LINK TO GCS REQUEST FOR LEAVE OF ABSENCE FORM:

Request for Leave of Absence Form

IMPORTANT LINK: REQUEST FOR REASONABLE ACCOMMODATION DUE TO COVID-19:

Form for Reasonable Accommodation Due To COVID-19 (2021-2022)

LINK TO REQUEST FOR REASONABLE ACCOMMODATION DUE TO REASONS OTHER THAN COVID-19:

Form for Reasonable Accommodation for Reasons Outside of COVID-19

LINK TO REQUEST FOR VERIFICATION OF EMPLOYMENT FORM:

Request for Verification of Employment

LINKS TO U.S. DEPARTMENT OF LABOR FMLA FORMS:

(Form WH-380-E): 

Certification of Health Care Provider for Employee's Serious Health Condition

(Form WH-380-F): 

Certification of Health Care Provider for Family Member's Serious Health Condition

 LINK TO GCS APPLICATION FOR VOLUNTARY SHARED LEAVE:

 GCS Application for Voluntary Shared Leave

LINK TO GCS APPLICATION FOR AUTHORIZATION TO DONATE VOLUNTARY SHARED LEAVE:

 GCS Authorization to Donate Voluntary Shared Leave

LINK TO WATCH VIDEO ON HOW TO REGISTER ON ORBIT:

Registering on Orbits Video

LINK TO WATCH VIDEO ON HOW TO DESIGNATE YOUR BENEFICIARY(IES):

Beneficiary Designation Video

LINK TO POWERPOINT INSTRUCTIONS ON HOW TO ENROLL IN BENEFITS:

Step-by-Step Instructions on How to Enroll in Your Benefits

Click the following link for important new 2022 State Health Plan information: 2022 SHP Benefit Information which includes the Clear Pricing Project Provider Copay Comparison Chart

LINK TO 2022 OPEN ENROLLMENT SHP DECISION GUIDE:  2022 DECISION GUIDE

Link to instructional video -  how to select your 2022 State Health Plan:  2022 OPEN ENROLLMENT VIDEO INSTRUCTIONS  

LINK TO OPEN, VIEW AND DOWNLOAD PDF FLEX BENEFITS 2022 PLAN YEAR BOOKLET:  FLEX BENEFITS 2022 PLAN YEAR BOOKLET

LINK TO IMPORTANT 2021 STATE HEALTH PLAN INFORMATION INCLUDING THE CLEAR PRICING PROJECT: 2021 Clear Pricing Project and State Health Plan Network

LINK TO DOWNLOAD PDF FLEX BENEFITS 2021 PLAN YEAR BOOKLET: FLEX BENEFITS 2021 PLAN YEAR BOOKLET

Head Start on Open Enrollment 2022 for Tobacco Attestation

▪ Starting July 1, 2021 until November 30, 2021, tobacco users can attend a tobacco cessation counseling session at a CVS MinuteClinic or their Primary Care Provider’s (PCP) office for FREE to earn a lower premium for 2022. (Note: There may be a copay if the tobacco cessation visit is combined with another service). Therefore, there is no need to wait for Open Enrollment October 11-October 29, 2021 to secure the monthly premium credit for 2022. And, if a CVS MinuteClinic is not convenient, employees can see any provider that offers tobacco cessation counseling as a service. Important: Be sure to request a copy of the visit summary and upload it to the “Document Center” located in eBenefits, the Plan’s Enrollment System.

▪This action is ONLY for tobacco users who want to reduce their monthly premium by $60 per month in 2022. During Open Enrollment, tobacco users will need to attest during the online enrollment process to ensure receipt of the lower premium for 2022. If employees are NOT tobacco users, they will simply attest to that online during Open Enrollment, October 11-29, 2021.

NC STATE HEALTH PLAN | CORONAVIRUS UPDATES:

Update as of August 31, 2021: "The State Health Plan is providing the following COVID-19 benefits for Members:

The COVID-19 vaccine is available to everyone 12 and older. Please visit the North Carolina Department of Health and Human Services to find a location.

The vaccine is covered at 100% by the State Health Plan. While there is no member cost, the State Health Plan is paying for the administration of the vaccine, which is why it’s important to present your ID card. The vaccine is currently being paid for by the federal government. 

The Plan is waiving the cost associated with the testing of COVID-19 regardless of site of service (where you receive the test) to ensure there are no cost barriers to testing. This waiver is in effect until the federal CARES Act requirement expires. The waiver includes associated deductibles, copayments and coinsurance.

Testing and treatment at an out-of-network provider may incur non-reimbursable charges.

CVS Pharmacy offers drive-through, self-swab COVID-19 testing at select North Carolina CVS Pharmacy locations. Members must register in advance to schedule an appointment and follow instructions provided during registration process.

The Plan is waiving the copay for in-person and virtual Primary Care Provider (PCP) visits to screen for COVID-19. Screening visits will not be subject to your deductible or coinsurance, even if your deductible has not been met. This waiver is in effect until the federal CARES Act requirement expires.

As a reminder, many providers offer tele-health or virtual visits. These types of visits are covered under your Plan benefits and this will remain in effect until December 31, 2021. The applicable copay for a PCP office visit will apply. If you are outside of North Carolina, please confirm with your provider as each state may have different rules regarding tele-health services."

 "The State Health Plan continues to work with Blue Cross and Blue Shield of North Carolina (Blue Cross NC and CVS Caremark to ensure you have benefits in place and remove any barriers to needed care for Members on the 80/20 Plan, 70/30 Plan and High Deductible Health Plan. "

GUILFORD COUNTY SCHOOLS is pleased to offer a variety of comprehensive and cost-sensitive benefits reflecting the diverse health and wellness needs of our employees and their families. Some of our benefits are optional, allowing you to customize your elections to meet your personal and budgetary objectives. Others are mandatory, such as the Teacher's and State Employees' Retirement System (TSERS) and basic life insurance, designed to assist with longer-term financial health. Employees' support of health and wellness in a variety of dimensions is our goal.