Employee Benefits

American Fidelity Assurance (AFA) Website

James Ham
AFA Representative
Phone: 541-207-6677
American Fidelity Customer Service: 800-662-1113

• AFA Enrollment Form
• Flex Savings Account (FSA) Reimbursement Form
• Dependent Day Care Reimbursement Form
• IRS Medical and Dental Expenses
  (included in Health Coverage Tax Credit) for use in preparing tax returns

• https://portal.hraveba.org/
• HRA VEBA Video Library
• HRA VEBA “How To” Webinar Recording
• HRA VEBA Plan Benefits Guide

2023-2024

References:
Group HRA FAQs
Group HRA Instructions
Group HRA How It Works
Medical Plan Breakdown SHOWING GROUP HRA

How to:
Claims Filing APP
Claims Filing Options
Online Account Setup

Resources:
One Digital (Group HRA Consultant) Office Hours and Contact Info
Diversified Benefits Services (Claims Processor) Contact Info

Form(s):
Direct Deposit

We have an agreement with American Fidelity Assurance (AFA) to provide Health Savings Accounts (HSAs) to our staff, but this agreement doesn’t require employees to use AFA. Employees may use any vendor of their choice.

• HSA Direct Deposit Authorization Form
• HRA-HSA-FSA Comparison
• Key Differences between HRA vs. HSA
• American Fidelity Health Savings Info

• City of Newport Down Payment Grant
• Newport Recreation & Swimming Pool Membership
  • Newport Recreation & Swimming Pool Membership Payroll Deduction Form
• Dell Member Purchase Program
• AT&T (LCSD Employee) Discount
• Life Assistance Program (LAP)
• Tax Shelter Annuities
  • 2023 403(b) TSA and 457(b) DCP Announcement for Lincoln County
  • Carruth Compliance Consultant (CCC) Tax Shelter Annuities
    CCC is LCSD consultant for available Tax Shelter Annuities
  • TSA Vendor Listing
    LCSD does not endorse any of the TSA listed
  • TSA Change form
• Oregon College Savings Plan
• CIGNA Voluntary Life Insurance Application
• Ballast Gym Membership Payroll Deduction Form
• Home Financing For Educators
  Information about FHA, Fannie Mae & Freddie Mac programs available for school system employees who are purchasing a home, refinancing a current mortgage, building a new home, or wishing to refinance and receive cash back.
• Teacher Loan Forgiveness Benefits
  See information provided by the U.S. Department of Education.

Your Money Line