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Benefits and Leave Paying for your Benefits All benefits are paid through payroll deductions, unless you are placed on an "unpaid leave"status(see below). Benefits are payroll deducted to pay for the current month of coverage. Many of the benefits are paid pre-tax. Some of the cost of the benefits are paid by the District,some by you,and some are shared by you and the District. Please refer to the following chart for specifications. BENEFIT WHO CONTRIBUTES? TAX BASIS Medical&Prescription Employee&The District Pre-Tax Basic Life/AD&D, EAP The District Not Applicable Dental,Vision,Health Savings Accounts, Retirement Plans Employee Pre-Tax Additional Life/AD&D, Disability,Additional Elective Benefits Employee Post-Tax Family Medical Leave Act — Approved Leave with Benefits The District will continue to pay the employer's contributions for your medical and employer paid basic life insurance coverages for up to 12 weeks while you are on approved FMLA leave; however,you are responsible for paying the employee cost for any insurance coverage you have elected for yourself, and, if applicable,your family. These payments will continue to be payroll deducted until such time you go into an "unpaid leave status."At that time,you will be required to make premium payments directly to the District for each pay period as premiums are no longer payroll deducted. Failure to pay insurance premiums by the 30th of the month will result in immediate cancellation of coverage. District Payment Instructions: Direct payment can be made by check or money order(cash payments are not accepted)to the address below. Please include your Employee ID on the check and a copy of your benefit confirmation page. Failure to pay insurance premiums by the 30th of the month will result in immediate cancellation of coverage.The amount owed is the amount normally deducted per pay as shown on your paystub in Focus. Make payments to:School District of Indian River County(SDIRC) Mailing Address: Employee Benefit Department 6500 57th Street,Vero Beach, Fl 32967 NON-FMLA Leave If you go out on an approved Non-FMLA leave,you will be responsible for paying 100%of your insurance premiums (for all plans).You will no longer receive the Board paid contribution. Failure to pay insurance premiums by the 30th of the month will result in immediate cancellation of coverage. FMLA or Approved Leave of Absence— Frequently Asked Questions and Answers 1. What happens to my benefits when I go out on Leave? If you are on approved FMLA leave,the District will continue your benefits and pay the District cost of benefits. However,you will be required to pay for your share of the health insurance premiums,see above District payment instructions. If you are on Non-FMLA leave,you will be responsible for paying 100%of the cost of the your medical insurance along with your cost of any other benefits you have elected.You will no longer receive the Board contribution to the medical insurance. 2. How do I know how much I will owe?You may determine the cost your benefits by reviewing your printed hard copy of the benefit confirmation sheet and your most recent pay stub. 3. Can I add my newborn to my policy?Yes,your newborn may be enrolled on your plan within one month of birth by going online to www.sdirc-benefits.com and processing a qualifying event. 4. Can I add other family members to my policy at the same time I add my newborn?Yes,you can add your spouse or other qualified dependent children at the time you add your newborn. 5. What happens to my benefits if I don't come back from leave after my FMLA expires? If you are on leave beyond the FMLA period,you will stop receiving the Board contribution towards the District medical and life insurance coverages and will be responsible for paying the total cost,whether through payroll deductions or direct payment. If payments are not received by the end of each month, benefits will be cancelled immeti4tely. 9