Briarcliff Benefits

You have 30 days from your hire date to enroll in any plan, and your coverage will become effective on the 1st day of the month following your hire date. If you do not enroll at the time of hire, you must wait for the next open enrollment period in the spring.  

All employees were provided with an enrollment form at the time of hire. If you need an enrollment form or have any questions about benefits, please contact the Benefits Coordinator. 

Certain life events allow you to make changes to your health insurance coverage outside of the open enrollment period. These qualifying events include: 

• Marriage or divorce 

• Birth or adoption of a child 

• Loss of other health insurance coverage 

• Significant change in employment status (such as a job loss) 

• Death of a spouse or dependent 

• Change in residence that affects your health plan coverage 

• Becoming eligible for Medicare or Medicaid 

You can add a new spouse within 30 days of your marriage or a new child within 60 days of a qualifying event. 

Once you enroll in a benefit plan, you have certain responsibilities: 

• Verify the accuracy of your enrollment and employee contribution amounts. 

• Inform the Benefits Coordinator of any coverage or address changes. 

All changes to your healthcare plan, such as open enrollment, dependent coverage changes, and COBRA, will be addressed directly with Benetech.  

Ten-Month Employee  

If a ten-month employee does not return to Briarcliff in September, their coverage will be terminated, and they will be responsible for any claims incurred during the months of July and August.  Employees can instead choose to make a payment of the full premium to the District, per month for July and August to cover those claims. 

 It is the employee’s responsibility to know and understand the financial responsibilities for health and dental premiums upon resignation. 

Dependents are no longer eligible upon their 26th birthday. Coverage will continue through the end of the month in which they turn 26. Benetech will reach out to you when your dependent is no longer eligible. 

COBRA (Continuation of Health Insurance Coverage)  

You and your eligible dependents have the right to elect to continue your medical and dental coverage if you lose these benefits under certain circumstances. This right is guaranteed under federal law. To continue coverage, you must pay the total premium for the plan plus a 2% administrative fee.  If you are eligible for COBRA, you will receive notice from the PNW BOCES Health Benefits Consortium (health) or Guardian (dental)with COBRA enrollment forms and next steps. 

Aetna Summary of Benefits & Coverage 2024

Secondary Coverage FAQ

• Guardian Dental Enrollment Kit
• Guardian Summary Benefits
• Guardian Anytime Website

• PNW BOCES Health Benefits Consortium
• 2025-2026 School Year - PNW BOCES Health Insurance Rates

All employees, at the time of hire, who work 30 hours or more, can be choose to enroll in the group life insurance plan provided by the District through Mutual of Omaha at no cost to the employee. If you are currently employed and are looking to enroll, please reach out to Tracy Segelbacher for open enrollment information.

Refer to your benefit agreement or bargaining unit contract for your life insurance coverage.  

If you incur a work-related injury or illness, you may be eligible for benefits under the Workers' Compensation Act. All work-related accidents or injuries should be reported immediately to the Nurse’s Office or your immediate supervisor using the Employee Incident Report form.  Then follow the following steps: 

 

1. Complete a C3 Employee Claim form  

2. Seek immediate medical care from a hospital or doctor authorized by the NYS Workers’ Compensation Board (WCB) to treat WC injuries. Injured workers can search for WCB authorized doctors at: http://www.wcb.ny.gov/health-careprovider-search/  

3. Provide a detailed history of the accident and injuries to your doctor.  

4. Tell your doctor to file medical reports with the WCB, Briarcliff Manor and the claim administrator:  

• Employer: Briarcliff Manor UFSD (W805444)  

• Insurance Carrier: Briarcliff Manor UFSD (Self-Insured)  

• Claim Administrator: Wright Risk Management, 900 Stewart Avenue, Suite 600, Garden City NY 115305.  

5. DO NOT pay any doctors or hospital for any treatment relating to a WC injury. All bills for treatment relating to the injury should be submitted to Wright Risk Management for processing and payment.  

6. Employees are encouraged to return to work as soon as possible, as compensation is never as high as your wages.  

7. Go to all WCB hearings when notified to appear. 

Aflac provides supplemental insurance to help pay out-of-pocket expenses your health insurance may not cover such as: Short Term Disability, Accident, Hospital, and Cancer coverage.   

Aflac is available to all employees at their own expense.  If you are interested in learning more about Aflac, please contact Aflac’s Benefits Educator, Cori Haber at cori_haber@us.aflac.com  

Long-term disability coverage, managed by Mutual of Omaha, provides two-thirds salary benefit with a threshold amount of $5,000.  Employees must work a minimum of 30 hours per week to be eligible. Please refer to your individual bargaining unit for coverage details and/or contact the Human Resources Department for more information.  

Long-term disability claim form