Your browser (Internet Explorer 7 or lower) is out of date. It has known security flaws and may not display all features of this and other websites. Learn how to update your browser.

X

Navigate / Profile / Search

Profile

DEPARTMENTS   »   General Finance and Administrative Services   »   Compensation and Benefits   »   Forms

Form Information

 

WELCOME TO THE COMPENSATION AND BENEFITS DEPARTMENT OF THE OMAHA PUBLIC SCHOOLS

Open enrollment is now in progress for the 2017/2018 school year.  If you would like to make any changes or enroll in Health and Dental, Flexible Spending or Vision Coverage, you may enroll now.  All plans will be effective 09/01/2017.   See below for enrollment deadlines and links for benefit information and enrollment forms.

Open Enrollment Letter and Updated Benefits

Health Insurance Enrollment Deadline:  Enrollment form must be received in our office by 07/31/2017

BCBS Health and Dental Enrollment Form

              Health Rates

               Operations_Security_Transportation

               Nutrition_Office Clerical

               Paraprofessionals

               Administrators

               OEA_Non Negotiated_Maintenance_Psychologists_Interpreters


Vision Insurance Enrollment Deadline:  Enrollment form must be received in our office by 07/31/2017

VSP_Individual Membership Enrollment Form

VSP Vision Information and Rates


Flexible Spending Enrollment Deadline:  Enrollment form must be received in our office by 07/31/2017 (YOU MUST RE ENROLL EVERY YEAR)

PayFlex Enrollment Form

PayFlex Reimbursement Quick Reference Guide

PayFlex FSA Flyer



FormsLinks
Paystub Duplicate Request FormView
W-4 FormView
W-4P (Pension Withholding)View
Basic and Supplemental Life Beneficiary FormView
Supplemental Life Plan (Rates) (04/01/2016)View
Personal Health Statement Form (Supplemental Life)View
Supplemental Life Employee, Spouse and Child Enrollment FormView
Term Life Portability Request FormView
Direct Deposit Authorization CardView
Extra Pay Request FormView
Extra Pay Request ProceduresView
BCBS Health & Dental Enrollment FormView
VSP VisionView
VSP Vision Termination FormView
Payflex (Plan 125) Enrollment formView
PayFlex Reimbursement Account Claim FormView
OSER Retirement Beneficiary CardView
Vacation Advancement Request FormView
Paraprofessional Sick Advancement Request FormView
Request for Duplicate IRS Forms W-2, 1099R, 1099MView

Required Notices and Postings