Please contact Karen Benci at 330-626-4900 x1370 with any questions related to human resources/payroll or insurance.
Transparency in Coverage Rule Requires Rate Information
Insurers and group health plans are required under the Transparency in Coverage rule to make rate information available for both members and non-members.
Mutual Health Services has provided the link below. This link will be uploaded monthly and will be hosted publicly (login not required) by Mutual Health Services.
https://www.medmutual.com/For-Employers/Employer-Resources/No-Surprises-Act-Legislation.aspx
Streetsboro City Schools is an Equal Opportunity Employer.
Human Resources Documents
HR Forms
- I-9 Employment Verification Form
- W-4 2023
- Ohio State Tax Form
- Direct Deposit Form
- Fraud Acknowledgement
- Health Insurance Marketplace Coverage Options
- SSA-1945
- STRS Member Information
- SERS Membership Form
- SERS Membership Exemption Form
- 403b Form
- 403(b) Information
- 403(b) Meaningful Notice/Plan Information Brochure (MN) and Annual Retirement Benefits Guide (ARBG)
- Maximum Allowable Contribution (MAC) Limits for 2023
Insurance Forms
- Employee Benefit Plan
- Certified 22-23 Insurance rates
- Classified 22-23 Insurance Rates
- Enrollment Form Mutual Health Services
- Streetsboro New Hire Guide BAN 2023-2024
- VSP Enrollment
- Waiver form for insurance 2022-2023
- Medicare Part D Creditable Coverage Letter
- Employee Assistance Program
- Streetsboro New Hire Notices 2022 Required Notices
Substitute Licenses / Permits
- Educational Aide and Student Monitor Permits
- Educational Aide Checklist
- Substitute Teaching License
- Substitute License Checklist
- Coaching Permits
Coaching Permits
Annual Notices
Last updated: October 2, 2023 at 14:46 pm