Health Insurance Forms

• FY 25 Health Rates
• Plan Options
• VEHI/Enrollment/Change Form
• Medicare Notices
• Support Staff HRA SBC Wrap
• Teacher - HRA SBC Wrap
• Support Staff BDD Wrap
• Teacher/Admin BDD Wrapp
• FY 25 VEHI Plan Comparison Grid
• BCBS-NEDD-DataPath Contact Info Sheet

VEHI

• Non-Licensed Staff - Cost/Plan Comparison
• Licensed Staff - Cost/Plan Comparison Links

Beneliance f/k/a DataPath - Third Party Admin - Contact Lisa Blair 802-763-3895

• Beneliance (f/k/a DataPath) -VT Flyer
• Health Reimbursement Account (HRA) Enrollment
• Health Savings Account (HSA) - Silver CDHP Only
• Flexible Spending Account (FSA) & Dependent Care Account (DCA)
• DataPath - Account Information/Tutorials
• Beneliance.com/Vermont

Delta Dental

• FY 25 Dental Rates
• Outline of Benefits
• Benefit FAQs
• Coverage - Support Staff
• Coverage - Teachers
• Enrollment/Change Form
• NEDD Plan Description
• NEDD Claim Form

COBRA

• COBRA General Notice
• Cobra - An Employees Guide to Health Benefits under Cobra

Alternative Insurance

• Alternative Health Insurance Coverage Statement
• VT Declaration of Coverage (HC-2)
• Terms Of Medical Plan Cash In Lieu w/Certification

Voluntary Benefits

• **New Employee Benefit Flyer
• Employee Navigator (Benefit Platform)
• Path to Employee Financial Wellness
• Plan Summaries
  • MetLife Vision and Lincoln Financial Plan Summaries