Benefit Information


Common Forms You May Need


Plan Type

Form Use(s)

Return To

403b Salary Reduction Agreement


Indicating per paycheck 403b contribution amount into 403b plan

Jackie Gryczan – Employee Last Name A-L

Kenneth Woodard – Employee Last Name M-Z

Beneficiary Designation Form (Guardian)

Life Insurance

Indicate beneficiary(ies) on your life insurance policy

Benefits Office


Dental Change Form (HealthPartners)

Dental Insurance

Add/drop dependents or drop coverage entirely for dental insurance

Dental Enrollment Form (HealthPartners)

Enroll in dental insurance

Flexible Spending Election Form (Genesis/TASC)

Flexible Spending (FSA)

Elect Flexible Spending amounts for medical and daycare expenses

Medical Enrollment / Change Form (PreferredOne)


Add/drop dependents for medical insurance

Enroll in medical insurance

Change from Low Deductible to High Deductible Plan

Change from High Deductible to Low Deductible Plan


If you have any questions, please contact the Benefits Office at 952-988-4012.


Open Enrollment

Open enrollment for 2018-2019 will be from 5/1/18 through 5/13/18.


The district uses PreferredOne for our Medical coverage.

Pharmacy / Prescription Guide (pdf, 951 KB)

Create your account to compare prescription costs, locate pharmacies and more.


VEBA is a Health Reimbursement Account for employees on our PreferredOne Deductible health plan.

Benefit Forms

Need an enrollment or change form? How about a claim form? They can be found here, along with others.

Retirement Health Benefits

Looking for health insurance information when you retire?

The 403(b) Scoop

The 403(b) is a tax-deferred retirement plan available for certain public school and non-profit organization employees.


Family Medical Leave Act protects your position if you need to take time off for a medical reason.


HealthPartners provides the district's dental care as of 7/1/16 forward.

Delta Dental is no longer the dental carrier as of 6/30/16.

Additional Benefits

403(b), Flex Spending, Life Insurance, LTD, Employee Assistance, PERA, Retirement, TRA, Wellness, and other benefits for working in the school district.

Voluntary Vision Plan

Voluntary Vision plan through Superior Vision.

Hopkins Wellness

Hopkins employee wellness program fueled by Virgin Pulse.