Staff Resources

Click here to view information regarding the District's Health & Wellness program.

If an employee and/or covered spouse choose not to participate in the HRA and biometric screening, they will be charged an additional $80.00 per month in healthcare premiums for both the employee and covered spouse in the plan for a maximum of $160 per month if neither choose to participate.

To schedule an HRA and Biometric Screening, call the Healthstat Scheduling Line at 1-866-959-9355 or 414-304-8787 during clinic hours. The Health & Wellness Clinic is located at 8640 S. Howell Avenue, in the 9th Grade Center at the Oak Creek High School.

The HRA must be completed within 30 days of enrollment.

• 2022 Summary of Benefit (Professional Educators & Full-Time Employees) 
• Summary of Benefits (10 Month Support Staff)
• Summary of Benefits (10 Month Support Staff 4 hours a day or less)
• 2022 Insurance Rates (Employee Cost, District Cost, Retiree Cost)
• NEW!!  Rights & Protections Against Surprise Medical Bills

Health Insurance

• UnitedHealthcare Enrollment/Change Form
• UnitedHealthcare Benefit Summary with Prescription
• UnitedHealthcare Plan Description
• UnitedHealthcare Prescription Plan Summary  
• Navitus Prescription Member Booklet

Dental Insurance

• Delta Dental Enrollment Form
• Delta Dental Plan Summary
• Delta Dental Summary Plan Description

Vision Insurance

• Vision Enrollment Form
• Vision Plan Summary
• Finding a Network Provider - Vision
• Printing Vision Insurance Cards

Short Term/Long Term & Life Insurance

• Short-Term Disability Plan Summary
• Long-Term Disability/Short-Term Disability & Basic Life & AD&D Insurance Enrollment/Waiver 
• Change of Beneficiary Form - Madison Life Insurance
• Short Term Disability Policy
• Long Term Disability Policy
• WRS Life Insurance Enrollment, Cancellation and Refusal Form
• WRS Life Insurance Beneficiary Designation Form
• WRS - Life Insurance Fact Sheet
• WRS - Life Insurance Overview
• WRS - Frequently Asked Questions

Flex Spending

• Flex Plan Enrollment Form
• Flex Plan Enrollment Guide
• Permitted Election Change Form

403B

• 403(b) Request Form
• Transaction Request Form
• OCFJSD Plan Summary
• OCFJSD 403b Plan Website
• Employee Eligibility Notice

Wisconsin Retirement System (WRS) website

State of WI 457 Plan (Deferred Comp)

• 457 Plan Information
• Enrollment Form (submit form to Payroll department)

Health Reimbursement Account (HRA)

A Health Reimbursement Account (HRA) is an employer funded account for employees that are eligible for Health insurance coverage through the District.  It is designed to help pay for health premiums when you retire from the District at age 55 or over.  

If you have five years of service with the District you may move your funds into other accounts that may earn more interest.  The default account is a fixed account, so you are guaranteed to receive some interest.  

• My MidAmerica  (click on Access Account, your username is your social security number, your initial password will be the last 4 digits of your social security number)
• Employee Welcome Kit
• Frequently Asked Questions
• Investment Change/Transfer form
• HRA Plan Document

Compensation Plan

2021-2022 Fiscal Year

These additional benefits are for employees that carry the District's Health Insurance:  ATI Physical Therapy, MDI Medical Diagnostic Imaging, Orthopaedic Hospital of WI.

     ATI PHYSICAL THERAPY

OCFSD and ATI Physical Therapy are joining forces to bring you and your family a new benefit option! It’s a program called ATIFirst where physical therapy can be your first treatment option to help you reduce pain and get you back to you being you.  Please click the link below for more information. 

• ATI  Physical Therapy FAQ
• Find an ATI Physical Therapy location near you. 

     MEDICAL DIAGNOSTIC IMAGING

MDI provides MRI, CT, Ultrasound and X-Ray services for our covered members at no cost to you!

• If you require imaging, please ask your provider to fax your order to one of MDI’s convenient locations. 
• MDI will call you directly to schedule your exam.

MDI Medical Diagnostic Imaging Informational Brochure

     Orthopaedic Hospital of WI

The District has entered into an agreement with Orthopaedic Hospitals of Wisconsin (OHOW) to allow you to have your orthopedic services provided by one of their physicians.  All appointments leading up to surgery will be the customary out of pocket expenses.  If it leads to surgery, then the surgery will be covered at 100%.  To make this process as simple as possible, you or your dependents must contact us first and let us know you need to schedule an appointment to begin the process that may or may not lead to surgery.  We then contact them and provide them your name and the issue.  For example, if you are experiencing knee pain, and want to have it diagnosed,  you should contact Troy and Sonia via email with a subject line OHOW.  If you see that we are both out of the office, please contact Jill Bebeau via email with the same subject line.  

Orthopaedic Hospital of Wisconsin has several locations throughout metro Milwaukee including Glendale, Greenfield, Shorewood, Cedarburg, and New Berlin.  For more information, visit https://www.ohow.com/locations.

2021-2022 Fiscal Year

UnitedHealthcare Transparency in Coverage

Professional Staff Prior Approval for Staff Development  (Conference / Workshop request) 

Direct Deposit Form

Title IX Policy Reporting

Discrimination/Harassment Complaint Form

Employee Injury/Accident Report

FAMILY AND MEDICAL LEAVE

• Family and Medical Leave of Absence Request Form
• Employee Rights Under the Family and Medical Leave Act
• Family and Medical Leave Policy

SHORT AND LONG TERM DISABILITY

• Short and Long Term Disability Claim Form
• Short and Long Term Disability Attending Physician's Statement 
• Short and Long Term Disability Online Claim Form
• Short and Long Term Disability Online Claim procedure 

Federal & State Withholding Forms - Both the W4 form & WT-4 form need to be completed prior to the new employee's start date. For assistance with these forms, please visit IRS’s Tax Withholding Estimator (www.irs.gov/W4App)

• W-4 Form - Federal Withholding Form
• WT-4 Form - State Withholding Form

Timesheets

• OCFSD Timesheet 
• OCR Timesheet - (Youth Programs)

Tuition Reimbursement

• Professional Educator (21-22 SY)
• Support Staff
• Administrators/Managers

Volunteer Background Check

Activity Accounts

• Activity Account Reconciliation
• Activity Account/Fee Deposit
• Order to Draw on Activity Account

Fundraisers

• Fundraiser Application Form
• Activity Fundraiser Completion Form

Other

• Co-Curricular Activity Time Sheet
• In-district Facility Request Form
• Mileage Chart
• Monthly Travel & Expense Report (2022)
• Monthly Travel & Expense Report (2021)
• P-Card Application/Agreement
• Request for Payment
• Request for Petty Cash
• Requisition Form
• W-9 (2022)
• Tax Exempt Certificate (2022)

Accident/Injury Exposure

• Non-Employee/Non-Student Injury Report
• Student Injury Report
• Hepatitis Forms
• School Exposure Incident Investigation Form

Curriculum

• Animal in Schools
• Course Curriculum Change Proposal
• New Course Proposal 
• Gifted and Talented Nomination Form
• Novel Evaluation
• OCFFE Grant Application Form
• Referral for Retention
• Textbook/Workbook Adoption Request
• Textbook Evaluation
• Video Purchase Request

Emergency Drill

• Emergency Drill Verification Form

Field Trip Forms

• Checklist to Determine School or Privately Sponsored Student Trip
• School-Sponsored, Single-Day, Field Trip Request Application
• Riteway Bus Request Form
• Field Trip Permission Form
• School-Sponsored, Overnight Field Trip Request Application
• School-Sponsored, Overnight Field Trip Evaluation Form
• School-Sponsored, Out-of-Country, Security Addendum

Technology

• Technology Purchase or Use Request Form

Timesheets

• OCFSD Timesheet 
• OCR Timesheet - (Youth Programs)