Insurance Forms and Information
- Administrators
- Food Service
- Grant Funded/Special Projects
- Paraprofessionals and Teacher Assistants
- Police Authority Officers (PAO)
- Secretaries
- Teachers (PEA)
Administrators
Administrators have the option of four MESSA Plans: MESSA Choices, ABC-1, ABC-2, and Essentials by MESSA. (see complete summary of benefits under “Insurance Plan Descriptions and Cost).
Please return the following for enrollment:
- Health Insurance Enrollment Form or Member Change form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.orgAdmin Insurance Plans Info and Cost
MESSA Essentials Drug Coverage Booklet
Food Service
Full-time Food Service Staff have the option of two Blue Care Network HMO Plans. (see complete summary of benefits under “Insurance Plan Descriptions and Cost).
Please return the following for enrollment:
- Health Insurance Enrollment Form (remember to specify which plan you are enrolling for on the top of the form) OR Waiver Form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.org
Food Service Plan Summary and Cost
Blue Care Network Enrollment Form
Food Service Life Insurance Beneficiary Form
Grant Funded/Special Projects
Employees in this classification have the option of four MESSA Plans: MESSA Choices $500/$1,000, MESSA Choices-2 $1,000/$2,000 ABC-1, or Essentials by MESSA (see complete summary of benefits under “Insurance Plan Descriptions and Cost).
Please return the following for enrollment:
- Health Insurance Enrollment Form or Member Change Form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.org
Grant Funded Insurance Summary and Cost
MESSA Essentials Drug Coverage Booklet
LIfe Insurance Beneficiary Form
Paraprofessionals and Teacher Assistants
Paraprofessionals and Teacher Assistants have the option of four MESSA Plans: MESSA Choices, MESSA Choices II, ABC-1, or Essentials by MESSA (see complete summary of benefits under “Insurance Plan Descriptions and Cost).
Please return the following for enrollment:
- Health Insurance Enrollment Form or Member Change Form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.org
MESSA Essentials Drug Coverage Booklet
Police Authority Officers (PAO)
Police Authority Officers have the option of two HMO plans with Blue Care Network (see complete summary of benefits under "Insurance Plans Descriptions and Cost).
Please return the following for enrollment:
- Health Insurance Enrollment Form (be sure to select a plan) or the Waiver form.
- Life Insurance Beneficiary Form.
If you have further questions please contact michael.emerson@pontiacschools.org
Secretaries
Secretaries have the option of three MESSA Plans: MESSA Choices, MESSA Choices-2 and ABC-1 as well as an Opt Out Plan.
Please return the following for enrollment:
- Health Insurance Enrollment Form or Member Change Form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.org
Teachers (PEA)
Teachers have the option of four MESSA Plans: MESSA Choices-II, ABC-1, ABC-2, Essentials by MESSA or two Opt Out Options
Please return the following for enrollment:
- Health Insurance Enrollment Form, Member Change Form or Opt Out Form
- Life Insurance Beneficiary Form
If you have further questions please email michael.emerson@pontiacschools.org
Teacher Insurance Opt Out Form