Health Insurance
Dental, Life, Long-Term Disability
New Hampshire Retirement
Flexible Spending & Dependant Care
403b Retirement
Congress passed the Paperwork Burden Reduction Act (PBRA) - https://www.congress.gov/bill/118th-congress/house-bill/3797
On December 1, 2024, the Act removes the requirement for employers to send form 1095-B or 1095-C to employees, unless requested.
Because of this, your 1095 – ACA – Health insurance information is posted in your employee portal.
If you would like a hard copy, please email [email protected] and we will print one for you. Otherwise, you may print it from your employee portal.
Thank you, the Business Department
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.
Employee Information Form (All Staff Required)
Direct Deposit (Employee Access Portal or paper copies are available in the office)
W-4 (Employee Access Portal)
Number of Pays ( Teachers Required)
Medical/Vision/Dental Election Form (Teachers/Paraprofessional Required)
Medical/Vision/Dental Election Form (Non CBA Staff Required)
(Bus Drivers)
2025-2026 SchoolCare Enrollment Change Form
2025-2026 HealthTrust Enrollment Change Form
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE
Employee Information Form (All Staff
Required)
Direct Deposit (Employee Access Portal or paper copies are availabe in the office)
W-4 (Employee Access Portal)
Number of Pays (Teachers Required)
Medical/Vision/Dental Election Form (Required)
Medical/Vision/Dental Election Form (Required) NON-CBA
Medical/Vision/Dental Election Form (Required) .60 FTE
(Required) .71 FTE
SPECIAL EDUCATION
Employee Information Form (All Staff Required)
Direct Deposit (Employee Access Portal or paper copies are available in the office)
W-4 (Employee Access Portal)
Number of Pays (Required)
Medical/Vision/Dental Election Form (TESPA Required)
2025-2026 SchoolCare Enrollment Change Form
2025-2026 HealthTrust Enrollment Change Form
Summary of Benefits & Coverage 2025-2026
HealthTrust Life, Long Term Disability Enrollment Change Form
SPECIAL EDUCATION
CHILDFIND NOTICE