Dental & Vision Benefits

The Sevier County Board of Education is pleased to offer a comprehensive benefits program for full-time employees. Healthy insurance premiums are pad with pre-tax dollars. This means a substantial tax savings to you because such premiums would otherwise be included as part of your taxable income. Employees will not pay Social Security, Medicare or federal income tax on the amounts remitted to the insurance carrier, but you can elect to pay taxes on these premiums.

The school system offers a voluntary dental/vision reimbursement plan. The plan is a self-insured benefit plan provided by the school system. Each year employees do not need to do anything unless they wish to make a change.  The plan year ends on December 31. If you desire to make a change in your benefit statuses for the upcoming year, please contact the payroll office between November 15 and December 15. 


Annual Enrollment
The annual enrollment period is from November 15 through December 15. During this time, employees can make changes to their dental and vision benefits, including adding or canceling coverage. 

If Employees DO NOT Want to Make Changes
Employees who do not want to make any changes to their current benefit selection, do not need to take any action.

If Employees DO Want to Make Changes
Employees can choose between four levels of coverage and two plan options when making dental/vision benefit selections. 

Once an employee has made benefit choices for the year, they may not be changed unless he/she has a qualifying change in family status. The federal law, Health Insurance Portability Accountability Act (HIPAA) states that qualifying changes in family status generally include:
  • Marriage or Divorce
  • Birth or Adoption of a Child
  • Death of a Spouse or Dependent
  • Employees Spouse Stopping or Starting Work
  • Employee or Spouse Changing Employment Status (e.g. switching from full-time to part-time or vice versa, or taking an unpaid leave of absence)
Employees who need to make a coverage change must notify Human Resources in person and complete the appropriate forms within 30 days of his/her status change.

Levels of Coverage
The school system offers a voluntary dental/vision reimbursement plan. The plan is a self-insured benefit plan provided by the school system. The following levels of coverage are offered:
  • Employee Only
  • Employee and One Dependent Child
  • Employee and Spouse
  • Family Coverage (employee, spouse, and/or all eligible dependents)
Plan Options
The voluntary dental/vision reimbursement plan offers two options:
  • Option I:   Dental Only
  • Option II:  Dental & Vision
General Information



Forms


Filing a Claim
Dental/Vision claim forms should be submitted to:

HealthSmart Benefit Solutions
P. O. Box 16887
Lubbock, TX  79490
Phone:  844-607-8617
Fax:  806-473-3134



Access Online Account
HealthSmart


All claims for dental expenses must be submitted no later than 60 days after the end of the plan year (December 31) in which the expense was incurred.