Employee Benefits

INFORMATION for EMPLOYEES
of the Murray City School District

For more information or to email your forms in, contact:
RANDI LEFFEL at 801-264-7418 (desk);
email rleffel@murrayschools.org

2021-22 Open Enrollment Information

SELECT HEALTH INSURANCE

• Select Health website link
• Select Health Enrollment Form
• Select Health Change Form

Publications:

• 2021 Murray School District Electronic Benefit Guide
• Select MedPlus Summary of Benefits
• Select Value Plan Summary of Benefits
• Select MedPlus Healthsave Plan Summary of Benefits

Employee Assistance Program (EAP)

• EAP website link
• LiVe Well EAP brochure

Health Equity (HSA Savings Account):

• Payroll Withholding form HSA fillable
• Health Equity Webinars

EMI HEALTH (Dental Benefits)

• EMI Health website link
• Employer Paid Life Insurance
• Employer Paid LTD Policy
• Enrollment/Change Form
• Beneficiary Form

Publications:

• EMI Enrollment Booklet 2021-2022
• How to Submit a Disability Claim

AXISPlUS FLEX PROGRAM

• AXIS Plus Enrollment Portal Tutorial 2021
• AXISPlus website link
• AXISPlus Dependent Care Reimbursement Form
• AXISPlus Medical Reimbursement Form

Publications:

• AXISPlus Brochure
• AXISPlus Summary of Eligible Expenses
• AXISPlus Frequently Asked Questions

NATIONAL BENEFITS

• Universal Availability Notice (for 403b)
• FAQ (for 403b)
• 403b Salary Reduction Agreement Form
• 403b Rollover Authorization Form

OPTICARE VISION SERVICES

• Opticare Vision Services website link
• Enrollment Form

Publications:

• Opticare Vision 2021-2022 110C Plan
• Opticare Vision 2021-2022 140C+ Plan

RETIREE FORMS

• National Benefit HRA Claim Form
• Pellion Medical Reimbursement Claim Form

UTAH RETIREMENT SYSTEMS (URS)

• URS website link
• Retirement Benefit Estimate Calculator
• Service Purchase Estimate Calculator
• Loan Calculator 401(k)/457 Loan Program

Publications:

• All URS publications