NEW EMPLOYEE BENEFITS ENROLLMENT
To Enroll or Decline benefits offered to New Employees of Collierville Schools, please see the directions listed below.
Username: Social Security Number
PIN: last 4 of SSN + last 2 digits of birth year (e.g. 458685)
- Once you’ve logged in, you’ll select your school district. Once selected you’ll make the appropriate benefit elections, then submit your election to finalize. You’ll sign the form using your PIN (same as login password).
Benefits become effective 1st of the month following 30 days employment. Your first deduction will be on the payroll immediately prior to the effective date. For example, benefits starting 4/1 will have the first deduction on 3/31.
- Please keep a copy of your benefit enrollment for your records.
- American Fidelity offers the following products:
Flexible Spending Account/Dependent Day Care Reimbursement
If you are interested in enrolling, please reach out to the following listed American Fidelity representatives, to schedule your appointment.
Acct Manager – Cyrus Coleman – Coleman@americanfidelity.com
Co‐Lead Scott Angle – Angle@americanfidelity.com
If you do not enroll within this time frame, your next opportunity is during Open Enrollment. The only exception is if you have one of the qualifying events listed below.
- Change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
- A change in the number of dependents, including birth, death, adoption, and placement for adoption.
- A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part‐time and full‐time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in benefits they receive under a cafeteria plan or health or dental plan.
- A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age,
- A change in place of residence of the employee, retiree or their spouse or dependent and the current carrier is not available.
- Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
- Family Medical Leave Act (FMLA) leave.
- Judgments, decrees or orders.
- A change in coverage of a spouse or dependent under another employer’s plan.
- Open enrollment under the plan of another employer.
- Health Insurance Portability and Accountability Act (HIPPA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
- A COBRA‐qualifying event.
- Loss of coverage under the group health plan of a governmental or educational institution (a state’s children’s health insurance program, medical care program of an Indian tribal government, state health benefits risk pool, or foreign government group health plan).
- Entitlement to Medicare or Medicaid.
- Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Please see the information contained in this brochure regarding your opportunity to enroll in the supplemental life. As a new hire, you have the opportunity to add up to 3 times your annual salary without having to provide evidence of medical insurability. You may still add the lessor of 5 times your salary or $500,000, but we didn’t want you to miss the opportunity of guaranteed issue as next year you may be required to submit evidence of insurability.
Please see the information contained in this brochure regarding your opportunity to enroll in the Long-Term Disability through Standard. As a new hire, you have the opportunity to add without having to provide evidence of medical insurability. If you decline this year and want to add it next year, you will have to submit evidence of insurability. This means your age and your overall health may be considered in whether they will allow you to be insured.