IMPORTANT!

If you are not participating in the Flexible Spending Account you must still complete the Enrollment Authorization and Agreement form. Sign in the Waiver of Participation box at the bottom rather than above it.

A Flexible Spending Account is available to eligible licensed personnel. Under the FSA, monthly deductions can be made, on a pre-tax basis, for withheld medical and/or dental premiums, dependent care expenses and anticipated health expenses not covered by the District’s plans. Having the deduction through a FSA will reduce your federal, state and FICA taxes, thus increasing the net amount of your check.

Group Insurance Premium

Who is eligible? All Licensed employees who have a monthly payroll deduction for medical, dental and/or vision insurance premiums.

Your monthly payroll deduction costs will be deducted on a pre-tax basis (before income and Social Security taxes are computed).

Enrolling - An Enrollment Authorization and Agreement form must be completed and signed in order to participate.

Dependent Care Spending Account

Who is eligible? All licensed employees eligible for employee benefits who have dependent care expenses.

Your estimated monthly costs for qualified dependent care will be deducted on a pre-tax basis through the Dependent Care Spending Account. 

Enrolling. An Enrollment Authorization and Agreement form must be completed and signed in order to participate. It is important that you take the time to read through the packet of information and IRS regulations to determine if you qualify and to calculate the amount of payroll deduction to be made over the next 12 months. Any questions regarding dependent care calculations need to be directed to the Customer Service office of Associated Administrators at 503-727-2700.

Health Care Spending Account

Who is eligible? All licensed employees eligible for employee benefits that are covered by the district’s medical, dental or vision insurance programs.

Estimated costs for health expenses not covered by the employee’s health insurance plans for their and their dependents’ expenses can be deducted on a pre-tax basis.  $2,400.00 maximum per year can be withheld at $200.00 per month. 

Enrolling. An Enrollment Authorization and Agreement form must be completed and signed in order to participate. It is important that you review health care expenses that are eligible for reimbursement. Expenses would be from the effective date of coverage through September of the following year. Any questions regarding what qualifies need to be directed to the Customer Service office of Associated Administrators at 503-727-2700.

IMPORTANT!

If you are not participating in the Flexible Spending Account you must still complete the Enrollment Authorization and Agreement form. Sign in the Waiver of Participation box at the bottom rather than above it.

ALL FORMS ARE DUE IN THE BENEFITS OFFICE BY THE 7TH OF THE MONTH BEFORE YOUR BENEFITS START.  (Example:  Benefits start 10/1/07 - applications and forms are due 9/7/07.)