To view documents on this page, please log in with your District 96 Google account.

This page contains information for new employees of District 96.

New Employee 16-17

Click here to open the folder found on Google Drive including all District PERA Evaluation Plans and Documents.

District 96 Teacher Evaluation Plan

 

Teacher Evaluation Forms

Below is a list of forms approved by the District for teacher evaluations. The forms can be edited in Google Docs for your use.

When Clicking on the Link: You will be prompted to copy the document to your Google Drive. Please click on the “Make a Copy” blue button and the form will open in Google Docs to be worked on. This form will be saved to your Google Drive for future reference and editing.

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REQUEST FOR PROFESSIONAL DEVELOPMENT FORM

At least three weeks prior to the workshop/conference:  1. Complete this form.  2. Obtain your Principal’s signature. 3.  Send completed form to District 96 Assistant Superintendent for Leadership Team review.  4. You will be notified by email upon approval.

Professional Development Request Form

D96 Staff Travel Reimbursement Guidelines.pdf

Click here to use Google docs to create your class schedule.

District96 offers employees a 403(b) plan to help save for retirement on a tax sheltered basis.

We are now happy to offer a Roth Contribution option!

The District’s 403(b) plan is administered The Omni Group. If you have any questions you can contact them by visiting their website at www.omni403b.com or by phone at 877-544-6664.

In order to enroll in the plan, you will need to review the information on the Approved 403(b) Plan Vendor List and contact the vendor directly to determine where you would like to invest your contributions.

The Approved Plan Vendor list contains a complete list of the approved vendors and their investment products as wells their financial advisor’s contact information. The list of approved vendors can also be found on The Omni Group website
at www.omni403b.com.

This page contains information about the District’s Dental Insurance through MetLife.

If you have questions about what is or is not covered on the dental insurance plan you should call Customer Service.

MetLife Customer Service 800-275-4638

You can view the plan information, find an in-network dentist, check the status of a claim and update your dental claim preference on the MetLife Website: www.metlife.com

PLAN SUMMARY

MetLife Dental Summary of Benefits

 

District 96 now has a portal that gives employees with direct deposit access to view their paycheck information and payroll history anytime and anywhere they have Internet access. At this time, the Employee Portal is not available to employees who do not have direct deposit.

Information is available through a secured website. Employees need to enroll in order to see their information. Once enrolled, employees can view the following:

Last check issued
Prior paycheck information
Payroll check summary information

Employee Portal Enrollment Instructions

 

Payroll Portal LINK: https://provisotreasurer.com/my_info/sd96/

Beginning July 1, 2017, employees who have direct deposit will no longer receive a pay stub. Paycheck information will be available through the Employee Portal.
Employees who have chosen not to participate in direct deposit will still receive a paper check delivered to their school.

Flexible Spending Account (FSA)

FSA Plan Year: July 1 – June 30

FSA Grace Period: 2 1/2 Months (September 14th)
The Grace Period begins at the close of the current FSA plan year. The grace period does not apply to the HRA plan. Any claims “incurred” during the Grace Period can be reimbursed from the prior plan year if funds are still available.
PLAN ADMINISTRATOR: DISCOVERY BENEFITS

Discovery Benefits has a user friendly website.

Discovery Benefits Service Representative 866-451-3399
Representatives are available M-F 7:00 am – 7:00 p CST
Be prepared to verify your identity when calling.

DISCOVERY BENEFITS FORMS

FSA Reimbursement Form – Discovery Benefits
Information & Forms

Aurthorized Representative Form

 

HCA – Health Care Account

BCBS administers the HCA.

District 96 offers an HCA to help members of the PPO health insurance plan pay their in-network deductible after the member has paid the employee portion of the deductible.

BCBS automatically processes your HCA Reimbursement when they process your medical claim. BCBS calls this PPO plan the BlueEdge Direct Health Care Account or HCA.

Your claim is processed by BCBS and applied toward your annual deductible, if applicable. You are responsible to pay your share of the in-network deductible. When your portion of the deductible has been met, BCBS will automatically pay the HCA amount directly to the provider.

Health services covered at 100%, co-pays and prescription drugs are not applied toward the deductible. Therefore, the employee is responsible for all co-pays associated with office visits, emergency room visits and prescription drugs. These costs are not reimbursable through the HCA.

The district’s health insurance plan is July 1 through June 30. The annual deductible for the PPO option is based on a calendar year – January 1 through December 31.

HCA In-Network Deductible Chart
Family Coverage
Employee Only Employee +1 Employee & Children Family
Medical Plan Deductible $1,500 $3,000 $4,500 $4,500
Employee Portion $600 $1,200 $1,800 $1,800
District Portion
Reimbursed from HCA Account
$900 $1,800 $2,700 $2,700.

The member is responsible for all Out-of-Network deductibles

 

Below is a flow chart showing how the process works with BCBS.

HCA Flow Chart.pdf

This page contains information about the District’s Health Insurance through Blue Cross Blue Shield.

If you have questions about what is or is not covered under the PPO or HMO health insurance plan you should call Member Services.

BCBS Website: www.bcbsil.com

BCBS Member Service
PPO: 800-541-2768
HMO: 800-892-2803

Plan Documents

Riverside 96 PPO Booklet 7-1-2016

Riverside 96 HMO Booklet 7-1-16

Medical Claim Form--20479.0607.pdf

primemail_order_form.pdf

PPO Prescription Information
Express Scripts is the administrator of the prescription drug benefit for the PPO Plan. You will need to use the Express Scripts ID card when purchasing a prescription.
Express Scripts Customer Service: 877-628-2615 Website: (LINK: http://express-scripts.com) express-scripts.com

Vision Discount Information

Discounts on eye examinations, eyeglasses, additional lens options and contact lenses.
Laser vision correction services at significant discounts.

Davis Vision Customer Service 877-393-8844

Website: www.davisvision.com

Vision Discount Info.pdf

Renewing and registering your license is the license holder’s responsibility. There are three types of licenses in Illinois:

  • Professional Educator License
  • Educator License with Stipulations (Paraprofessionals)
  • Substitute Teaching License

Professional Educator License

PEL Renewal Information.pdf

Illinois_Licensure_Requirements_July_1_2013.pdf

(Paraprofessionals) Substitute Teaching License

Parapro inst. to ck approval status.docx

Your license must be registered in the region you work in. Registration is done through your ECS account on the ISBE website. District 96 is in Region 06 West Cook.

Visit West 40 Intermediate Service Center website for details regarding Licensure. More information can be found on the ISBE website.

Reliance Standard Life Insurance

Each full-time employee is provided $50,000 group term life insurance at no cost to the employee. The provider for the group life insurance is Reliance Standard Life Insurance Company.

Reliance_Basic_Life___AD_D_Beneficiary_Form.pdf

Life_Insurance_Schedule_of_Benefits.pdf

Mileage Reimbursement forms are to be submitted as indicated below:

Reimbursement for travel from August through November 10 should be submitted by November 17, 2017.
Reimbursement for travel from November 13 through March 2 should be submitted by March 9, 2018.
Reimbursement for travel from March 5 through June 6 should be submitted by June 8, 2018.

The reimbursement rate 2017 is .535 cents per mile.

Add to Google Drive: Mileage Reimbursement 17-18

Download for Excel: Mileage Reimbursement 17-18

D96 Staff Travel Reimbursement Guidelines.pdf

Leave Request Form
Employees requesting time off for Personal, Professional Leave, Jury Duty or Absence Without Pay must complete this form and submit it to their supervisor for approval.

Leave Request Form 2016

Direct Deposit
District employees are encouraged to participate in Direct Deposit. Complete and sign the form below, attach a voided check and send to Linda Watson, Payroll Specialist, in the District Office. It generally takes up to three (3) paychecks for the direct deposit to become active.

Direct Deposit.pdf

Illinois W-4
If you want to make a change to your withholdings for Illinois taxes, complete the form below, sign it and send it to Linda Watson, Payroll Specialist, in the District Office.

IL-W-4.pdf

Federal W-4
If you want to make a change to your withholdings for Federal taxes, complete the form below, sign it and send it to Linda Watson, Payroll Specialist, in the District Office.

Federal W4 2013.pdf

Time Sheets

School Timesheet

Custodian Timesheet.pdf

Timesheet Additional Hours Custodians.pdf

Custodian Building Inspection Timesheet.pdf

Additional Para Time form

CERTIFIED STAFF

Certified Staff may be reimbursed up to $225.00 per semester hour per employee, to a limit of nine (9) hours per fiscal year.

In order to be eligible for reimbursement for graduate hours, certified employees must:
Secure approval from the Superintendent for reimbursement or horizontal lane change movement prior to enrolling in a course(s);
Seek reimbursement for only graduate hours related to the employee’s current professional assignment or otherwise be of value to the district;
See reimbursement only for graduate hours offered by a nationally accredited institution;
Present an official college transcript of credit, indicating a “B” or better or a “pass” on a pass/fail course; and
Employees shall, if warranted by completed course work, be moved to a new position on the salary schedule on September 15 (retroactive to the start of the school year) and/or January 1 (effective for the second half of the school year) of each year.

Credit toward horizontal movement on the salary schedule beyond the MA Lane shall be limited to approved graduate courses taken after the Masters Degree has been completed.

If an employee who received reimbursement for graduate hours must reimburse District 96 if he/she voluntarily resigns within two (2) years of receipt of reimbursed monies unless otherwise approved by the Board of Education.

Graduate Pre-Approval Form.pdf

A copy of the paid receipt is required to process the approved reimbursement. Please submit a copy of the paid receipt when you finish the course(s).

 

NON-CERTIFIED STAFF

For all approved undergraduate or graduate work, non-certified employees may be reimbursed up to $225.00 per semester hour per employee, to a limit of nine (9) hours per year. In order to be eligible for reimbursement for undergraduate or graduate hours, a non-certified employee must:
Successfully complete his/her probationary period;
Secure approval from the Superintendent for reimbursement prior to enrolling in a course(s);
See reimbursement only for undergraduate or graduate hours related to the employee’s current professional assignment or otherwise be of value to the district;
See reimbursement only for undergraduate or graduate hours offered by a nationally accredited institution; and
Present an official college transcript of credit, indicating a “B” or better grade for undergraduate or graduate hours or a “pass” on a pass/fail course.

An employee who receives reimbursement for undergraduate or graduate hours must reimburse District 96 if he/she voluntarily resigns within two (2) years of receipt of reimbursed monies unless otherwise approved by the Board of Education.

Non-Cert Pre-Approval Form.pdf

A copy of the paid receipt is required to process the approved reimbursement. Please submit a copy of the paid receipt when you finish the course(s).

MetLife Vision insurance is offered to eligible District 96 employees at their full cost. Below is the Summary of Benefits for the vision insurance.

For questions regarding the coverage contact MetLife at 1-855-MET-EYE1 (1-855-698-3931).

To find a provider use the following link: MetLife Vision Providers

Summary of Benefits.pdf