PEEHIP Benefits & Insurance

2021 Open Enrollment Information

Coordination of Benefits

PEEHIP New Enrollment and Status Change

Flexible Spending Account Enrollment Application

Healthcare Provider Screening

PEEHIP Forms & Newsletters

RSA PEEHIP Main Page

PEEHIP Info (Monthly Newsletter)

TRS Info (Monthly Newsletter)

RSA-1 Payroll Deduction Form

Supplemental Benefits Cancellation Form

Supplemental Benefits Claim Procedures

• Contact the Birmingham City Schools Human Resources Department to report your

• Family Medical Leave of Absence FMLA) information

• Contact your Insurance provider to obtain a claim form

• Complete the Employee’s section

• Have your physician to complete the Physician’s section

You must submit the Employee and Physician sections to the Birmingham City Schools Insurance Department after your FMLA information have been approved by the Birmingham Board of Education.

Once your Family Medical Leave Absence has been approved, the BCS Insurance Department will complete its section.  Your supplemental benefit claim will be processed and submitted to your provider within 7-10 days.

Due to HIPAA please Do Not Fax/Email your claim information to the BCS Insurance Department.

All claim information should be mailed or hand delivered to the BCS Insurance Department.