Welcome to the Lexington Public Schools
 
We are pleased that you are joining us and hope that you will enjoy your time of service here. Below you will find all of the necessary paperwork and forms (downloadable in pdf format) for your employment. It is important that all forms be completed as soon as possible to insure that you will be paid on time. Some of the links below are for your information and some are forms which we require you to return.
 
Lexington Public Schools
Attn: Human Resources
Central Administration Building
146 Maple Street
Lexington, MA 02420

If you have any questions relating to any of these materials, please call us at (781) 861-2580 x68046



Getting Started:

 
* PLEASE DO NOT STAPLE PAGES OF FORMS TOGETHER *
 
Forms Required to Complete Hiring Process:
Forms and Information concerning your Employee Benefits:
 
GIC Health Information and Enrollment Forms  FY18 (if you are enrolling in health and/or dental insurance, you will need to produce a government issued marriage certificate for your spouse and birth certificates for any dependents to be covered)
  1. GIC Decision Guide 17-18
  2. GIC - Rate Sheet FY18
  3. GIC - 1MUN Enrollment/Change Form
  4. GIC - Dependent Age 19-26 Enrollment/Change Form
If you enroll in GIC Health Insurance, please  fill out and return the below acknowledgement form and read the information regarding the Hiatus Period Stipend and your Health Reimbursement Account (HRA).  Existing employees may have the opportunity to Opt-Out.  Please read the information below.
 
 
 
Other Benefit Forms/Information for FY18
  1. Delta Premier Description
  2. Dental Rate Sheet
  3. Delta Dental Enrollment and Change Form
  4. Delta Dental Student Affidavit
  5. FSA Enrollment Form FY18
  6. Life Insurance Basic & Optional Rates FY18
  7. Life Insurance Beneficiary Change Form
  8. Evidence of Insurability Form To be completed only if making change after original eligibility
  9. 403 - b Plan
  10. 457 Plan - Massachusetts Deferred Compensation SMART Plan
  11. MA Health Connector Information (for review by non-benefit's eligible staff)
General Information and Forms:


 



You may find answers to some of your questions at the following sites:
 

Group Insurance Commission (GIC)

 
 
 
 
 
 
 
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