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

IMPORTANT LINK TO FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA):

FFCRA INFORMATION POSTER (Paid Sick Leave and Expanded FMLA under FFCRA)

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

LINK TO IMPORTANT NEW 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 June 21, 2021:  "The COVID-19 vaccine is currently being administered to certain populations.  Please visit the NC Department of Health and Human Services to learn more about the vaccination rollout to determine if you are eligible.  Once eligible, members will need to contact their local health department for assistance. 

When you are eligible to receive the vaccine, there will be no cost for members, it will be covered 100% by the State Health Plan.  While there is no member cost, the SHP is paying for the administration of the vaccine, which is why it is important to present your ID card.  The vaccine is currently being paid for by the federal government. 

"Many providers are now offering telehealth or virtual visits.  These types of visits are covered and the applicable copay for a PCP office visit will apply.  Employees will need to call their provider to determine if these services are offered.  Other types of providers are offering virtual services for things such as behavioral health, physical therapy and wellness visits.  The State Health Plan is extending the coverage of video and telehealth visits through June 30, 2021.  The Plan is taking this action so employees can continue to limit personal contact to help contain the COVID-19 outbreak." "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"

"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.