Benefits for Participants

TO:                Schools Participating in the Rainbow Plan

FROM:           Brian C. Meekhof, Benefits Administrator


I am pleased to provide you with a Rainbow Plan enrollment package for the Plan Year beginning September 1, 2001.  Although September 1 may seem to be a long way off, starting the enrollment process now does have an advantage.  Every step of the process completed now while employees are in school is one less step that needs to be completed while employees are away for the summer.  Follow these steps to enroll your employees:

  • Complete the Enrollment Information Sheet, Key Employee List, Authorization Letter and HIPAA Certification form.
  • Post the sample notice to announce the enrollment period and to communicate enrollment instructions.
  • Distribute these items to all eligible employees:

The Rainbow Plan Enrollment Booklet: The booklet explains the Plan and the worksheet in the booklet assists participants in estimating the amount to contribute through the Rainbow Plan. (Extra worksheets are also included.)

Answers to Common Questions: This answers many questions related to orthodontia, dependent care, forfeitures and benefit election changes during the Plan Year.

Enrollment Authorization and Waiver Forms: All eligible employees must complete this form to choose to participate or waive participation in the Plan.  Forms preprinted with the employee name and personal information are provided for those currently participating in the Plan; blank forms are provided for all other eligible employees.

For employees who receive cash in lieu of benefits:  If your school offers a cash incentive to employees who are eligible to opt out of the school’s insurance program (cash in lieu of benefits), the employees taking the cash incentive must complete an additional enrollment form.  Contact me to receive the proper form.

Eligible Employees:

teaching staff working 500 or more classroom hours per year, and

all other employees working 20 or more hours per week.

Review and Verify Enrollments Before Sending to CSI:

Verify that the number of signed Enrollment Authorization/Waiver forms equals the number of eligible employees that you reported on the enrollment information sheets.  IRS regulations require that each eligible employee make an election or waive participation.

Verify that the annual employee elections do not exceed these maximums:

                  Medical Expense:         $  2,500

                  Dependent Care:          $  5,000  ($2,500 if married but not filing a joint tax return)

                  Total Contributions:    $10,000

Verify that the premium elections employees have made are consistent with school records.  Many schools complete the premium portion of the election on the employees' behalf when the rates become available and have found this to be the least confusing for employees. Do not include premium for optional life coverage in the Rainbow Plan.

New This Year: Verify that participants have provided their date of birth at the bottom of the enrollment form.  These will be used to set up personal identification numbers so that participants can confidentially access their own account on the internet.


Return Enrollment Materials to CSI:

Many schools distribute and collect completed enrollment materials prior to summer vacation. Under this approach an employee may change the withholding amount during the summer by completing a new Enrollment and Authorization Waiver form. As long as the form is signed prior to September 1, the change can be made. The key advantage of this method is that it eliminates the need to collect forms from employees during the summer.


Send these completed enrollment materials to the CSI office as soon as possible:

      · Enrollment Information Sheet

      · Key Employee List

      · Authorization Letter

      · HIPAA Certification form.

      · Signed Enrollment Authorization/Waiver forms for each eligible employee (including

         date of birth for participating employees)


- All enrollment materials must be received by CSI no later than August 10, 2001.        

(New employees have 30 days to sign up for the Plan; do not wait for new staff before mailing the enrollment materials back to CSI.)


Enclosed with this communique is a supply of Request for Reimbursement forms for you to keep on hand for your employees.  Contact me any time you need additional forms.

There is no longer a Certification of Eligibility for Dependent Care form for employees who use the dependent care spending account; the completed enrollment form is the only form necessary.

If you have any questions regarding the enrollment process or if I can be of any assistance to you, please contact me at (800) 635-8288, extension 267.  I am here to help make the Rainbow Plan work for you.