Benefits Home

Memo To:  All CCSD Employees
From: Human Resources 
Subject: Health Insurance Information

Collective bargaining units determine employee eligibility for health insurance. The District is self-insured and I want to provide some information to assist in understanding your coverage. First, you get an empire card, this is for medical coverage.

• Anthem (This is who facilities the claim payments from your provider, you would call them for claims assistance.)
• Anthem (This is the network that is used for the claims)
• Navitus Prescription Coverage

You will get Navitus cards in the mail, separate from your medical insurance cards. Regular prescription drugs will be through Navitus. (ex: antibiotics, short term medication)

Please note that maintenance drugs (daily medication that needs continuous renewal) are required to go through Birdie (mail order). Birdie does not automatically refill, and you need to make sure you provide at least a week to order the renewal before you run out.

• For medical network and claims information, you can go to Anthem: New York Health Insurance, Medicare & More and/or you can download the Sydney Health app to assist in finding doctors, reviewing benefit information, accessing virtual care and getting your member ID card 24/7. You can also call 1-844-995-1737 Monday through Friday 8:30 am -5pm
• Prescription coverage is through Navitus and you can review more detailed information at Member Information (navitus). You can create an online account for 24/7 access or call 1-855-673-6504. Please remember all “maintenance” prescriptions need to be filled through Order Prescriptions Online, Digital Pharmacy, Free Shipping | BirdiRx
• Navitus for Medicare Retiree members can log into navitus and create a member portal 1-866-270-3877.

Open enrollment for health insurance is annually in April for a May 1 effective date and October for a November 1 effective date. The only changes that can be made outside of open enrollment are based on “qualifying events” (birth, marriage, divorce, etc.) It is the employee’s responsibility to notify the district within 30 days of the event to add or update the health insurance coverage.

If you are eligible for coverage, but are declining, the office of Human Resources needs proof of alternative coverage and the declination form submitted.

If you have any questions, please contact the Human Resources Office or email benefits@carmelschools.org.

Dental and Vision coverage is facilitated through the unions. (Exception to this is Central Office/Confidential/Mgmt./CAA)

• Benefits Enrollment Form 
• Benefit Declination Form
• Anthem
• Sydney Health App: Mental Health Support 
• Sydney Health App: Symptom Checker 
• Navitus Prescriptions
• Birdie Mail Order Prescriptions
• Flexible Benefits Claim Form
• Rights & Protections Against Surprise Medical Bills
• Health Care Transition History
• FAQs on Retirement
• Medicare Letter

• Active Nurses
• Active Teachers
• Active Teaching Assistants
• Building Administrators
• Building Heads
• Cafeteria
• Central Office
• Confidential Management
• CSEA
• Office Staff
• Paraprofessionals

• CCSD Health Benefits Plan (rev. June 2023)
• Signed Health Plan Document
• Appendix A: Glossary
• Appendix B: Medical & Rx Schedules of Benefits
• Appendix D: Medical RX Administrators

For the plan for your particular group, see below:

• Formulary - List of Drugs Covered 
• Directory of Pharmacies 
   

Pharmacy - Plan 1
For retired COSA, Nurses, Paraprofessionals, Teaching Assistants, Cafeteria, Building Administrators, CSEA and Building Heads

•  Summary of Benefits
•  Evidence of Coverage 
   

Pharmacy - Plan 2
For Central Office Administrators and Confidential Management

• Summary of Benefits
• Evidence of Coverage 
   

Pharmacy - Plan 3
For CTA Retirees (effective September 1, 2011)

• Summary of Benefits
• Evidence of Coverage 
   

Pharmacy - Plan 4
For CTA Retirees (prior to September 1, 2011)

• Summary of Benefits
• Evidence of Coverage 

• Informational FSA Brochure
• FSA Dependent Care Brochure