NH Support Staff Benefits

staff member in the Ray of Sunshine costume in the soccer goal

Open Enrollment Deadlines & Considerations

Please take time to review these changes that you may wish to make during open enrollment.

What to do:

Whether you are renewing a previous enrollment or enrolling for the first time, you MUST complete enrollment online.
$3,300 Maximum annual contribution for medical expenses
**Please note that at the end of the 25/26 plan year unused funds up to $650 will automatically roll over in to the new plan year.**
$5,000 Maximum annual contribution for dependent care reimbursement

WEX Enrollment Portal

WEX Enrollment Instructions

Return by: Between May 19, 2025 & May 30, 2025

Payroll Election & Direct Deposit Form

What to do:

Only required if you wish to make a change to your current deduction
Visit https://www.omni403b.com
Employees > Start/Change Contributions > select your state & employer:
NH – Dresden School District (HHS & RMS employees)
NH – Hanover School District (Ray School employees)
NH – SAU 70 (SAU 70 employees)
NH – Town of Norwich School District (MCS employees)

Return by:
School Year Staff: August 15
Year-round Staff: May 30

W-4 Withholdings for Federal & State Taxes

Life Insurance Beneficiary Changes

Information and Forms

New Costs (Effective 7/1/2025): Annual Employee Contribution

Annual Employee Medical Contribution

Costs will be prorated for employees working less than full time or enrolled in coverage for less than a full year.
To calculate bi-weekly deductions, divide the annual rates listed below by the number of paychecks. Support Staff employed for the full school year should divide by 17 paychecks (please see the Hourly Support Staff Schedule on the Payroll Resources page for details).

Contribution Rates (7.5%), *Based on 1.0 FTE (30.00 hours per week), 12 months of coverage - July-June

Yellow with Choice Fund

Single: $1,093.50

2 Person: $2,187.00

Family: $2,954.25

Annual Employee Dental Contribution

Costs will be prorated for employees working less than full time or enrolled in coverage for less than a full year.

The district pays the cost of single dental coverage for Full-Time employees, employee bears all of the difference if they wish to carry 2 Person or Family coverage.

SIngle: $0.00

2 Person: $606.24

Family: $1,597.44

Annual Employee Vision Contribution

Vision benefits are voluntary and the employee pays 100% of the premium.

Single: $37.92

2 Person: $75.84

Family: $122.16

New Costs (Effective 7/1/2025): Monthly Premiums (to be used for part-time or mid-year calculations)

Monthly Medical Premiums (billed to District)

Costs will be prorated for employees working less than full time or enrolled in coverage for less than a full year. If you need assistance calculating your prorated medical or dental costs contact a Human Resources team member.

Example: 2 Person coverage enrolled September - June = 10 months of coverage X Support Staff contribution = Annual Premium owed.
$2,430.00 x 10 = $24,300.00 x 7.5% = $1,822.50

Yellow with Choice Fund

Single: $1,215.00

2 Person: $2,430.00

Family: $3,282.50

Monthly Dental Premiums (billed to District)

The district pays the cost of single dental coverage for Full-Time employees, employee bears all of the difference if they wish to carry 2 Person or Family coverage.

Single: $54.21

2 Person: $104.73

Family: $187.33

Old Costs (Effective 7/1/2024): Annual Employee Contribution

Annual Employee Medical Contribution

Contribution Rates (7.5%), *Based on 1.0 FTE (30.00 hours per week), 12 months of coverage - July-June

Yellow with Choice Fund

Single: $972.00

2 Person: $1,944.00

Family: $2,624.40

Annual Employee Dental Contribution

Costs will be prorated for employees working less than full time or enrolled in coverage for less than a full year.

The district pays the cost of single dental coverage for Full-Time employees, employee bears all of the difference if they wish to carry 2 Person or Family coverage.

SIngle: $0.00

2 Person: $577.32

Family: $1,521.36

Annual Employee Vision Contribution

Vision benefits are voluntary and the employee pays 100% of the premium.

Single: $37.92

2 Person: $75.84

Family: $122.16

Old Costs (Effective 7/1/2024): Monthly Premiums (to be used for part-time or mid-year calculations)

Monthly Medical Premiums (billed to District)

Yellow with Choice Fund

Single: $1,080.00

2 Person: $2,160.00

Family: $2,916.00

Monthly Dental Premiums (billed to District)

The district pays the cost of single dental coverage for Full-Time employees, employee bears all of the difference if they wish to carry 2 Person or Family coverage.

Single: $51.63

2 Person: $99.74

Family: $178.41

Monthly Vision Premiums (billed to District)

Vision benefits are voluntary and the employee pays 100% of the premium.

Single: $3.16

2 Person: $6.32

Family: $10.18

Flexible Spending Accounts (WEX Benefits)

CIGNA Yellow with Choice Fund Cost Sharing Illustrations

The illustration below shows the cost sharing structure of the SchoolCare Yellow Open Access Plan with Choice Fund. It shows that for an individual plan, there is an out of pocket maximum of $2,000.

Of that, the Choice Fund pays the first $1,000 (if activated), then the employee is responsible for all costs up to the next $250, and after that, the employee is responsible for co-insurance of 20% of medical costs, and 10% of prescription costs, until a maximum $750 additional costs is reached.

First page of the PDF file: SchoolCareYellowwchoicefundcostsharing-individual, contact HR office for paper copy

The illustration below shows the cost sharing structure of the SchoolCare Yellow Open Access Plan with Choice Fund. It shows that for a 2-person or family plan, there is an out of pocket maximum of $4,000.

Of that, the Choice Fund pays the first $2,000 (if activated), then the employee is responsible for all costs up to the next $500, and after that, the employee is responsible for co-insurance of 20% of medical costs, and 10% of prescription costs, until a maximum $1,500 additional costs is reached.

First page of the PDF file: SchoolCareYellowwchoicefundcostsharing-family, contact HR office for paper copy.

Plan overview: Yellow with Choice Fund

Dental Insurance

VSP Vision Insurance

Forms

403(b) Information

403(b) Vendor List & Enrollment Instructions
403(b) Contributions & District Match

Prior to contributing, you must open an account with an investment provider participating in the Plan (see list on page 2 of the 403b Overview). Once you have opened an account, follow the steps below to create a Salary Reduction Agreement.

To begin or make a change to your 403(b) contributions, follow these steps:

Step 1: Visit https://omni403b.com/SRA
Step 2: Under "Select Employer State", choose "NH".
Step 3: In the "Employer Name" box, enter the following:

Marion Cross employees: "Town of Norwich School District"
Ray employees: "Hanover School District"
Richmond Middle employees: "Dresden School District"
Hanover High employees: "Dresden School District"

Step 4: Follow the prompts to enter and submit information about your 403(b) contribution.

Employees may reduce or stop their 403(b) contributions at any time during the year.

In This Section

Frequently Asked Questions

Frequently Asked Questions

When can I enroll for health and/or dental benefits?

Open enrollment is held annually in May. During the open enrollment period you may elect to:

Enroll in the plan(s) that you are eligible for
Drop current coverage
Add/Remove dependents from the plan(s)

Changes made during open enrollment will be effective on July 1st.

In addition to the open enrollment period, you may be eligible to make changes to your existing elections if you or a family member experiences a qualifying event.

How do I add someone to my health insurance?

What is a qualifying event?

Qualifying Events

Loss of other health coverage

Losing existing health coverage, including job-based, individual, and student plans
Losing eligibility for Medicare, Medicaid or other government programs
Turning 26 and losing coverage through a parent's plan

Household changes

Getting married or divorced
Having a baby, adopting a child or gaining guardianship of a child
Death in the family

Changes in residence

Moving outside the coverage area

Marion Cross employees: "Town of Norwich School District"
Ray employees: "Hanover School District"
Richmond Middle employees: "Dresden School District"
Hanover High employees: "Dresden School District"

Step 4: Follow the prompts to enter and submit information about your 403(b) contribution.