Insurance & Benefits

stethoscope

Lucy Gennuso
Insurance & Benefits Coordinator

Middletown Public Schools
311 Hunting Hill Avenue
Middletown, CT 06457

Phone: 860-638-1409
Fax: 860-638-1457

gennusol@mpsct.org

Connecticut Partnership Plan 2.0 - Teachers & Paraprofessionals (Effective 10/1/2017):

State of Connecticut Partnership Plan - Important Changes - October 1, 2017

State of Connecticut Partnership Plan changes effective March 1, 2018 Site of Service

State of Connecticut Partnership 2.0 brochure - 2018

State of Connecticut SEBAC Change Partnership Plan Brochure


UnitedHealthcare (Medical):

http://partnershipstateofct.welcometouhc.com/home - Contains information regarding the Partnership Plan, HEP information, how to search for a provider and more

State of Connecticut HealthAllies Discount Program

State of Connecticut Partnership Plan 2.0 Enrollment Form & Waiver

State of Connecticut Partnership Plan - Add/Terminate/Change Form

Health Enhancement Program (HEP):

State of Connecticut Health Enhancement Program Requirements (HEP) 2018

State of Connecticut HEP Program - Care Management Solutions

HEP Physician Notification Form (PNF)

State of Connecticut Emergency Room Waiver Form


CVS Caremark (Pharmacy):

https://www.caremark.com/wps/portal



Cigna Dental

State of Connecticut Cigna Dental Care DHMO Patient Charge Schedule eff 9/1/2016
(Teachers and Paraprofessionals Only)

State of Connecticut Cigna Dental Care Enrollment Form -Teachers and Paraprofessionals Only

Cigna Dental (PPO) Summary of Benefits - Teachers and Paraprofessionals Only

Cigna Dental (PPO) Summary of Benefits for Administrators

Cigna Dental Directory (find a dentist)


Cigna Dental Wellness:

Cigna Dental Cost Estimator

Cigna Healthy Smile, Healthy Baby

Cigna Healthy Smiles Start at Home

Cigna Protect your Mouth, Protect your Health


Lincoln Term Life Insurance:

Beneficiary Designation Form


Student/Sports Accident Insurance:

Bollinger Student Voluntary Insurance Claim Form and Instructions 2018-2019

Bollinger Student/Athletic Insurance Claim Form and Instructions 2018-2019

Student Accident & Injury Report

Student ATHLETE Accident & Injury Report for Coaches and Trainers 


Worker's Compensation (CIRMA) Information (Click on this link for more information and forms)

Revised Notice of Privacy (Click on this link)


Affordable Care Act Information

Federal Health Insurance Marketplace or "Exchange" Notice


Other Plan Information and Notices

General Notice of COBRA Continuation Coverage Rights (Revised October, 2014)

Creditable Coverage Notice (October, 2015)