Term Life Benefits - Class 6: FT Non-Instructional Staff
Term Life Benefits - Class 7: FT Non-Exempt Staff
OMNI Group Adoption Agreement - January 1, 2019
403b Plan Hardship and Eligibility Amendments - January 1, 2020
403b Plan Document - January 1, 2019
SchoolCare Change of Address Form
HealthTrust Change of Address Form
NHRS Change of Address Form
Cigna Health Care
SchoolCare
Delta Dental
Benefit Strategies
The OMNI Group 403(b)
New Hampshire Retirement System