Fringe Benefits-Employee Forms

Benefit Enrollment Guides (Posted 11/4/2021):


Open Enrollment for Health Benefits is open from November 15th, 2021 thru December 3rd, 2021.  Please Click the link that matches your position with Wyandotte Public Schools, read the guide and follow the instructions.

If you have questions and want to schedule a virtual appointment with a representative from Gallagher, please contact Beth Bishoff via email at beth_bishoff@ajg.com

INSURANCE PLAN SUMMARIES:

HEALTH COVERAGE INFORMATION - BLUE CROSS:

DENTAL COVERAGE INFORMATION - ADN:

PRESCRIPTION COVERAGE INFORMATION - MEDTIPSTER:

VISION COVERAGE INFORMATION:

LIFE INSURANCE COVERAGE INFORMATION - MADISON NATIONAL:

VOLUNTARY BENEFITS 

FLEXIBLE SPENDING ACCOUNT INFORMATION - Employee Benefits Concepts:

2021 Plan Year Information:

2022 Plan Year Information: