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Employee Benefits

Who to Contact
ENV Insurance
1-800-887-9146
callcenter@insurewithenv.com
ICSD Business Office
607-274-2110
ithaca.benefits@icsd.k12.ny.us
ICSD HR Department
Robert Van Keuren
rvankeur@icsd.k12.ny.us
 
ENV Connect

The Ithaca City School District has transitioned to a new online benefits system called ENV Connect. Through ENV Connect, staff are able to view their current insurance plan information and benefit elections, as well as enroll and/or make changes to their plan during an open enrollment period or because of a qualifying event

Click here to access your ENV Connect account. If you have not yet registered, please contact Human Resources for a new invitation email.

 
Jump to:
Benefits and Coverage
Health Insurance
Telemedicine
Vision and Dental  
Flex Spending Accounts
Prescriptions
403(b)
 

Benefits and Coverage Information


Summary of Benefits and Coverage
ESPI - SBC: $100/$700_Rx $5/$10
ITA/IEA - SBC: $150/$750_Rx $10/$25/$40
PPO (Admin/IPDA/Managerial & Confidential)_Rx $5/$35/$70
SBC: $50/$450_Rx $1/$6
 

Health Insurance

The ICSD offers employees comprehensive medical plans through Excellus BlueCross BlueShield.

Self-Funded Member Guidebook
Download the self-funded version of the Excellus BCBS member guidebook for helpful information, including:
  • How to find a doctor
  • Managing your health and wellbeing
  • Expanding access to care through telehealth
  • Preventive care
  • Important information about your contract
Forms/Information
2021-22 Health and Dental Insurance Rates
Benefits and Coverage
Classic Blue Benefit Grids
COVID-19 Coverage
HIPAA Authorization Form
Instructions to Submit HIPAA Authorization Online
Medical Claim Forms
Member Guidebook

Annual Disclosures/Reminders
Health Insurance Marketplace Coverage Notice
HIPAA Notice
Medicaid - Children's Health Insurance Program [CHIP]
Michelle's Law + Women's Health and Cancer Act + Newborns' and Mothers' Health Protection Act
Medicare D Notice (for staff over 65)
 

Telemedicine

All employees covered by the ICSD insurance plan can receive care 24/7 via telemedicine. This service is provided by MDLIVE, a partner of Excellus BlueCross BlueShield.

If you need to schedule a telemedicine appointment, and you utilize the ICSD insurance plan, follow these steps to access telemedicine 24/7 via MDLIVE:

Forms/Information
Telemedicine Services FAQs
Telemedicine Services - BCBS
MDLIVE Overview
MDLIVE Registration Card
 

Vision and Dental

The ICSD offers employees vision and dental plans, administered by Ameritas. The FUSION plan combines dental and eye care benefits in one easy-to-administer plan.

Forms/Information
2021-22 Health and Dental Insurance Rates
FUSION Highlight Sheet
Dental & Vision Transition Information
Dental Benefits Handout
Dental Claim Form
Dental Enrollment/Change/Waiver Form
Eye Care Highlight Sheet
Vision Benefits Handout
Vision Enrollment/Change/Waiver Form
Vision/Fusion Claim Form
 
Notice of Privacy Practices
English Version
Spanish Version
 

Certificates
Once you've been enrolled in the Ameritas group plan, you'll receive a certificate outlining your benefits. Contact Ameritas if you haven't received a certificate. You can also access benefit information online by signing into your member account. Upon request, Ameritas will provide members with a paper copy of their certificate.
 

Flexible Spending Accounts

The ICSD partners with Pro-Flex Administrators LLC to offer employees Flexible Spending Accounts (FSA). This benefit allows employees to pay for everyday health care, dependent care expenses, and certain individual premium expenses with pre-tax dollars.

IMPORTANT UPDATE (November 12, 2021): The IRS has announced an increase to the Healthcare FSA (FSA) contribution limits for the 2022 plan year. The 2022 FSA contribution level maximum will be $2,850.

How will rollover affect contribution limits? Carried over amounts do not count towards contribution limits. In other words, employees may still elect to contribute up to $2,850 in 2022 whether or not they roll over funds from 2021.

This new limit announcement does not apply to Dependent Care FSAs, which has a limit that is defined separately. For Dependent Care FSAs, employees may contribute up to $5,000 per year if they are married and filing a joint return, or if they are a single parent. If they are married and filing separately, they may contribute up to $2,500 per year per parent.

 
Forms/Information
Direct Deposit Agreement
Direct Deposit Enrollment Form
Eligible Expenses List
FAQ - FSA with Rollover
FSA Enrollment Form
Mobile App Information
Website & Mobile App Access Info

 

Prescriptions

The ICSD offers employees prescription benefit plans, administered by Express Scripts.

Forms/Information
Notice of Privacy Practices
 

403(b)

US OMNI offers a supplemental retirement plan that gives you the option to save money from your paycheck on a pre-tax basis while allowing your money to grow tax-deferred until retirement. 

Forms/Information
403(b) Salary Reduction Agreement Form
Universal Availability Notice