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May 20 2012
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    Benefits

    Benefits Request Form

    Thank you for contacting Benefits and Insurance Services. Requests made using this form should NOT be considered as confidential; to discuss confidential information, please use the contact numbers listed below.

    Please Complete all required items

    *First Name: Required
    *Last Name: Required
    * e-mail or phone is required
    Your e-mail:
    Phone Number: (i.e.111-111-1111)
    Best Time to Call:

    Question or Concern: (Use the space below to provide the detail of your request - max. 1000 characters)

    Click on Submit (only once) when finished

    Questions regarding various benefits may be directed to the following persons in the School Administration Building:
    Click here for a printable Contact List
    BenefitContact Number
    City Pension (ERS)(414) 286-3557
    Credit Union Deduction(414) 475-8215
    Dental (If your last name begins with A - K)(414) 475-8158
    Dental (If your last name begins with L - Z)(414) 475-8233
    Dependent Care Assistance Plan(414) 475-8178
    Flexible Spending Accounts (FSA)(414) 475-8178
    FMLA-WI and/or Federal(414) 475-8210
    Health & Productivity Management Program(414) 773-9829
    Leave of Absence(414) 475-8210
    Life Insurance(414) 475-8215
    Opt-Out-Program (If your last name begins with A - K)(414) 475-8158
    Opt-Out-Program (If your last name begins with L - Z)(414) 475-8233
    Payroll(414) 475-8300
    State Pension (WRS)(877) 533-5020
    Supplemental Pension(414) 475-8292
    Tax Shelter Annuities 403(b)(414) 475-8292
    Tuition Reimbursement(414) 475-8929
    Union Dues(414) 475-8215
    UnitedHealthcare Choice EPO & PPO (If your last name begins with A - K)(414) 475-8158
    UnitedHealthcare Choice EPO & PPO (If your last name begins with L - Z)(414) 475-8233
    Vision (If your last name begins with A - K)(414) 475-8158
    Vision (If your last name begins with L - Z)(414) 475-8233
    Worker's Compensation/ADA(414) 475-8209
    403 (b) Accumulated Leave Program(414) 475-8292
    457 Program(877) 457-9327
    MPS Non-Discrimination Notice
    Nondiscrimination Notice

    It is the policy of the Milwaukee Public Schools, as required by section 118.13, Wisconsin Statutes, that no person will be denied admission to any public school or be denied the benefits of, or be discriminated against in any curricular, extracurricular, pupil services, recreational or other program or activity because of the person�s sex, race, color, religion, national origin, ancestry, creed, pregnancy, marital or parental status, sexual orientation or physical, mental, emotional or learning disability.

    This policy also prohibits discrimination under related federal statutes, including Title VI of the Civil Rights Act of 1964 (race, color, and national origin), Title IX of the Education Amendments of 1972 (sex), and Section 504 of the Rehabilitation Act of 1973 (disability), and the Americans with Disabilities Act of 1990 (disability).

    The following individuals have been designated to handle inquiries regarding the non-discrimination policies:

    • For section 118.13, Wisconsin Statutes, federal Title IX:
      Patricia Gill, Director, Office of Family Services, Room 133, Milwaukee Public Schools,
      5225 West Vliet St., P. O. Box 2181, Milwaukee, Wisconsin, 53201-2181
    • For Section 504 of the Rehabilitation Act of 1973 (Section 504), federal Title II:
      Jeff Molter, 504/ADA Coordinator for Students, MPS Department of Special Services,
      5225 West Vliet St., P. O. Box 2181, Milwaukee, Wisconsin, 53201-2181. (414) 475-8139 TTD: (414) 475-8139