Health and Employee Benefits

Overview

Open enrollment for the 2026-27 school year will begin on May 4, 2026 and remain open until May 29, 2026 at 4:00 p.m. Information will be updated once open the open enrollment period is closer.

Please be sure to read the documents in this overview section for more information. Forms will be made available on Frevvo.

2025/26 Benefits Overview

2026/27 Benefit Overview

2026/27 Open Enrollment FAQs and Save the Date 

Annual and Affordable Care Act Notices

2025/26 Summary of Benefits and Coverage - Yellow with Choice

2026/27 Summary of Benefits and Coverage - Yellow with Choice 1.0

2026/27 Summary of Benefits and Coverage - Yellow with Choice 2.0

 

2025/26 Summary of Benefits and Coverage - Yellow

2026/27 Summary of Benefits and Coverage - Yellow 1.0

2026/27 Summary of Benefits and Coverage - Yellow 2.0

 

2025/26 Summary of Benefits and Coverage - Orange

2026/27 Summary of Benefits and Coverage - Orange 1.0

2026/27 Summary of Benefits and Coverage - Orange 2.0

 

Health Insurance Marketplace Coverage Notice

 

403(b) Universal Notice

CHIP Notice

Benefit Rate Sheets

2025/26 SchoolCare/Cigna Medical Plans

2026/27 SchoolCare/Cigna Medical Plans - JREA

2026/27 SchoolCare/Cigna Medical Plans - JRSSA/Admin/SAU

 

2025/26 HealthTrust/Northeast Delta Dental

2026/27 HealthTrust/Northeast Delta Dental

 

Medical Open Enrollment Documents

2026/27 SchoolCare Annual Open Enrollment Notice

2026/27 SchoolCare/Cigna Enrollment Guide

2026/27 SchoolCare/Cigna Open Enrollment Presentation

2025/26 Employee Assistance Program

2026/27 Employee Assistance Program

2025/26 Summary of Medical Benefits

 2026/27 Summary of Medical Benefits 1.0

2026/27 Summary of Medical Benefits 2.0

 

Dental Open Enrollment Documents 

HealthTrust Dental Benefits Overview 1S Plan

2026 Open Enrollment Notice

2026 CHIRPA Notice

New Hire Benefit Package/Open Enrollment

HealthTrust Presentation

Flexible Spending Accounts (FSAs)

WEX Mobile App Directions 

Medical Flexible Spending Information

Wex Benefits Card Information

Benefits Technology & Resources

Dependent Flexible Spending Information

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

 

Mid-Year Change Form

Medical & Dental Benefits Change Form *Do not use for open enrollment

 

NH Retirement System

Pre-Retirement Beneficiary Designation Form

 

Life Insurance, Accidental Death and Dismemberment, and Long Term Disability

Life Insurance and Accidental Death and Dismemberment/Long Term Disability (Combined) Enrollment Form

 Mutual of Omaha Beneficiary Designation Change Form 

Privacy Notice

 

Term Life Benefits

Class 1: FT and PT Superintendents, CFO and Directors (20 + hours per week)

Class 2: FT and PT Administrators (20 + hours per week)

Class 3: FT Exempt Employees (35 + hours per week)

Class 4: PT Exempt Employees (35 + hours per week)

Class 5: FT and PT Teachers (22.5 + hours per week)

Class 6: FT Non-Instructional Staff Employees (30 + hours per week)

Class 7: FT Non-Exempt Employees (40 + hours per week)

 

Long-Term Disability Benefits

 
 
 
 
 
 
 
 

 

403(b) Plan Documents and Forms

OMNI Group Adoption Agreement - January 1, 2019

403b Plan Hardship and Eligibility Amendments - January 1, 2020

403b Plan Document - January 1, 2019

 

Change of Address Forms 

Medical & Dental Change of Address Form

NHRS Change of Address Form

 

Links to Benefits Websites

Cigna Health Care

SchoolCare

Delta Dental

WEX Inc

The OMNI Group 403(b)

New Hampshire Retirement System

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