PO Box 1095 Kirksville, MO 63501 cva@charitonvalley.org Phone: 660-665-1111 Fax: 660-665-1409 HR Fax: 660-665-3417

Plan changes/New Enrollments

Enrollment for benefits is completed online via Employee Navigator. Use the company identifier “Chariton” to register your account. If you wish to make plan changes or are a new employee signing up for benefits for the first time, you must go online and complete your enrollment no later than 30 days after your qualifying event date. CVA’s plan year is 7/1/2021 – 6/30/2022.

**Note, there is a 2 month calendar wait for benefits to begin. Example: If you were hired/promoted to Full-Time status 6-15-20, your effective date of coverage is 9-1-20.**

CVA Benefits Packet 2021 

PPO 1500 with FSA Health Plan Summary of Benefits

PPO 2500 with FSA Health Plan Summary of Benefits

PPO 2500 High Deductible Plan with HSA Summary of Benefits

FSA Participation Form (If you selected one of the Copay 1500/2500 PPO Health Plans)

HSA Participation Form (Hourly Employees 24 pay periods) If you selected the 2500 High Deducible Health Plan

HSA Participation Form (Admin Exempt Employees 12 pay periods) If you selected the 2500 High Deducible Health Plan

HSA Accounts with High Deductible Health Plan

Newly eligible employees that select the high deductible health plan will need to set up a HSA account with a local bank and return the HSA direct deposit form to payroll to receive contributions. 

There are several local banks in Kirksville that offer a HSA account including:

You can choose which bank you prefer to open your account. You will need to provide Payroll a HSA direct deposit form to have your contributions deposited into your new account. 

Below are the HSA contribution forms to update your contributions for 2021

 

Supplemental Insurance
Aflac logo
Supplemental Insurance Plan options for all employees including:
-Additional term life insurance
-Cancer Policy
-Accident Policy
-Critical Care and Protection
-Short-Term Disability
https://www.aflac.com

Contact a Aflac agent below to enroll in Aflac benefits:

Erica Ashley
American Family Life Assurance Company of Columbus (Aflac)
3005 Chinaberry Drive, Ste A
Columbia, MO 65201
573-447-6400 Office
573-447-6681 Fax
314-537-4433 Cell
erica_ashley@us.aflac.com

David Lyons
American Family Life Assurance Company of Columbus (Aflac)
1123 Wilkes Blvd Ste 330
Columbia, MO 65201
573-441-1101 Office
573-441-1105 Fax
660-888-7156 Cell
david_lyons@us.aflac.com

legal shield logo
All employees are eligible to sign up for this service.
Provides protection against identity theft for individuals or families.
Legal Shield attorneys available for consultation on legal, financial, and family matters.
Please see the LegalShield flyers for more information
https://www.legalshield.com/\
Rich Ellerman Business Card

 

Please return these forms to Curtis Mason in HR via email at cmason@charitonvalley.org, or fax to 660-665-3417, or in person at the Business Office.

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