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PLEASANTVILLE
PUBLIC SCHOOLS
Dr.  Marilyn Martinez, Superintendent of Schools
 
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Benefits

Welcome to the Benefits Connection. This site was created to give employees of the Pleasantville Public Schools essential information regarding their current health insurance coverage and answer frequently asked questions. The current summaries outlining the plans offered by the district are readily accessible along with forms to communicate with our benefits department.

We hope your experience on this site is beneficial and please do not hesitate to contact the Benefits department via email or by phone for information that is not covered on this site.

Email: gresham.diane@pps-nj.us

 

 


 

 

Benefits Resources    

AFLACNY.com  -  Download Disability claim forms, update your policy information, and learn about Wellness Benefits.

NJ DIVISION OF PENSIONS  - Access online Member Services-MBOS calculate retirement estimates, view seminar, workshops and other information as it related to the Pension.

HORIZON BLUE

 

Employee Assistance Program (EAP)

EAP Contract

EAP Working Well Quarterly

EPA Working Well Monthly

 

Workers' Compensation

 

                    Procedures for Reporting Workers’ Compensation Incident

• Report the injury to the school nurse for assessment.

• If the nurse is not available, report the injury to the supervisor.

• If neither is available, call NJSIG – 609-543-3377 (available 8-5).

Outsourced employees (cafeteria workers, substitute teachers, etc.) must contact their employer when injured.

 

                    Procedures: Emergency

• If the injury is assessed as an emergency, call 911 and wait for emergency personnel to arrive.

• After EMS departs with the injured worker, the school nurse or person in charge should immediately call NJSIG - 609-543-3377.

 

                    Procedures: Not an Emergency

• The injured worker calls Qual-Lynx in the presence of the school nurse or supervisor.

• While the injured worker is on the phone with Qual-Lynx, the school nurse/person in charge should complete internal paperwork/reports.

• Give the injured worker the NJSIG card.

• Confirm that the injured worker knows to tell the provider to send bills directly to Qual-Lynx (per Qual-Lynx card)

• Give the injured worker the Mitchell RX card to present to the pharmacy.

• If the school nurse/supervisor is unavailable, call 

 

                    Procedures: Record Only

• If the injured worker does not feel that treatment is needed, the nurse/supervisor will need to file a report for “Record Only”.

• Complete and keep all internal reports!

• No need to report to NJSIG.

 

                    Importance of Internal Reports

• Memorialize facts: Memory fades with time.

• Individuals are present today and may not be available years later.

• Prevents facts seeming to change at a later date.

• Investigate questionable claims.

 

                    After-Hours Claims Reporting

• Ensure that supervisors across all shifts understand the importance of timely reporting.

 

WORKERS' COMPENSATION  Flyer for Posting

          

Health Insurance

STATE ENROLLMENT

HEALTH CAPSULE

MEDICAL PLAN DESIGNS

MEDICAL RATES

WAIVER FORM 

DELTA DENTAL SUMMARY

DELTA DENTAL ENROLLMENT FORM 

DELTA DENTAL WEBSITE

VISION PLAN SUMMARY

VSP VISION ENROLLMENT FORM

WWW.VSP.COM

OPTUMRX-Prescription Drug Benefits

COBRA APPLICATION

COBRA RATES

NJDIRECT MEMBER HANDBOOK

 

NJ WELL

Questions-Answers

Access My Quest for Health

At-Home Health Screening

STATE NJWELL LINK