Insurance Services

 Name Phone Position
Cheryl Matson 801-567-8255 Director
Kori Thaxton 801-567-8146 Administrative Assistant
Kathryn Brinton 801-567-8255 Administrative Assistant
Angela Ross 801-567-8341 Administrative Assistant
Kristi Rappleye 801-567-8277 Assistant
Fax: 801-567-8070

Insurance Information for New Employees:

  1. Review insurance information and benefit election forms listed below.
  2. You will receive insurance coverage if a completed Benefit Election form is received in the District Insurance Office within 30 calendar days of your contract start date. If you miss this deadline, you will have to wait until the next Open Enrollment period to enroll in an insurance plan unless you have a qualifying event during the year.
  3. Flexible spending election forms are also due in the District Insurance Office within 30 calendar days of your contract start date.
  4. Insurance coverage will be effective on the first day of the month following your employment start date, provided enrollment forms are completed and filed in the District Insurance Office within 30 calendar days of the employment start date.
  5. A life insurance and a long-term disability policy is offered to all benefit eligible employees at no cost to you. Even if it is your intent to waive medical insurance coverage, complete the Benefit Election form for these benefits.

Qualifying Events/ New & Current Employees:
When you have a qualifying event you have 30 calendar days to complete and return a new change form or you will have to wait until the next Open Enrollment period.

  • Divorce or legal separation;
  • Marriage, or change in number of dependents;
  • Change in employment status of employee, spouse, or dependent that causes loss of eligibility;
  • Dependent satisfies (or ceases to satisfy) eligibility requirements;
  • Change in coverage under another employer plan (including mandatory or optional change from your spouse’s employer and change initiated by your spouse);
  • Loss of coverage from government or educational institution;
  • COBRA qualifying event (termination/reduction of hours, employee death, divorce/legal separation, ceasing to be a dependent);
  • Other changes resulting from a judgment, decree, or order; Medicare or Medicaid entitlement; or FMLA leave of absence.

Insurance Open Enrollment:
June and July, effective date of September 1

The following changes can be made during the open enrollment period:

  1. Enroll in a new insurance plan
  2. Change an existing service plan
  3. Cancel an existing service plan
  4. Enroll in flexible spending
    (New flexible spending election must be made each year you wish to participate in this program per IRS guidelines.)

Note: Open enrollment forms and flexible spending elections will not be accepted during the months of August or September, unless you are a newly hired employee and your contract begins in August or September.

Please call Insurance Services at 801-567-8146 with any questions.

Insurance Documents Type
2019-20 Employee Letter – Insurance Update PDF
HSA Presentation Video Link
2019-20 Insurance Presentation Slideshow PowerPoint PPTX
Frequently Asked Insurance Questions or Inquiries PDF
Frequently Asked Questions for New Employees PDF
Benefit Summary & Master Policy Type
2019-20 Benefit Summary & Master Policy PDF
2018-19 Benefit Summary & Master Policy PDF
Enrollment Guide & Member Tool Type
2019-20 Enrollment Guide PDF
Member Tool PDF
Enrollment Forms Type
2019-20 New Hire Benefit Election Form PDF
2019-20 Benefit Change Form PDF
HSA Direct Deposit Authorization PDF
Flexible Spending Election Form PDF
Premiums Type
2019-20 Medical Premiums PDF
2019-20 Dental & Vision Premiums PDF
Voluntary Benefits Type
Dental: Dental Select PDF
Vision: Opticare PDF
AFLAC Benefits PDF
Life and Disability Policy/Certificate Type
Cigna – Life, Identity Theft, Will Prep PDF
Cigna – Secure Travel PDF
(Policy) Life Insurance – Active Employee PDF
(Policy) Accidental Death and Dismemberment – Active Employee PDF
(Policy) Long Term Disability – Active Employees PDF
Life and Disability Applications Type
Cigna Application – AD&D Conversion PDF
Cigna Application – Portability of Voluntary Life PDF
Cigna Application – Life Insurance Conversion PDF
Cigna Application – Voluntary Life Insurance PDF
Other Documents Type
Authorization for Release of Information PDF
PEHP Flex Spending Reimbursement Form PDF
Prescription COB Reimbursement PDF
Notices Type
Jordan School District’s Privacy Policy and Practice PDF
2019-20 Medicare D Creditable Coverage PDF
Exchange Notice PDF
Glossary of Health Coverage and Medical Terms PDF
2019-20 Summary of Benefits & Coverage – Advantage/Summit Traditional PDF
2019-20 Summary of Benefits & Coverage – Advantage/Summit Value PDF
2019-20 Summary of Benefits & Coverage – Advantage-Summit Star QHDHP PDF
Workers Compensation PDF

Insurance Providers

Blomquist Hale
Dental Select