Staff Resources
Health Insurance
Dental, Life, Long-Term Disability
New Hampshire Retirement
Professional Development Plan
Flexible Spending & Dependant Care
403b Retirement
Forms & Documents
These forms below need to be printed, completed and returned to the SAU office along with your 2022-2023 contract.  If there are no changes to your Health, Dental or Vision insurance, you do not need to fill out an enrollment change form. But please complete the Medical/Vision/Dental Insurance Election form, choosing the plan you are in or waive if you are waiving, sign and date. FSA/Benefit Strategies: If YOU ARE participating in the FSA/Benefit Strategies, you MUST complete the Benefit Strategies form each year.
Madison
Employee Information Form (All Staff Required)
Number of Pays (Teachers Required)
Medical/Vision/Dental Election Form (Required)
2023-2024 SchoolCare Enrollment Change Form
2023-2024 HealthTrust Enrollment Change Form
Summary of Benefits & Coverage 2023-2024
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
Freedom
Employee Information Form (All Staff Required)
Number of Pays ( Teachers Required)
Medical/Vision/Dental Election Form (Teachers/Paraprofessional Required)
Medical/Vision/Dental Election Form (Non CBA Staff Required)
2023-2024 SchoolCare Enrollment Change Form
2023-2024 HealthTrust Enrollment Change Form
Benefit Strategies FSA Enrollment Form with Employer Contribution (Teachers hired prior to July 1, 2011 )
Benefit Strategies FSA Enrollment Form (No Employer contribution)
Benefit Strategies FSA Enrollment Form (Custodian & Bus Drivers)
Summary of Benefits & Coverage 2023-2024
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE
Tamworth
Employee Information Form (All Staff Required)
Number of Pays (Required)
Medical/Vision/Dental Election Form (TESPA Required)
2023-2024 SchoolCare Enrollment Change Form
2023-2024 HealthTrust Enrollment Change Form
Summary of Benefits & Coverage 2023-2024
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE