Sioux City Community Schools -

Benefit-eligible employees may elect health/medical coverage through UnitedHealthcare. Employees may choose between the $5,500 High Deductible, $3,500 High Deductible, or Value Plan outlined below. To understand the difference between each plan, click on the links below.  

Provider: UnitedHealthcare 
1-888-480-0921 

$5,500 High Deductible Health Plan (HDHP)

$5,500 HDHP Certificate of Coverage
$5,500 HDHP Summary of Benefits and Coverage
$5,500 HDHP Benefit Breakdown

$3,500 High Deductible Health Plan (HDHP)

$3,500 HDHP Certificate of Coverage
$3,500 HDHP Summary of Benefits and Coverage
$3,500 HDHP Benefit Breakdown

Value Health Plan

Value Health Plan Certificate of Coverage
Value Health Plan Summary of Benefits and Coverage
Value Health Plan Benefit Breakdown

Health Plan Vision Coverage 

Vision Rider – Addendum to the Medical Benefit Summary 

Hospital Indemnity Protection Plan helps protect employees from costly hospital expenses. All benefits are paid directly to the insured and can be used towards any expense.

Machine-Readable Files

Our District’s health coverage is fully insured by UnitedHealthcare.  UnitedHealthcare is responsible for maintaining access to all required machine-readable files.

Provider: WEX Benefits
1-833-225-5939

2024 IRS Contribution Limits:
Single: $4,150
Family: $8,300

Eligible employees who elect the HDHP Health Plan can also elect to open a health savings account through WEX. This allows employees to pay for qualified medical, dental, and vision expenses tax-free. 

Here’s how it works: 

• HDHP Plan — Pays for covered expenses once you meet the deductible

• HSA — May be used to pay for qualifying medical, dental, and prescription expenses

Why choose to set up an HSA?  

• HSA funds roll over from year to year. If the money in the HSA isn’t spent, it adds up and stays in the account  

• HSA contributions are done on a pre-tax basis 

• Save for retirement — HSA contributions can help offset medical expenses that you incur during retirement.  

• Manage health care expenses — If you have a high-deductible health plan, an HSA may help you save and pay for health care.  

Follow these steps to start an HSA and get the most out of your account:

1. Open your HSA account through WEX

2. Complete the HSA contribution form below and return it to payroll

3. Make deposits every pay period

4. Use your HSA to pay for things like deductibles, eyeglasses, and medicine

To learn more about WEX health savings accounts, click her to access educational videos.

Provider: WEX Benefits
1-833-225-5939

2024 IRS Contribution Limits:
Medical: $3,200
Dependent Care: $5,000

WEX Medical FSA Informational Flyer
WEX Dependent Care Informational Flyer
FSA Educational Videos

FSA & HSA Forms