All employees receive compensation and benefits aligned to the appropriate collective bargaining agreement.  To review your agreement, please log into the district intranet to review your association’s collective bargaining agreement.

To access your benefit package, login into the website then please select a tab listed to the left based on your job classification.

Please utilize the resources available to you in order to optimize your insurance package.  There are multiple services available to you on the provider websites including:

www.highmarkbcbs.com (Highmark Blue Cross)

• Check Claim Status and print Explanation of Benefits Forms (EOBs)
• Physician Directories
• Health Coach Services
• Speak with a nurse 24/7
• Ask questions regarding medical concerns or your benefit coverage
• Order ID Cards
• Message Center allowing you to correspond with representatives through text messaging
• Upload documents such as lab scripts and invoices
• Ask questions regarding eligibility and claim payments
• bcbs.com (National Website to search for providers nationwide or internationally)

 www.ucci.com (United Concordia Dental)

• Check Claim Status and print Explanation of Benefits Forms (EOBs)
• Physician Directories

 www.visionbenefits.com (Vision Benefits of America)

• Find a participating provider in your area
• Verify your eligibility status for frames, lenses and contact

Additional forms regarding medical benefits can be found using the links on this page.

• HIGHMARK Enrollment Form
• HIGHMARK Change Form
• UNITED CONCORDIA Dental Enrollment/Change Form
• VISION BENEFITS OF AMERICA Enrollment/Change Form
• SUN LIFE INSURANCE Beneficiary Form
• HIGHMARK HIPPA Consent Form
• HEALTH INSURANCE WAIVER Form
• DEPENDENT CERTIFICATION Form - Complete for each semester child is enrolled as a fulltime post high school student
• HIGHMARK SPECIALTY Drug Request Form 
• HIGHMARK COVID-19 Information
• HIGHMARK COVID-19 OTC Test Kit Reimbursement FAQ
• HIGHMARK MEMBER SUBMITTED CLAIM Form
  • Eff. 1/15/2022 for reimbursement for OTC COVID-19 tests:
    • Report “COVID OTC Test Reimbursement” in the “Diagnosis or Nature of Illness or Injury” section of the Member Submitted Claim form.
    • Submit completed form along with receipt of purchase and UPC (Universal Product Code) from the test box through the Message Center on Highmark's Member Portal (Select Claim Inquiry, indicate COVID OTC Test Reimbursement, and attach files) 
    • OR mail to:
      • Claims

        P.O. Box 890173

        Camp Hill, PA 17089-0173

Health Insurance Marketplace Coverage: Affordable Care Act Notice of 2013

CHIP - Children's Health Insurance Program Reauthorization Act of 2009

HIPPA Privacy Practices

WORKER'S COMPENSATION - UPMC

All incidents must be reported immediately to your supervisor and the attached report must be completed immediately and returned to the business office.

UPMC - Worker's Compensation Report of Injury

FAMILY MEDICAL LEAVE

If you are in need of an unpaid medical leave and meet the requirements under the Family and Medical Leave Act of 1993, please contact Carol Skrypek at 570-296-1811 or cskrypek@dvsd.org. Once your completed paperwork is received, it will be reviewed by administration for approval.

Things to consider prior to an unpaid leave request include:

• Sick, personal, and vacation days available to you
• Application to your union sick bank (if applicable)

CONSOLIDATED APPROPRIATIONS ACT

The link below is published in accordance with the Consolidated Appropriations Act (CAA) Transparency in Coverage Rule, requiring publication of machine-readable files.  The files are being hosted by our medical benefit administrator, and can be accessed at the link included below.

Highmark groups:  mrfdata.hmhs.com

CBC groups:  https://click.sf.capbluecross.com/?qs=061414ca16afdb3ccc4a3ea0a1aac8f20e2caaace5bb79f94c942261c45304c03f828ef13b584963ceca554690a87c2651f53d657b4007ed