Benefits/FMLA/Injury Reporting

Frequently Used Phone Numbers

• Aflac: 1-586-436-8281
• BCBSM Customer Service: 1-866-616-1684
• BASIC Flexible Medical Reimbursement and Dependent Care Reimbursement accounts: 1-800-444-1922
• Health Equity (HSA provider) member services 1-877-284-9840, available 24/7
• HelpNet EAP: 1-800-969-6162
• Heritage Vision: 1-866-852-8947

When enrolling and/or making changes to your healthcare accounts, the following documents are needed at the time of enrollment for all employees and their dependents:

• BCBS Enrollment Form
• Marriage License
• Birth Certificates or Verification of Birth
• Adoption paperwork

CHANGES TO YOUR INSURANCE ACCOUNT (during non-open enrollment):
Please complete an Enrollment Form for the following life change events:

• Marriage (please return a copy of the marriage license, if you wish to add step-children, a copy of the decree showing primary insurance responsibility is needed)
• Divorce (please return the portion of the divorce decree that show the effective date)
• Birth/adoption of a child (please return a copy of the birth certificate, for adoption include paperwork showing full custody)
• Death of a family member

Please note: not all benefit programs apply to every employee group; consult your Union Contract for more information. Insurance changes due to birth or marriage must be completed within 30-days of the event or you will need to wait until the next Open Enrollment period to apply.

• 2026 Benefit Guide - Teachers REA
• 2026 Enrollment Form-Teachers/REA
• REA PPO Benefits at a Glance
• REA HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims

• 2026 Benefit Guide-Secretaries
• 2026 Enrollment Form-Secretaries
• PPO Benefits at a Glance
• HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims


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• 2026 Benefit Guide-Paraeducators hired Pre-2011
• 2026 Enrollment Form-Paraeducators hired Pre-2011
• 2026 Benefit Guide-Paraeducators hired Post-2011
• 2026 Enrollment Form- Paraeducators hired Post-2011
• Hired pre-2011 PPO Benefits at a Glance
• Hired after 2011 PPO Benefits at a Glance
• HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims

• 2026 Benefit Guide-Non-Union Administrators
• 2026 Enrollment Form-Non-Union Administrators
• 2026 Benefit Guide-Executive Assistants
• 2026 Enrollment Form-Executive Assistants
• PPO Benefits at a Glance
• HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims

• 2026 Benefit Guide-Principals/RAA
• 2026 Enrollment Form-Principals/RAA
• 2026 Benefit Guide-Directors
• 2026 Enrollment Form-Directors
• PPO Benefits at a Glance
• HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims

• 2026 Benefit Guide-Cabinet
• 2026 Enrollment Form-Cabinet
• Benefits at a Glance PPO
• Benefits at a Glance HDHP/HSA
• Lincoln Financial Beneficiary form
• Out of network vision claims

• 2026 Benefit Guide-Grounds, Maintenance, Technology
• 2026 Enrollment Form-Grounds, Maintenance, Technology
• PPO Benefits at a Glance
• HDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary Form
• Out of network vision claims

• 2026 Benefit Guide-Children's Programs
• 2026 Enrollment Form-Children's Programs
• PPO Benefits at a Glance
• CDHP/HSA Benefits at a Glance
• Lincoln Financial Beneficiary form
• Out of network vision claims

HIPAA Notice 

This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.  Pursuant to Centers for Medicare & Medicaid Services (CMS) regulations, these are Rochester School’s machine-readable JSON files.

https://bcbsm.sapphiremrfhub.com/tocs/current/rochester_community_school_district

Flexible Medical (FSA) and Dependent Care (DCA) accounts are administered through BASIC.

1-800-444-1922

BASIC account access instructions

BASIC on-line access

FSA Store and Eligible Expenses

HelpNet is here for you and your family

About HelpNet

HelpNet EAP 1-800-969-6162

https://www.mylifeexpert.com/login

 Life-Expert-EAP-Instructions  Please contact HR for the password.

RCS has contracted with HelpNet to provide personal counseling to you and your household members. Counselors are all master's level professionals with extensive experience in dealing with:

• Marital & family issues
• Addictions
• Emotional problems
• Legal & financial concerns
• Careers
• Relationships
• Aging parents
• Stress, anxiety & depression
• Life enrichment techniques
• Free 24/7 confidential access to counselors
• Monthly online webinars on social emotional health issues. 

Employees are required to notify HR if they will be absent for four (4) or more full consecutive days in order for a determination to be made as to whether the absence qualifies under the FMLA. Approved FMLA begins on the first day of the absence. FMLA is unpaid time off. Paid time is determined by individual employee contracts.

To be eligible for FMLA, employees must have been employed by Rochester Community Schools for at least 12 months and worked 1,250 hours during the 12 month period preceding the commencement of the leave.

Employees may take a leave of absence for one of the following reasons:

1. Birth of employee's child and to care for newborn child;
2. Placement of a child with employee for adoption or foster care;
3. To care for spouse, child or parent who has a serious health condition;
4. When the employee's own serious health condition renders the employee capable of performing the functions of his/her job;
5. Military Family Leave Entitlements (see Department of Labor website)

If the employee is not eligible for FMLA leave, they may request a personal or medical leave of absence. Medical and personal leave of absences requires the employee to follow the same instructions and provide the same documentation.

Employees are asked to submit the Request for Leave of Absence form to the HR/Benefits Specialist as soon as possible to begin the leave process. A meeting to discuss the leave of absence is recommended 30-60 days prior to first date of leave. A Certification of Healthcare Provider must be completed and returned 30 days prior to leave, if foreseeable.

Leave of Absence Request form

Certification of Healthcare Provider for Employee

Certification of Healthcare Provider for Family Member

FMLA Frequently Asked Questions

Maternity Leave Frequently Asked Questions

All District employees involved in work-related injuries or illnesses REQUIRE the completion of the Employee Injury Report which is available from your supervisor, building secretary or below in the Employee Injury Packet. This form must be completed by your supervisor and returned to the Human Resources/Benefits Department within 7 days of the incident.

If medical attention is needed, authorization for treatment must be obtained from your Principal, Supervisor or Human Resources/ Benefits Department.  The authorization form MUST be filled out in order for the employee to be seen at Concentra. You must then report to the authorized District Medical Clinic:

Concentra

About Concentra

Various Locations

Hours vary by location, please visit the most convenient location to you.

**Please note effective 4/24/2025 Staff should no longer visit Pro-Health for work related injuries**

If an injury is life threatening, please proceed to your nearest emergency room

Employee Injury packet

Exposure to Bloodborne Pathogens