Employee Benefits

Employees may choose to enroll in any combination of the benefits listed below.

Health Care

Excellus Blue Cross Blue Shield LogoExcellus Blue Cross & Blue Shield - Liverpool offers employees a comprehensive medical and prescription drug plan through Excellus Blue Cross Blue Shield. Open enrollment is December with the effective coverage date of January 1. The health plan consists of four parts:

  • Blue Cross covers Hospitalization
  • Blue Shield covers Medical/Surgical Benefit
  • Major Medical covers Enhanced Medical Benefits
  • Prescription Drugs

Please notify Tracy Sheridan of any changes listed below by calling 315-622-7978 or e-mailing her at tsheridan@liverpool.k12.ny.us:

  • Change of coverage (for example individual to family or vice versa)
  • Name or address changes
  • Add a new spouse within 30 days of the date of marriage (a copy of the marriage license is required)
  • Add a new baby within 30 days of the baby's birth (a copy of the birth certificate is required)

Excellus forms:

Dental Care

Guardian LogoGuardian - Guardian is the dental plan offered to Liverpool employees. Summary Plan documents are available by calling the Human Resources office at 315-622-7978. Claim forms are available in each building, on the Guardian website or below.

Guardian forms:

Life Insurance

MetLife LogoMetLife - All eligible employees can purchase a group term life insurance plan through Metropolitan Life Insurance. Contact the Human Resources Office at 315-622-7978 for more information.


Flexible Spending Account

Preferred Group LogoPreferred Group Plans, Inc. - Use the Preferred Group Plans, Inc. website to find out how you can save 30% to 40% by using pre-tax dollars to pay for out-of-pocket dependent day care, medical, dental and vision expenses and insurance premiums. Enrollment is during the month of December for the next calendar year.

Flex Plan forms:

403(b) Plan

Omni Group LogoThe Omni Group  - A supplemental retirement plan which provides an opportunity to save money from your paycheck on a pre-tax basis while allowing your money to grow tax-deferred until retirement.

Omni form:

403(b) Universal Availability Notice - You have the opportunity to save for retirement by participating in Liverpool Central School District's 403(b) retirement plan.  If there are any questions, you may contact the Plan's administrator, The OMNI Group at 877-544-6664.  Please click on the link below for details.

Direct Deposit (call Terri Wills 315-622-7105 with questions)

You may have your paycheck sent to as many as three different financial institutions but, only one account each. Fill out the Direct Deposit Authorization form and submit it to Human Resources.

Related Files
pdf Excellus Enrollment Form pdf 210 KB
pdf Excellus Prescription Claim Form pdf 75 KB
pdf Excellus Claim Form pdf 117 KB
pdf Excellus Shared Information Authorization pdf 383 KB
pdf Flex Plan Change in Status Form pdf 25 KB
pdf Flex Plan Reimbursement Voucher pdf 343 KB
pdf Flex Plan Termination of Service Form pdf 92 KB
pdf Flex Plan Claim Submission Guidelines pdf 252 KB
pdf Flex Plan Over the Counter Products Guidelines pdf 70 KB
pdf Flex Plan Q & A Brochure pdf 2.2 MB
Guardian Dental Claim Form 12 KB
pdf Guardian Enrollment Form pdf 281 KB
pdf Guardian Plan Information Booklet pdf 286 KB
pdf Omni Salary Reduction Agreement Form pdf 490 KB
pdf 403(b) Universal Availability Notice pdf 30 KB
pdf Dental Dependent Eligibility Certification Form pdf 29 KB
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