Staff Resources
Health Insurance
Dental, Life, Long-Term Disability
New Hampshire Retirement
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)
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)
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
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)
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)
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)
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