Skip to Main Content

Search Our Site

Minidoka County School District

Schools and Families Working Together!





2020-21 Benefit Information and Documents

2020-21 Insurance Rates

If you are having trouble viewing the document, you may download the document.

Blue Cross of Idaho (ISBT)

Blue Cross of Idaho Enrollment Form

ISBT enrollment app.pdf 423.12 KB (Last Modified on July 14, 2020)

Comments (-1)
PPO Medical $3000 Deductible Benefit Summary

Minidoka County SD PPO.pdf 188.5 KB (Last Modified on July 13, 2020)

Comments (-1)
HSA Medical $5000 Deductible Benefit Summary

Minidoka County SD HSA.pdf 176.98 KB (Last Modified on July 13, 2020)

Comments (-1)
Prescription Benefit Summary

Minidoka County SD PPO Rx.pdf 109.69 KB (Last Modified on July 13, 2020)

Comments (-1)
HSA Preventive Drug Lists

HSA Preventive Drug List.pdf 477.53 KB (Last Modified on July 13, 2020)

Comments (-1)
$0 Pediatric Copay

Zero Pediatric Copay.pdf 598.91 KB (Last Modified on July 13, 2020)

Comments (-1)
Preventive Care Highlights

Preventive Care Flyer.pdf 59.64 KB (Last Modified on July 13, 2020)

Comments (-1)
MD Live

MDLIVE.pdf 617.93 KB (Last Modified on July 13, 2020)

Comments (-1)
Employee Assistance Program (EAP)

EAP.pdf 465.38 KB (Last Modified on July 13, 2020)

Comments (-1)
Discounts with Blue Cross

Blues Extras.pdf 941.46 KB (Last Modified on July 13, 2020)

Comments (-1)

Dental Benefits

Delta Dental Enrollment/Change Form

DELTA DENTAL Enrollment-Change-Form.pdf 131.3 KB (Last Modified on July 14, 2020)

Comments (-1)
Delta Dental Benefit Summary

Delta Summary.pdf 38.19 KB (Last Modified on July 13, 2020)

Comments (-1)
Member Registration

Delta Member Registration.pdf 526.62 KB (Last Modified on July 13, 2020)

Comments (-1)
Orthodontic Discount Flyer

Orthodontic-Discount-Flyer.pdf 329.02 KB (Last Modified on July 13, 2020)

Comments (-1)
Delta Discounts

Delta Discounts.pdf 1.39 MB (Last Modified on July 13, 2020)

Comments (-1)
Health Oral Wellness Program

HOW Program.pdf 229.59 KB (Last Modified on July 13, 2020)

Comments (-1)
Life Smile Wellness

Life Smile Wellness.pdf 7.94 MB (Last Modified on July 13, 2020)

Comments (-1)
Willamette Dental Enrollment Application

Willamette Application.pdf 285.75 KB (Last Modified on July 14, 2020)

Comments (-1)
Willamette Benefit Summary

Dental Blue Connect Plan 1_Idaho School Benefit Trust_ Benefit Highlight Sheet.pdf 183.71 KB (Last Modified on July 13, 2020)

Comments (-1)
5 Reason to Choose Willamette Flyer

Five Reasons to Choose Dental Blue Connect.pdf 264.39 KB (Last Modified on July 13, 2020)

Comments (-1)

Life Map

Vision Enrollment Application

Minidoka School District - Vision Enrollment Form.pdf 111.49 KB (Last Modified on July 14, 2020)

Comments (-1)
Vision Summary

Minidoka School District - Vision Summary.pdf 104.5 KB (Last Modified on July 13, 2020)

Comments (-1)
VSP Flyer

Vision-EE_06808-lm.pdf 1.31 MB (Last Modified on July 13, 2020)

Comments (-1)
How to Use Vision Benefits

Vision-How to Use Your Benefits_EE.pdf 228.93 KB (Last Modified on July 13, 2020)

Comments (-1)
Find an Eye Doctor

Vision_Find-an-eye-doc_Flyer.pdf 185.93 KB (Last Modified on July 13, 2020)

Comments (-1)
Life Enrollment Application

Life enrollment fillable.pdf 110.24 KB (Last Modified on July 14, 2020)

Comments (-1)
Life Insurance Summary

Minidoka School District - Basic Life summary.pdf 81.75 KB (Last Modified on July 13, 2020)

Comments (-1)
Life Beneficiary Change

Beneficiary change.pdf 57.93 KB (Last Modified on July 14, 2020)

Comments (-1)

PERSI

Benefits at a Glance

Benefits_at_a_Glance.pdf 907.42 KB (Last Modified on July 13, 2020)

Comments (-1)
Persi 401(k) Enrollment/Change Form

choiceplandeferralelectionbrochure.pdf 880.42 KB (Last Modified on July 13, 2020)

Comments (-1)
Buybacks Flyer

buybacks.pdf 782.94 KB (Last Modified on July 13, 2020)

Comments (-1)
Beneficiary Designation

RS115.pdf 102.15 KB (Last Modified on July 13, 2020)

Comments (-1)

CLOSE

CLOSE