Licensed employees may be eligible for group benefits as determined by the board and required by law.  The board will select group benefit program(s) and the insurance company or third party administrator which will provide or administer the program.

In accordance with the Patient Protection and Affordable Care Act (ACA), the board will offer licensed employees who work an average of at least thirty (30) hours per week or one hundred thirty (130) hours per month, based on the measurement method adopted by the board, with minimum essential coverage that is both affordable and provides the minimum value.  The board will have the authority and right to change or eliminate group benefit programs, other than the group health plan, for its licensed employees.

Licensed employees who work an average of at least thirty (30) hours per week or one hundred thirty (130) hours per month, based on the measurement method adopted by the board, are eligible to participate in the group health plan.  Licensed employees who work 30 hours per week are eligible to participate in the health and major medical, and long-term disability group insurance plans.  Employers should maintain documents regarding eligible employees' acceptance and rejection of coverage.

Normally health insurance benefits run from September through August depending on the employee's start date.  The effective date of health insurance is the first of the month following the first day of service.  If the employee resigns from his/her position before completing a full year of service, district paid health insurance will be discontinued at the end of the month following the last day of service.  A full year of service is defined as one hundred twenty consecutive days of service.  COBRA rights will become effective following the discontinuation of district paid benefits.

Licensed employees and their spouse and dependents may be allowed to continue coverage of the school district's group health insurance program if they cease employment with the school district by meeting the requirements of the insurer.

 

If an employee is unable to perform his/her duties consider this flowchart:

 

 

 

Legal Reference:  Iowa Code §§ 20.9; 85; 85B; 279.12, .27; 509; 509A; 509B (2017).
                                       Internal Revenue Code § 4980H(c)(4); Treas. Reg. § 54.4980H-1(a)(21)(ii).
                                       Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Parts 1, 54 and 301, 78 Fed. Reg. 217, (Jan 2, 2013).
                                       Shared Responsibility for Employers Regarding Health Coverage, 26 CFR Parts 1, 54 and 301, 79 Fed. Reg. 8543 (Feb. 12, 2014)

Cross Reference:  405.1    Licensed Employee
                                      706.2     Payroll Deductions

Approved: Feb. 11, 1985, Dec. 17, 2012, May 20, 2013, May 13, 2015, Sep 21, 2015, February 19, 2018, May 20, 2019
Reviewed:  Aug. 24, 2005, Nov. 9, 2012, Apr. 5, 2013, Mar 16, 2015, Jul 27, 2015, January 15, 2018, April 15, 2019
Revised: Feb. 10, 1997, Nov. 9, 2012, Apr. 5, 2013, Mar 16, 2015, Jul 27, 2015, January 15, 2018, May 20, 2019