Staff Resources
Maintenance and Supply Request Form Vandalism Report
Staff Supply Requisition Form Staff Handbook Employee Rights and Labor Law Posters
Insurance Links
CT Partnership Health Plan
- New HEP Requirements (2024)
- Benefit Plan
- Summary of Benefits and Coverage
- State of CT Partnership Plan Details
- Enrollment Form: Excel Spreadsheet or PDF File
Anthem State Bluecare POS - Medical
- Customer Care: 1.866.611.8005
- Find a Provider
- LiveHealth Online Flyer
- Special Offers Flyer
- Websites:
Cigna - Dental
- Customer Care: 1.800.244.6224
- Benefit Summary Flyer
- Website: https://www.cigna.com/sites/stateofct-partnership/
State of CT Health Enhancement Program
CVS Caremark Prescription Benefit Program
- Customer Care: 1.800.318.2572
- Benefit Summary Flyer
- Medication Coverage Exception Request Form
- Mail Order Form
- Website: http://www2.caremark.com/ctpartnership/
Qualifying Life Event for Insurance Enrollment
Have you waived insurance coverage and are now in need of coverage? Open enrollment is every June with a July 1 coverage start date unless you qualify for a special exception. If you qualify for a special exception, or need additional information regarding a special exception, please contact Human Resources or the Business Office.
- Involuntary loss of other coverage.
- Cancelling the plan, voluntarily dropping coverage or failing to pay the premiums does not count as involuntary loss.
- Becoming a dependent or gaining a dependent as a result of birth, adoption, or placement in foster care.
- Turning 26 or older and aging off your parent's plan.
- Marriage.
- If you get married, you have a 60 day open enrollment window that begins on your wedding day. Your policy will be effective the first of the month following your application, regardless of what date you complete your enrollment.
- Divorce.
- If you lose your existing health insurance because of a divorce, you qualify for a special enrollment.
- Becoming a U.S. citizen.
Additional Information Resources
- https://www.anthem.com/individual-and-family/insurance-basics/health-insurance/qualifying-life-event
- https://www.healthcare.gov/glossary/qualifying-life-event/
Health Insurance Marketplace Coverage Options and Your Coverage
Not eligible for the Sprague Board of Education Health Insurance benefit or waiving coverage? The CT Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace offers "one-stop shopping" to find and compare private health insurance options. You may also be eligible for a new kind of tax credit that lowers your monthly premium right away.
Equitable Group Life Insurance
Connecticut Paid Leave
Contracts
- Sprague BOE Teachers' Contract 2021-2024
- Sprague BOE Teachers' Contract 2024-2027
- Municipal Employees Union Independent, Service Employees International Union, Local 506, AFL-CIO (Non-Certified) Collective Bargaining Agreement 2021-2024
Links
Tuition Reimbursement
Forms / Templates *
Various school forms / templates have been made available for your use out of the building.
Tax Forms | CT-W4 Withholding Certificate |
W-4 Federal Withholding Certificate | |
FMLA - Family Medical Leave Act | |
Employee Information | Employee Guide to FMLA |
Employee Forms | Employee's Serious Health Condition Form WH-380-E |
Exigency for Military Family Leave Form WH-384 | |
Family Members Serious Health Condition Form WH-380-F | |
Leave of Absence Request Form | To Fill Out (Word format) |
< Instructions > | To Print Only |
Mileage Requisition Form | To Fill Out (Excel format) |
< Instructions > | To Print Only |
Supply Requisition List | To Fill Out (Excel format) |
< Instructions > | To Print Only |
Purchase Requisition Form | To Fill Out (Excel format) |
< Instructions > | To Print Only |
Field Trip Request Form | To Fill Out (Word format) |
< Instructions > | To Print Only |
Time Sheets | To Fill Out (Excel format) |
< Instructions > | To Print Only |
Extra Stipend Positions Form | To Fill Out (Word format) |
To Print Only |
* If there is another form you would like to see made available on this page, please let me know so I can get it posted for you ~ Diane