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.
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)
2024-2025 SchoolCare Enrollment Change Form
2024-2025 HealthTrust Enrollment Change Form
FSA Enrollment Form WEX (No Employer contribution)
FSA Enrollment Form/WEX (Non-CBA)
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE
Madison
Staff Required)
Number of Pays (Teachers Required)
Medical/Vision/Dental Election Form (Required)
2024-2025 SchoolCare Enrollment Change Form
2024-2025 HealthTrust Enrollment Change Form
Summary of Benefits & Coverage 2024-2025
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
Tamworth
Employee Information Form (All Staff Required)
Number of Pays (Required)
Medical/Vision/Dental Election Form (TESPA Required)
2024-2025 SchoolCare Enrollment Change Form
2024-2025 HealthTrust Enrollment Change Form
Summary of Benefits & Coverage 2024-2025
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE