2019-20 Medical Plan

The Boise School District offers medical coverage through Regence Blue Shield of Idaho. Refer to the contents below for more information.

  1. 2019-20 Regence Blue Shield Medical Plan Overview
  2. Benefit plan documents
  3. Who is eligible for benefits?
  4. When do benefits begin?
  5. Making Benefit Election Changes
  6. How do benefits renew?
  7. Member card
  8. How to enroll
  9. Contact Information

2019-20 Regence Blue Shield Medical Plan Overview

View the 2019-20 Regence Blue Shield Medical Plan Overview presentation in Google Slides.

Benefit plan documents

Rate Sheet

Summary of Benefits

Booklet

*The District offers employees the opportunity to save premium, copayments, and deductible expenses by participating in the Wellness Program. You can find more information about the District’s Wellness Program and benefits options by viewing the Benefits and Wellness Plan Information Booklet. You may also request a hard copy by emailing [email protected].

Regence Flyers and Additional Services

  1. Preventive Care Services
    1. Did you know that Regence covers 100% of many screenings, vaccinations, and medications? Click on the flyer above for details.
  2. Regence Advice24
  3. Blue Distinction Total Care
  4. Due Date Plus for Regence
  5. Regence Babywise
  6. MedSavvy

Who is eligible for benefits?

Administrative & Certified Employees

Who is eligible?

Administrative and certified employees who work 0.5 FTE or greater are eligible for the District’s medical plan.

Administrative and certified employees who work 1.0 FTE and enroll in the medical plan will have their premiums paid in full by the District. Employees who work less than 1.0 FTE and enroll in the medical plan will cost-share the premium with the District; reference the premium cost-sharing example below.

Premium Cost-Sharing Example:
  • Employee A works a 0.5 FTE contract, the District will pay 50% of the premium and the employee will pay the other 50%.
  • Employee B works a 0.75 FTE contract, the District will pay 75% of the premium and the employee will pay the other 25%.

Classified Employees

Who is eligible?

Regular, classified employees - as outlined in the Classified Employee Handbook, 2.3.2 Status Classifications - who work 20+ hours per week and who were hired prior to February 1st of the current school year (the February 1st rule only applies to positions working less than 12-months per year) are eligible for District benefits.

Employees who work 30 or more hours per week and enroll in the medical plan will have their premiums paid in full by the District. Employees who work less than 30 hours per week and enroll in the medical plan will cost-share the premium with the District; reference the premium cost-sharing below.

Premium Cost-Sharing:
  • Employees working 20 - 24.9 hrs/week will pay 50% of the premium and the District will pay the other 50%.
  • Employees working 25 - 29.9 hrs/week will pay 25% of the premium and the District will pay the other 75%.

Dependents

Eligible dependents are limited to the following:

  1. The person to whom you are legally married (spouse).
  2. Your (or your spouse's) child who is under age 26 and who meets any of the following criteria:
    1. Your (or your spouse's) natural child, stepchild, adopted child or child legally placed with you (or your spouse) for adoption;
    2. a child for whom you (or your spouse) have court-appointed legal guardianship; and
    3. a child for whom you (or your spouse) are required to provide coverage by a legal qualified medical child support order (QMCSO).
  3. You (or your spouse's) otherwise eligible child who is age 26 or over and incapable of self-support because of intellectual disability or physical handicap that began before his or her 26th birthday, if you complete and submit Regence Blue Shield's affidavit of dependent eligibility form, with written evidence of the child's incapacity, within 31 days of the later of the child's 26th birthday or your Effective Date and either:
    1. he or she is an enrolled child immediately before his or her 26th birthday; or
    2. his or her 26th birthday preceded your Effective Date and he or she has been continuously covered as your dependent on group coverage since that birthday.

If enrolling eligible dependents on the plan, dependent validation documentation must be provided to Human Resources (HR). Please submit the Healthcare Dependent Validation Form or acceptable supporting document(s) as found on page two (2) of the Healthcare Dependent Validation Form to HR by the following business day following plan enrollment.

If an employee does not have the acceptable supporting documents (as found on page two (2) of the Healthcare Dependent Validation Form) to submit by the following business day, please submit the Healthcare Dependent Validation Form to HR for each eligible dependent being enrolled. Employees will then have 30 days to provide the acceptable supporting document(s).

Employees may submit the forms to HR via one of the following methods:

  1. By scanning and uploading to InfinityHR during enrollment.
  2. By faxing to HR via our confidential fax number, (208) 854-4010.
  3. By scanning and emailing to [email protected].

When do benefits begin?

New-Hire Eligibility Period

Employees and their eligible dependents are eligible for benefits on the first of the month following 30 days of employment. If an employee does not enroll in benefits during this time, the employee may still have an opportunity during Spring Enrollment to enroll themselves or themselves and their eligible dependents.

There are also additional opportunities for employees to enroll themselves or themselves and their eligible dependents; view the Spring Enrollment and Making Benefit Election Changes sections for more information.

Spring Enrollment

If an employee did not enroll themselves or did not enroll themselves and their eligible dependents during the new-hire eligibility period, they will have the option during the District’s annual Spring Enrollment. The District’s Spring Enrollment period is May 15th - June 15th. During this period eligible employees may enroll themselves or themselves and their eligible dependents.

If an employee does not use this period to enroll, there are additional opportunities to enroll themselves or themselves and their eligible dependents; view the Making Benefit Election Changes section for more information.

Making Benefit Election Changes

IRS Qualifying Event

Because the District operates its benefits under a Cafeteria Plan, the District is limited on what election changes are permissible and when. What does this mean for employees? It means employees may not make changes to plan elections outside of the new-hire eligibility period or the Spring Enrollment period unless the employee experiences a qualifying event as outlined in the IRS document, Tax Treatment of Cafeteria Plans (see §1.125-4 Permitted election changes). Please note, the District has not adopted all of the qualified changes listed in the document.

For more information, please email [email protected].

How do benefits renew?

The District’s plan year runs from September 1st - August 31st. Once an employee has enrolled in the plan, the plan will automatically renew each plan year unless the employee makes any allowable changes during the Spring Enrollment period or the employee experiences a qualifying event allowed by the IRS for Cafeteria Plans.

Member Card

Once enrolled in the plan, employees will receive a member card at the mailing address on file with the District. The card:

  1. Will arrive in an “unidentifiable”, plain envelope for employee protection.
  2. Will arrive within four (4) weeks of the effective date of coverage.
    1. If the card does not arrive in a timely manner, please contact Regence Member Services or sign-in to your Regence Dashboard.

How to Enroll

The District uses an online benefits platform, InfinityHR, to manage enrollment of benefits. To enroll or drop members (during eligible periods of enrollment), navigate to InfinityHR.

First Time User

Existing User

  • Existing users, navigate to InfinityHR and enter the User ID and Password.
    • The User ID is the Employee ID followed by the last five (5) of the social security number (SSN).

Reset ID and Password

Contact Information