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Health Insurance Plan Documents, forms and information

The Distrist's Health insurance plan is administered by:


RBMS, LLC dba
Risk & Benefit Management Services
P.O. Box 241569
Anchorage, AK 99524-1569
907-561-3740
800-770-3740
www.rbmsllc.com

Health Insurance Plan Books:

Administration (PDF)

Maintenance and Central Office (PDF)

All Other Employees (PDF)


FORMS

RBMS Insurance Application Form (PDF) Use for all groups.

RBMS Health Insurance Claim Form (PDF)

RBMS Fill Time Student Form (PDF)

 


Retirement Plan Information (PERS and TRS)

The State of Alaska's Division of Retirement & Benefits administers the district's retirement plan.

Click here for forms and similar information.

 

Address:

 

Division of Retirement Benefits

P: (907) 465-3086

PO Box 110203

F: (907) 465-3086

Juneau, AK 99881-0203


Pretaxed benefits and medical expense plans:

The Ketchikan School District offers it's employees a dependent care and unreimbursed medical plan for its employees through American Fidelity Assurance Company.

Expense Reimbursement Voucher

 

Address:

 

American Fidelity Assurance Company

P: (800) 325-0654

Flex Account Administration

F: (800) 543-3539

PO Box 25510

 

Oklahoma City, OK 73125


403b Deferred Compensation Plans

The District uses Citizens Bank and Trust as a "gate keeper" for deferred compensation (deferred compensation) services.

List of Approved Investment/403b Provider Firms

Contact the payroll department for more information.


Other Payroll Forms

IRS Form W-4 (2006) (PDF)