Benefit Forms

Effective Dates:
Deductible Year 1/1/23 - 12/31/23
FSA/DFSA Spending Effective   1/1/23 - 12/31/23
Insurance Coverage  1/1/23 - 12/31/23

Website and Enrollment Information

2023 Benefits

To find a clickable benefit guide and a benefit video, please visit the USD 260 - Derby Public Schools employee benefits portal at https://www.mybenefitshub.com/usd260.  You can also find the following:

• Benefit Summaries
• Provider look-up
• Prescription look-up
• Claim forms for the different benefits (Aflac, BCBS, Vision, 3-N-1, etc.)
• Mobile apps for the different benefits

 

Other Links

Contracting Pharmacy in 67037 area
USD 260 Plan Document
Wellness Incentive Forms
Withdrawal of KPERS account
Derby Education Foundation Information
Derby Education Foundation Payroll Deduction Form
403b Salary Reduction Form