2026
BENEFIT GUIDE
Quick Reference Guide to Employee Benefits
Accessing Employee Benefit Information - Employee Benefits Guide,
Go to your employee benefit account OR go to D203 website and select Department Services Human
Resources Health & Well-Being 203
Accessing YOUR Employee Benefits Account
Go to www.naperville203.org Staff Member select District Resource Center click
on the Employee Benefits Icon (smaller icon) log in to your account (Company Key: D203)
Go to employeebenefits.naperville203.org (Company Key: D203)
Experiencing an IRS Qualifying Life Event - Marriage/Divorce, Baby/Adoption, Loss of Insurance
Coverage, etc.
Employees have 31 days from the date of a Qualifying Life Event to make changes to their employee
benefits. In order to make new elections due to a Qualifying Life Event, the employee must make the
change to their Employee Benefits Account and submit required documentation to the D203 Benefits
Specialist within 31 days of the Qualifying Life Event date.
Considering a Leave of Absence
Contact your Human Resources Generalist
Changing Personal Information - Name, Address, Phone, Emergency Contact
Contact your Human Resources Generalist
Address, Phone, Emergency Contact: Go to www.naperville203.org Staff Member
select District Resource Center click on Human Resources select D203 Staff Resource Library
Select Address or Name Change Process
Annual Benefits Enrollment
Starts mid-October with a January 1 effective date
Wellness Program
Naperville has a wellness program that you can participate in to stay healthy and help keep your medical
premiums lower.
Benefits Plan Carriers
Medical BlueCross BlueShield of Illinois
Prescription Drugs Prime Therapeutics
Dental Guardian
Vision Guardian
Health Care Flexible Spending Account Inspira Financial
Dependent Care Flexible Spending Account Inspira Financial
Health Savings Account Lively
Employee Assistance Program ComPsych
Telehealth Medical Teladoc
Telehealth Behavioral Health Teladoc
Basic Life Insurance Guardian
Voluntary Life, Critical Illness, Accident Insurance Guardian
Near site clinic on Ogden Ave for Naperville 203 medical participants only!
The clinic is called Priority Care powered by Marathon Health.
See page 12 for more information. 2
NEW!
Table of Contents
Introduction 4
Enrollment 5
Medical/Prescription Plan 6
Dental Plan 13
Vision Plan 14
Payroll Contributions 15
Wellness Program 16
Teladoc General 17
Teladoc Behavioral Health 18
Teladoc Nutrition & Dermatology 19
Teladoc - Livongo 21
Hinge Health 21
Flexible Spending Accounts 22
Health Savings Accounts (HSA) 23
Life and AD&D Plan 24
Long-Term Disability Plan 25
Voluntary Life Insurance Plan 26
Voluntary Critical Illness Plan 28
Voluntary Accident Plan 30
Retirement Savings Plan 403(b) / 457 32
Employee Assistance Program 33
Health Care Terms 34
Important Notices Appendix A
BCBSIL Helpful Information
Blue Access for Members
Provider Finder
Understanding Your Explanation of Benefits
Guardian Helpful Information
Dental Provider Finder Instructions
Vision Provider Finder Instructions
Wellness Tools
Appendix B
Member Advocacy Inside Back Cover
Contact Information Back Cover
3
Hello!
Naperville Community Unit School District
203 offers a comprehensive suite of
benefits to help support the physical and
financial health of you and your family.
These benefits help you pay for health care
and provide financial protection for you
and your family.
Read this guide carefully to fully
understand your benefits and how they
work in order to make the best decision for
you and your family. Being thoughtful
about your benefits is a good thing
the first step to ensuring your family has
the protection needed to be healthy
throughout the year.
Effective January 1, 2026, medical benefits
will renew with BCBS. and all ancillary lines
will remain with Guardian.
Effective immediately, our near-site clinic,
Priority Care, is available for all members
enrolled in medical to utilize for preventive,
acute, mental health and more. See more
details in the guide.
This guide provides highlights of your
benefits programs. Keep this guide with
your other important papers so you can
refer to it as needed. For a complete
description of your benefits please refer to
your benefit plan certificates, located on
your employee benefits account.
4
New Employee Enrollment As a newly hired employee of Naperville Community Unit School District
203, you are eligible to make an election of benefits within 31 days of your effective date.
Existing Employee Enrollment Annual Benefits Enrollment starts mid-October to make elections
for benefits effective January 1 to December 31. If you wish to change benefits outside of the Annual
Benefits Enrollment period, you may only do so within 31 days of an IRS qualifying life event, such
as:
Change in legal marital status (marriage, divorce, death of spouse)
Change in employment status for you, your spouse, or a dependent that affects eligibility
Birth, adoption, or placement for adoption of a child
Death of a spouse or dependent
Benefit changes due to a qualifying life event must satisfy a consistency rule. That is, any change must be
consistent with the qualifying event. Example: If you get a divorce, you can remove your spouse but
cannot add existing dependents who were not on your plan.
Voluntarily terminating existing benefits does not qualify as an IRS qualifying life event . You have
the right to terminate your benefits with Naperville CUSD 203 during the Annual Benefits Enrollment
period. The last effective date of coverage will be December 31; you may not rejoin the plan until the next
Annual Benefits Enrollment period unless you experience an IRS qualifying life event.
It is your responsibility to notify your Employee Benefits Specialist and take action within 31 days
of an IRS qualifying life event date . Any misrepresentations, inaccurate information, or failure to
provide information could result in the loss of coverage. If you cover an individual who is not eligible for
benefits, you will be required to reimburse the plan for any expenses incurred as a result and further
disciplinary actions may be taken.
family health care plan requires proof of dependent eligibility.
Eligible dependents are spouses, civil union partners, and children (biological, adopted and those for
whom you have legal guardianship and accompanying documentation) under age 26. You will be
required to provide the following documents (as applicable) to the Employee Benefits Specialist:
A copy of your Marriage or Civil Union Certificate OR a copy of your most recent joint Federal Tax
Return
A copy of the Birth Certificate for each dependent to be covered under the plan, excluding your
spouse, OR Adoption Certificate or Court Order
Spousal/Civil Union Partner Affidavit
Divorced or legally separated spouses are ineligible for coverage as of the day of the divorce or legal
separation. Dependent children are eligible for coverage through the month they turn age 26. It is
essential to notify your Benefits Specialist of a change in eligibility within a timely manner to
.
Enrollment
5
Medical insurance is one of your most important benefits. When you enroll in one of the BCBS of Illinois
medical plans offered by Naperville Community Unit School District 203, you have peace of mind knowing that
you have coverage for medical services if you need them for you or your family. Prime Therapeutics
card for medical and prescription drug coverage. Please note that CVS/Target is not covered as an in-network
pharmacy benefit.
District 203 offers four choices for medical/prescription plans through BlueCross BlueShield of Illinois. Each of
the plans uses a specific BCBS network. To take full advantage of each plan, it is important to confirm in-
network status with BCBSIL prior to services being rendered. Visit BCBSIL.com or call 1.800.458.6024 to check
for in-network providers for your chosen medical plan
Blue Choice Options (BCO) Plan: This 3-tier PPO plan features a low deductible, co-insurance, and copays for
office visits and prescriptions. This plan has two in-network tiers. Tier 1 utilizes the Blue Choice Options (BCO)
network and offers the highest level of benefits. Tier 2 utilizes the larger Participating Provider Organization
(PPO) but has a slightly higher deductible and out-of-pocket costs. Tier 1 and Tier 2 cross-feed deductible and
out-of-pocket costs. If you use Tier 2 benefits after meeting the deductible and/or out-of-pocket costs on Tier
1, Tier 1 costs will count towards your Tier 2 total.
Blue Choice Select (BCS) Plan: This plan features a low deductible and co-insurance with copays for office
visits and prescriptions along with the claims savings that come from using a narrower network. This plan
utilizes the Blue Choice Select (BCS) network which is a smaller network of providers but features greater
average discounts and lower negotiated in-network fees.
Blue Choice Options (BCO) HDHP: This 3-tier HDHP features a higher deductible, no copays for office visits
and prescriptions, and is a health savings account (HSA) eligible plan. This plan has two in-network tiers. Tier 1
utilizes the Blue Choice Options (BCO) network and offers the highest level of benefits. Tier 2 utilizes the larger
Participating Provider Organization (PPO) network but has a slightly higher deductible and out-of-pocket costs.
Tier 1 and Tier 2 cross-feed deductible and out-of-pocket costs. If you use Tier 2 benefits after meeting the
deductible and/or out-of-pocket costs on Tier 1, costs will count towards your Tier 2 total. The annual District
3,000 for family
coverage.
Blue Choice Select (BCS) HDHP: This plan features a higher deductible, no copays for office visits and
prescriptions and health savings account (HSA) eligibility along with the claims savings that come from using a
narrower network. This plan utilizes the Blue Choice Select (BCS) network which is a smaller network of
providers but features greater average discounts and lower negotiated in-network fees. The annual District
3,000 for family
coverage.
Medical/Prescription Drug Plan
6
Medical/Prescription Drug Plan
: When you enroll in any one of the District 203
improve your quality of care and achieve cost savings.
Find and compare In-Network providers based on quality, patient reviews and cost
Compare treatment cost estimates among facilities to access savings
Obtain preauthorization, schedule appointments and connect to clinical programs
Review benefits, claims and coverage guidelines
Utilization Review Program: Utilization Review assists you in determining the course of treatment that will
maximize your benefits. The program requires a review of inpatient hospital, skilled nursing facility,
coordinated home care program, and private duty nursing services before they are rendered. Members are
required to contact the Utilization Review department at the toll-free telephone number identified on your ID
card one business day prior to elective admission or within two business days after an emergency or
maternity admission. Failure to receive Preauthorization will result in a $200 reduction of benefits.
Mental Health Unit: The Mental Health Unit assists in the administration of Mental Illness and Substance
Abuse Rehabilitation Treatment benefits. The Mental Health Unit requires a review of inpatient hospital,
emergency mental illness or substance abuse admission, partial hospitalization and outpatient services before
they are rendered. Members are required to contact the Mental Health Unit at 1.800.851.7498 at least one
business day prior to non-emergency inpatient hospital admission and outpatient services or within two
business days after an emergency admission or partial hospitalization treatment. Failure to receive
preauthorization will result in a $200 reduction of benefits.
Prescription Prior Authorization: Certain medications and drug classes require authorization from Prime
Therapeutics for benefits to be provided. To receive prior authorization, your physician must send a letter to
Prime Therapeutics explaining the reason for the prescription; you and your physician will be notified of the
determination. To review the formulary list of medications and drug classes which require prior authorization,
contact your pharmacy or call the customer service toll-free number on your identification card.
Step Therapy: Certain medications and drug classes require documented treatment with a generic or brand
therapeutic alternative medication prior to coverage of brand name medication. If your physician prescribes
such a medication, they must complete a questionnaire regarding your previous treatment; you and your
physician will be notified of the determination. To review the formulary list of medications and drug classes
which require prior authorization, contact your Pharmacy or call the Customer Service toll-free number on
your identification card.
7
BCBS Medical/Prescription Drug Plan
Plan Features
In-Network - Tier 1
Blue Choice Options
(BCO Network)
In-Network - Tier 2
Participating Provider
Organization
(PPO Network)
Out-of-Network
Calendar Year Deductible
Individual $350 $1,000 $1,500
Family $350 x 2 = $700 $1,000 x 2 = $2,000 $1,500 x 2 = $3,000
Medical Out-of-Pocket (excludes Deductible)
Individual $1,000 $3,000 $3,500
Family $1,000 x 2 = $2,000 $3,000 x 2 = $6,000 $3,500 x 2 = $7,000
Total Medical Out-of-Pocket Maximum
Individual $1,350 $4,000 $5,000
Family $1,350 x 2 = $2,700 $4,000 x 2 = $8,000 $5,000 x 2 = $10,000
Prescription Out-of-Pocket Limit
Individual $3,000 $3,000 $3,000
Family $6,000 $6,000 $6,000
Preventive Care Immunizations, Pap Smear,
Mammogram, Prostate Exam, Routine
Physical Exam
100%, Deductible Waived 100%, Deductible Waived 50% after Deductible
Office Visit $20 Copay $25 Copay 50% after Deductible
Inpatient Hospital Services 90% after Deductible 70% after Deductible 50% after Deductible
Outpatient Surgical Care 90% after Deductible 70% after Deductible 50% after Deductible
Outpatient Lab & X-ray 100% Deductible Waived 100% Deductible Waived 50% after Deductible
Emergency Room (Copay waived if admitted) $150 Copay
then 90%
Deductible Waived
$150 Copay
then 70%
Deductible Waived
$150 Copay
then 70%
Deductible Waived
Ambulance 90% after Deductible 70% after Deductible 50% after Deductible
Durable Medical Equipment 90% after Deductible 70% after Deductible 50% after Deductible
Rehabilitation Services 90% after Deductible 70% after Deductible 50% after Deductible
Mental Health/Substance Abuse Inpatient 90% Deductible Waived 70% Deductible Waived 50% after Deductible
Mental Health/Substance Abuse Outpatient 90% after Deductible 70% after Deductible 50% after Deductible
Mental Health/Substance Abuse Office Visit $20 Copay $25 Copay 50% after Deductible
Prescription Drug Coverage Retail / Mail Order
Level One $5 / $7.50 Copay $5 / $7.50 Copay $5 Copay + 25%
Level Two $30 / $45 Copay $30 / $45 Copay $30 Copay + 25%
Level Three $50 / $75 Copay $50 / $75 Copay $50 Copay +25%
OTC Program (Select Antihistamines and
Proton Pump Inhibitors) $0 Copay / Not Applicable $0 Copay / Not Applicable Not Applicable
BlueCross BlueShield of Illinois Blue Choice Options (BCO) Plan Group Number 309000
8
BCBS Medical/Prescription Drug Plan
Plan Features
In-Network
Blue Choice Select
(BCS Network)
Out-of-Network
Calendar Year Deductible
Individual $350 $700
Family $350 x 2 = $700 $700 x 2 = $1,400
Medical Out-of-Pocket (excludes Deductible)
Individual $1,000 $2,000
Family $1,000 x 2 = $2,000 $2,000 x 2 = $4,000
Total Medical Out-of-Pocket Maximum
Individual $1,350 $2,700
Family $2,700 $5,400
Prescription Out-of-Pocket Limit
Individual $3,000 $3,000
Family $3,000 x 2 = $6,000 $3,000 x 2 = $6,000
Preventive Care Immunizations, Pap Smear, Mammogram, Prostate
Exam, Routine Physical Exam
100% Deductible
Waived
100% Deductible
Waived
Office Visit $20 Copay 60% after Deductible
Inpatient Hospital Services 80% after Deductible 60% after Deductible
Outpatient Surgical Care 80% after Deductible 60% after Deductible
Outpatient Lab & X-ray 100%
Deductible Waived 60% after Deductible
Emergency Room (Copay waived if admitted) $150 Copay
then 80%
Deductible Waived
$150 Copay
then 80%
Deductible Waived
Ambulance 80% after Deductible 80% after Deductible
Durable Medical Equipment 80% after Deductible 60% after Deductible
Rehabilitation Services 80% after Deductible 60% after Deductible
Mental Health/Substance Abuse Inpatient 80% after Deductible 60% after Deductible
Mental Health/Substance Abuse Outpatient 100%
Deductible Waived 60% after Deductible
Mental Health/Substance Abuse Office Visit $20 Copay 60% after Deductible
Prescription Drug Coverage Retail / Mail Order Retail
Level One $5 / $7.50 Copay $5 Copay + 25%
Level Two $30 / $45 Copay $30 Copay + 25%
Level Three $50 / $75 Copay $50 Copay +25%
OTC Program (Select Antihistamines and Proton Pump Inhibitors) $0 Copay / Not
Applicable Not Applicable
BlueCross BlueShield of Illinois Blue Choice Select (BCS) Plan Group Number OMB995
9
BCBS Medical/Prescription Drug Plan
Plan Features
In-Network - Tier 1
Blue Choice Options
(BCO Network)
In-Network - Tier 2
Participating
Provider
Organization
(PPO Network)
Out-of-Network
Calendar Year Deductible
Individual $3,400 $4,000 $6,800
Family $3,400 x 2 = $6,800 $4,000 x 2 = $8,000 $6,800 x 2 = $13,600
Medical Out-of-Pocket (excludes Deductible)
Individual $0 $1,000 $2,600
Family $0 $1,000 x 2 = $2,000 $2,600 x 2 = $5,200
Total Out-of-Pocket Maximum
Individual $3,400 $5,000 $9,000
Family $3,400 x 2 = $6,800 $5,000 x 2 = $10,000 $9,000 x 2 = $18,000
Preventive Care Immunizations, Pap Smear,
Mammogram, Prostate Exam, Routine
Physical Exam
100%, Deductible
Waived
100%, Deductible
Waived
50% after Deductible
Office Visit 100% after Deductible 80% after Deductible 50% after Deductible
Inpatient Hospital Services 100% after Deductible 80% after Deductible 50% after Deductible
Outpatient Surgical Care 100% after Deductible 80% after Deductible 50% after Deductible
Outpatient Lab & X-ray 100% after Deductible 80% after Deductible 50% after Deductible
Emergency Room (Copay waived if admitted) 100% after Deductible 100% after Deductible 100% after Deductible
Ambulance 100% after Deductible 100% after Deductible 100% after Deductible
Durable Medical Equipment 100% after Deductible 80% after Deductible 50% after Deductible
Rehabilitation Services 100% after Deductible 80% after Deductible 50% after Deductible
Mental Health/Substance Abuse Inpatient 100% after Deductible 80% after Deductible 50% after Deductible
Mental Health/Substance Abuse Outpatient 100% after Deductible 80% after Deductible 50% after Deductible
Mental Health/Substance Abuse Office Visit 100% after Deductible 80% after Deductible 50% after Deductible
Prescription Drug Coverage Retail / Mail Order
Level One 100% after Deductible 100% after Deductible 100% after Deductible
Level Two 100% after Deductible 100% after Deductible 100% after Deductible
Level Three 100% after Deductible 100% after Deductible 100% after Deductible
OTC Program (Select Antihistamines and
Proton Pump Inhibitors) 100% after Deductible 100% after Deductible Not Covered
BlueCross BlueShield of Illinois Blue Choice Options (BCO) HDHP Group Number 309007
10
BCBS Medical/Prescription Drug Plan
Plan Features
In-Network
Blue Choice Select
(BCS Network)
Out-of-Network
Calendar Year Deductible
Individual $3,400 $3,400
Family $3,400 x 2 = $6,800 $3,400 x 2 = $6,800
Medical Out-of-Pocket (excludes Deductible)
Individual $0 $0
Family $0 $0
Prescription Maximum Out-of-Pocket
Individual Not Applicable Not Applicable
Family Not Applicable Not Applicable
Total Out-of-Pocket Maximum
Individual $3,400 $6,800
Family $6,800 $13,600
Preventive Care Immunizations, Pap Smear, Mammogram, Prostate
Exam, Routine Physical Exam
100% Deductible
Waived 70% after Deductible
Office Visit 100% after Deductible 70% after Deductible
Inpatient Hospital Services 100% after Deductible 70% after Deductible
Outpatient Surgical Care 100% after Deductible 70% after Deductible
Outpatient Lab & X-ray 100% after Deductible 70% after Deductible
Emergency Room (Copay waived if admitted) 100% after Deductible 100% after Deductible
Ambulance 100% after Deductible 100% after Deductible
Durable Medical Equipment 100% after Deductible 70% after Deductible
Rehabilitation Services 100% after Deductible 70% after Deductible
Mental Health/Substance Abuse Inpatient 100% after Deductible 70% after Deductible
Mental Health/Substance Abuse Outpatient 100% after Deductible 70% after Deductible
Mental Health/Substance Abuse Office Visit 100% after Deductible 70% after Deductible
Prescription Drug Coverage Retail / Mail Order Retail
Level One 100% after Deductible 70% after Deductible
Level Two 100% after Deductible 70% after Deductible
Level Three 100% after Deductible 70% after Deductible
OTC Program (Select Antihistamines and Proton Pump Inhibitors) Not Covered Not Covered
BlueCross BlueShield of Illinois Blue Choice Select (BCS) HDHP Group Number OMB996
11
Near Site Clinic for Medical Participants: Priority Care
12
Guardian Dental Plan Group Number 068729
automatically enrolled in the dental plan through Guardian. Regular dental checkups are important to your
overall health and can reveal early indications of serious conditions like osteoporosis and cardiovascular
disease. An oral exam can help keep your teeth and gums healthy throughout your life.
has access to one of the largest networks of dentists with two reimbursement levels
and when the dentist belongs to a Tier 1 reimbursement level you will maximize your savings.
Reimbursement for covered services received from a non-contracted dentist will be based on a percentile of
DentalGuard
Preferred), log on to www.Guardianlife.com or call 1.888.600.1600.
The information below highlights some of the plan features for covered services. Please contact Guardian for
the benefit plan certificate for full coverage information.
Plan Features Group # 068729 Tier 1 Tier 2
Calendar Year Deductible $50 per Member $50 per Member
Annual Maximum $2,500 per Member (applies to all levels)
Preventive Services 80% after deductible 80% of 90 th UCR after deductible
Basic Services 80% after deductible 80% of 90 th UCR after deductible
Major Services 50% after deductible 50% of 90 th UCR after deductible
Orthodontic Services
(children under age 19) 50% after deductible 50% of 90 th UCR after deductible
Orthodontia Lifetime Maximum $2,000 per Member (applies to all levels)
Preventive Services include oral examinations (two per calendar year), x-rays, cleanings (two per calendar
year), topical fluoride treatment (one per benefit year for children under age 19), and sealants.
Basic Services include fillings, oral surgery, general anesthesia (in conjunction with oral surgery),
periodontics, and endodontics (root canals).
Major Services include crowns, fixed/removable bridges, partial/full dentures, and implants.
- Please note: Out-of-Network providers are paid based on the 90th UCR (Usual, Customary, and Reasonable). This
means that 90% of providers in your area charge that amount or less for a given procedure. This is the amount that
the insurance company will pay from an out of network provider. This results in lower out of pocket fees for the
member. Please contact Guardian for more information.
13
Guardian Vision Plan Group Number 068729
When you enroll in one of Naperville Community Unit School
option to enroll in a vision care plan through Guardian.
Vision health impacts your overall health. Routine eye exams
can lead to early detection of vision problems and other
diseases such as diabetes, hypertension, multiple sclerosis,
high blood pressure, osteoporosis, and rheumatoid arthritis.
It is recommended that you have an eye exam once every 12
months.
To find an in-network vision provider (Davis Vision), visit
www.guardianlife.com or call 1.888.600.1600.
The information below highlights some of your plan
features. Please contact Guardian for the benefit plan
certificate for full coverage information.
Plan Features Group #68729 Participating Provider Non-Participating Provider
Eye Examinations (1x every Calendar Year) $10 Copay $50 allowance
Lenses (1x every Calendar Year)
Single $10 Copay $48 allowance
Bifocal $10 Copay $67 allowance
Trifocal $10 Copay $86 allowance
Contact Lenses (1x every Calendar Year)
Elective (conventional and disposable) $150 allowance,
- 15% discount $105 allowance
Medically Necessary 100% $210 allowance
Frames (1x every 2 Calendar Years)
$150 allowance,
- 20% discount
$48 allowance
Members will receive significant lens option discounts which will range from 20-60% off the Usual & Customary
charge. For example, standard progressive lenses will cost $50 and scratch resistant coating will cost $20.
Oversized lenses and fashion or gradient tinting of plastic lenses are covered in full.
Second pair of glasses is 50% off at Visionworks, and 30% off at other in network eye care professionals.
Savings of 40-50% off the national average price of traditional Lasik is available at over 1,000 locations across
the Davis nationwide network of laser vision correction providers.
14
Payroll Contributions
As an employee of Naperville Community Unit School District 203, you have a variety of benefits. You share
the cost of your Medical/Prescription, Dental, and Vision benefits with Naperville Community School District
203, as illustrated in the chart below. Basic Life Insurance and Long-Term Disability are provided to you at no
cost.
Naperville Community Unit School District 203 withholds premium contributions on a pre-tax basis by use of
an Internal Revenue Code Section 125 Premium Conversion Plan. Pre-tax premiums are not subject to Federal,
FICA, and in some instances, state taxes. You may request premium contributions to be deducted post-tax by
contacting your Employee Benefits Specialist.
Premium contributions for a Civil Union Partner, however, are subject to federal income taxes, and as such,
may only be withdrawn through a post-tax payroll deduction.
EMPLOYEE ONLY FAMILY
Full-rate
Monthly
Premium
26-pay
Employee
Contribution
20-pay
Employee
Contribution
Full-rate
Monthly
Premium
26-pay
Employee
Contribution
20-pay
Employee
Contribution
Medical/Prescription
Blue Choice Options
PPO
$837.80 $58.00 $75.40 $2,513.93 $174.04 $226.25
Medical/Prescription
Blue Choice Select
PPO
$571.40 $39.56 $51.43 $1,709.31 $118.34 $153.84
Medical/Prescription
Blue Choice Options
HDHP
$564.84 $39.10 $50.84 $1,689.71 $116.98 $152.07
Medical/Prescription
Blue Choice Select
HDHP
$451.14 $31.23 $40.60 $1,349.57 $93.43 $121.46
Dental $44.47 $3.08 $4.00 $108.26 $7.50 $9.75
Vision $5.31 $0.37 $0.48 $13.35 $0.92 $1.20
- Contribution amounts listed above assume the following:
Full-time Status: Employee contribution amounts are increased for employees who do not work full
time. These employees should refer to their union contracts or contact the Employee Benefits Specialist
for specific contribution amounts
Outcome Based Wellness Program Participation: If you, or your spouse/civil union partner under the
family plan, decline to participate in the wellness screening or fail meet the requirements of the
Outcomes Based Wellness Program, your total yearly premium contribution will increase $300.00 for
the employee only plan or $600.00 for the family plan. Employee contributions will be adjusted
accordingly on the first payroll in January.
Spousal/Civil Union Partner Surcharge Exemption: If your spouse or civil union partner is eligible for
minimum value, and affordability requirements and
medical/prescription plans, you will be assessed a surcharge of $175 per month ($80.77 per payroll
based on 26 pays and $105.00 per payroll based on 20 pays). The surcharge applies regardless if the
District 203 coverage is primary or secondary but does not apply to spouses/civil union partners with
non-
15
Wellness Program
16
Wellness begins with awareness and Naperville Community Unit School District 203 continues to take
proactive steps to promote overall well-being. District 203 encourages you, and your spouse or civil union
partner, if applicable, to participate in the Wellness Program to receive a bigger picture of your overall health
and to help identify any early warning signs of disease.
CHC Wellbeing is on-site to administer the screening, which includes a simple questionnaire, blood pressure
and a blood draw. Each participant receives their own confidential summary report that provides an overview
of their results, written in non-medical language for easy interpretation. You may also participate in this
screening at our near site clinic, Priority Care Powered by Marathon Health.
The basic wellness screening is offered at no cost to eligible employees and spouses, or civil union partners
- Wellness rate on the
medical/prescription monthly premium contribution, both the employee and covered spouse or civil union
partner must meet the criteria of the Outcomes Based Wellness Program.
The wellness screening complies with all current HIPAA requirements and is strictly confidential. District 203
wellness initiatives; however, CHC does not share any specific individual results.
In preparation for the health screening, it is recommended that you fast 10-12 hours before testing. You may
drink black coffee or tea (no cream or sugar) during the fast and should drink two glasses of water two hours
prior to the screening. If you are diabetic or hypoglycemic, please consult your physician for fasting
instructions.
Most medications can be taken prior to your screening and will not affect your results. Please consult your
physician if you have a question about any medication, you are currently using. Those taking insulin should
call their doctor regarding their insulin dose the morning of the screening.
Employees, spouses and civil union partners must present their insurance card and employee number at the
time of the screening. Screening dates and locations are coordinated by the Benefits Department and
communicated to all employees.
Teladoc General Medical
Naperville Community Unit School District 203 offers employees that select one of our health insurance plans
access to Teladoc. Teladoc is health care made simple. They are the first and largest provider of telehealth
medical consults in the United States, giving you 24/7/365 access to quality health care through phone and
video consults. Teladoc has board certified doctors in internal medicine, family practice and pediatrics
committed to providing covered employees and families quality health care options. Teladoc does not replace
your primary care physician, although it is a convenient and affordable option for quality care. Request a
consult anytime and anywhere by phone 1.800.TELEDOC (835-2362) or online at Teladoc.com. You will talk
with a physician within one hour of setting up your account and calling for a consult. The physician will
conduct a medical consult and assess your medical needs.
When can I use Teladoc?
You need care now
for a non-emergency issue
On vacation, on a business trip, or away
from home
For short-term prescription refills
What conditions can the doctor evaluate?
Cold and Flu Symptoms
Allergies
Bronchitis
Urinary Tract Infection
Respiratory Infection
Sinus Problems
Sprains and Strains
And More!
Who are the doctors at Teladoc?
Practicing PCPs, pediatricians, and family medical physicians
Average 15 years of experience
U.S. board-certified and licensed in your state
Credentialed every three years, meeting NCQA Standards
What does it cost for a consult with Teladoc?
Blue Choice Options PPO and Blue Choice Select PPO members pay $5.00 per consult
Blue Choice Options HDHP and Blue Choice Select HDHP members pay $55.00 per consult
17
Teladoc Behavioral Health
Naperville Community Unit School District 203 offers a Behavioral Health option in conjunction with current
Teladoc services. Teladoc behavioral health providers are experienced psychiatrists, psychologists,
therapists and social workers. They provide assistance for issues like stress and anxiety, depression, abuse,
and more. Quality behavioral health care is available through phone or video. Request a consult by phone
1.800.TELEDOC (835-2362) or online at Teladoc.com.
Benefits of using the Behavioral Health option through Teladoc
Can be used from the comfort of your own home, when you are traveling, or if you have a student away at
school. It can be accessed from anywhere at anytime
Can provide significant cost savings versus going in-person
If there is a need for multiple appointments, you can receive care from the same Behavioral Health expert
throughout the duration of treatment
Cost for Blue Choice Options PPO and Blue Choice Select PPO Plans
$20 Copay for the first Behavioral Health Consultation with a psychiatrist
$20 Copay for all subsequent Behavioral Health Consultations with a psychiatrist
$20 Copay for each Behavioral Health Consultation with a therapist other than a psychiatrist
Cost for Blue Choice Options HDHP and Blue Choice Select HDHP Plans
$235 for the first Behavioral Health Consultation with a psychiatrist
$105 for all subsequent Behavioral Health Consultations with a psychiatrist
$95 for each Behavioral Health Consultation with a therapist other than a psychiatrist
18
Teladoc Nutrition & Dermatology
Naperville Community Unit School District 203 offers Nutrition and Dermatology options in conjunction with
current Teladoc services. Teladoc nutrition providers are registered dieticians and supports a wide range of
specialty conditions such as diabetes, sports nutrition, gastrointestinal disorders and prenatal care. Teladoc
dermatology providers are licensed dermatologists that can provide services on a wide variety of skin issues.
Initiate services online at Teladoc.com or via the mobile app.
Benefits of using the Nutrition option through Teladoc
Can be used from the comfort of your own home, when you are traveling, or if you have a student away at
school. It can be accessed from anywhere at anytime.
Members can receive a personalized nutrition guide with custom meal plan, shopping guide, and more.
Nutrition integrates with other Teladoc Health clinical services for easy access to comprehensive care.
Benefits of using the Dermatology option through Teladoc
Can be used from the comfort of your own home, when you are traveling, or if you have a student away at
school. It can be accessed from anywhere at anytime.
A dermatologist will review images, make a diagnosis and provide a personalized treatment plan right in the
app.
Interact with the same dermatologist for the next 7 days for follow-up needs after initial appointment.
Treats acute or ongoing skin issues like psoriasis, skin infection, rosacea and more.
Providers can prescribe approved medications.
Cost for Blue Choice Options PPO and Blue Choice Select PPO Plans
$20 Copay for Nutrition consults
$20 Copay for Dermatology consults
Cost for Blue Choice Options HDHP and Blue Choice Select HDHP Plans
$61 for Nutrition consults
$89 for Dermatology consults
19
Teladoc Livongo (Chronic Care Management Plus)
Healthcare is going digital and with Livongo, you have the means to live healthier. The Livongo program, also
known as Chronic Care Management Plus (CCM+) aims to help members struggling with diabetes,
hypertension, and/or prevention.
no cost to you! This program is covered in full through the District as we continue to strive
to offer our members benefits that make a difference.
Livongo (CCM+) offers the following:
Diabetes provides a high-tech meter, unlimited strips and lancets, and expert assistance
Hypertension provides a connected monitor and one-on-one coaching
Healthy Living and Diabetes Prevention provides a connected scale and expert guidance
Health experts, personalized plans and more!
Visit TeladocHealth.com/Go or call 800-835-2362
20
Hinge Health
21
Inspira Flexible Spending Accounts (FSA)
Flexible Spending Accounts (FSAs) are optional plans offered by Naperville Community Unit School District 203
through Inspira Financial that allow you to save money by using pre-tax dollars to pay for your out-of-pocket
health care and dependent care expenses. The amount you select will be deducted biweekly on a pre-tax
basis from your pay (based on 26 or 20 pays). The FSA plan year aligns with the calendar year, running January
1 to December 31.
Health Care Flexible Spending Account (HFSA)
The HFSA allows you to pledge pre-tax money for qualified health care expenses that you, your spouse and/or
your dependent children incur throughout the plan year. You do not need to be enrolled in medical, dental or
vision coverage through the District to enroll in the HFSA.
You may contribute up to $3,400 to your HFSA for the 2026 Plan Year. This contribution limit is subject to
change per IRS regulations.
Your share of expenses which are not reimbursed by a health care plan, such as copays, deductibles, and
out-of-pocket expenses, are eligible to be claimed from the HFSA plan.
The IRS and Naperville Community Unit School District 203 allow you to claim any unused HFSA amounts
after the end of the plan year for expenses incurred until March 15 of the new plan year. All claims,
rule applies to any funds left in your HFSA account after the grace period has expired.
Dependent Care Flexible Spending Account (DCA)
The DCA allows you to pledge pre-tax money for qualified dependent care expenses you incur throughout the
plan year. Eligible dependents are those whom you are entitled to claim as dependents on your federal tax
return, are under age 13, and/or a disabled spouse or other disabled tax-qualified dependent who spends at
least eight hours a day in your home. If you are married, your spouse must also work, be a full-time student or
be disabled.
You may contribute up to $7,500 to your DCA for the 2026 Plan Year if you are single or if you are married
and file a joint return.
You may contribute up to $3,750 to your DCA for the 2026 Plan year if you are married and file separate
income tax returns.
Expenses such as day care, before- and after-school programs, summer day camp and adult day care are
eligible to be claimed from the DCA plan.
rule applies to any DCA funds left in your account at the end of the plan year. There is no grace period for the
DCA.
22
Lively Health Savings Account (HSA)
If you enroll in the Blue Choice Options HDHP or Blue Choice Select HDHP medical/prescription plan offered
by Naperville Community School District 203, you may be eligible to open a Health Savings Account (HSA) with
Lively to help you save pre-tax dollars to pay for out-of-pocket health care expenses. The funds in your HSA
belong to you and may be used tax-free for current or future IRS qualified medical expenses or may be left to
accumulate for use during retirement. The funds deposited into the account and the earnings are tax-
deferred; funds withdrawn for IRS qualified medical expenses are tax-free.
To be eligible to open or contribute to an HSA, you must be:
Covered by a qualified HDHP
Not enrolled in Medicare
Not covered by another non-HSA qualified medical plan including an HFSA
- HSA qualified coverage does not affect your ability to contribute to an HSA as long as it
does not cover you. However, if you or your spouse participates in a Health Flexible Spending Account (HFSA),
- HSA qualified plan and as such cannot contribute to an HSA unless the
FSA is limited-purpose and applies only to dental and/or vision expenses.
Note for Annual Benefits Enrollment: If you switch to one of the HDHPs from a PPO and have a health care
flexible spending account, the balance in your HFSA account must be zero ($0.00) on December 31, 2025. If
you carry any balance into the following year, you cannot become HSA-eligible until the first day of the month
after the grace period ends April 1, 2026. Your 2026 total HSA contribution cannot exceed the maximum
based on a nine-month year. The employer contribution to your Health Savings Account will be prorated
accordingly, as well as your employee contribution, as applicable. If you have funds in your HFSA, you may
continue to claim expenses against your HFSA through the grace period.
Contributions to an HSA may be made by an employee using pre-tax payroll deductions, bank deposits, or a
one-time rollover from an IRA, as well as those made by District 203. HSA contributions are limited by the U.S.
Internal Revenue Service based on the calendar year. The maximum amount that can be contributed to an
HSA for 2026 (employee and employer contributions combined) is $4,400 for employee only coverage and
- annually.
District 203 has committed to contributing to the Lively HSA of each eligible employee who participates in the
Blue Choice Options HDHP or Blue Choice Select HDHP for the 2026 Plan Year. District 203
will contribute $1,500 for employee only coverage and $3,000 for family coverage to employees who remain in
or elect a high-deductible health plan during Annual Benefits Enrollment. The annual district contribution will
be deposited in January 2026 as long as the employee has an active Lively HSA through Naperville 203. For
the balance of the year, contributions will be prorated for employees not eligible for an HSA for the entire
year.
To maximize the tax advantages of your contributions, we highly encourage you to contribute through payroll
deductions. This method ensures your contributions are made on a pre-tax basis, which can reduce your
taxable income. If you choose to contribute to your plan outside of payroll, please let your Naperville Benefits
team know, and we can provide you with instructions on adjusting your payroll contributions if needed. Please
remember that contributions made outside of the benefits/payroll system will not have the same pre-tax
advantages.
You may withdraw funds from your HSA for any purpose at any time. However, funds withdrawn for reasons
other than IRS qualified medical expenses will be taxed and, for those under age 65, subject to a penalty.
Funds for IRS qualified medical expenses may be withdrawn tax- and penalty-free as long as the expenses are
incurred after the HSA was established. You may even use HSA funds tax- and penalty-free for the qualified
medical expenses of your IRS-defined tax dependents even if they are not covered under the HDHP. Qualified
medical expenses are defined under Section 213 of the IRS Code (see IRS Publication 502).
If at any point, you no longer meet the eligibility requirements for an HSA, you may no longer make
contributions. However, the balance of your HSA will not be affected, and you may use any existing funds in
your account to pay for IRS qualified medical expenses tax-free (even if you no longer have HDHP coverage) or
continue to save the funds with tax-free interest until used. If you are not HSA eligible for the entire tax year, it
is generally prudent to prorate your contributions. 23
Guardian Life and AD&D Plan
Group # 068729
Planning your financial security is a challenging task under the best of circumstances, but what happens if you
your income protection benefits come into play. One of those benefits is life insurance.
Naperville Community Unit School District 203 provides basic life insurance and accidental death and
dismemberment (AD&D) insurance through Guardian at no cost to you. The information below highlights
some of the plan features. Please contact Guardian for the benefit plan certificate for full coverage
information.
Life Insurance: See chart below for benefits. The amount of benefit will be reduced to 65% at age 70
and will be further reduced to 50% at age 75
Accidental Death or Dismemberment (AD&D): Your beneficiary will receive 100% of benefit upon your
death or if you lose two of the following: hand, foot and/or eye. Fifty percent of benefit will be paid for
loss of one hand, one foot or sight of one eye
Accelerated Benefit (Living Benefit): If you have been diagnosed with a terminal illness and life
expectancy is 24 months or less, you can receive 75% of the life benefit. Please note: your death
benefit would be reduced by the amount taken through the accelerated benefit upon your death
($37,500 provided through Living Benefit and $12,500 provided upon death for a total benefit of
$50,000)
Convertible: You may convert your policy to an individual whole life policy within 31 days of
termination of employment without submitting evidence of insurability
Eligibility Life Benefit AD&D Benefit
Active full-time administrator, non-union personnel,
NUEA, NESPA, NTA and NUMA staff; except any person
employed on a temporary or seasonal basis
$50,000* Same as life amount
- Minimum life benefit; the amount of benefit will be reduced to 65% at age 70 and will be further reduced to
50% at age 75
Please note: In the event of Total Disability, it is your responsibility to file a Waiver of Premium with Guardian to
extend your life insurance coverage. You must submit proof of Total Disability within one year from the date the
disability began, and resubmit annual proof thereafter, to continue to extend your benefits an additional 12 months
until retirement or up to 12 months past age 65.
24
Guardian Long-Term Disability Plan
Group # 068729
Long-Term Disability (LTD) is another income protection benefit offered to you at no cost by Naperville
Community Unit School District 203. Long-Term Disability replaces a portion of your earnings if you are
disabled for an extended period of time due to illness or injury. All full-time active employees are eligible for
Long-Term Disability coverage through Guardian.
The information below highlights some of the plan benefits. Please contact Guardian for the benefit plan
certificate for full coverage information.
Benefits begin after 60 consecutive days of disability or the day allotted/accrued sick time is exhausted,
whichever is greater
Pays 60% of basic monthly income up to a maximum of $10,000 per month
Benefits continue until you reach your normal retirement age under Social Security, as long as you
continue to be disabled
Benefits may be available if working on a part-time basis while disabled
consecutive days of total disability
Please note: Definition of disabled changes after 60 months of disability. For the first 60 months, you are
considered disabled if unable to perform the material duties of your regular occupation. After that time, you
are considered disabled if you are unable to perform the material duties of any occupation for which you are
suited by education, training, or experience.
25
Guardian Voluntary Life Insurance Plan
Group # 068729
Naperville Community Unit School District 203 provides all eligible employees with the opportunity to
purchase additional life insurance at group rates through Guardian. You pay the full cost of this coverage
through after-tax payroll deductions. The information below highlights some of the plan features; please
contact Guardian for the benefit plan certificate for full coverage information.
Insured Benefit Guaranteed Issue Amount
New Employee Option of $10,000 to $500,000
in increments of $10,000 All Ages: $250,000
Current Employee Option of $10,000 to $500,000
in increments of $10,000
Current elected amount, plus an
additional $50,000 up to $250,000
Spouse/Civil Union Partner
Option of $10,000 to $500,000
in increments of $10,000
(cannot exceed 100% of employee amount)
All Ages: $50,000
Dependent Children
14 days to 6 months: $1,000
6 months to Age 26: Choice of $5,000, $10,000,
$15,000, or $20,000
$20,000
Employees eligible for supplementary life insurance are active employees working 25 or more hours per week,
except those working on a temporary or seasonal basis. Legal spouses of eligible employees and domestic or
civil union partners where required by law, are eligible under age 75 but must be under age 70 on the date of
application. All Guaranteed Issue amounts are for current plan year and may change in future years.
All employee and spouse/civil union partner premium rates are age-banded and based on the age at last
birthday.
During open enrollment for 2026, employees that are currently enrolled in voluntary life/ADD coverage, may
increase current amount up to an additional $50,000, not to exceed the guarantee issue amount without
submitting evidence of insurability.
Employee and Spouse/Civil Union Partner Rate per Person per $10,000 per Month
Age Rate for All Members
Under 30 $0.60
30 - 34 $0.80
35 - 39 $0.90
40 - 44 $1.47
45 - 49 $2.56
50 - 54 $4.47
55 - 59 $7.95
60 - 64 $9.69
65 - 69 $14.37
70+ $26.53 26
Guardian Voluntary Life Insurance Plan
Group # 068729
Eligible children are unmarried, financially dependent natural, adopted, foster or stepchildren in the custody
of an eligible employee. One rate applies for all eligible dependent children in the family, regardless of
number. Coverage for dependent children terminates at age 26 but is extended up to age 30 if dependent
child is an Illinois resident honorably discharged from the armed forces. Children beyond age 26 will continue
to be covered if they are incapable of self-sustaining employment by reason of intellectual disability or
physical handicap and are chiefly dependent on the eligible employee for support and maintenance. You
may elect child voluntary life coverage, even if the employee or spouse are not electing voluntary life
coverage.
Dependent Children Rate per Month
Option 1 Option 2 Option 3 Option 4
Coverage amount from
age 14 days to 6 months $1,000 $1,000 $1,000 $1,000
Coverage amount from
age 6 months to 26 years $5,000 $10,000 $15,000 $20,000
Rate $0.82 $1.64 $2.46 $3.28
To comply with the Age Discrimination in Employment Act (ADEA), the following reduction formula
applies to insured employees (spouses/civil union partners are ineligible as of age 75):
Age Amount of Coverage Reduces to:
75 - 79 60.0% of the amount in force at age 74
80 - 84 35.0% of the amount in force at age 74
85 - 89 28.0% of the amount in force at age 74
90 and over 20.0% of the amount in force at age 74
Guaranteed Issue: Benefit issue amounts are guaranteed to a certain level without regard to health status if
enrollment occurs within 31 days of your effective date. The guaranteed issue amount is up to $250,000 for
new employees under age 60. Spouses/civil union partners under age 60 are guaranteed an issue of up to
$50,000 and dependent children are guaranteed an issue of up to $20,000. At annual enrollment employees
may increase their current amounts by up to $50,000 without submitting an Evidence of Insurability (EOI) as
long as the elected amount remains under the guarantee issue amount of $250,000. If you apply for benefits
above the guaranteed issue amounts, you may be subjected to evidence of insurability and a health screening
prior to coverage approval.
Accelerated Benefit (Living Benefit): If you are under age 75 and have been diagnosed with a terminal illness
and life expectancy is 24 months or less, you can receive 50% of the life benefit. You can utilize this money for
expenses incurred that are not covered by other insurance for your care. Please note: your death benefit would
be reduced by the amount taken through the accelerated benefit upon your death.
Portability: Coverage can continue if the insured no longer meets the employment eligibility requirements for
reasons other than over-all termination of the group policy. Premiums charged will be based on the prevailing
rate charged to all insured who continue coverage under this provision and will be billed directly to the
insured.
27
Guardian Voluntary Critical Illness Plan
Group # 068729
Critical Illness insurance helps you reduce the potential financial impact of serious illness by providing a lump-
sum cash payment upon diagnosis of a covered condition. Naperville Community Unit School District 203
offers employees the ability to purchase Critical Illness coverage for themselves and their dependents at
group rates through Guardian. You pay the full cost of this coverage through convenient after-tax payroll
deductions. The information below highlights some of the plan features; please contact Guardian for the
benefit plan certificate for full coverage information.
Insured Benefit Guaranteed Issue Amount
Employee Option of $5,000 to $30,000 in increments of $5,000 $30,000
Spouse/Civil Union Partner Option of $5,000 to $30,000 in increments of $5,000 $30.000
Dependent Children $7,500
Employees eligible for Critical Illness Insurance are active employees working 25 or more hours per week,
except those working on a temporary or seasonal basis. Legal spouses of eligible employees and domestic or
civil union partners where required by law, are eligible under age 75 but must be under age 70 on the date of
application. Employees must be enrolled in the Critical Illness plan to extend coverage to their spouses/civil
union partners and/or dependent children.
Employee and Spouse/Civil Union Partner Rate per Person per Month based on the below Age-Bands
(child rate is included in employee amount)
Benefit
Amount Less than 30 30-39 40-49 50-59 60-69 70+
$5,000 $1.55 $3.15 $4.40 $7.40 $12.25 $20.65
$10,000 $3.10 $6.30 $8.80 $14.80 $24.50 $41.30
$15,000 $4.65 $9.45 $13.20 $22.20 $36.75 $61.95
$20,000 $6.20 $12.60 $17.60 $29.60 $49.00 $82.60
$25,000 $7.75 $15.75 $22.00 $37.00 $61.25 $103.25
$30,000 $9.30 $18.90 $26.40 $44.40 $73.50 $123.90
All employee and spouse/civil union partner premium rates are age-banded and based on the age at last
birthday.
Eligible children are unmarried, financially dependent natural, adopted, foster or stepchildren under age 26 in
the custody of an eligible employee. Coverage for dependent children terminates at age 26 but is extended up
to age 30 if the child is an Illinois resident honorably discharged from the armed forces. Children beyond age
26 will continue to be covered if they are incapable of self-sustaining employment by reason of intellectual
disability or physical handicap and are chiefly dependent on the eligible employee for support and
maintenance.
28
Guardian Voluntary Critical Illness Plan
Group # 068729
Covered Critical Illnesses fall into one of four categories:
Cancer Related: Invasive Cancer, Carcinoma in situ
Cardiovascular Related: Heart Attack, Stroke, Coronary Artery Bypass
Pregnancy and Childbirth Related: Infertility non-surgical, infertility surgical
Other: Kidney (Renal) Failure, Major Organ Failure
Plan Features Benefit
Diagnosis of Heart Attack, Invasive Cancer, Severe Stroke,
Major Organ Failure or Kidney (Renal) Failure 100% of amount in force
Diagnosis of Coronary Artery Bypass, Moderate Stroke 50% of amount in force
Recurrence (Same Category) Same Illness must be separated by 6 Months,
Different illness in same category has no time requirement Varies based on Category (50%-0%)
Infertility non-surgical: Prescription oral medication, prescription injectable
medication, intrauterine insemination (IUI)
Infertility surgical: Removal of uterine fibroids, polyps, uterine septum,
endometriosis tissue or fallopian tube scare tissue, varicocelectomy, egg
removal for the purpose of artificial insemination for the purpose of in vitro
fertilization, other surgical intervention performed to treat infertility
Infertility non-surgical: 1 time,
lifetime benefit of 10% of the
elected amount
Infertility surgical: 1 time, lifetime
benefit of 30% of the elected
amount
Subsequent Occurrence (Differed Category) diagnosis must be separated
by at least 6 months 100% of Basic or Partial Benefit
Lifetime Maximum Benefit per Category 2 occurrences per category when
applicable
Completion of Wellness / Health Screening $50 per 12-month period
Guaranteed Issue: Benefit issue amounts are guaranteed to a certain level without regard to health status if
enrollment occurs during the Annual Benefits Enrollment period or within 31 days of first becoming eligible.
The guaranteed issue amount is up to $30,000 for employees and spouses/civil union partners and $7,500 for
dependent children.
Pre-Existing Conditions: There are no pre-existing condition clauses through Guardian.
Waiting Period: There is no waiting period for benefits to be paid out.
Portability: After coverage has been in effect for at least 1 day, coverage can continue if the insured is under
the age of 70 and no longer meets the employment eligibility requirements for reasons other than retirement
or overall termination of the group policy. Premiums charged will be based on the prevailing rate charged to
all insured who continue coverage under this provision and will be billed directly to the insured.
29
Voluntary Accident Plan
Group # 068729
Value Plan Advantage Plan Premier Plan
Wellness Screening $50 $75 $100
Ambulance $150 $200 $300
Emergency Room Treatment $150 $200 $250
Diagnostic Examination $100 per CT/MRI Scan $200 per CT/MRI Scan $400 per CT/MRI Scan
Hospital Admission $500 $1,000 $1,500
ICU Hospital Admission $1,000 $2,000 $3,000
Hospital Confinement $200/day 365-day max $250/day 365-day max $350/day 365-day max
ICU Confinement $400/day 15-day max $500/day 15-day max $700/day 15-day max
Fractures Up to $5,000 Up to $8,000 Up to $10,000
Dislocations Up to 4,000 Up to $5,000 Up to $7,000
Transfusion $300 $300 $300
Burns
9-18 square inches = $0 - $2,000
18-35 square inches = $1,000 - $4,000
Over 35 square inches = $3,000 - $12,000
Concussion $100 $200 $300
Exploratory Surgery $300 $400 $500
Knee Cartilage Surgery $250 $500 $750
Abdominal/Thoracic Surgery Up to $1,000 Up to $1,500 Up to $2,000
Ruptured Disc Surgery $250 $500 $750
Physical Therapy $25/day up to 10 days $35/day up to 10 days $50/day up to 10 days
Accidental Death - Employee $25,000 $50,000 $100,000
Accidental Death - Spouse $12,500 $25,000 $50,000
Accidental Death - Children $5,000 $10,000 $20,000
Dismemberment - One
member 50% of Death Benefit 50% of Death Benefit 50% of Death Benefit
Dismemberment - Two or
more members 100% of Death Benefit 100% of Death Benefit 100% of Death Benefit
Accident Insurance can help lessen your financial burden by providing a lump-sum cash payment upon
accidental injury. Naperville Community Unit School District 203 offers employees the ability to purchase
accident coverage for themselves and their dependents at group rates through Guardian. You pay the full cost
of this coverage through convenient after-tax payroll deductions. The information below highlights some of
the plan features; please contact Guardian for the benefit plan certificate for full coverage information.
30
Voluntary Accident Plan
Group # 068729
Employees eligible for Accident Insurance are active employees under age 70 at application, working 25 or
more hours per week, except those working on a temporary or seasonal basis. Employees must be enrolled in
the Accident plan to extend coverage to their spouses/civil union partners and/or dependent children. Eligible
spouses are the legal spouses of eligible employees, and domestic or civil union partners where required by
law, who are under age 70 at application. Eligible children are unmarried, financially dependent natural,
adopted, foster or stepchildren under age 26 in the custody of an eligible employee. Coverage for dependent
children terminates at age 26 but is extended up to age 30 if the child is an Illinois resident honorably
discharged from the armed forces. Children beyond age 26 will continue to be covered if they are incapable of
self-sustaining employment by reason of intellectual disability or physical handicap and are chiefly dependent
on the eligible employee for support and maintenance.
Monthly Rates
Value Plan Advantage Plan Premier Plan
Employee Only $6.14 $9.17 $13.01
Employee and Spouse/Civil Union
Partner $9.79 $14.58 $20.57
Employee and Child(ren) $10.28 $15.12 $20.91
Family $13.93 $20.53 $28.47
Accidental Death & Dismemberment: There are no age reductions to the Accidental Death &
Dismemberment benefits.
Limitations: No benefit will be paid for loss due to sickness, disease, self-infliction or intoxication. Benefits are
only paid if the insured sustains an injury due to a covered accident and meets all of the requirements defined
for payment under a specific benefit.
Portability: After coverage has been in effect for at least 1 day, coverage can continue if the insured no longer
meets the employment eligibility requirements for reasons other than retirement or overall termination of the
group policy. Premiums charged will be based on the prevailing rate charged to all insured who continue
coverage under this provision and will be billed directly to the insured.
31
Retirement Savings Plan
Naperville Community Unit School District 203 offers employees the opportunity to save for retirement by
participating in a 403(b)/457 retirement saving plan.
A 403(b)/457 plan allows you to contribute a portion of your compensation on a pre-tax basis in order to save
for your retirement. The pre-tax contributions are made to the plan by payroll deduction and grow tax-free
until they are withdrawn. This means you are lowering your taxable income now and will potentially lower the
amount of income tax you will pay on your retirement funds at the time of withdrawal, as you may be in a
lower tax bracket then. The District 403(b) plan also allows you to contribute a portion of your compensation
on a post-tax (Roth) basis. These contributions are also made to the plan by payroll deduction.
All employees are eligible to make contributions to these plans.
US OMNI is our third-party administrator for these plans. A list of approved investment providers and
contribution documents can be found on our plan page at omni403b.com/plandetail/1452. If you wish to
increase or decrease your plan contributions or request any additional services (such as loans or withdraws),
- 544-6664.
In 2025, you may contribute up to $23,500 to both your 403(b) plan and your 457(b) plan. The Limit for 2026
has not been set yet by the IRS. You may be eligible for additional 403(b) contributions if you will be age 50 or
older in the 2026 calendar year or if you have completed at least 15 years of employment with Naperville 203
in 2025. Please reach out to US OMNI to see if you qualify for the additional contribution options. The
contribution limits are subject to change per IRS regulations.
This information is for educational purposes only and is not intended as tax or legal advice. Neither your
employer nor the investment providers offering retirement savings products can provide you with tax or legal
advice. Employees are encouraged to contact their financial representative or tax professional with any
questions.
32
Employee Assistance Program (EAP)
Everyone needs a little help now and then dealing with stress, work or family issues, or personal concerns.
services through a network of licensed counselors and professionals to help you get your life back in balance.
The EAP is offered at no cost and is available to all employees and their families. To access the EAP, please call
855.239.0743 or visit guidanceresources.com
The EAP provides in-person or over-the-phone support with short term counseling, referrals to service
providers within your insurance network and local area and 24-hour emergency access to licensed
professionals on a wide range of issues including but not limited to:
Marital/Family/Relationship Issues
Stress
Depression/Anxiety
Addiction or Substance Abus