Administrator Requirements

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Employee Benefits Home

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Missouri State Certification Information

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Substitute Teacher Requirements

Teacher Requirements

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The following forms are available for participant use in connection with HIPAA Privacy Rights and the Board’s Health Plan, the Medical Reimbursement Flexible Spending Account and the Employee Assistance Program:

Click for Authorization to Use & Disclose Protected Health Information Directed to Board of Education Health Plan Form

Click for Authorization to Use & Disclose Protected Health Information Directed to Board of Education Medical Reimbursement Program Under Flexible Spending Account Plan Form

Click for Authorization to Use & Disclose Protected Health Information Directed to Board of Education Employee Assistance Program Form

Click for Individual Request Not to Use or Disclose Protected Health Information – Health Plan Form

Click for Individual Request Not to Use or Disclose Protected Health Information – Medical Reimbursement Program Under Flexible Spending Account Plan Form

Click for Individual Request Not to Use or Disclose Protected Health Information – Employee Assistance Program Form

Click for Individual Request to Correct or Amend Record – Health Plan Form

Click for Individual Request to Correct or Amend Record – Medical Reimbursement Program Under Flexible Spending Account Plan Form

Click for Individual Request to Correct or Amend Record – Employee Assistance Program Form

Click for Individual Request to Inspect Health Information – Health Plan Form

Click for Individual Request to Inspect Health Information – Medical Reimbursement Program Under Flexible Spending Account Plan Form

Click for Individual Request to Inspect Health Information – Employee Assistance Program Form