TO: New Employees 

The St. Landry Parish School Board has made available to employees certain insurance plans through payroll deduction. All insurance is voluntary.

AS A NEW EMPLOYEE, YOU HAVE 30 DAYS FROM YOUR HIRE DATE TO APPLY FOR ANY INSURANCE. THIS CANNOT BE DONE PRIOR TO YOUR OFFICIAL HIRE DATE. PLEASE RETURN YOUR COMPLETED APPLICATIONS TO THE INSURANCE DEPARTMENT PRIOR TO THE 30-DAY DEADLINE. THESE FORMS CANNOT BE DROPPED OFF BECAUSE THERE IS MORE PAPERWORK TO BE SIGNED.

***Please note that if you are putting medical coverage on a spouse or child(ren) you will need to have an original marriage license, social security cards, and/or original birth certificates.

If you have questions concerning State Group Medical or Life Insurance please contact Office of Group Benefits at 1-800-272-8451. If you have questions concerning any Independent Insurance offered, please contact the agent listed in the literature provided.

State health and life insurance and all other types of coverage (Independent Companies) decisions are to be made within the 30-day time limit unless you have a qualifying event, otherwise, you will have to wait until next open enrollment period. Qualified life events may include births, marriages, divorces, etc. Qualified life event (QLEs) decisions are to be made within the 30-day time limit. The enrollment period for the St. Landry Parish School Board Independent Insurances is each fall (October through November), with the effective date of January 1 of the following year.

Certain types of insurance are eligible for tax shelter (section 125) benefits. These are listed on the attached “Fringe Benefit Election Form”. Please indicate any policies that you wish to have tax-sheltered on this form. Tax shelter benefits are from January 1 – December 31, and are automatically renewed each year, unless rescinded by you.

PLEASE BE REMINDED THAT ANY CORRESPONDENCE SENT TO CENTRAL OFFICE MUST SHOW YOUR SOCIAL SECURITY NUMBER.

View Section 125 FRINGE BENEFIT ELECTION FORM