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Traverse City Area Public Schools
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FSEA Employee Benefits

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  • FSEA

The benefit information below is provided for FSEA food service employee group:

FSEA Benefit Information

  • PDF DocumentGeneral Benefit Information Sheet (includes employee per pay amounts)
  • Google FormsMedical Insurance Enrollment Request Form
  • PDF DocumentSET SEG Optional Dental / Vision Enrollment Application

Medical Insurance

  • PDF DocumentMESSA $300/$600 Medical Summary
  • PDF DocumentMESSA $500/$1000 Medical Summary
  • PDF DocumentMESSA $1000/$2000 Medical Summary
  • PDF DocumentMESSA $1500/$3000 ABC 1 Medical Summary
  • PDF DocumentMESSA $1500/$3000 ABC 1-20% Medical Summary

Prescription Information

  • PDF DocumentMESSA Saver Rx Overview
  • PDF DocumentMESSA ABC with ABC Rx Overview
  • PDF DocumentMESSA ABC Free Preventative Prescriptions
  • External LinkMail Order Rx - Express Scripts
  • PDF DocumentMail Order Rx - OptumRx (effective 1/1/22)

HSA Additional Information

Google FormsHSA Direct Deposit Form

Dental Insurance

  • PDF DocumentDental Insurance Summary
  • PDF DocumentDental Claim Form

Optional Vision Insurance

  • PDF DocumentVision Summary
  • PDF DocumentVision Claim Form

Health Equity Reimbursement Accounts

  • PDF DocumentDependent Care Reimbursement Claim Form
  • PDF DocumentMedical Reimbursement Claim Form
  • PDF DocumentOrthodontia Payment Guidelines
  • PDF DocumentCard Use Checklist

Options

PDF DocumentSET SEG Options


Legal Shield

  • PDF DocumentLegal Shield Perks
  • PDF DocumentLegal Shield Contact Information
  • PDF DocumentPayroll Application
  • PDF DocumentMobile Apps Information
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Traverse City Area Public Schools 412 Webster St. Traverse City, MI 49686 231.933.1700
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